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Article ; Online: Warum entscheiden sich Männer für Geheimhaltung und gegen Offenlegung einer depressiven Erkrankung? Eine qualitative Studie.

Nickel, Paul / Stiawa, Maja / Götzl, Christian / Krieg, Gironimo / Mayer, Lea / Krumm, Silvia

2024

Abstract: Objective: The qualitative study aims to explore reasons and occations for concealment in male participants with depression.: Methods: Five focus groups with 16 men were analysed via Qualitative Content Analysis.: Results: Four motives of ... ...

Title translation	Why Men Choose for Concealment and Against Disclosure of their Depressive Illness? A Qualitative Study.
Abstract	Objective: The qualitative study aims to explore reasons and occations for concealment in male participants with depression. Methods: Five focus groups with 16 men were analysed via Qualitative Content Analysis. Results: Four motives of concealment have been explored: 1. continuity of professional career, 2. Ensure acceptance and social belonging, 3. control over social identity, 4. avoiding loads of personal environment. Participants differentiate from stereotypes of hegemonic male gender norms. However, participants connect to hegemonic male gender norms when attributing professional success with vigour and assertiveness. Conclusion: Results confirm the presence of hegemonic male gender norms particularly on the job. As a consequence, men with depressiopn replicate self- and social stigma if they fail to comply with hegemonic male gender roles. Workplace interventions that react to discrimination of mental health problems may be beneficial for men with depression.
Language	German
Publishing date	2024-03-29
Publishing country	Germany
Document type	English Abstract ; Journal Article
ZDB-ID	124981-2
ISSN	1439-0876 ; 0303-4259
ISSN (online)	1439-0876
ISSN	0303-4259
DOI	10.1055/a-2249-0649
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Social Reactions After Disclosing Suicide Loss Among Women.

Mayer, Lea / Puschner, Nadja / Votruba, Nicole / Rüsch, Nicolas / Oexle, Nathalie

Crisis

2022 Volume 44, Issue 6, Page(s) 451–457

MeSH term(s)	Adult ; Humans ; Female ; Suicide ; Grief ; Social Stigma ; Stereotyping ; Disclosure ; Social Support
Language	English
Publishing date	2022-07-08
Publishing country	Canada
Document type	Journal Article
ZDB-ID	801380-9
ISSN	2151-2396 ; 0227-5910
ISSN (online)	2151-2396
ISSN	0227-5910
DOI	10.1027/0227-5910/a000871
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Article ; Online: Perceived Determinants of Disclosing Suicide Loss.

Oexle, Nathalie / Puschner, Nadja / Votruba, Nicole / Rüsch, Nicolas / Mayer, Lea

Crisis

2022

Language	English
Publishing date	2022-11-29
Publishing country	Canada
Document type	Journal Article
ZDB-ID	801380-9
ISSN	2151-2396 ; 0227-5910
ISSN (online)	2151-2396
ISSN	0227-5910
DOI	10.1027/0227-5910/a000891
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Article: [No title information]

Nickel, Paul / Stiawa, Maja / Götzl, Christian / Krieg, Gironimo / Mayer, Lea / Krumm, Silvia

Psychiatrische Praxis

2024

Abstract: Ziel der Studie: Diese qualitative Studie untersucht aus Sicht von Männern mit Depression, aus welchen Gründen und in welchen Situationen sie die depressive Erkrankung geheim halten.: Methodik: Fünf ... ...

Abstract	Ziel der Studie: Diese qualitative Studie untersucht aus Sicht von Männern mit Depression, aus welchen Gründen und in welchen Situationen sie die depressive Erkrankung geheim halten. Methodik: Fünf Fokusgruppen mit 16 Männern wurden inhaltsanalytisch ausgewertet. Ergebnisse: Es wurden vier Motive für Geheimhaltung herausgearbeitet: 1. Berufliche Kontinuität sicherstellen, 2. Akzeptanz und soziale Zugehörigkeit sichern, 3. Kontrolle über soziale Identität gewinnen, 4. Belastungen des privaten Umfelds vermeiden. Stereotype traditioneller Männlichkeit werden im Allgemeinen abgelehnt, bilden jedoch im Arbeitskontext einen Referenzrahmen für beruflichen Erfolg. Schlussfolgerung: Die Ergebnisse verweisen auf die Präsenz von Normen traditioneller Männlichkeit insbesondere im Arbeitskontext sowie auf Öffentliches Stigma und Selbststigma von Männern mit Depression. Betroffene könnten von Maßnahmen profitieren, die der öffentlichen Stigmatisierung von psychischen Erkrankungen im Arbeitsumfeld entgegenwirken.
Keywords	Depression ; Offenlegung ; Geheimhaltung ; Qualitative Studie ; Mentale Männergesundheit ; Depression ; Disclosure ; Concealment ; Qualitative Research ; Men`s Mental Health
Language	German
Publishing date	2024-03-29
Publisher	Georg Thieme Verlag
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	124981-2
ISSN	1439-0876 ; 0303-4259
ISSN (online)	1439-0876
ISSN	0303-4259
DOI	10.1055/a-2249-0649
Database	Thieme publisher's database

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Zs.A 971: Show issues

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Article ; Online: Anterior Lumbar Interbody Fusion in Elderly Patients: Peri- and Postoperative Complications and Clinical Outcome.

Jesse, Christopher M / Mayer, Lea / Häni, Levin / Goldberg, Johannes / Raabe, Andreas / Schwarzenbach, Othmar / Schär, Ralph T

Journal of neurological surgery. Part A, Central European neurosurgery

2023 Volume 84, Issue 6, Page(s) 548–557

Abstract: Background: Anterior lumbar interbody fusion (ALIF) is an effective surgical technique for treating various lumbar pathologies, but its use in elderly patients is controversial. Data concerning complications and effectiveness are sparse. We ... ...

Abstract	Background: Anterior lumbar interbody fusion (ALIF) is an effective surgical technique for treating various lumbar pathologies, but its use in elderly patients is controversial. Data concerning complications and effectiveness are sparse. We investigated peri- and postoperative complications, radiographic parameters, and clinical outcome in elderly patients. Methods: Patients ≥65 years who underwent ALIF between January 2008 and August 2020 were included in the study. All surgeries were performed through a retroperitoneal approach. Clinical and surgical data as well as radiologic parameters were collected prospectively and analyzed retrospectively. Results: A total of 39 patients were included; the mean age was 72.6 (±6.3) years (range: 65-90 years); and the mean American Society of Anesthesiologists (ASA) risk classification was 2.3 (±0.6). A laceration of the left common iliac vein was the only major complication recorded (2.6%). Minor complications occurred in 20.5% of patients. Fusion rate was 90.9%. Reoperation rate at the index level was 12.8 and 7.7% in adjacent segments. The multidimensional Core Outcome Measures Index (COMI) improved from 7.4 (±1.4) to 3.9 (±2.7) after 1 year and to 3.3 (±2.6) after 2 years. Oswestry disability index (ODI) improved from 41.2 (±13.7) to 20.9 (±14.9) after 1 year and to 21.5 (±18.8) after 2 years. Improvements of at least the minimal clinically important change score of 2.2 and 12.9 points in the ODI and COMI after 2 years were noted in 75 and 56.3% of the patients, respectively. Conclusion: With careful patient selection, ALIF is safe and effective in elderly patients.
MeSH term(s)	Humans ; Aged ; Retrospective Studies ; Treatment Outcome ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Spinal Fusion/adverse effects ; Spinal Fusion/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology
Language	English
Publishing date	2023-05-16
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2651663-9
ISSN	2193-6323 ; 2193-6315
ISSN (online)	2193-6323
ISSN	2193-6315
DOI	10.1055/s-0042-1757164
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Social reactions after disclosing suicide loss among women. A qualitative study

Mayer, Lea / Puschner, Nadja / Votruba, Nicole / Rüsch, Nicolas / Oexle, Nathalie

Crisis

2022 , Page(s) 1–7

Abstract: Background: Suicide loss is often concealed. While initial evidence suggests that disclosure is important for healthy grieving, observed beneficial effects may depend on social reactions. Aim: The current study aimed to identify social reactions and ... ...

Title translation	Soziale Reaktionen von Frauen nach dem Bekanntwerden eines Suizidverlustes - Eine qualitative Studie
Abstract	Background: Suicide loss is often concealed. While initial evidence suggests that disclosure is important for healthy grieving, observed beneficial effects may depend on social reactions. Aim: The current study aimed to identify social reactions and associated consequences experienced by persons who lost a loved one to suicide (i.e., suicide loss survivors). Method: We conducted qualitative interviews with 22 female adult suicide loss survivors focusing on social reactions after suicide loss. Interviews were transcribed and analyzed using qualitative content analysis. Results: When talking about their loss with others, suicide loss survivors experienced a broad range of social reactions including compassionate and supportive responses, speechlessness and insecurity, curiosity and gossip, stigmatization, and grieving expectations. Depending on these social reactions, disclosing suicide loss was associated with both negative and positive long-term effects. Limitations: The findings are limited to the current female sample. Conclusion: Interventions that help suicide loss survivors in finding supportive confidants, combined with public interventions to decrease public suicide stigma and improve the public's readiness to provide helpful support to suicide loss survivors, could improve grieving outcomes among this group.
Keywords	Emotional Responses ; Emotional Support ; Emotionale Reaktionen ; Emotionale Unterstützung ; Frauen ; Grief ; Human Females ; Selbstoffenbarung ; Self-Disclosure ; Social Interaction ; Social Support ; Soziale Interaktion ; Soziale Unterstützung ; Stigma ; Suicide ; Suizid ; Survivors ; Trauer ; Überlebende
Language	English
Document type	Article
ZDB-ID	801380-9
ISSN	2151-2396 ; 0227-5910
ISSN (online)	2151-2396
ISSN	0227-5910
DOI	10.1027/0227-5910/a000871
Database	PSYNDEX

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Zs.A 1614: Show issues

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Article ; Online: Attitudes towards disclosing a mental illness: impact on quality of life and recovery.

Mayer, Lea / Corrigan, Patrick W / Eisheuer, Daniela / Oexle, Nathalie / Rüsch, Nicolas

Social psychiatry and psychiatric epidemiology

2021 Volume 57, Issue 2, Page(s) 363–374

Abstract: Purpose: The decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure ... ...

Abstract	Purpose: The decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure decisions are a key reaction to stigma. The first aim of this study was to test a newly developed scale to measure disclosure attitudes, the Attitudes to Disclosure Questionnaire (AtDQ). The second aim was to examine the impact of attitudes towards disclosing a mental illness on quality of life and recovery. Methods: Among 100 participants with mental illness, disclosure attitudes, quality of life, recovery, benefits of disclosure, secrecy, social withdrawal, self-stigma, and depressive symptoms were assessed at weeks 0, 3 and 6. Psychometric properties of the AtDQ were analysed. Longitudinal associations between disclosure attitudes at baseline and quality of life and recovery after 6 weeks were examined in linear regressions. Results: The analyses of the AtDQ indicated one-factor solutions, high acceptability, high internal consistency, and good retest reliability for the total scale and the subscales as well as high construct validity of the total scale. Results provided initial support for sensitivity to change. More positive disclosure attitudes in general and in particular regarding to family at baseline predicted better quality of life and recovery after 6 weeks. Conclusion: The current study provides initial support for the AtDQ as a useful measure of disclosure attitudes. Disclosing a mental illness, especially with respect to family, may improve quality of life and recovery of people with mental illness.
MeSH term(s)	Attitude ; Humans ; Mental Disorders ; Quality of Life ; Reproducibility of Results ; Social Stigma
Language	English
Publishing date	2021-04-24
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-021-02081-1
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Article: Psychopharmakotherapie bei Menschen mit intellektueller Entwicklungsstörung. Die Sicht von Betreuungspersonal aus stationären Wohneinrichtungen

Schützwohl, Matthias / Stasch, Nicole / Mayer, Lea / Krönke, Indra / Reupert, Annegret / Krumm, Silvia

Psychopharmakotherapie

2022 Volume 29, Issue 3, Page(s) 96

Language	German
Document type	Article
ZDB-ID	1196510-1
ISSN	0944-6877
Database	Current Contents Medicine

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Article: Attitudes towards disclosing a mental illness

Mayer, Lea / Corrigan, Patrick W. / Eisheuer, Daniela / Oexle, Nathalie / Rüsch, Nicolas

Social Psychiatry and Psychiatric Epidemiology

Impact on quality of life and recovery

2022 Volume 57, Issue 1, Page(s) 363–374

Title translation	Einstellungen zur Offenlegung einer psychischen Erkrankung: Auswirkungen auf die Lebensqualität und Genesung
Abstract	Purpose: The decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure decisions are a key reaction to stigma. The first aim of this study was to test a newly developed scale to measure disclosure attitudes, the Attitudes to Disclosure Questionnaire (AtDQ). The second aim was to examine the impact of attitudes towards disclosing a mental illness on quality of life and recovery. Methods: Among 100 participants with mental illness, disclosure attitudes, quality of life, recovery, benefits of disclosure, secrecy, social withdrawal, self-stigma, and depressive symptoms were assessed at weeks 0, 3 and 6. Psychometric properties of the AtDQ were analyzed. Longitudinal associations between disclosure attitudes at baseline and quality of life and recovery after 6 weeks were examined in linear regressions. Results: The analyses of the AtDQ indicated one-factor solutions, high acceptability, high internal consistency, and good retest reliability for the total scale and the subscales as well as high construct validity of the total scale. Results provided initial support for sensitivity to change. More positive disclosure attitudes in general and in particular regarding to family at baseline predicted better quality of life and recovery after 6 weeks. Conclusion: The current study provides initial support for the AtDQ as a useful measure of disclosure attitudes. Disclosing a mental illness, especially with respect to family, may improve quality of life and recovery of people with mental illness.
Keywords	Attitude Measures ; Einstellungsmessverfahren ; Factor Structure ; Faktorenstruktur ; Genesung ; Illness Behavior ; Internal Consistency ; Interne Konsistenz ; Krankenverhalten ; Lebensqualität ; Mental Disorders ; Mental Health Stigma ; Psychische Störungen ; Quality of Life ; Recovery (Disorders) ; Selbstoffenbarung ; Self-Disclosure ; Stigmatisierung psychischer Krankheit ; Test Construction ; Test Reliability ; Test Validity ; Test-Retest Reliability ; Test-Retest-Reliabilität ; Testkonstruktion ; Testreliabilität ; Testvalidität
Language	English
Document type	Article
ZDB-ID	623071-4
ISSN	0933-7954
ISSN	0933-7954
DOI	10.1007/s00127-021-02081-1
Database	PSYNDEX

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Article: Anterior Lumbar Interbody Fusion in Elderly Patients: Peri- and Postoperative Complications and Clinical Outcome

Jesse, Christopher M. / Mayer, Lea / Häni, Levin / Goldberg, Johannes / Raabe, Andreas / Schwarzenbach, Othmar / Schär, Ralph T.

Journal of Neurological Surgery Part A: Central European Neurosurgery

2023 Volume 84, Issue 06, Page(s) 548–557

Abstract	Background: Anterior lumbar interbody fusion (ALIF) is an effective surgical technique for treating various lumbar pathologies, but its use in elderly patients is controversial. Data concerning complications and effectiveness are sparse. We investigated peri- and postoperative complications, radiographic parameters, and clinical outcome in elderly patients. Methods: Patients ≥65 years who underwent ALIF between January 2008 and August 2020 were included in the study. All surgeries were performed through a retroperitoneal approach. Clinical and surgical data as well as radiologic parameters were collected prospectively and analyzed retrospectively. Results: A total of 39 patients were included; the mean age was 72.6 (±6.3) years (range: 65–90 years); and the mean American Society of Anesthesiologists (ASA) risk classification was 2.3 (±0.6). A laceration of the left common iliac vein was the only major complication recorded (2.6%). Minor complications occurred in 20.5% of patients. Fusion rate was 90.9%. Reoperation rate at the index level was 12.8 and 7.7% in adjacent segments. The multidimensional Core Outcome Measures Index (COMI) improved from 7.4 (±1.4) to 3.9 (±2.7) after 1 year and to 3.3 (±2.6) after 2 years. Oswestry disability index (ODI) improved from 41.2 (±13.7) to 20.9 (±14.9) after 1 year and to 21.5 (±18.8) after 2 years. Improvements of at least the minimal clinically important change score of 2.2 and 12.9 points in the ODI and COMI after 2 years were noted in 75 and 56.3% of the patients, respectively. Conclusion: With careful patient selection, ALIF is safe and effective in elderly patients.
Keywords	ALIF ; anterior lumbar interbody fusion ; lumbar fusion ; spine surgery in elderly
Language	English
Publishing date	2023-05-16
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2651663-9
ISSN	2193-6323 ; 2193-6315
ISSN (online)	2193-6323
ISSN	2193-6315
DOI	10.1055/s-0042-1757164
Database	Thieme publisher's database

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