Arbeitsfähigkeitsbeschreibung bei psychischen Erkrankungen

Muschalla, Beate; Angerer, Peter; Knaevelsrud, Christine

doi:10.1159/000455995

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…The majority of patients were admitted on the initiative of their health and pension insurance because of prolonged sickness, or absence from/problems at work, which can include experiencing interactional and/or organizational injustice [28-30]. This provided the opportunity for a higher rate of patients with embitterment reactions, irrespective of whether the environment or a mental disorder has caused the problem [31].…”

Section: Methodsmentioning

confidence: 99%

Suicidal and Aggressive Ideation Associated with Feelings of Embitterment

Noack¹

2018

Psychopathology

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Background: Mental disorders can be associated with suicidal or aggressive ideation and behavior, especially in the context of embitterment. The aim of this study is to investigate the types, prevalence, and dangerousness of aggressive and suicidal ideations associated with embitterment. Methods: When therapists from the department of behavioral medicine detected signs of embitterment, aggression, or suicidal thoughts in their patients, they routinely filled out a questionnaire on aggressive ideation, assessed the embitterment, and contacted a senior psychiatrist. Additionally, patients answered an embitterment scale. Results: There were 127 patients (3.84% of all patients) with suicidal and/or aggressive ideation. They had an increased score of 2.93 (SD 0.74) on the embitterment scale, associated with personal vilification (62.7%), breach of trust (30.2%), public humiliation (25.4%), death/loss (5.6%), or attacks by another person (14.3%). We found that 83.5% of the patients harbored aggressive ideations; in 94.1% of this group, these were directed against the person who had caused the problem, 88.3% wanted to inflict severe damage, 38.8% to harm another person, 31.5% showed suicidal ideation, and 3.2% had fantasies of murder-suicide. Only 34.3% of the patients reported spontaneously about their current aggressive ideation. The limitations of the study are that the data come from an inpatient sample and patients were identified according to clinical judgement. Conclusion: Aggressive ideation is regularly associated with embitterment. This deserves the attention of therapists for the prevention of aggressive acts.

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Section: Methodsmentioning

confidence: 99%

Suicidal and Aggressive Ideation Associated with Feelings of Embitterment

Noack¹

2018

Psychopathology

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“…Problems include negative consequences for the individual or others, or (full or partial) assistance being required from others to meet specific requirements (Linden, Baron, Muschalla, & Ostholt-Corsten, 2015). In the context of work, the nature and extent of disease-related capacity limitations can, in certain roles, lead to long-term sick leave (Muschalla, 2018) and are essential when evaluating disability (Anner, Schwegler, Kunz, Trezzini, & de Boer, 2012;Linden, 2016;Muschalla, Angerer, & Knaevelsrud, 2017).…”

Section: Introductionmentioning

confidence: 99%

Self- and observer ratings of capacity limitations in patients with neurological conditions

Henning

Muschalla

2022

Brain Impairment

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Objective: The purpose of this study was to compare the self- and observer ratings of capacity limitations in patients with neurological conditions. Research on this topic is relevant for assessing the patients’ ability to participate in work and social life and improving collaborative patient-clinician relationships. Method: The self- and observer ratings of capacity limitations in a sample of N = 245 patients with neurological conditions from a rehabilitation facility were compared and assessed using the short rating of activity limitations and participation restrictions in mental disorders according to the International Classification of Functioning, Disability and Health (Mini-ICF-APP) and the equivalent self-rating questionnaire (Mini-ICF-APP-S). Results: Paired-samples t-tests revealed significant differences between the self- and observer ratings for six out of 13 capacity dimensions. On average, the patients rated the capacity dimensions adherence to regulations, planning and structuring of tasks, professional competency and endurance as significantly less limited, in comparison to the observers (small to medium effect sizes). The self-ratings for limitation of contact with others and self-care were only marginally higher than the observer ratings. Conclusions: The findings show that psychological capacity limitations occur in patients with neurological conditions. In clinical practice, limitations in each capacity dimension and discrepancies in patient- and clinician-ratings should be thoroughly assessed. This is especially relevant in patients with neurological conditions who have a potential tendency to underestimate or deny their disability.

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Der ganzheitliche Gesundheits(problem)-Befund im Sinne der ICF

Werk

Muschalla

2023

Psychologische Begutachtung

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Arbeitsfähigkeitsbeschreibung bei psychischen Erkrankungen

Cited by 5 publications

References 29 publications

Suicidal and Aggressive Ideation Associated with Feelings of Embitterment

Suicidal and Aggressive Ideation Associated with Feelings of Embitterment

Self- and observer ratings of capacity limitations in patients with neurological conditions

Der ganzheitliche Gesundheits(problem)-Befund im Sinne der ICF

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