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C Wildgrube

Publications and source records attributed to C Wildgrube.

6 recordsLinked to original sources
PubMed1993

[Psychiatric disorders in emigrants. II. Follow-up over six months and attitudes of the patients].

In the first part of this study we investigated people who had left East Germany and sought psychiatric help within six weeks after their move. 94 patients were re-examined approximately six month later. Meanwhile 40% had found an adequate job and 44% satisfactory accommodation. 65% stated that some of their original hopes had remained unfulfilled in the west. However, in general patients viewed significantly fewer problems associated with integration in the West, than in the first interview. Symptoms were clearly improved according to clinical and self-ratings. Only three patients reported an overall deterioration. Sociodemographic and clinical variables as assessed in the first interview--including diagnostic classification according to ICD-9 and DSM-III-R-, allowed only a limited prediction of different outcome criteria.

Acculturation↗
PubMed1993

[Psychiatric disorders in emigrants. III. Follow-up after two and a half years].

In the first and the second part of this study we reported about first examination and a six month follow-up in patients who had left East-Germany in 1989. In this third and last part, findings of a two and a half year follow-up in 52 patients are shown. 92% of the patients reported further improvement, 87% stated to have an adequate job, and also 87% to have satisfactory accommodation. Frequency of complaints and level of psychopathological symptoms were clearly reduced. This positive change was not due to psychiatric treatment.

Acculturation↗
PubMed1990

Expressed emotion and auditory evoked potentials.

The expressed emotion (EE) of key relatives has been shown to predict the course of illness in psychiatric patients. In this study, we examined whether there might be physiological correlates to the EE index in nonbiological key relatives of patients with affective psychoses. High-EE and low-EE relatives were compared concerning their slopes of the amplitude/stimulus intensity function (auditory evoked N1/P2-component). We found that the slopes were clearly steeper in the case of low-EE relatives. In comparing the slopes of all key relatives with those of an age-matched control group without psychiatrically ill partners, we could find no differences. Therefore, the slope differences between high-EE and low-EE relatives do not seem to reflect differences in the illness of partners. We speculated whether a steep slope as well as low EE could be associated with an action-oriented, impulsive communication style, which would prevent the development of an affectively tense communication pattern.

Adult↗
PubMed1990

[Psychiatric disorders in immigrants. I. History, symptoms and diagnostic classification].

155 people who had left East-Germany and sought psychiatric help within six weeks after their arrival in West Berlin, were examined. History, living situation and psychopathological symptoms were studied. The disorders were diagnosed according to ICD-9 and DSM-III-R. 85% of the patients reported that they had already suffered from similar complaints in East Germany. 50% stated they have had symptoms before they had made the decision to leave. On average, that decision had been taken 22 months before the actual leaving. Most often patients complained about sleep disturbance, nervousness, and headaches. According to ICD-9, 55% of the disorders were classified as reactive and 39% as neurotic or personality disorders. The most frequent diagnoses according to DSM-III-R were adjustment disorders (41%), major depression (21%), anxiety disorders (16%), and dysthymia (14%). Regardless of diagnosis most patients were found to have symptoms of anxiety and depression associated with vegetative complaints. There were no clear relationships between psychopathological symptoms and data of history or present living situation.

Acculturation↗
PubMed1989

Lithium prophylaxis and expressed emotion.

Expressed emotion (EE) in key relatives of 21 patients with bipolar affective or schizoaffective psychoses was assessed by the CFI. All patients had been on prophylactic lithium for at least three years and were without psychotic symptoms at interview. The relationship between relatives' EE status and patients' course of illness was studied both retrospectively and prospectively. Two critical remarks designated high EE. The relatives' EE status was not related to number of hospital admissions or to severity and length of recurrences if the entire period of lithium treatment is considered as a whole. However, patients living with high-EE relatives showed a significantly poorer response during the three years before interview, and an even poorer response in the nine-month follow-up.

Adult↗