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Koschack, Janka
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Koschack, Janka
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Koschack, Janka
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Koschack, J.
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2015Journal Article Research Paper [["dc.bibliographiccitation.artnumber","e159"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Journal of medical Internet research"],["dc.bibliographiccitation.lastpage","e1"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Weibezahl, Lara"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Makedonski, Filip Dobrinov"],["dc.contributor.author","Grabowski, Jens"],["dc.date.accessioned","2019-07-09T11:42:34Z"],["dc.date.available","2019-07-09T11:42:34Z"],["dc.date.issued","2015"],["dc.description.abstract","BACKGROUND: The vascular hypothesis of multiple sclerosis (MS), called chronic cerebrospinal venous insufficiency (CCSVI), and its treatment (known as liberation therapy) was immediately rejected by experts but enthusiastically gripped by patients who shared their experiences with other patients worldwide by use of social media, such as patient online forums. Contradictions between scientific information and lay experiences may be a source of distress for MS patients, but we do not know how patients perceive and deal with these contradictions. OBJECTIVE: We aimed to understand whether scientific and experiential knowledge were experienced as contradictory in MS patient online forums and, if so, how these contradictions were resolved and how patients tried to reconcile the CCSVI debate with their own illness history and experience. METHODS: By using critical discourse analysis, we studied CCSVI-related posts in the patient online forum of the German MS Society in a chronological order from the first post mentioning CCSVI to the time point when saturation was reached. For that time period, a total of 117 CCSVI-related threads containing 1907 posts were identified. We analyzed the interaction and communication practices of and between individuals, looked for the relation between concrete subtopics to identify more abstract discourse strands, and tried to reveal discourse positions explaining how users took part in the CCSVI discussion. RESULTS: There was an emotionally charged debate about CCSVI which could be generalized to 2 discourse strands: (1) the \"downfall of the professional knowledge providers\" and (2) the \"rise of the nonprofessional treasure trove of experience.\" The discourse strands indicated that the discussion moved away from the question whether scientific or experiential knowledge had more evidentiary value. Rather, the question whom to trust (ie, scientists, fellow sufferers, or no one at all) was of fundamental significance. Four discourse positions could be identified by arranging them into the dimensions \"trust in evidence-based knowledge,\" \"trust in experience-based knowledge,\" and \"subjectivity\" (ie, the emotional character of contributions manifested by the use of popular rhetoric that seemed to mask a deep personal involvement). CONCLUSIONS: By critical discourse analysis of the CCSVI discussion in a patient online forum, we reconstruct a lay discourse about the evidentiary value of knowledge. We detected evidence criteria in this lay discourse that are different from those in the expert discourse. But we should be cautious to interpret this dissociation as a sign of an intellectual incapability to understand scientific evidence or a naïve trust in experiential knowledge. Instead, it might be an indication of cognitive dissonance reduction to protect oneself against contradictory information."],["dc.identifier.doi","10.2196/jmir.4103"],["dc.identifier.fs","618834"],["dc.identifier.pmid","26133525"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13579"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58698"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1438-8871"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.subject.mesh","Chronic Disease"],["dc.subject.mesh","Evidence-Based Medicine"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Internet"],["dc.subject.mesh","Multiple Sclerosis"],["dc.subject.mesh","Patient Satisfaction"],["dc.subject.mesh","Social Media"],["dc.subject.mesh","Spinal Cord"],["dc.subject.mesh","Venous Insufficiency"],["dc.title","Scientific Versus Experiential Evidence: Discourse Analysis of the Chronic Cerebrospinal Venous Insufficiency Debate in a Multiple Sclerosis Forum."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC2014Journal Article Research Paper [["dc.bibliographiccitation.artnumber","e10"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Medical Internet Research"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Sudau, Fabian"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Grabowski, Jens"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Makedonski, Filip Dobrinov"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T09:46:33Z"],["dc.date.available","2018-11-07T09:46:33Z"],["dc.date.issued","2014"],["dc.description.abstract","Background: Increasing numbers of patients are raising their voice in online forums. This shift is welcome as an act of patient autonomy, reflected in the term \"expert patient\". At the same time, there is considerable concern that patients can be easily misguided by pseudoscientific research and debate. Little is known about the sources of information used in health-related online forums, how users apply this information, and how they behave in such forums. Objective: The intent of the study was to identify (1) the sources of information used in online health-related forums, and (2) the roles and behavior of active forum visitors in introducing and disseminating this information. Methods: This observational study used the largest German multiple sclerosis (MS) online forum as a database, analyzing the user debate about the recently proposed and controversial Chronic Cerebrospinal Venous Insufficiency (CCSVI) hypothesis. After extracting all posts and then filtering relevant CCSVI posts between 01 January 2008 and 17 August 2012, we first identified hyperlinks to scientific publications and other information sources used or referenced in the posts. Employing k-means clustering, we then analyzed the users' preference for sources of information and their general posting habits. Results: Of 139,912 posts from 11,997 threads, 8628 posts discussed or at least mentioned CCSVI. We detected hyperlinks pointing to CCSVI-related scientific publications in 31 posts. In contrast, 2829 different URLs were posted to the forum, most frequently referring to social media, such as YouTube or Facebook. We identified a total of 6 different roles of hyperlink posters including Social Media Fans, Organization Followers, and Balanced Source Users. Apart from the large and nonspecific residual category of the \"average user\", several specific behavior patterns were identified, such as the small but relevant groups of CCSVI-Focused Responders or CCSVI Activators. Conclusions: The bulk of the observed contributions were not based on scientific results, but on various social media sources. These sources seem to contain mostly opinions and personal experience. A small group of people with distinct behavioral patterns played a core role in fuelling the discussion about CCSVI."],["dc.identifier.doi","10.2196/jmir.2875"],["dc.identifier.isi","000331450500019"],["dc.identifier.pmid","24425598"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14475"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/34899"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1438-8871"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Sources of Information and Behavioral Patterns in Online Health Forums: Observational Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2007Journal Article Research Paper [["dc.bibliographiccitation.firstpage","801"],["dc.bibliographiccitation.issue","543"],["dc.bibliographiccitation.journal","British Journal of General Practice"],["dc.bibliographiccitation.lastpage","807"],["dc.bibliographiccitation.volume","57"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Scherer, Franziska"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2018-11-07T10:57:56Z"],["dc.date.available","2018-11-07T10:57:56Z"],["dc.date.issued","2007"],["dc.description.abstract","Background Psychological distress is a common phenomenon in patients with heart failure. Depressive symptoms are often under-diagnosed or inadequately treated in primary care. Aim To analyse anxiety and/or depression in primary care patients with heart failure according to psychosocial factors, and to identify protective factors for the resolution of psychological distress. Design of study Longitudinal observation study. Setting Primary care practices in lower Saxony, Germany. Method In 291 primary care patients with heart failure the following factors were measured using validated questionnaires at baseline and 9 months later: anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), quality of life (Minnesota Living with Heart Failure Questionnaire), coping with illness (Freiburg questionnaire for coping with illness), and social support (social support questionnaire). Severity of heart failure (New York Heart Association [NYHA] classification and Goldman's Specific Activity Scale), and sociodemographic characteristics were documented using self-report instruments. Results Twenty-six (32.5%) of the 80 patients who were distressed at baseline had normal HADS scores 9 months later, while the remainder stayed distressed. In logistic regression, baseline distress (odds ratios [OR] 5.51; 95% confidence intervals [Cl] = 2.56 to 11.62), emotional problems (OR = 1.08; 95% Cl = 1.00 to 1.17), social support (OR = 0.54; 95% Cl = 0.35 to 0.83), and NYHA classification (OR = 1.70; 95% Cl = 1.05 to 2.77) independently predicted distress at follow up. High social support contributed to a resolution of anxiety or depression, while partnership and low levels of emotional problems protected patients who began the study in a good emotional state from psychological distress. Conclusion In everyday practice it is important to consider that a high NYHA classification and emotional problems may contribute to anxiety or depression, while high social support and living in a relationship may positively influence the psychological health of patients with heart failure."],["dc.identifier.isi","000250860300008"],["dc.identifier.pmid","17925137"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50369"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0960-1643"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Psychological distress in primary care patients with heart failure: a longitudinal study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details PMID PMC WOS2010Journal Article Research Paper [["dc.bibliographiccitation.firstpage","299"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Journal of Clinical Epidemiology"],["dc.bibliographiccitation.lastpage","306"],["dc.bibliographiccitation.volume","63"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Schnakenberg, Joerg"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T08:45:31Z"],["dc.date.available","2018-11-07T08:45:31Z"],["dc.date.issued","2010"],["dc.description.abstract","Objective: In cases of insufficiently controlled blood pressure, it is important for practitioners to distinguish between \"nonadherence\" and \"nonresponse\" to anti hypertensive drug treatment. A reliable and valid adherence measurement based on the patient's self-report may be helpful in daily practice. Study Design and Setting: In a primary care sample with 353 hypertensive patients, we applied two self-rating instruments to assess medication adherence (the \"Hill-Bone Compliance to High Blood Pressure Therapy Scale\" and Morisky's \"Self-Reported Measure of Medication Adherence\") and compared their psychometric properties. Results: Both scales showed low acceptability and insufficiency to moderate internal consistency (Cronbach's alpha = 0.25 and 0.73, respectively). Their convergent validity as indexed by kappa = 0.39 could be judged as \"fair\" at best. Testing the power to predict blood pressure > 140/90 mm Hg, both scales showed an accuracy of 57% and 62%, respectively. The positive likelihood, that is, the increase in likelihood of high blood pressure in cases of nonadherence was 1.00 and 1.32, respectively. Conclusion: The use of both scales cannot be recommended. They showed considerable floor effects, and their ability to identify medication adherence was inconsistent for nearly every third patient. The power of both scales to predict uncontrolled blood pressure was essentially a chance. The underlying conceptual framework of medication adherence therefore needs to be rethought. (C) 2010 Elsevier Inc. All rights reserved."],["dc.identifier.doi","10.1016/j.jclinepi.2009.06.011"],["dc.identifier.isi","000274750500009"],["dc.identifier.pmid","19762213"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6195"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/20461"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0895-4356"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Comparison of two self-rating instruments for medication adherence assessment in hypertension revealed insufficient psychometric properties"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","submitted_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2011Journal Article Discussion [["dc.bibliographiccitation.firstpage","341"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Journal of Clinical Epidemiology"],["dc.bibliographiccitation.lastpage","342"],["dc.bibliographiccitation.volume","64"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T08:58:45Z"],["dc.date.available","2018-11-07T08:58:45Z"],["dc.date.issued","2011"],["dc.identifier.doi","10.1016/j.jclinepi.2010.09.014"],["dc.identifier.isi","000286703900019"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23718"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Pergamon-elsevier Science Ltd"],["dc.relation.issn","0895-4356"],["dc.title","Response to \"Comparison of two self-rating instruments for medication adherence in hypertension revealed insufficient psychometric properties\""],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","letter_note"],["dspace.entity.type","Publication"]]Details DOI WOS2014Journal Article [["dc.bibliographiccitation.artnumber","e39"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Medical Internet Research"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Sudau, Fabian"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Grabowski, Jens"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Makedonski, Filip Dobrinov"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T09:46:34Z"],["dc.date.available","2018-11-07T09:46:34Z"],["dc.date.issued","2014"],["dc.identifier.doi","10.2196/jmir.3280"],["dc.identifier.isi","000331450500022"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14476"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/34900"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1438-8871"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Sources of Information and Behavioral Patterns in Online Health Forums: Observational Study (vol 16, e10, 2014)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI WOS2009Journal Article Research Paper [["dc.bibliographiccitation.firstpage","873"],["dc.bibliographiccitation.issue","17"],["dc.bibliographiccitation.journal","Deutsche medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","878"],["dc.bibliographiccitation.volume","134"],["dc.contributor.author","Blozik, Eva"],["dc.contributor.author","Demmer, Iris"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Niebling, W."],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Scherer, M."],["dc.date.accessioned","2018-11-07T08:30:41Z"],["dc.date.available","2018-11-07T08:30:41Z"],["dc.date.issued","2009"],["dc.description.abstract","Objective: This study investigates health-related quality of life in asthma patients from general practices in comparison with a general population sample. It further examines the association between health-related quality of life, socio-demographic characteristics and smoking behaviour. Patients and methods: 838 asthma patients with a mean age of 47.8 +/- 16.3 years and 66% female participants from 83 general practices in the region of Gottingen and Freiburg/Germany completed the St. George's Respiratory Questionnaire (SGRQ), an instrument to assess health-related quality of life, and they completed questions on socio-demographic variables and smoking behaviour. SGRQ values were compared with estimates for the general population generated in Spain. The association between SGRQ and socio-demographic characteristics and smoking behaviour was analysed by multivariate linear regression models. Results: The SGRQ total values for asthma patients were three times higher than in the general population sample corresponding to a higher level of restrictions in quality of life. Both in the general population sample and in asthma patients non-smokers had a better health-related quality of life than smokers, especially with respect to respiratory symptoms. In the multivariate analysis, socio-demographic characteristics and smoking behaviour were differently related to health-related quality of life. In smokers, the level of impairment by asthma symptoms was the higher the more they had smoked. Impairment in daily activities increased with increasing age and decreasing professional status. Increasing psycho-social restrictions were associated with higher age and lower educational level. Conclusion: Assessing health-related quality of life in its different dimensions enables the general practitioner to conclude on the individual impairment caused by the disease. This facilitates targeted therapeutic interventions. Results from this study underline once more that quality of life should be integrated as an additional clinical parameter in population-based analyses of health care use."],["dc.identifier.doi","10.1055/s-0029-1220241"],["dc.identifier.isi","000265711000001"],["dc.identifier.pmid","19370499"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16949"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Gesundheitsbezogene Lebensqualität bei Asthmapatienten in der Hausarztpraxis"],["dc.title.alternative","Symptom-related quality of life in asthma patients from general practices"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2014Journal Article Research Paper [["dc.bibliographiccitation.firstpage","16"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Patient Education and Counseling"],["dc.bibliographiccitation.lastpage","22"],["dc.bibliographiccitation.volume","97"],["dc.contributor.author","Abu Abed, Manar"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Vormfelde, Stefan"],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2018-11-07T09:34:42Z"],["dc.date.available","2018-11-07T09:34:42Z"],["dc.date.issued","2014"],["dc.description.abstract","Objective: To evaluate the efficacy of video-assisted patient education to modify behavior. Methods: Fourteen databases were searched for articles published between January 1980 and October 2013, written in English or German. Behavioral change as main outcome had to be assessed by direct measurement, objective rating, or laboratory data. Results: Ten of the 20 reviewed studies reported successful behavioral modification in the treatment group. We discerned three different formats to present the information: didactic presentation (objective information given as verbal instruction with or without figures), practice presentation (real people filmed while engaged in a specific practice), narrative presentation (real people filmed while enacting scenes). Seven of the ten studies reporting a behavioral change applied a practice presentation or narrative presentation format: Conclusion: The effectiveness of video-assisted patient education is a matter of presentation format. Videos that only provide spoken or graphically presented health information are inappropriate tools to modify patient behavior. Videos showing real people doing something are more effective. Practice implications: If researchers wish to improve a skill, a model patient enacting the behavior seems to be the best-suited presentation format. If researchers aim to modify a more complex behavior a narrative presentation format seems to be most promising. (C) 2014 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.pec.2014.06.015"],["dc.identifier.isi","000342531800004"],["dc.identifier.pmid","25043785"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32232"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0738-3991"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Video-assisted patient education to modify behavior: A systematic review"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2015Journal Article Research Paper [["dc.bibliographiccitation.artnumber","93"],["dc.bibliographiccitation.journal","BMC Gastroenterology"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Palant, Alexander"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Rassmann, Simone"],["dc.contributor.author","Lucius-Hoene, Gabriele"],["dc.contributor.author","Karaus, Michael"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T09:54:26Z"],["dc.date.available","2018-11-07T09:54:26Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: Many patients with inflammatory bowel disease strongly believe that food or certain food products heavily influence the symptoms or even trigger acute flare-ups. Unfortunately, there is no generalizable information for these patients, and therefore no effective diet has been identified to date. Methods: The narrative interviews we used for this study provide the basis for the German website www.krankheitserfahrungen.de. Maximum-variation sampling was used to include a broad range of experiences and a variety of different factors that might influence people's experiences. The sample included men and women of different age groups and social and ethnic backgrounds from across Germany. The interviews were analyzed using grounded theory. Results: Four interrelated categories emerged: managing uncertainty, eating: between craving and aversion, being different and professional help as a further source of uncertainty. The most important issue for our responders was the handling of uncertainty and to find a way between desire for, and aversion against, eating. Many participants described difficulties during formal social occasions such as weddings, birthdays, or when going out to a restaurant. Conclusions: Many of the experiences the participants reported in their daily struggle with food and their illness, such as cravings for and abstaining from certain foods, were rather unusual and often stressful. Because they decided not to go out in public any longer, some of the interviewees experienced even more social isolation than they did before. Health professionals need to become more involved and not only advice about food and eating, but also help their patients find strategies for avoiding social isolation."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2015"],["dc.identifier.doi","10.1186/s12876-015-0322-2"],["dc.identifier.isi","000358714700001"],["dc.identifier.pmid","26219642"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13455"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36536"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-230X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","'And then you start to loose it because you think about Nutella\": The significance of food for people with inflammatory bowel disease - a qualitative study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2008-04-02Journal Article Research Paper [["dc.bibliographiccitation.artnumber","Doc02"],["dc.bibliographiccitation.journal","GMS Psycho-Social Medicine"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Ahrens, Dirk"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2021-09-14T13:26:41Z"],["dc.date.available","2021-09-14T13:26:41Z"],["dc.date.issued","2008-04-02"],["dc.description.abstract","Psychosocial symptoms are common in patients with heart failure. Little research, however, has been done to determine which psychosocial factors influence primary care patients' consultation frequency in the case of heart failure."],["dc.identifier.pmid","19742279"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89395"],["dc.language.iso","en"],["dc.relation.issn","1860-5214"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.title","Psychosocial determinants for frequent primary health care utilisation in patients with heart failure"],["dc.title.alternative","Psychosoziale Determinanten für häufige Hausarztkontakte bei Patienten mit Herzinsuffizienz"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details PMID PMC