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Article ; Online: Development and validation of a questionnaire for measuring team cohesion: the Erlangen Team Cohesion at Work Scale (ETC).

Lieb, Marietta / Erim, Yesim / Morawa, Eva

2024 Volume 12, Issue 1, Page(s) 91

Abstract: Background: Team cohesion is a crucial factor when it comes to job satisfaction and turnovers. However, in Germany, economic measures for team cohesion are scarce. The aim of this study was to develop and validate an economic self-report questionnaire ... ...

Abstract	Background: Team cohesion is a crucial factor when it comes to job satisfaction and turnovers. However, in Germany, economic measures for team cohesion are scarce. The aim of this study was to develop and validate an economic self-report questionnaire for measuring team cohesion in a work setting in health care. Methods: The questionnaire was developed in a stepwise procedure. After item analysis, exploratory factor analysis was conducted to assess factor structure. Reliability was tested via internal consistency. To assess convergent and divergent validity, we applied the Copenhagen Psychosocial Questionnaire (COPSOQ), the Perceived Cohesion Scale (PCS), the ENRICHD Social Support Inventory (ESSI), the Effort-Reward Imbalance Scale (ERI) and the Patient Health Questionnaire (PHQ-4), respectively. Results: The pilot version was tested in a sample of n = 126 adult nurses. Item analysis resulted in a total of 13 items for the final version. Exploratory factor analysis indicated a two-factor structure. Internal consistency for the two subscales was good, with α = 0.88 and α = 0.84, respectively. Convergent validity with the subscales of COPSOQ and PCS was moderate to high (r =.26- r =.64). For divergent validity, correlations with the ESSI were low (r =.01- r = -.09). We further found significant correlations with depression symptoms (r=-.22- r=-.37), as well as reward (ERI) (r =.41 -r =.47) and effort (ERI) (r=-.20 - r = -.24). Conclusions: We developed and validated the Erlangen Team Cohesion at Work Scale (ETC), a self-report measure for team cohesion with very good psychometric properties. Due to its economic deployment, it is suitable for measuring team cohesion in work settings, especially in health care.
MeSH term(s)	Adult ; Humans ; Reproducibility of Results ; Surveys and Questionnaires ; Job Satisfaction ; Workplace/psychology ; Self Report ; Psychometrics
Language	English
Publishing date	2024-02-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2705921-2
ISSN	2050-7283 ; 2050-7283
ISSN (online)	2050-7283
ISSN	2050-7283
DOI	10.1186/s40359-024-01583-2
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Article ; Online: Quality of Life and Sense of Coherence in Cancer Patients of German, Turkish and Polish Origin-A Cross-Sectional Study.

Lieb, Marietta / Erim, Yesim / Morawa, Eva

International journal of environmental research and public health

2023 Volume 20, Issue 3

Abstract: Background: Due to a variety of symptoms and side-effects of cancer treatment, quality of life can be considerably impaired in cancer patients. Especially, cancer patients with a migration background seem to be at risk. The objective of our study is to ... ...

Abstract	Background: Due to a variety of symptoms and side-effects of cancer treatment, quality of life can be considerably impaired in cancer patients. Especially, cancer patients with a migration background seem to be at risk. The objective of our study is to investigate the quality of life and sense of coherence in adult cancer patients of German, Turkish and Polish origin. Methods: We assessed sociodemographic, migration-specific and cancer-related parameters. Quality of life was measured via the EORTC QLQ-C30, sense of coherence was measured with the SOC-13. Results: We included 227 patients in the study (59.5% native Germans, 40.5% with migration background). Native Germans did not differ in quality of life compared to all migrants. However, more nausea and vomiting (NV) and higher appetite loss (AP) was found in Turkish migrants compared to Polish migrants and native Germans. For sense of coherence, we observed significantly higher scores for native Germans compared to all migrants. Turkish migrants had significantly lower scores compared to native Germans. Conclusions: A Turkish migration background seems to play an important role in the perception of symptoms, especially of nausea and vomiting and appetite loss. Culture-specific aspects should be considered in cancer care.
MeSH term(s)	Adult ; Humans ; Quality of Life ; Cross-Sectional Studies ; Sense of Coherence ; Poland ; Neoplasms ; Germany/epidemiology
Language	English
Publishing date	2023-01-23
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20032092
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Article ; Online: Psycho-Oncological Self-Help Groups in Bavaria: The Current Situation and Suggestions for Improvement.

Lieb, Marietta / Madl, Martina / Vogelhuber, Martin / Beckmann, Matthias W / Erim, Yesim

Oncology research and treatment

2024 Volume 47, Issue 5, Page(s) 177–188

Abstract: Background: Self-help groups (SHGs) are an important cornerstone of the German health care system. Especially collaborations of SHGs with cancer centers enable active patient involvement in cancer care. We investigated the current situation and unmet ... ...

Abstract	Background: Self-help groups (SHGs) are an important cornerstone of the German health care system. Especially collaborations of SHGs with cancer centers enable active patient involvement in cancer care. We investigated the current situation and unmet needs of Bavarian SHGs in order to point out possible options of action. Methods: We conducted a cross-sectional study with Bavarian psycho-oncological SHGs. Via e-mail, an online survey was sent to 150 SHGs registered at the BZKF (Bavarian Cancer Research Center). We assessed activities and needs of the SHGs as well as the nature of collaborations with cancer centers. We focused on adaptations during the COVID-19 pandemic and the inclusion of migrants. Results: 46 (33.66%) SHGs participated, while 39 (84.78%) completed the questionnaire. During the COVID-19 pandemic, 50% of the SHGs reported less meetings. 22.7% changed to online meetings or other formats (43.2%). 20.9% of the SHGs had regular meetings with the cancer center, and 23.1% with the psycho-oncology. 51.2% evaluated the psycho-oncological services as neutral to dissatisfying due to lack of information, availability, and long waiting times. The SHGs indicated needs concerning interventions (coping strategies, digital applications, etc.), information, and better communication. Efforts for overcoming inequalities seemed rare: only 13.6% of the SHGs and 16.2% of the cancer centers had services for migrants. Conclusions: This study gave an overview of current activities and needs of Bavarian SHGs. The implementation of patient guides, comprehensive information material, and low-threshold psycho-oncological services should be objectives in future care to increase patient satisfaction. The needs for services for migrants should be investigated in more detail.
MeSH term(s)	Humans ; Germany ; Self-Help Groups ; COVID-19/epidemiology ; COVID-19/psychology ; Cross-Sectional Studies ; Female ; Psycho-Oncology ; Male ; Middle Aged ; Neoplasms/therapy ; Neoplasms/psychology ; SARS-CoV-2 ; Surveys and Questionnaires ; Adult ; Aged
Language	English
Publishing date	2024-03-08
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2760274-6
ISSN	2296-5262 ; 2296-5270
ISSN (online)	2296-5262
ISSN	2296-5270
DOI	10.1159/000538248
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Article ; Online: Working conditions and mental health of migrants and refugees in Europe considering cultural origin- a systematic review.

Herold, Regina / Lieb, Marietta / Borho, Andrea / Voss, Amanda / Unverzagt, Susanne / Morawa, Eva / Rothermund, Eva / Erim, Yesim

BMC public health

2024 Volume 24, Issue 1, Page(s) 662

Abstract: Background: Migrants and refugees/asylum seekers, as a large part of the European work force, are often confronted with unfavorable working conditions in the host country. Main aim of this systematic review was to compare the association of these ... ...

Abstract	Background: Migrants and refugees/asylum seekers, as a large part of the European work force, are often confronted with unfavorable working conditions in the host country. Main aim of this systematic review was to compare the association of these working conditions with mental health between migrants and refugees/asylum seekers due to their diverse migration experiences and cultural origins, and between different European host countries. Methods: Systematic search for eligible primary studies was conducted in three electronic databases (PubMed/MEDLINE, PsycINFO and CINAHL) using quantitative study designs written in English, German, French, Italian, Polish, Spanish or Turkish and published from January 1, 2016 to October 27, 2022. Primary health outcomes were diagnosed psychiatric and psychological disorders, suicide and suicide attempts, psychiatric and psychological symptoms, and perceived distress. Secondary health outcomes were more general concepts of mental health such as well-being, life satisfaction and quality of life. Two reviewers independently completed screening, data extraction and the methodological quality assessment of primary studies using the Newcastle-Ottawa-Scale. Descriptive summary of primary studies on working conditions and their relationship with mental health were conducted, comparing migrants and refugees/asylum seekers, migrants and refugees/asylum seekers of different cultural backgrounds (collectivistic and individualistic) and migrants and refugees/asylum seekers living in different host countries. Results: Inclusion criteria were met by 19 primary studies. Voluntary migrants are more likely to experience overqualification in the host country than refugees. In all examined host countries, migrants and refugees suffer from unfavorable working conditions, with migrants from collectivistic countries being slightly at risk compared to migrants from individualistic countries. Most unfavorable working conditions are related to poor mental health, regardless of migrant status, cultural origin or host country. Conclusions: Although the results should be interpreted with caution due to the small number of studies, it is evident that to maintain both the mental health and labor force of migrants and refugees/asylum seekers, their working conditions in host countries should be controlled and improved. Special attention should be paid to specific subgroups such as migrants from collectivistic societies. Ethics and dissemination: This systematic review is excluded from ethical approval because it used previously approved published data from primary studies. Trial registration number: CRD42021244840.
MeSH term(s)	Humans ; Europe/epidemiology ; Mental Health ; Quality of Life ; Refugees/psychology ; Transients and Migrants ; Workplace
Language	English
Publishing date	2024-03-01
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-024-18096-7
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Article ; Online: Using Heart Rate Variability to Assess Nurses' Stress During the COVID-19 Pandemic.

Krieger, Hanna / Rhein, Cosima / Morawa, Eva / Adler, Werner / Steffan, Jan / Lang-Richter, Nadine / Struck, Matthias / Erim, Yesim / Lieb, Marietta

Western journal of nursing research

2024 , Page(s) 1939459241252078

Abstract: Objective: This study aimed to assess subjective and objective parameters of stress among nurses during the COVID-19 pandemic and to examine the recovery effect of a day off.: Methods: In this prospective observational trial, we measured heart rate ... ...

Abstract	Objective: This study aimed to assess subjective and objective parameters of stress among nurses during the COVID-19 pandemic and to examine the recovery effect of a day off. Methods: In this prospective observational trial, we measured heart rate variability (using a wearable device) and perceived stress levels on 3 working days and 1 day off. We obtained the following data using an online questionnaire: working conditions, COVID-19-related problems, depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), effort-reward imbalance, and work-family conflict in a sample of German nurses (N = 41). Results: When comparing working days with a day off, we observed a significant difference for physical load (Cohen's Conclusion: As heart rate variability observations were different from those regarding subjectively perceived stress, further studies are needed to evaluate and differentiate the influence of work stress and other types of stress on heart rate variability.
Language	English
Publishing date	2024-05-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	632788-6
ISSN	1552-8456 ; 0193-9459
ISSN (online)	1552-8456
ISSN	0193-9459
DOI	10.1177/01939459241252078
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Article ; Online: The influence of patient-related factors on the frequency and duration of psycho-oncological sessions in a university cancer center.

Madl, Martina / Lieb, Marietta / Schieber, Katharina / Erim, Yesim

Journal of psychosocial oncology

2021 Volume 40, Issue 3, Page(s) 380–396

Abstract: Objective: The present study aimed at identifying factors that are associated with the frequency and duration of psycho-oncological sessions.: Design: In a retrospective single-center study, data of all patients who made use of the psycho-oncological ...

Abstract	Objective: The present study aimed at identifying factors that are associated with the frequency and duration of psycho-oncological sessions. Design: In a retrospective single-center study, data of all patients who made use of the psycho-oncological service (POS) at the University Hospital Erlangen from April 2017 - March 2018 were registered. Sample: Over the course of one year, Methods: In the hospital's digital documentation system, relevant data such as frequency of sessions, duration of sessions, gender, age, family status, preexisting mental disorder, prior psychotherapy, cancer entity (type of cancer) and treatment modality were recorded. Socio-demographic and clinical parameters were analyzed to predict frequency and duration of the psycho-oncology sessions. Findings: Regression analyses revealed that among POS users, women, younger patients, patients with a longer hospital stay and those with a preexisting mental disorder attended significantly more sessions than other patients ( Implications: With the identification of specific risk groups that require more and longer sessions, we can provide the basis for more patient-tailored intervention approaches and better scheduling according to the patients' needs. However, our results also suggest that the frequency and duration of POS sessions also depend on illness- and treatment-related criteria, e.g. the length of the hospital stay.
MeSH term(s)	Female ; Humans ; Mental Disorders/therapy ; Psycho-Oncology ; Psychotherapy/methods ; Retrospective Studies ; Skin Neoplasms/therapy
Language	English
Publishing date	2021-12-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	605892-9
ISSN	1540-7586 ; 0734-7332
ISSN (online)	1540-7586
ISSN	0734-7332
DOI	10.1080/07347332.2021.1964013
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Article ; Online: Acute stress responses of autonomous nervous system, HPA axis, and inflammatory system in posttraumatic stress disorder.

von Majewski, Kristin / Kraus, Olga / Rhein, Cosima / Lieb, Marietta / Erim, Yesim / Rohleder, Nicolas

Translational psychiatry

2023 Volume 13, Issue 1, Page(s) 36

Abstract: Posttraumatic stress disorder (PTSD) does not only have direct consequences for well-being, but it also comes with a significant risk for severe somatic health consequences. A number of previous studies have pointed to alterations in stress systems in ... ...

Abstract	Posttraumatic stress disorder (PTSD) does not only have direct consequences for well-being, but it also comes with a significant risk for severe somatic health consequences. A number of previous studies have pointed to alterations in stress systems in traumatized persons, as well as the inflammatory system, which might be important links in the pathway between trauma, PTSD, and health consequences. The aim of this study was to investigate acute stress responses in PTSD patients compared with healthy controls. Twenty-seven PTSD patients and 15 controls were exposed to the Trier Social Stress Test (TSST), and we measured salivary cortisol, salivary alpha-amylase (sAA), plasma interleukin-6 (IL-6), as well as heart rate and heart rate variability (HRV) at different time points before, during and after the stress test. Results revealed similar stress responses between patients and controls, but lower baseline cortisol levels and higher IL-6 baseline levels in PTSD patients. Increases in sAA stress responses were significantly lower in patients, while sAA concentrations were higher in the PTSD group during intervention. HRV was markedly decreased in patients and showed a significantly blunted acute stress response with a slower recovery after TSST. These results confirm previous findings of marked stress system dysregulations in PTSD and add to the literature on acute stress reactivity in PTSD which appears to show stress system-specific changes. Overall, these results have implications for our understanding of potential risk and resilience factors in the response to trauma.
MeSH term(s)	Humans ; Stress Disorders, Post-Traumatic/metabolism ; Stress, Psychological/metabolism ; Hydrocortisone/metabolism ; Hypothalamo-Hypophyseal System/metabolism ; Interleukin-6/metabolism ; Pituitary-Adrenal System/metabolism ; Saliva/metabolism
Chemical Substances	Hydrocortisone (WI4X0X7BPJ) ; Interleukin-6
Language	English
Publishing date	2023-02-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2609311-X
ISSN	2158-3188 ; 2158-3188
ISSN (online)	2158-3188
ISSN	2158-3188
DOI	10.1038/s41398-023-02331-7
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Article ; Online: Relationship between working conditions and mental health of migrants and refugees/asylum seekers vs. natives in Europe: a systematic review.

Herold, Regina / Lieb, Marietta / Borho, Andrea / Voss, Amanda / Unverzagt, Susanne / Morawa, Eva / Erim, Yesim

International archives of occupational and environmental health

2023 Volume 96, Issue 7, Page(s) 931–963

Abstract: Objective: Migrants and refugees/asylum seekers make up a significant proportion of the European workforce. They often suffer from poor working conditions, which might impact mental health. The main objective of this systematic review was to summarize ... ...

Abstract	Objective: Migrants and refugees/asylum seekers make up a significant proportion of the European workforce. They often suffer from poor working conditions, which might impact mental health. The main objective of this systematic review was to summarize and analyze existing research on working conditions of migrants and refugees/asylum seekers in European host countries and compare them to those of natives. Furthermore, the relationship between working conditions and mental health of migrants/refugees/asylum seekers and natives will be compared. Methods: Three electronic databases (PubMed/MEDLINE, PsycInfo and CINAHL) were systematically searched for eligible articles using quantitative study designs written in English, German, French, Italian, Polish, Spanish or Turkish and published from January 1, 2016 to October 27, 2022. Primary health outcomes were diagnosed psychiatric and psychological disorders, suicide (attempts), psychiatric and psychological symptoms, and perceived distress. Secondary health outcomes were more general concepts of mental health such as well-being, life satisfaction and quality of life. Screening, data extraction and the methodological quality assessment of primary studies by using the Newcastle-Ottawa Scale were done independently by two reviewers. The results of the primary studies were summarized descriptively. Migrants and refugees/asylum seekers were compared with natives in terms of the association between working conditions and mental health. Results: Migrants and refugees often face disadvantages at work concerning organizational (low-skilled work, overqualification, fixed-term contracts, shift work, lower reward levels) and social conditions (discrimination experiences) in contrast to natives. Most unfavorable working conditions are associated with worse mental health for migrants as well as for natives. Conclusions: Even if the results are to be taken with caution, it is necessary to control and improve the working conditions of migrants and refugees/asylum seekers and adapt them to those of the native population to maintain their mental health and thus their labor force.
MeSH term(s)	Humans ; Mental Health ; Refugees/psychology ; Quality of Life ; Working Conditions ; Europe/epidemiology ; Transients and Migrants
Language	English
Publishing date	2023-07-13
Publishing country	Germany
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	129038-1
ISSN	1432-1246 ; 0340-0131 ; 0367-9977
ISSN (online)	1432-1246
ISSN	0340-0131 ; 0367-9977
DOI	10.1007/s00420-023-01981-w
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Article ; Online: Cognitive impairments and mental health of patients with post-COVID-19: A cross-sectional study.

Morawa, Eva / Krehbiel, Johannes / Borho, Andrea / Herold, Regina / Lieb, Marietta / Schug, Caterina / Erim, Yesim

Journal of psychosomatic research

2023 Volume 173, Page(s) 111441

Abstract: Background: Persistent cognitive complaints belong to the most frequent symptoms after COVID-19. This study explored the neuropsychological profile, mental health and risk factors for cognitive impairment in post-COVID-19 patients.: Methods: The ... ...

Abstract	Background: Persistent cognitive complaints belong to the most frequent symptoms after COVID-19. This study explored the neuropsychological profile, mental health and risk factors for cognitive impairment in post-COVID-19 patients. Methods: The patients were recruited consecutively in the Post COVID Center of the University Hospital of Erlangen between 12/2022 and 05/2023. They underwent an extensive neuropsychological assessment including the Verbal Learning Memory Test (VLMT), the digit span backwards from the Wechsler Memory Scale-Revised (WMS-R), the Trail Making Test (TMT) Part A and B, the d2 Test of Attention and the Regensburger Verbal Fluency Test (RWT). For each cognitive domain we calculated the frequency of age-adjusted scores below the measure-specific norms. Depressive symptoms were measured with the Patient-Health-Questionnaire-9 (PHQ-9). Logistic regression analyses were computed. Results: In 110 patients (mean age: 42.5 ± 11.9 years; 68.2% women), the most frequent cognitive deficits were observed for verbal fluency, working speed, delayed recall and attention. In almost every cognitive domain high education levels were associated with a decreased risk for cognitive impairment. Higher age was a risk factor for working speed and delayed recall and a protective factor for verbal fluency. Clinically relevant depressive symptoms were associated with an elevated risk for an impairment regarding some cognitive functions. Conclusion: Cognitive dysfunctions were common among the post-COVID-19 patients. Differentiated exploration of cognitive impairments is crucial for a proper characterization of the post-COVID syndrome. In future research parameters of cognitive impairment should be correlated to alterations in biological markers of the disease like markers of immunological and microcirculation change.
MeSH term(s)	Humans ; Female ; Adult ; Middle Aged ; Male ; Cross-Sectional Studies ; Mental Health ; COVID-19/complications ; Cognitive Dysfunction/etiology ; Cognition ; Neuropsychological Tests
Language	English
Publishing date	2023-07-31
Publishing country	England
Document type	Journal Article
ZDB-ID	80166-5
ISSN	1879-1360 ; 0022-3999
ISSN (online)	1879-1360
ISSN	0022-3999
DOI	10.1016/j.jpsychores.2023.111441
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Book ; Online ; Thesis: Adhärenz und psychische Gesundheit nach Nierentransplantation

Lieb, Marietta [Verfasser] / Erim, Yesim [Akademischer Betreuer] / Erim, Yesim [Gutachter]

2022

Author's details	Marietta Lieb ; Gutachter: Yesim Erim ; Betreuer: Yesim Erim
Keywords	Medizin, Gesundheit ; Medicine, Health
Subject code	sg610
Language	German
Publisher	Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU)
Publishing place	Erlangen
Document type	Book ; Online ; Thesis
Database	Digital theses on the web

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