Jörg Kittel

Psychologische Praxis

Background/Objective Assessments of health can be biased by response shift effects. One method for detecting such effects is the use of anchoring vignettes. The aim of this study was to analyze the relationship between participants’ self-assessed health state and their assessments of these vignettes. Method A total of 342 cardiovascular patients a...

Hintergrund: Die verstärkte Ausrichtung der medizinischen Rehabilitation auf berufsbezogene Problemlagen wird bereits seit Anfang der 1990er Jahre vom Verband Deutscher Rentenversicherungsträger (VDR) gefordert. Durch Integration von Elementen der Arbeitswelt in die Strukturen und Prozesse der medizinischen Rehabilitation sollen arbeits- und berufs...

A pilot study was carried out in 4 medical rehabilitation centers to examine the practicability and effectiveness of preventive life-style interventions for employees with risk factors. The programs were developed in cooperation with the German pension scheme and employers. Selection criteria were risk factors as lack of physical activity, overweig...

Occupational reintegration after coronary heart disease of patients who are insured by the German workers pension (Arbeiterrentenversicherung) succeeds in 40–60% of the recorded cases. Patients who were not able to return to work after finishing their regular cardiac rehabilitation took part in a program called “Intensivierte Nachsorge (INA)”. INA...

Anxiety and depression are often found in cardiac patients, but also in the general population. Therefore, evaluation of these symptoms in patients requires a comparison with norm values. The purpose of this study was to explore differences between cardiac patients and the general population in age dependency of anxiety and depression, and to discu...

Objectives: Temporal stability of clinical-psychological questionnaires is problematic from a conceptual point of view, and it is empirically insuffi-ciently examined. In this paper we analyze the temporal stability of anxiety and depression, based on large samples. Methods: In three samples with N > 300 each (cancer patients, orthopaedic patients,...

A quality goal of medical rehabilitation is ongoing and continuous development of service standards orientated by the patient and new research findings. Because of the stark increase of research findings in the field of rehabilitation, it becomes difficult for the responsible rehabilitation providers to keep up to date on new findings and to realiz...

Fragestellung: Ziel der Studie ist die Analyse des Zusammenwirkens von körperlichen und psychischen Aspekten der Lebensqualität bei der medizinischen Rehabilitation. Material und Methode: 309 Patienten der orthopädischen Rehabilitation wurden bei Aufnahme (T1) und bei Entlassung (T2) hinsichtlich der gesundheitsbezogenen Lebensqualität mit dem SF-3...

Problems concerning the sustainability of medical rehabilitation are well known. Persistent avoidance behavior might be a potential cause. The present study is designed to determine the relationship between pain and pain-related behavior (resignation, distraction, avoidance) during the rehabilitation process. In addition, the impact of gender, age,...

Responsiveness or sensitivity to change of a questionnaire is an important criterion in the assessment of the effect of a medical intervention. In the literature there are several criteria for responsiveness, based on changes in the population mean. Here we present an alternative approach for the measurement of change (change reliability), applying...

Although acute medical care of cardiac patients has clearly improved, vocational integration and vocational outlook of patients after MI and/or cardiac surgery did not improve substantially over the last few decades. This study is intended to evaluate a programme aimed at enhancing the return to work of cardiac rehabilitands. The programme is appli...

Objective: The aim of this study was to test age and sex effects on anxiety and depression using the Hospital Anxiety and Depression Scale HADS. Method: Sample 1 consisted of 2037 subjects of the German general population, and sample 2 comprised 2696 cardiologic patients. Results: In the group of the general population we observed a linear increa...

The results of many studies show that physical recovery and social integration of cardiac patients are negatively influenced by a persistent depressive disorder. For this reason issues of occupational integration should be considered from this point of view, too. Correlations between various occupational groups and depression were investigated with...

In view of the increasing demands for more co-operation and integration among health care providers and "uninterrupted" care delivery processes increasing attention is being paid to establishing the determinants of a more flexible form of rehabilitation setting. Interest is focused particularly on determining at what stages and under what condition...

Occupational reintegration after coronary heart disease of patients who are insured by the German workers pension (Arbeiterrentenversicherung) succeeds in 40-60% of the recorded cases. Patients who were not able to return to work after finishing their regular cardiac rehabilitation took part in a program called "Intensivierte Nachsorge (INA)". INA...

Several studies have suggested an increased risk of mortality among patients with affective and anxiety disorders. In addition, level of anxiety and depression during hospitalization were negatively associated with return to work. That's why early identification of patients with psychological disturbance is of special importance in cardiac rehabili...

As psychological factors have a substantial influence on the further medical, psychological and occupational career of a patient with somatic disease, early identification of patients with psychological disturbances is of special importance in medical rehabilitation. The share of psychologically disturbed patients in a cardiac rehabilitation clinic...