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Book ; Online ; Thesis: Stärkung der mentalen Fitness von Einsatzkräften

Wesemann, Ulrich [Verfasser]

2022

Author's details	Ulrich Wesemann
Keywords	Medizin, Gesundheit ; Medicine, Health
Subject code	sg610
Language	German
Publisher	Medizinische Fakultät Charité - Universitätsmedizin Berlin
Publishing place	Berlin
Document type	Book ; Online ; Thesis
Database	Digital theses on the web

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Article ; Online: Incidence of mental disorders in soldiers deployed to Afghanistan who have or have not experienced a life-threatening military incident-a quasi-experimental cohort study.

Wesemann, Ulrich / Renner, Karl-Heinz / Rowlands, Katie / Köhler, Kai / Hüttermann, Nils / Himmerich, Hubertus

Frontiers in public health

2024 Volume 12, Page(s) 1357836

Abstract: Introduction: There is very good international research on deployment-related mental disorders in military personnel. The incidence rates show a very wide range. A new strategy is therefore proposed in order to achieve better standardization and thus ... ...

Abstract	Introduction: There is very good international research on deployment-related mental disorders in military personnel. The incidence rates show a very wide range. A new strategy is therefore proposed in order to achieve better standardization and thus better comparability of the studies. In addition to a non-deployed comparison group, we propose to compare deployed soldiers with and without critical military incidents during the deployment. This additional distinction makes it possible to differentiate between the influencing variables of actual threat and general deployment stress. Methods: N Results: When comparing both groups, we found significantly higher 1-year incidence rates in the group with critical military incidents: 6.4% vs. 1.1% (OR 6.2) for post-traumatic stress disorder (PTSD); 7.0% vs. 1.1% (OR 6.5) for depression; and 15.9% vs. 2.8% (OR 6.6) for anxiety disorders. The 1-year incidence rate of mental multimorbidity (PTSD with anxiety or depression) was 4.8% vs. 0.4% (OR 12.0). Discussion: These results indicate that life-threatening military incidents during military deployment are important to mental health. As the different threat levels of the various missions are taken into account, additional predictors could be determined more precisely in further research.
MeSH term(s)	Humans ; Male ; Military Personnel/psychology ; Incidence ; Cohort Studies ; Afghanistan/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology
Language	English
Publishing date	2024-02-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1357836
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Investigating the impact of terrorist attacks on the mental health of emergency responders: systematic review.

Wesemann, Ulrich / Applewhite, Briana / Himmerich, Hubertus

BJPsych open

2022 Volume 8, Issue 4, Page(s) e107

Abstract: Background: Terrorist attacks have strong psychological effects on rescue workers, and there is a demand for effective and targeted interventions.: Aims: The present systematic review aims to examine the mental health outcomes of exposed emergency ... ...

Abstract	Background: Terrorist attacks have strong psychological effects on rescue workers, and there is a demand for effective and targeted interventions. Aims: The present systematic review aims to examine the mental health outcomes of exposed emergency service personnel over time, and to identify risk and resilience factors. Method: A literature search was carried out on PubMed and PubPsych until 27 August 2021. Only studies with a real reported incident were included. The evaluation of the study quality was based on the Quality Assessment Tool for Quantitative Studies, and the synthesis used the 'Guidance on the Conduct of Narrative Synthesis in Systematic Reviews'. Results: Thirty-three articles including 159 621 individuals were identified, relating to five different incidents with a post-event time frame ranging from 2 weeks to 13 years. The post-traumatic stress disorder prevalence rates were between 1.3 and 16.5%, major depression rates were between 1.3 and 25.8%, and rates for specific anxiety disorders were between 0.7 and 14%. The highest prevalence rates were found after the World Trade Center attacks. Reported risk factors were gender, no emergency service training, peritraumatic dissociation, spatial proximity to the event and social isolation. Conclusions: The inconsistency of the prevalence rates may be attributable to the different severities of the incidents. Identified risk factors could be used to optimise training for emergency personnel before and after catastrophic events. Voluntary repetitive screening of rescue workers for mental health symptoms is recommended.
Language	English
Publishing date	2022-06-03
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2829557-2
ISSN	2056-4724
ISSN	2056-4724
DOI	10.1192/bjo.2022.69
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Post-traumatic stress disorder in medical workers involved in earthquake response: A systematic review and meta-analysis

Tahernejad, Somayeh / Ghaffari, Sina / Ariza-Montes, Antonio / Wesemann, Ulrich / Farahmandnia, Hojjat / Sahebi, Ali

Heliyon. 2023 Jan., v. 9, no. 1 p.e12794-

2023

Abstract: Medical workers involved in responding to the earthquake are exposed to frightening scenes and witness dead bodies and severely injured moaning people, predisposing them to multiple mental health consequences. This study was aimed to determine the ... ...

Abstract	Medical workers involved in responding to the earthquake are exposed to frightening scenes and witness dead bodies and severely injured moaning people, predisposing them to multiple mental health consequences. This study was aimed to determine the prevalence of Post-Traumatic Stress Disorder (PTSD) after earthquakes among medical workers using a systematic review and meta-analysis. The review study was performed following PRISMA guidelines, and the study's protocol was registered in PROSPERO with the code CRD42022333069. The data resources of Google Scholar, Science Direct, Web of Science, PubMed, and Scopus were searched to specify the related studies. To perform meta-analysis, the random effects model was utilized, and the I² index was considered to assess heterogeneity between studies. The STATA software was used for data analysis. In the initial data resources search, 1399 articles were identified. From these articles, 13 were finally chosen for meta-analysis and quality assessment. The meta-analysis results indicated that the prevalence of post-earthquake PTSD among medical workers involved in the earthquake response was 16.37% (95% CI: 11.63–21.11, I² = 97.33%, p = 0 < 0.001). The medical workers involved in response to the earthquake have a relatively high risk of PTSD in the short and long term. Therefore, medical workers involved in response to disasters should undergo screening for mental health disorders before and after disasters and receive the necessary training with regard to stress management, psychological resilience, and how to express their feelings and emotions.
Keywords	computer software ; earthquakes ; mental health ; meta-analysis ; models ; protocols ; risk ; stress management ; systematic review ; Earthquake ; Post-traumatic stress disorder ; Medical worker ; Health care professional ; Occupational health ; Natural disasters
Language	English
Dates of publication	2023-01
Publishing place	Elsevier Ltd
Document type	Article ; Online
Note	Use and reproduction
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e12794
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Mistrust Among Rescue Workers After the Terrorist Attack in Berlin in 2016 - Gender-Specific Health Inequality.

Wesemann, Ulrich / Helms, Christian / Polk, Sarah / Mahnke, Manuel / Bühler, Antje / Muschner, Patric / Willmund, Gerd

Disaster medicine and public health preparedness

2023 Volume 17, Page(s) e394

Abstract: Objectives: In this single-case-by-group comparison, we examine whether previously found cisgender differences in paranoid ideation after a terror attack are also seen in a transgender male emergency worker.: Methods: Sixty emergency personnel who ... ...

Abstract	Objectives: In this single-case-by-group comparison, we examine whether previously found cisgender differences in paranoid ideation after a terror attack are also seen in a transgender male emergency worker. Methods: Sixty emergency personnel who were exposed to the 2016 terror attack in Berlin were evaluated 3 to 4 and 21-25 mo after the attack. Results: On paranoid ideation, the transgender male showed higher scores than cisgender males (+2 standard deviations [SD]) and the overall group (+1 SD). Conclusions: This underpins the previously identified gender effects. It would be useful to consider specified pre- and postdeployment modules that take cis- and transgender differences into account.
MeSH term(s)	Humans ; Male ; Berlin ; Health Status Disparities ; Terrorism ; Transgender Persons
Language	English
Publishing date	2023-05-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2023.77
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Post-traumatic stress disorder in medical workers involved in earthquake response: A systematic review and meta-analysis.

Tahernejad, Somayeh / Ghaffari, Sina / Ariza-Montes, Antonio / Wesemann, Ulrich / Farahmandnia, Hojjat / Sahebi, Ali

Heliyon

2023 Volume 9, Issue 1, Page(s) e12794

Abstract: Introduction: Medical workers involved in responding to the earthquake are exposed to frightening scenes and witness dead bodies and severely injured moaning people, predisposing them to multiple mental health consequences. This study was aimed to ... ...

Abstract	Introduction: Medical workers involved in responding to the earthquake are exposed to frightening scenes and witness dead bodies and severely injured moaning people, predisposing them to multiple mental health consequences. This study was aimed to determine the prevalence of Post-Traumatic Stress Disorder (PTSD) after earthquakes among medical workers using a systematic review and meta-analysis. Materials and methods: The review study was performed following PRISMA guidelines, and the study's protocol was registered in PROSPERO with the code CRD42022333069. The data resources of Google Scholar, Science Direct, Web of Science, PubMed, and Scopus were searched to specify the related studies. To perform meta-analysis, the random effects model was utilized, and the I Results: In the initial data resources search, 1399 articles were identified. From these articles, 13 were finally chosen for meta-analysis and quality assessment. The meta-analysis results indicated that the prevalence of post-earthquake PTSD among medical workers involved in the earthquake response was 16.37% (95% CI: 11.63-21.11, I Conclusion: The medical workers involved in response to the earthquake have a relatively high risk of PTSD in the short and long term. Therefore, medical workers involved in response to disasters should undergo screening for mental health disorders before and after disasters and receive the necessary training with regard to stress management, psychological resilience, and how to express their feelings and emotions.
Language	English
Publishing date	2023-01-03
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e12794
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Post-traumatic stress disorder among COVID-19-affected high-risk cardiac patients.

Wesemann, Ulrich / Sahebi, Ali / Vogel, Julia / Köhler, Kai / Kupusovic, Jana / Rassaf, Tienush / Siebermair, Johannes

International health

2023 Volume 16, Issue 1, Page(s) 120–122

Abstract: Background: During the first coronavirus disease 2019 (COVID-19) wave there was a high prevalence of mental health impairments and post-traumatic stress disorder (PTSD), particularly in patients with comorbid cardiac diseases.: Methods: During waves ... ...

Abstract	Background: During the first coronavirus disease 2019 (COVID-19) wave there was a high prevalence of mental health impairments and post-traumatic stress disorder (PTSD), particularly in patients with comorbid cardiac diseases. Methods: During waves 2-5, all hospitalized patients with cardiac problems and suspected COVID-19 were eligible to participate in this study. Results: The prevalence of PTSD was 31.4% (n=48) in 153 participants. No age- and gender-related differences for PTSD were found. Conclusions: The prevalence is lower than during the first wave but higher than in patients reported in other studies who were isolated at home. Routine mental health assessments are strongly recommended for patients at risk.
MeSH term(s)	Humans ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology ; COVID-19 ; Prevalence ; Sex Factors
Language	English
Publishing date	2023-03-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2526175-7
ISSN	1876-3405 ; 1876-3413
ISSN (online)	1876-3405
ISSN	1876-3413
DOI	10.1093/inthealth/ihad017
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Schutz der mentalen Fitness von Einsatzkräften und medizinischem Personal während der COVID-19-Pandemie

Wesemann, Ulrich / Willmund, Gerd-Dieter

(In: Bering, Robert; Eichenberg, Christiane (Ed.), Die Psyche in Zeiten der Corona-Krise. Herausforderungen und Lösungsansätze für Psychotherapeuten und soziale Helfer (S. 334-346). Stuttgart: Klett-Cotta)

2021

Abstract: Ausgehend von einer Schilderung spezifischer Belastungen von Einsatzkräften und medizinischem Personal in einer Pandemielage werden Handlungshilfen, Prävention und Betreuung sowie die Behandlung in diesem Kontext thematisiert. Folgende Aspekte werden ... ...

Title translation	Protecting the mental fitness of emergency services and medical personnel in a pandemic crisis (DeepL)
Series title	In: Bering, Robert; Eichenberg, Christiane (Ed.), Die Psyche in Zeiten der Corona-Krise. Herausforderungen und Lösungsansätze für Psychotherapeuten und soziale Helfer (S. 334-346). Stuttgart: Klett-Cotta
Abstract	Ausgehend von einer Schilderung spezifischer Belastungen von Einsatzkräften und medizinischem Personal in einer Pandemielage werden Handlungshilfen, Prävention und Betreuung sowie die Behandlung in diesem Kontext thematisiert. Folgende Aspekte werden festgehalten: In einer Pandemie-Lage ist mit einer erheblichen und spezifischen physischen und psychischen Belastung von Betroffenen, Angehörigen und Einsatzkräften sowie medizinischem präklinischen und klinischen Personal zu rechnen. Gerade im Hinblick auf die Durchhaltefähigkeit wird von Fachgesellschaften empfohlen, die im präklinischen Bereich in Deutschland fest etablierten standardisierten Verfahren zur psychosozialen Notfallversorgung auch im klinischen Bereich adaptiert einzuführen. Dabei könnten in allgemeinversorgenden Kliniken das Fachpersonal entsprechender Fachabteilungen und andere psychosozial Versorgende mit palliativmedizinischer Erfahrung und Erfahrung in der Krisenintervention den Aufbau und die Sicherstellung eines niedrigschwelligen, transparenten klinischen psychosozialen Notfallversorgungskonzepts für Erkrankte, Angehörige und Krankenhauspersonal analog der psychosozialen Notfallversorgung im präklinischen Bereich übernehmen. Im präklinischen Bereich sollten Adaptionen erfolgen, um den besonderen Aspekten einer Pandemielage gerecht zu werden. Unterstützungsmaßnahmen wie Kriseninterventionen sollten bedarfsgerecht, vor zielgruppenadaptiert und berufsgruppenspezifisch ausgerichtet werden. Im Krankheitsfall bietet sich sowohl für die Einsatzkräfte aus Präklinik als auch für das medizinische Personal der Kliniken die Nutzung von Telefonberatungen und Online-Videoberatungen an, die bei Bedarf und Symptomatik um Online-Videosprechstunde und Online-Videopsychotherapie erweitert werden können.
Keywords	Beruflicher Stress ; COVID-19 ; Crisis Intervention Services ; Emergency Services ; Gesundheitspersonal ; Health Personnel ; Intervention ; Kriseninterventionsdienste ; Mental Health Services ; Notdienste ; Occupational Stress ; Pandemics ; Pandemie ; Prevention ; Prävention ; Psychosoziale Dienste ; Stress Management ; Stressverarbeitung
Language	German
Document type	Article
Database	PSYNDEX

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Article: Post-traumatic stress disorder among COVID-19-affected high-risk cardiac patients

Wesemann, Ulrich / Sahebi, Ali / Vogel, Julia / Köhler, Kai / Kupusovic, Jana / Rassaf, Tienush / Siebermair, Johannes

International Health

2024 Volume 16, Issue 1, Page(s) 120–122

Title translation	Posttraumatische Belastungsstörung bei COVID-19-betroffenen Hochrisiko-Herzpatienten und Herzpatientinnen
Abstract	Background: During the first coronavirus disease 2019 (COVID-19) wave there was a high prevalence of mental health impairments and post-traumatic stress disorder (PTSD), particularly in patients with comorbid cardiac diseases. Methods: During waves 2-5, all hospitalized patients with cardiac problems and suspected COVID-19 were eligible to participate in this study. Results: The prevalence of PTSD was 31.4% (n=48) in 153 participants. No age- and gender-related differences for PTSD were found. Conclusions: The prevalence is lower than during the first wave but higher than in patients reported in other studies who were isolated at home. Routine mental health assessments are strongly recommended for patients at risk.
Keywords	At Risk Populations ; COVID-19 ; Cardiology ; Cardiovascular Disorders ; Einstellungen zu körperlichen Krankheiten ; Epidemiologie ; Epidemiology ; Heart Disorders ; Herzkrankheiten ; Hospitalized Patients ; Kardiologie ; Kardiovaskuläre Störungen ; Mental Disorders ; Mental Health ; Physical Illness (Attitudes Toward) ; Posttraumatic Stress Disorder ; Posttraumatische Belastungsstörung ; Psychische Gesundheit ; Psychische Störungen ; Risikogruppen ; Stationäre Patientinnen und Patienten
Language	English
Document type	Article
DOI	10.1093/inthealth/ihad017
Database	PSYNDEX

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Article: Investigating the impact of terrorist attacks on the mental health of emergency responders

Wesemann, Ulrich / Applewhite, Briana / Himmerich, Hubertus

BJPsych Open

Systematic review

2022 Volume 8, Issue 4, Page(s) No

Abstract: Background: Terrorist attacks have strong psychological effects on rescue workers, and there is a demand for effective and targeted interventions. Aims: The present systematic review aims to examine the mental health outcomes of exposed emergency service ...

Title translation	Untersuchung der Auswirkungen von Terroranschlägen auf die psychische Gesundheit von Rettungskräften: Systematischer Review
Abstract	Background: Terrorist attacks have strong psychological effects on rescue workers, and there is a demand for effective and targeted interventions. Aims: The present systematic review aims to examine the mental health outcomes of exposed emergency service personnel over time, and to identify risk and resilience factors. Method: A literature search was carried out on PubMed and PubPsych until 27 August 2021. Only studies with a real reported incident were included. The evaluation of the study quality was based on the Quality Assessment Tool for Quantitative Studies, and the synthesis used the 'Guidance on the Conduct of Narrative Synthesis in Systematic Reviews'. Results: Thirty-three articles including 159.621 individuals were identified, relating to five different incidents with a post-event time frame ranging from 2 weeks to 13 years. The post-traumatic stress disorder prevalence rates were between 1.3 and 16.5%, major depression rates were between 1.3 and 25.8%, and rates for specific anxiety disorders were between 0.7 and 14%. The highest prevalence rates were found after the World Trade Center attacks. Reported risk factors were gender, no emergency service training, peritraumatic dissociation, spatial proximity to the event and social isolation. Conclusions: The inconsistency of the prevalence rates may be attributable to the different severities of the incidents. Identified risk factors could be used to optimize training for emergency personnel before and after catastrophic events. Voluntary repetitive screening of rescue workers for mental health symptoms is recommended.
Keywords	Emergency Personnel ; Epidemiologie ; Epidemiology ; Mental Health ; Notfallpersonal ; Posttraumatic Stress Disorder ; Posttraumatische Belastungsstörung ; Protective Factors ; Protektive Faktoren ; Psychische Gesundheit ; Rescue Workers ; Rettungspersonal ; Risikofaktoren ; Risk Factors ; Terrorism ; Terrorismus
Language	English
Document type	Article
DOI	10.1192/bjo.2022.69
Database	PSYNDEX

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