Search

Your search keyword '"Brettschneider, C."' showing total 56 results
Start Over Author "Brettschneider, C." Database OAIster
56 results on '"Brettschneider, C."'

3. Profile gedeckter und ungedeckter Versorgungsbedarfe der hochaltrigen Hausarztpatient:innen mit kognitiven Beeinträchtigungen und Demenz - Ergebnisse der AgeCoDe und AgeQualiDe Studie

Author

Kraake, S, Pabst, A, Bickel, H, Pentzek, M, Fuchs, A, Wiese, B, Oey, A, König, HH, Brettschneider, C, Scherer, M, Mallon, T, Lühmann, D, Maier, W, Wagner, M, Heser, K, Weyerer, S, Werle, J, Riedel-Heller, SG, Stein, J, Kraake, S, Pabst, A, Bickel, H, Pentzek, M, Fuchs, A, Wiese, B, Oey, A, König, HH, Brettschneider, C, Scherer, M, Mallon, T, Lühmann, D, Maier, W, Wagner, M, Heser, K, Weyerer, S, Werle, J, Riedel-Heller, SG, and Stein, J

Published
2024

10. Panic Disorder in Primary Care

Author

Gensichen, J., Hiller, T.S., Breitbart, J., Brettschneider, C., Teismann, T., Schumacher, U., Lukaschek, K., Schelle, M., Schneider, N., Sommer, M., Wensing, M., Konig, H.H., Margraf, J., Gensichen, J., Hiller, T.S., Breitbart, J., Brettschneider, C., Teismann, T., Schumacher, U., Lukaschek, K., Schelle, M., Schneider, N., Sommer, M., Wensing, M., Konig, H.H., and Margraf, J.

Abstract

Item does not contain fulltext, BACKGROUND: We evaluated a team-based program of exercises for patients with panic disorder with or without agoraphobia (PDA) in primary care. METHODS: 419 patients with PDA (mean age 46.2 years, standard deviation 14.4 years; 74% female) were included in this cluster-randomized, controlled intervention trial. The patients were blinded with respect to their group assignment at baseline. Patients in the intervention group (36 primary-care practices, 230 patients) underwent a 23-week exercise program combined with case management, while patients in the control group (37 practices, 189 patients) received standard care. Symptoms of anxiety (according to the Beck Anxiety Inventory, BAI) at six months were the primary endpoint. Patients were followed up at six months (n = 338, 81%) and at twelve months (n = 318, 76%). The analysis was by intention to treat. RESULTS: Symptoms of anxiety improved to a significantly greater extent in the intervention group (p = 0.008). The intergroup dif- ference in the reduction of the BAI score (range: 0-63) was 3.0 points (95% confidence interval [-5.8; -0.2]) at six months and 4.0 points [-6.9; -1.2] at twelve months. In the intervention group, there was a significantly greater reduction in the frequency of panic attacks (p = 0.019), in avoidant behavior (p = 0.016), and in depressiveness (p<0.001), as well as a greater improvement of the quality of treatment (p<0.001). CONCLUSION: In primary-care patients who have panic disorder with or without agoraphobia, a team-based exercise program combined with case management can improve symptoms to a greater extent than standard primary-care treatment.

Published
2019

11. The allocation of resources in the care for patients with panic disorder in Germany: an excess cost analysis informing policy and science

Author

Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., Konig, H.H., Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., and Konig, H.H.

Abstract

Contains fulltext : 208429.pdf (publisher's version ) (Open Access), Background: Panic disorder is a mental disorder of high prevalence, which frequently co-occurs with agoraphobia. There is a lack of studies measuring excess costs of panic disorder patients with and without agoraphobia. We compared costs of panic disorder patients with or without agoraphobia with costs of the anxiety-free population in Germany. Methods: Primary data from a cluster-randomized trial of adults suffering from panic disorder (n = 419) and from a representative survey of the German general population (N = 5005) were collected between 2012 and 2014. Missing data from the cluster-randomized trial were first imputed by multiple imputation using chained equations and subsequently balanced with the data from the survey by Entropy Balancing. The societal perspective was chosen. Excess costs were calculated by generalized linear models and two-part-models. Results: Entropy Balancing led to an exact match between the groups. We found 6-month total excess costs of 3220euro (95% CI 1917euro-4522euro) for panic disorder patients without agoraphobia and of 3943euro (95% CI 2950euro-4936euro) for patient with agoraphobia. Panic disorder patients with or without agoraphobia had significantly higher costs for psychotherapy, general practitioners, general hospital stays and informal care Indirect costs accounted for approximately 60% of the total excess costs. Conclusions: Panic disorder with or without agoraphobia is associated with significant excess costs. Agoraphobia changes the pattern of resource utilization. Especially indirect costs are relevant. Agoraphobia influences resource utilization in the inpatient sector.Trial registration ISRCTN64669297.

Published
2019

14. The allocation of resources in the care for patients with panic disorder in Germany: an excess cost analysis informing policy and science

Author

Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., Konig, H.H., Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., and Konig, H.H.

Abstract

Contains fulltext : 208429.pdf (publisher's version ) (Open Access), Background: Panic disorder is a mental disorder of high prevalence, which frequently co-occurs with agoraphobia. There is a lack of studies measuring excess costs of panic disorder patients with and without agoraphobia. We compared costs of panic disorder patients with or without agoraphobia with costs of the anxiety-free population in Germany. Methods: Primary data from a cluster-randomized trial of adults suffering from panic disorder (n = 419) and from a representative survey of the German general population (N = 5005) were collected between 2012 and 2014. Missing data from the cluster-randomized trial were first imputed by multiple imputation using chained equations and subsequently balanced with the data from the survey by Entropy Balancing. The societal perspective was chosen. Excess costs were calculated by generalized linear models and two-part-models. Results: Entropy Balancing led to an exact match between the groups. We found 6-month total excess costs of 3220euro (95% CI 1917euro-4522euro) for panic disorder patients without agoraphobia and of 3943euro (95% CI 2950euro-4936euro) for patient with agoraphobia. Panic disorder patients with or without agoraphobia had significantly higher costs for psychotherapy, general practitioners, general hospital stays and informal care Indirect costs accounted for approximately 60% of the total excess costs. Conclusions: Panic disorder with or without agoraphobia is associated with significant excess costs. Agoraphobia changes the pattern of resource utilization. Especially indirect costs are relevant. Agoraphobia influences resource utilization in the inpatient sector.Trial registration ISRCTN64669297.

Published
2019

15. The allocation of resources in the care for patients with panic disorder in Germany: an excess cost analysis informing policy and science

Author

Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., Konig, H.H., Brettschneider, C., Bleibler, F., Hiller, T.S., Konnopka, A., Breitbart, J., Margraf, J., Wensing, M., Gensichen, J., and Konig, H.H.

Abstract

Contains fulltext : 208429.pdf (publisher's version ) (Open Access), Background: Panic disorder is a mental disorder of high prevalence, which frequently co-occurs with agoraphobia. There is a lack of studies measuring excess costs of panic disorder patients with and without agoraphobia. We compared costs of panic disorder patients with or without agoraphobia with costs of the anxiety-free population in Germany. Methods: Primary data from a cluster-randomized trial of adults suffering from panic disorder (n = 419) and from a representative survey of the German general population (N = 5005) were collected between 2012 and 2014. Missing data from the cluster-randomized trial were first imputed by multiple imputation using chained equations and subsequently balanced with the data from the survey by Entropy Balancing. The societal perspective was chosen. Excess costs were calculated by generalized linear models and two-part-models. Results: Entropy Balancing led to an exact match between the groups. We found 6-month total excess costs of 3220euro (95% CI 1917euro-4522euro) for panic disorder patients without agoraphobia and of 3943euro (95% CI 2950euro-4936euro) for patient with agoraphobia. Panic disorder patients with or without agoraphobia had significantly higher costs for psychotherapy, general practitioners, general hospital stays and informal care Indirect costs accounted for approximately 60% of the total excess costs. Conclusions: Panic disorder with or without agoraphobia is associated with significant excess costs. Agoraphobia changes the pattern of resource utilization. Especially indirect costs are relevant. Agoraphobia influences resource utilization in the inpatient sector.Trial registration ISRCTN64669297.

Published
2019

20. Informelle Pflege bei Demenz nach Leistungsarten

Author

Brettschneider, C, Hajek, A, Stein, J, Luck, T, Mamone, S, Wiese, B, Mösch, E, Weeg, D, Fuchs, A, Pentzek, M, Werle, J, Weyerer, S, Mallon, T, Bussche, Hvd, Heser, K, Wagner, M, Scherer, M, Maier, W, Riedel-Heller, SG, König, HH, Brettschneider, C, Hajek, A, Stein, J, Luck, T, Mamone, S, Wiese, B, Mösch, E, Weeg, D, Fuchs, A, Pentzek, M, Werle, J, Weyerer, S, Mallon, T, Bussche, Hvd, Heser, K, Wagner, M, Scherer, M, Maier, W, Riedel-Heller, SG, and König, HH

Published
2018

22. Informelle Pflege bei Demenz nach Leistungsarten

Author

Brettschneider, C, Hajek, A, Stein, J, Luck, T, Mamone, S, Wiese, B, Mösch, E, Weeg, D, Fuchs, A, Pentzek, M, Werle, J, Weyerer, S, Mallon, T, Bussche, Hvd, Heser, K, Wagner, M, Scherer, M, Maier, W, Riedel-Heller, SG, König, HH, Brettschneider, C, Hajek, A, Stein, J, Luck, T, Mamone, S, Wiese, B, Mösch, E, Weeg, D, Fuchs, A, Pentzek, M, Werle, J, Weyerer, S, Mallon, T, Bussche, Hvd, Heser, K, Wagner, M, Scherer, M, Maier, W, Riedel-Heller, SG, and König, HH

Published
2018

23. Does visual impairment affect social ties in late life? Findings of a multicenter prospective cohort study in Germany

Author

Hajek, A., Brettschneider, C., Luehmann, D., Eisele, M., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Stein, J., Luck, T., Bickel, H., Weeg, D., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., Koenig, H. -H., Hajek, A., Brettschneider, C., Luehmann, D., Eisele, M., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Stein, J., Luck, T., Bickel, H., Weeg, D., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., and Koenig, H. -H.

Abstract

To investigate how visual impairment affects social ties in late life longitudinally. Population-based prospective cohort study. Individuals in old age were recruited via general practitioners' offices (at six study centers) in Germany. They were interviewed every 18 months. Individuals aged 75 years and above at baseline. Follow-up wave 2 (36 months after baseline, n=2,443) and wave 4 (72 months after baseline, n=1,618) were used for the analyses presented here. Social ties were assessed using the 14-item form of the questionnaire for social support (F-SozU K-14). Visual impairment was self-rated on a three level Likert scale (no impairment, mild visual impairment, or severe/profound visual impairment). Adjusting for sociodemographic factors, hearing impairment and comorbidity, fixed effects regressions revealed that the onset of mild visual impairment decreased the social support score, in particular the emotional support score. Additionally, the onset of mild hearing impairment decreased the social support score in men. Moreover, increasing age decreased the social support score in the total sample and in both sexes. Loss of spouse and increasing comorbidity did not affect the social support score. Our results highlight the importance of visual impairment for social ties in late life. Consequently, appropriate strategies in order to delay visual impairment might help to maintain social ties in old age.

Published
2017

25. Telefongestützte, niedrigschwellige Intervention durch geschulte, externe Pflegende als Versorgungsangebot für ältere Patientinnen und Patienten mit depressiven Störungen in Hausarztpraxen (GermanIMPACT)

Author

Kloppe, T, Bireckoven, MB, Niebling, W, Hölzel, L, Bjerregaard, F, Härter, M, Bleich, C, Brettschneider, C, Boczor, S, Kotterer, A, Grochtdreis, T, König, HH, Hüll, M, Scherer, M, Tinsel, I, Kloppe, T, Bireckoven, MB, Niebling, W, Hölzel, L, Bjerregaard, F, Härter, M, Bleich, C, Brettschneider, C, Boczor, S, Kotterer, A, Grochtdreis, T, König, HH, Hüll, M, Scherer, M, and Tinsel, I

Published
2017

27. Koordinierte Behandlung der Altersdepression in der Primärversorgung: Ergebnisse der cluster-randomisierten kontrollierten Interventionsstudie GermanIMPACT

Author

Kloppe, T, Boczor, S, Scherer, M, Niebling, W, Kotterer, A, Bjerregaard, F, Hölzel, L, Bleich, C, Härter, M, Brettschneider, C, König, HH, Wernher, I, Hüll, M, Tinsel, I, Kloppe, T, Boczor, S, Scherer, M, Niebling, W, Kotterer, A, Bjerregaard, F, Hölzel, L, Bleich, C, Härter, M, Brettschneider, C, König, HH, Wernher, I, Hüll, M, and Tinsel, I

Published
2017

28. Koordinierte Behandlung der Altersdepression in der Primärversorgung: Ergebnisse der cluster-randomisierten kontrollierten Interventionsstudie GermanIMPACT

Author

Kloppe, T, Boczor, S, Scherer, M, Niebling, W, Kotterer, A, Bjerregaard, F, Hölzel, L, Bleich, C, Härter, M, Brettschneider, C, König, HH, Wernher, I, Hüll, M, Tinsel, I, Kloppe, T, Boczor, S, Scherer, M, Niebling, W, Kotterer, A, Bjerregaard, F, Hölzel, L, Bleich, C, Härter, M, Brettschneider, C, König, HH, Wernher, I, Hüll, M, and Tinsel, I

Published
2017

30. Telefongestützte, niedrigschwellige Intervention durch geschulte, externe Pflegende als Versorgungsangebot für ältere Patientinnen und Patienten mit depressiven Störungen in Hausarztpraxen (GermanIMPACT)

Author

Kloppe, T, Bireckoven, MB, Niebling, W, Hölzel, L, Bjerregaard, F, Härter, M, Bleich, C, Brettschneider, C, Boczor, S, Kotterer, A, Grochtdreis, T, König, HH, Hüll, M, Scherer, M, Tinsel, I, Kloppe, T, Bireckoven, MB, Niebling, W, Hölzel, L, Bjerregaard, F, Härter, M, Bleich, C, Brettschneider, C, Boczor, S, Kotterer, A, Grochtdreis, T, König, HH, Hüll, M, Scherer, M, and Tinsel, I

Published
2017

32. Unmet care needs in the oldest old primary care patients with cognitive disorders: Results of the AgeCoDe & AgeQualiDe Study

Author

Stein, J, Pabst, A, Luck, T, Lühmann, D, Heser, K, Jessen, F, Bickel, H, Mösch, E, Pentzek, M, Fuchs, A, Wiese, B, Mamone, S, König, HH, Brettschneider, C, Werle, J, Scherer, M, Maier, W, Weyerer, S, Riedel-Heller, SG, Stein, J, Pabst, A, Luck, T, Lühmann, D, Heser, K, Jessen, F, Bickel, H, Mösch, E, Pentzek, M, Fuchs, A, Wiese, B, Mamone, S, König, HH, Brettschneider, C, Werle, J, Scherer, M, Maier, W, Weyerer, S, and Riedel-Heller, SG

Published
2017

33. Unmet care needs in the oldest old primary care patients with cognitive disorders: Results of the AgeCoDe & AgeQualiDe Study

Author

Stein, J, Pabst, A, Luck, T, Lühmann, D, Heser, K, Jessen, F, Bickel, H, Mösch, E, Pentzek, M, Fuchs, A, Wiese, B, Mamone, S, König, HH, Brettschneider, C, Werle, J, Scherer, M, Maier, W, Weyerer, S, Riedel-Heller, SG, Stein, J, Pabst, A, Luck, T, Lühmann, D, Heser, K, Jessen, F, Bickel, H, Mösch, E, Pentzek, M, Fuchs, A, Wiese, B, Mamone, S, König, HH, Brettschneider, C, Werle, J, Scherer, M, Maier, W, Weyerer, S, and Riedel-Heller, SG

Published
2017

34. Does visual impairment affect social ties in late life? Findings of a multicenter prospective cohort study in Germany

Author

Hajek, A., Brettschneider, C., Luehmann, D., Eisele, M., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Stein, J., Luck, T., Bickel, H., Weeg, D., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., Koenig, H. -H., Hajek, A., Brettschneider, C., Luehmann, D., Eisele, M., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Stein, J., Luck, T., Bickel, H., Weeg, D., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., and Koenig, H. -H.

Abstract

To investigate how visual impairment affects social ties in late life longitudinally. Population-based prospective cohort study. Individuals in old age were recruited via general practitioners' offices (at six study centers) in Germany. They were interviewed every 18 months. Individuals aged 75 years and above at baseline. Follow-up wave 2 (36 months after baseline, n=2,443) and wave 4 (72 months after baseline, n=1,618) were used for the analyses presented here. Social ties were assessed using the 14-item form of the questionnaire for social support (F-SozU K-14). Visual impairment was self-rated on a three level Likert scale (no impairment, mild visual impairment, or severe/profound visual impairment). Adjusting for sociodemographic factors, hearing impairment and comorbidity, fixed effects regressions revealed that the onset of mild visual impairment decreased the social support score, in particular the emotional support score. Additionally, the onset of mild hearing impairment decreased the social support score in men. Moreover, increasing age decreased the social support score in the total sample and in both sexes. Loss of spouse and increasing comorbidity did not affect the social support score. Our results highlight the importance of visual impairment for social ties in late life. Consequently, appropriate strategies in order to delay visual impairment might help to maintain social ties in old age.

Published
2017

35. Predictors of frailty in old age-results of a longitudinal study

Author

Hajek, Andr, Brettschneider, C., Posselt, T., Lange, C., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Fuchs, A., Pentzek, M., Stein, J., Luck, T., Bickel, H., Mosch, E., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., Konig, H. -H., Hajek, Andr, Brettschneider, C., Posselt, T., Lange, C., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Fuchs, A., Pentzek, M., Stein, J., Luck, T., Bickel, H., Mosch, E., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., and Konig, H. -H.

Abstract

To investigate time-dependent predictors of frailty in old age longitudinally. Population-based prospective cohort study. Elderly individuals were recruited via GP offices at six study centers in Germany. The course of frailty was observed over 1.5 years (follow up wave 4 and follow up wave 5). 1,602 individuals aged 80 years and older (mean age 85.4 years SD 3.2, with mean CSHA CFS 3.5 SD 1.6) at follow up wave 4. Frailty was assessed by using the Canadian Study of Health and Aging Clinical Frailty Scale (CSHA CFS), ranging from 1 (very fit) to 7 (severely frail). Fixed effects regressions revealed that frailty increased significantly with increasing age (=.2) as well as the occurrence of depression (=.5) and dementia (=.8) in the total sample. Changes in marital status and comorbidity did not affect frailty. While the effects of depression and dementia were significant in women, these effects did not achieve statistical significance in men. Our findings highlight the role of aging as well as the occurrence of dementia and depression for frailty. Specifically, in order to delay frailty in old age, developing interventional strategies to prevent depression might be a fruitful approach.

Published
2016

36. Koordinierte Behandlung der Altersdepression in der Primärversorgung: Ergebnisse der cluster-randomisierten kontrollierten Interventionsstudie GermanIMPACT

Author

Tinsel, I, Niebling, W, Kotterer, A, Hölzel, L, Frederike, B, Bleich, C, Härter, M, Boczor, S, Scherer, M, Brettschneider, C, Grochtdreis, T, König, HH, Wernher, I, Hüll, M, Kloppe, T, Tinsel, I, Niebling, W, Kotterer, A, Hölzel, L, Frederike, B, Bleich, C, Härter, M, Boczor, S, Scherer, M, Brettschneider, C, Grochtdreis, T, König, HH, Wernher, I, Hüll, M, and Kloppe, T

Published
2016

38. Klinische Effekte eines praxisteam-unterstützten Expositionstrainings für hausärztliche Patienten mit Panikstörung und Agoraphobie - eine cluster-randomisierte Interventionsstudie

Author

Hiller, TS, Breitbart, J, Brettschneider, C, Teismann, T, Schumacher, U, Schneider, N, Schelle, M, Schöne, E, Sommer, M, Blank, WA, Wensing, M, König, HH, Margraf, J, Gensichen, J, Hiller, TS, Breitbart, J, Brettschneider, C, Teismann, T, Schumacher, U, Schneider, N, Schelle, M, Schöne, E, Sommer, M, Blank, WA, Wensing, M, König, HH, Margraf, J, and Gensichen, J

Published
2016

40. Klinische Effekte eines praxisteam-unterstützten Expositionstrainings für hausärztliche Patienten mit Panikstörung und Agoraphobie - eine cluster-randomisierte Interventionsstudie

Author

Hiller, TS, Breitbart, J, Brettschneider, C, Teismann, T, Schumacher, U, Schneider, N, Schelle, M, Schöne, E, Sommer, M, Blank, WA, Wensing, M, König, HH, Margraf, J, Gensichen, J, Hiller, TS, Breitbart, J, Brettschneider, C, Teismann, T, Schumacher, U, Schneider, N, Schelle, M, Schöne, E, Sommer, M, Blank, WA, Wensing, M, König, HH, Margraf, J, and Gensichen, J

Published
2016

41. Koordinierte Behandlung der Altersdepression in der Primärversorgung: Ergebnisse der cluster-randomisierten kontrollierten Interventionsstudie GermanIMPACT

Author

Tinsel, I, Niebling, W, Kotterer, A, Hölzel, L, Frederike, B, Bleich, C, Härter, M, Boczor, S, Scherer, M, Brettschneider, C, Grochtdreis, T, König, HH, Wernher, I, Hüll, M, Kloppe, T, Tinsel, I, Niebling, W, Kotterer, A, Hölzel, L, Frederike, B, Bleich, C, Härter, M, Boczor, S, Scherer, M, Brettschneider, C, Grochtdreis, T, König, HH, Wernher, I, Hüll, M, and Kloppe, T

Published
2016

42. Predictors of frailty in old age-results of a longitudinal study

Author

Hajek, Andr, Brettschneider, C., Posselt, T., Lange, C., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Fuchs, A., Pentzek, M., Stein, J., Luck, T., Bickel, H., Mosch, E., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., Konig, H. -H., Hajek, Andr, Brettschneider, C., Posselt, T., Lange, C., Mamone, S., Wiese, B., Weyerer, S., Werle, J., Fuchs, A., Pentzek, M., Stein, J., Luck, T., Bickel, H., Mosch, E., Heser, K., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S. G., and Konig, H. -H.

Abstract

To investigate time-dependent predictors of frailty in old age longitudinally. Population-based prospective cohort study. Elderly individuals were recruited via GP offices at six study centers in Germany. The course of frailty was observed over 1.5 years (follow up wave 4 and follow up wave 5). 1,602 individuals aged 80 years and older (mean age 85.4 years SD 3.2, with mean CSHA CFS 3.5 SD 1.6) at follow up wave 4. Frailty was assessed by using the Canadian Study of Health and Aging Clinical Frailty Scale (CSHA CFS), ranging from 1 (very fit) to 7 (severely frail). Fixed effects regressions revealed that frailty increased significantly with increasing age (=.2) as well as the occurrence of depression (=.5) and dementia (=.8) in the total sample. Changes in marital status and comorbidity did not affect frailty. While the effects of depression and dementia were significant in women, these effects did not achieve statistical significance in men. Our findings highlight the role of aging as well as the occurrence of dementia and depression for frailty. Specifically, in order to delay frailty in old age, developing interventional strategies to prevent depression might be a fruitful approach.

Published
2016

43. Mortality in incident dementia - results from the German Study on Aging, Cognition, and Dementia in Primary Care Patients

Author

Roehr, S., Luck, T., Bickel, H., Brettschneider, C., Ernst, A., Fuchs, A., Heser, K., Koenig, H. H., Jessen, F., Lange, C., Moesch, E., Pentzek, M., Steinmann, S., Weyerer, S., Werle, J., Wiese, B., Scherer, M., Maier, W., Riedel-Heller, S. G., Roehr, S., Luck, T., Bickel, H., Brettschneider, C., Ernst, A., Fuchs, A., Heser, K., Koenig, H. H., Jessen, F., Lange, C., Moesch, E., Pentzek, M., Steinmann, S., Weyerer, S., Werle, J., Wiese, B., Scherer, M., Maier, W., and Riedel-Heller, S. G.

Abstract

Objective: Dementia is known to increase mortality, but the relative loss of life years and contributing factors are not well established. Thus, we aimed to investigate mortality in incident dementia from disease onset. Method: Data were derived from the prospective longitudinal German AgeCoDe study. We used proportional hazards models to assess the impact of sociodemographic and health characteristics on mortality after dementia onset, Kaplan-Meier method for median survival times. Results: Of 3214 subjects at risk, 523 (16.3%) developed incident dementia during a 9-year follow-up period. Median survival time after onset was 3.2 years (95% CI = 2.8-3.7) at a mean age of 85.0 (SD = 4.0) years (>= 2.6 life years lost compared with the general German population). Survival was shorter in older age, males other dementias than Alzheimer's, and in the absence of subjective memory complaints (SMC). Conclusion: Our findings emphasize that dementia substantially shortens life expectancy. Future studies should further investigate the potential impact of SMC on mortality in dementia.

Published
2015

44. Evaluation eines Praxisteam-unterstützten, selbst gesteuerten Expositionstrainings für Patienten mit Panikstörung und Agoraphobie in der Primärversorgung - Einfluss auf die Lebensqualität

Author

Brettschneider, C, Hiller, TS, Breitbart, J, Schelle, M, Schneider, N, Schumacher, U, Teismann, T, Wensing, M, Margraf, J, König, HH, Gensichen, J, Brettschneider, C, Hiller, TS, Breitbart, J, Schelle, M, Schneider, N, Schumacher, U, Teismann, T, Wensing, M, Margraf, J, König, HH, and Gensichen, J

Published
2015

45. Evaluation eines Praxisteam-unterstützten, selbst gesteuerten Expositionstrainings für Patienten mit Panikstörung und Agoraphobie in der Primärversorgung - Einfluss auf die Lebensqualität

Author

Brettschneider, C, Hiller, TS, Breitbart, J, Schelle, M, Schneider, N, Schumacher, U, Teismann, T, Wensing, M, Margraf, J, König, HH, Gensichen, J, Brettschneider, C, Hiller, TS, Breitbart, J, Schelle, M, Schneider, N, Schumacher, U, Teismann, T, Wensing, M, Margraf, J, König, HH, and Gensichen, J

Published
2015

46. Versorgungslücke Altersdepression? Erfahrungen zur Implementierung der Studie GermanIMPACT - koordinierte Versorgung von älteren Patienten mit Depression

Author

Kloppe, T, Bjerregaard, F, Bleich, C, Boczor, S, Brettschneider, C, Kotterer, A, Wernher, I, Härter, M, Hüll, M, Hölzel, L, König, HH, Niebling, W, Scherer, M, Tinsel, I, Kloppe, T, Bjerregaard, F, Bleich, C, Boczor, S, Brettschneider, C, Kotterer, A, Wernher, I, Härter, M, Hüll, M, Hölzel, L, König, HH, Niebling, W, Scherer, M, and Tinsel, I

Published
2015

49. Versorgungslücke Altersdepression? Erfahrungen zur Implementierung der Studie GermanIMPACT - koordinierte Versorgung von älteren Patienten mit Depression

Author

Kloppe, T, Bjerregaard, F, Bleich, C, Boczor, S, Brettschneider, C, Kotterer, A, Wernher, I, Härter, M, Hüll, M, Hölzel, L, König, HH, Niebling, W, Scherer, M, Tinsel, I, Kloppe, T, Bjerregaard, F, Bleich, C, Boczor, S, Brettschneider, C, Kotterer, A, Wernher, I, Härter, M, Hüll, M, Hölzel, L, König, HH, Niebling, W, Scherer, M, and Tinsel, I

Published
2015

50. Mortality in incident dementia - results from the German Study on Aging, Cognition, and Dementia in Primary Care Patients

Author

Roehr, S., Luck, T., Bickel, H., Brettschneider, C., Ernst, A., Fuchs, A., Heser, K., Koenig, H. H., Jessen, F., Lange, C., Moesch, E., Pentzek, M., Steinmann, S., Weyerer, S., Werle, J., Wiese, B., Scherer, M., Maier, W., Riedel-Heller, S. G., Roehr, S., Luck, T., Bickel, H., Brettschneider, C., Ernst, A., Fuchs, A., Heser, K., Koenig, H. H., Jessen, F., Lange, C., Moesch, E., Pentzek, M., Steinmann, S., Weyerer, S., Werle, J., Wiese, B., Scherer, M., Maier, W., and Riedel-Heller, S. G.

Abstract

Objective: Dementia is known to increase mortality, but the relative loss of life years and contributing factors are not well established. Thus, we aimed to investigate mortality in incident dementia from disease onset. Method: Data were derived from the prospective longitudinal German AgeCoDe study. We used proportional hazards models to assess the impact of sociodemographic and health characteristics on mortality after dementia onset, Kaplan-Meier method for median survival times. Results: Of 3214 subjects at risk, 523 (16.3%) developed incident dementia during a 9-year follow-up period. Median survival time after onset was 3.2 years (95% CI = 2.8-3.7) at a mean age of 85.0 (SD = 4.0) years (>= 2.6 life years lost compared with the general German population). Survival was shorter in older age, males other dementias than Alzheimer's, and in the absence of subjective memory complaints (SMC). Conclusion: Our findings emphasize that dementia substantially shortens life expectancy. Future studies should further investigate the potential impact of SMC on mortality in dementia.

Published
2015

Catalog

Books, media, physical & digital resources
See catalog results