Koschack, Janka

[["dc.bibliographiccitation.firstpage","185"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Zeitschrift für ärztliche Fortbildung und Qualitätssicherung"],["dc.bibliographiccitation.lastpage","190"],["dc.bibliographiccitation.volume","101"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Wetzel, Dirk"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2021-09-14T14:43:55Z"],["dc.date.available","2021-09-14T14:43:55Z"],["dc.date.issued","2007"],["dc.description.abstract","Quality of Life (QoL) is an important predictor of mortality and re-admission in patients with heart failure (HF). Our aim was to analyze disease-specific quality of life and its relationship to psycho-social factors and HF severity."],["dc.identifier.doi","10.1016/j.zgesun.2007.02.021"],["dc.identifier.pmid","17608037"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89420"],["dc.language.iso","other"],["dc.relation.issn","1431-7621"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Die krankheitsspezifische Lebensqualität von hausärztlichen Patienten mit Herzinsuffizienz"],["dc.title.alternative","Disease-specific quality of life in primary care patients with heart failure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["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"]]

[["dc.bibliographiccitation.firstpage","347"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Herz"],["dc.bibliographiccitation.lastpage","354"],["dc.bibliographiccitation.volume","31"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Wetzel, Dirk"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2018-11-07T09:45:04Z"],["dc.date.available","2018-11-07T09:45:04Z"],["dc.date.issued","2006"],["dc.description.abstract","Background and Purpose: Psychosocial distress is a common phenomenon in patients with heart failure (HF). The aim of this study was to analyze psychosocial co-symptoms and their relationship with clinical and sociodemographic factors. Methods: In 363 primary care patients with HF, anxiety, depression and negative affectivity (HADS, DS-14), disease coping (FKV) and social support (F-SozU) were measured by validated questionnaires. Severity of HF (according to NYHA classification and Goldman's Specific Activity Scale) and sociodemographic characteristics were documented by self-report instruments. Results: Increased anxiety and/or depression was found in 29.2% of patients. Anxiety and depression scores were significantly higher than in the German general population (P < 0.005). They were furthermore associated with NYHA and Goldman class (anxiety: p = 0.001; depression: p = 0.001). One third of the sample showed the type D personality pattern, which has been associated with increased mortality in cardiac patients. While HF severity correlated positively with psychological distress, patients living together with other persons had lower HF class than those living alone. Using regression analysis, sociodemographic and psychological variables predicted perceived severity of HF in 20.3% if measured by Goldman's scale (significant for sex, age, depressive symptoms and disease coping), and in 18.6% if measured by NYHA (significant for anxiety). Discussion: Severity of HF symptoms and psychosocial factors are interrelated. Self-reported severity of HF is substantially influenced by demographic and psychological variables. In this, it is not relevant if severity is measured by a nonvalidated (NYHA) or a validated instrument (Goldman). Conclusion: In primary care patients with HF, psychosocial co-symptoms are frequent and interfere with perceived severity of disease. Psychological distress should be considered important in diagnostics and treatment, especially in patients living alone."],["dc.identifier.doi","10.1007/s00059-006-2742-9"],["dc.identifier.isi","000239392900009"],["dc.identifier.pmid","16810475"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/34535"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0340-9937"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Psychische Kosymptomatik von hausärztlichen Patienten mit Herzinsuffizienz"],["dc.title.alternative","Psychosocial co-symptoms in primary care patients with heart failure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]