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Biomedical subjects

F Petermann

Publications and source records attributed to F Petermann.

At least 37 records · Page 2Linked to original sources
PubMed2001

Pharmaceutical care services for asthma patients: a controlled intervention study.

As asthma is associated with an enormous social, psychological, and economic burden, various patient education programs have been developed to improve outcomes, including quality of life. The authors evaluated the effectiveness of community pharmacy-based interventions on lung function, health-related quality of life, and self-management in asthma patients in a 12-month controlled intervention study in 26 intervention and 22 control pharmacies. Pharmacies opted whether to take part as intervention or control pharmacies. According to this, patients (ages 18-65) with mild to severe asthma attending the pharmacies were allocated to the intervention (n = 161) or control group (n = 81), respectively. Intervention patients were educated on their disease, pharmacotherapy, and self-management; inhalation technique was assessed and, if necessary, corrected. Pharmaceutical care led to significantly improved inhalation technique. Asthma-specific quality of life and the mental health summary score of the SF-36 improved significantly in the intervention group. At 12 months, the intervention group showed significant improvements with regard to evening peak flow, self-efficacy, and knowledge.

Administration, Inhalation↗
PubMed2001

Health-related quality of life and pulmonary function in lung cancer patients undergoing medical rehabilitation treatment.

Treatment for lung cancer results in reduced Quality of Life (QoL) and limited lung function are well-known. Yet, there are no results available concerning the interaction of objective lung function tests and QoL parameters for lung cancer patients during in-patient cancer rehabilitation. This is also true for outcome parameters in medical rehabilitation. The aim was to study the impact of lung and cardiopulmonary function on QoL (EORTC-QLQ C-30 and SF-36 Health Survey) and to identify possible outcome parameters for a rehab program. 56 lung cancer patients participated. Inpatient rehabilitation consisted of individual aerobic exercise and physical, psychological, social, educational and recreational components and only led to a gain of QoL by SF-36 Health Survey sub scales "Vitality" and "Mental Health". Lung function parameters improved; yet the correlation between lung function and health-related QoL questionnaires was not significant. Multivariate analysis for groups with high and low performance in lung functioning showed differences in the SF-36 Health Survey "Vitality" and "Mental Health" sub-scales. However, patients with high and low functional performance of the lungs did not differ in their QoL over time. Health-related QoL and pulmonary function therefore seem to be independent dimensions. Thus, for judging the outcome and success of medical rehabilitation of lung cancer patients, both, QoL and pulmonary function have to be taken into account.

Aged↗
PubMed2000

[Increasing depression in children and adolescents. Only early intervention can prevent dire outcome].

Numerous recent epidemiological studies indicate that depressive disorders in children and adolescents are quite common. Roughly 15% of adolescents admit to having suffered from such a disorder at some time or other. Depressive disorders increase with age with a preponderance of girls over boys. Risk factors that have been found to be associated with depressive disorders include parental psychopathology, familial dysfunction, and negative life events. Depression frequently occurs together with other disorders, and shows a tendency to become chronic. Finally the article discusses the implications of the latest findings for preventive and interventional strategies.

Adolescent↗
PubMed2000

Reviewing asthma and anxiety.

The main characteristic of asthma is sudden and unexpected attacks of impaired breathing. Both the attacks themselves and the prospect of attacks generate much anxiety amongst patients. Several different forms of anxiety can be identified which vary in intensity and the situations in which they appear. Anxiety disorders are more common in asthmatics and have a considerable influence on asthma management because they influence symptom perception. Excessive anxiety about asthma symptoms can affect the patient's response to an asthma attack; anxiety related to asthma triggers can reduce the patient's quality of life and anxiety related to medical treatment can influence compliance. The extent of this influence depends upon an individual's ability to cope. Behavioural therapeutic programmes for patient education offer an opportunity to reduce anxiety and to improve asthma self-management. Physicians should look carefully for anxiety when taking the patient's history, and should support the patient's participation in asthma education programs.

Adaptation, Psychological↗
PubMed2000

[Promoting social integration as the responsibility of rehabilitation in pediatric oncology].

Survival rates of most paediatric cancers are steadily improving as a result of improvements in diagnostics and treatment protocols. Long-term survival renders physical late effects and psychosocial adjustment problems ever more visible. The focus of this article is on school re-entry and social reintegration as core tasks of comprehensive rehabilitation efforts. So far only few systematic programmes exist in Germany to facilitate school re-entry and social integration of paediatric cancer survivors. The article outlines the prerequisites for such interventions and provides examples of re-entry programmes.

Adaptation, Psychological↗
PubMed2000

Frequency, comorbidity, and psychosocial impairment of specific phobia in adolescents.

Investigated the frequency, comorbidity, and psychosocial impairment of specific phobia and specific fears among 1,035 adolescents 12 to 17 years old. The adolescents were recruited from 36 schools in the province of Bremen, Germany. Specific phobia and other psychiatric disorders were coded based on Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) criteria using the computerized Munich version of the Composite International Diagnostic Interview (Wittchen & Pfister, 1996). Thirty-six (3.5%) of the adolescents met DSM-IV criteria for specific phobia sometime in their life. Of all the subtypes of specific phobia, animal and natural environment phobia were the most common. More girls than boys received the diagnosis of specific phobia. One third of the adolescents with specific phobia also had depressive and somatoform disorders. Despite the high level of psychosocial impairment experienced by individuals with specific phobia both during the worst episode of their disorder and in the last 4 weeks, only a small portion of them sought professional help.

Adolescent↗
PubMed1999

[Educating the asthma patient for routine illness management. Assuring long-term therapeutic success].

Although education programs for adult asthmatics promotes improved knowledge of the disease, it has been found that this alone does not result in any change in patient behavior. Against this background, the National Asthma Education Program Expert Panel (NAEP) recommends adapting the contents of the education programs more closely to the needs of the individual patient. This is to be achieved through self-monitoring, more influence on environmental factors, improved knowledge of the disease process and self-medication skills, and greater self-sufficiency on the part of the patient. Other studies have discussed various possible ways of implementing these recommendations, including the training of physical self-awareness, consideration and correction of subjective notions of the disease, dealing with disease-related emotions, and providing concrete advice on coping with the situations met with in daily life. A new patient education program developed by the Alpenklinik in Oberjoch serves to illustrate how the NAEP recommendations can be implemented.

Adult↗
PubMed1999

[Anxiety disorders in children and adolescents. Epidemiology, risk factors and intervention].

The article reviews the literature on anxiety disorders in children and adolescents. Anxiety disorders represent one of the most common disorders in children and adolescents, with a life-time prevalence of about 10%. In most studies, significantly more females than males met the diagnosis of anxiety disorders. Some factors that have been commonly found to be associated with anxiety disorders include parental psychopathology, familial dysfunction, negative life events, and behavioral inhibition. Anxiety co-occurs frequently with other disorders; it has a chronic course and most of the anxiety cases are psychosocially impaired in various areas of life. The article ends by giving an overview of various types of intervention strategies commonly used to treat children and adolescents with anxiety disorders.

Adolescent↗
PubMed1999

Frequency and comorbidity of social phobia and social fears in adolescents.

This report presents findings on the frequency, comorbidity and psychosocial impairment of social phobia and social fears among 1035 adolescents, aged 12-17 years. The adolescents were randomly selected from 36 schools in the province of Bremen, Germany. Social phobia and other psychiatric disorders were coded based on DSM-IV criteria using the computerized Munich version of the Composite International Diagnostic Interview. Seventeen (1.6%) of the adolescents met the DSM-IV criteria for social phobia sometimes in their life. More girls than boys received the diagnosis of social phobia and the frequency of the disorder increased with age. The lifetime frequency of social fears were much higher than that of social phobia. The most common types of feared social situations were fear of doing something in front of other people, followed by public speaking. Social phobia comorbid highly with depressive disorders, somatoform disorders and substance use disorders. Despite the high level of psychosocial impairment experienced by cases with social phobia and those with any social fears, only a small portion of them did receive professional help.

Adolescent↗
PubMed1999

[Incidence of post-traumatic stress disorder in adolescents: results of the Bremen Adolescent Study].

The frequency and comorbidity of posttraumatic stress disorders (PTSD) were assessed together with the resultant psychosocial impairment in 1035 adolescents between the ages of 12 and 17 years. Posttraumatic stress disorder and other psychiatric disorders were coded on the basis of the DSM-IV criteria using the computerized personal interview of the Munich version of the Composite International Diagnostic Interview (CIDI). A total of 17 (1.6%) adolescents met the DSM-IV criteria for PTSD at some point in their life. Slightly more girls than boys met the criteria for the disorder, whose frequency increased with age. The lifetime prevalence of traumatic events is much higher still: 233 (22.5%) adolescents reported one or more traumatic events in their life. The types of traumatic events experienced by the greatest number of adolescents were: physical attack, injury, and serious accident. Boys experienced significantly more traumatic events than did girls. The occurrence of a traumatic event was mostly associated with hypervigilance and recurrent and intrusive psychological distress upon exposure to cues which symbolized the event itself or resembled an aspect thereof. PTSD occurred in highly frequent comorbidity with depressive disorders, somatoform disorders, and substance abuse. Over 90% of those with posttraumatic stress disorder were severely impaired in their daily life and activities. Despite the high-grade psychosocial impairment, only a small number sought professional help.

Adolescent↗
PubMed1999

[Frequency, comorbidity and psychosocial correlates of attention-deficit/hyperactivity disorder. Results of a Bremen adolescent study].

Using data from the first wave of the Bremen Adolescent Study, this article presents findings on the frequency, comorbidity and correlates of Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD ist the least common disorder examined in our study, with only two out of 1009 adolescents (0.2%) meeting the full DSM-IV criteria for ADHD. On the symptom level, our data show that 159 adolescents (15.8%) report at least six symptoms of inattention and/or six symptoms of hyperactivity-impulsivity. When considering those with this ADHD syndrome, our data show that about half of them have problems in school and at home, and 69.8% of them have at least one comorbid disorder. Compared to adolescents without any disorder and to those with other disorders, adolescents with only ADHD syndrome score significantly lower on control orientation (behavior conduct), perceived competence (academic, behavior, friendship subscales), and show lower emotional attachment to parents and peers. The results are discussed in terms of their implication for classification and intervention.

Adolescent↗
PubMed1999

[The diagnostic report as an aid for determination of referral to inpatient rehabilitation].

The investigation analyzes some 206 standardized diagnostic reports submitted by office-practice physicians, demonstrating the role of diagnostic reports in determining access to medical rehabilitation. It is found that the practitioners added no further information about their patients' health status in half of the diagnostic reports given, and no further medical documents in one third. On the other hand, diagnostic reports that included details about the patients' ability to work as well as information about previous treatments resulted to a greater degree in direct award of a medical rehabilitation measure.

Decision Support Techniques↗
PubMed1999

Frequency of panic attacks and panic disorder in adolescents.

By using data from the Bremer Adolescent Study, this report presents findings on the frequency, comorbidity, and psychosocial impairment of panic disorder and panic attacks among 1,035 adolescents. The adolescents were randomly selected from 36 schools in the province of Bremen, Germany. Panic disorder and other psychiatric disorders were coded based on DSM-IV criteria using the computerized-assisted personal interview of the Munich version of the Composite International Diagnostic Interview. Panic disorder occurred rather rare, with only 0.5% of all the adolescents met the DSM-IV criteria for this disorder sometimes in their live. Panic attack occurred more frequently, with 18% of the adolescents reported having had at least one panic attack. Slightly more girls than boys had panic attack and panic disorder. The occurrence of panic attack and panic disorder were the greatest among the 14-15 year olds. The experience of having a panic attack was associated with a number of problems, the most frequent being avoiding the situation for fear of having another attack. Four most common symptoms associated with a panic attack were that of palpitations, trembling/shaking, nausea or abdominal distress, and chills or hot flushes. Panic disorder comorbid highly with other psychiatric disorder covered in our study, especially with that of major depression. Among those with a panic disorder, about 40% of them were severely impaired during the worst episode of their illness. Only one out of five adolescents with panic disorder sought professional help for emotional and psychiatric problems. The implication of our findings for research and clinical practice are discussed.

Adolescent↗
PubMed1998

Children's and adolescents' perception of their asthma bronchiale.

The present study examines the perception of asthma bronchiale in a large sample of 382 children and adolescents (mean age = 12.5 years) across three different treatment settings (outpatient, short-term rehabilitation, residential treatment) by using a revised child version of the 'Asthma Problem Behavior Checklist.' A PCA reveals two factors (eigenvalues: 26.3; 4.2; 0.9 ..) with a complementary structure: 'appraisal of asthma-related distress' (explained variance: 48.5%) and 'appraisal of resources in coping with asthma-related distress' (explained variance: 20.9%). Implications for clinical psychological assessment of young patients with asthma and the congruence with the LAZARUS transactional conceptualization of stress and coping are discussed.

Adaptation, Psychological↗