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Your search keyword '"Doerr, Johanna M."' showing total 33 results
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33 results on '"Doerr, Johanna M."'

15. The Effect of Intranasal Oxytocin on the Association Between Couple Interaction and Sleep: A Placebo-Controlled Study

Author

Doerr, Johanna M, Klaus, Kristina, Troxel, Wendy, Nater, Urs M, Bodenmann, Guy, Heinrichs, Markus, Ehlert, Ulrike, Ditzen, Beate, University of Zurich, and Doerr, Johanna M

Subjects
Adult, Male, 10093 Institute of Psychology, Emotions, Oxytocin, 3202 Applied Psychology, Psychiatry and Mental health, 2738 Psychiatry and Mental Health, Double-Blind Method, Humans, Female, 150 Psychology, Sleep, Applied Psychology, Administration, Intranasal
Abstract

Although most people in romantic relationships cosleep, biosocial modulators of sleep quality have only recently come into focus. Oxytocin (OT) might be one such modulator, as it had been shown to increase social attachment and safety. We investigated the association between everyday life couple interaction and sleep quality, as well as the effects of OT on this association.Eighty heterosexual couples ( N = 160 individuals, mean [standard deviation] age = 28 [5] years) were randomized to self-administer a) 32 international units of intranasal OT or b) placebo during 5 consecutive days. Each morning, they reported on sleep quality, and on subjective feelings of closeness and valence of couple interaction at a maximum of four times a day. Data were analyzed using hierarchical linear models.Subjective closeness ( B = 0.43, t (73) = 3.80, p.001) and valence (negative - positive) of couple interaction ( B = 0.50, t (73) = 3.91, p.001) were positively associated with sleep quality. Persons with OT reported higher levels of sleep quality than those without ( B = 0.47, t (74) = 2.32, p = .023). The association between closeness and sleep quality was stronger with OT than without (OT by closeness: B = 0.31, t (72) = 2.29, p = .025; OT by valence of interaction: B = 0.27, t (72) = 1.77, p = .081). Whereas the effect of couple interaction on sleep quality was strong in men, the OT effects were especially pronounced in women.Our results suggest that enhancing closeness and positive couple interaction in cosleeping partners might be a way to improve sleep quality. The moderating effects of OT and sex on the association between couple interaction and sleep quality can have important implications for sleep therapy.Trial Registration: The study was preregistered at ClinicalTrials.gov ("Oxytocin, Couple Interaction, and Wound Healing" study, identifier NCT01594775). The present analyses were not preregistered.

Published
2022

17. Increasing preoperative cognitive reserve to prevent postoperative delirium and postoperative cognitive decline in cardiac surgical patients (INCORE): Study protocol for a randomized clinical trial on cognitive training

Author

Butz, Marius, primary, Meyer, Rolf, additional, Gerriets, Tibo, additional, Sammer, Gebhard, additional, Doerr, Johanna M., additional, El-Shazly, Jasmin, additional, Doeppner, Thorsten R., additional, Choi, Yeong-Hoon, additional, Schoenburg, Markus, additional, and Juenemann, Martin, additional

Published
2022
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19. Increasing preoperative cognitive reserve to prevent postoperative delirium and postoperative cognitive decline in cardiac surgical patients (INCORE): Study protocol for a randomized clinical trial on cognitive training

Author

Butz, Marius, Meyer, Rolf, Gerriets, Tibo, Sammer, Gebhard, Doerr, Johanna M., El-Shazly, Jasmin, Doeppner, Thorsten R., Choi, Yeong-Hoon, Schoenburg, Markus, Juenemann, Martin, and Justus Liebig University Giessen

Subjects
ddc:610
Published
2022
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22. Flexible endoscopic evaluation of swallowing (FEES) to determine neurological intensive care patients’ oral diet

Author

Braun, Tobias, primary, Juenemann, Martin, additional, Viard, Maxime, additional, Meyer, Marco, additional, Reuter, Iris, additional, Mausbach, Stefan, additional, Doerr, Johanna M., additional, Schirotzek, Ingo, additional, Prosiegel, Mario, additional, Schramm, Patrick, additional, Kaps, Manfred, additional, and Tanislav, Christian, additional

Published
2020
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26. Flexible endoscopic evaluation of swallowing (FEES) to determine neurological intensive care patients' oral diet.

Author

Braun, Tobias, Juenemann, Martin, Viard, Maxime, Meyer, Marco, Reuter, Iris, Mausbach, Stefan, Doerr, Johanna M., Schirotzek, Ingo, Prosiegel, Mario, Schramm, Patrick, Kaps, Manfred, and Tanislav, Christian

Subjects
PNEUMONIA, LENGTH of stay in hospitals, TRACHEOTOMY, NEUROLOGICAL disorders, STROKE, CRITICALLY ill, RESPIRATORY aspiration, PATIENTS, DEGLUTITION disorders, DIET, INGESTION, MANN Whitney U Test, NIH Stroke Scale, ARTIFICIAL respiration, FEEDING tubes, SEVERITY of illness index, DISABILITIES, FOOD, CHI-squared test, DESCRIPTIVE statistics, DATA analysis software, ENDOSCOPY
Abstract

Dysphagia is common in critically ill neurological patients and is associated with a high mortality and morbidity. Data on the usefulness of flexible endoscopic examination of swallowing (FEES) in neurological intensive care unit (ICU) patients are lacking, raising the need for evaluation. FEES was performed in neurological intensive care patients suspected of dysphagia. We correlated findings with baseline data, disability status, pneumonia and duration of hospitalisation, as well as a need for mechanical ventilation or tracheotomy. This analysis consisted of 125 patients with suspected dysphagia. Most of the patients (81; 64,8%) suffered from acute stroke. Dysphagia was diagnosed using FEES in 90 patients (72%). FEES results led to dietary modifications in 80 patients (64%). The outcome at discharge was worse in dysphagic stroke patients diagnosed by FEES as compared to non-dysphagic stroke patients (p = 0.009). Patients without oral diet had higher need for intubation (p = 0.007), tracheotomy (p = 0.032) and higher mortality (p < 0.001) in comparison to patients with at least small amounts of oral intake. As the clinical assessment of the patients often classified the dysphagia incorrectly, the broad use of FEES in ICU patients might help to adequately adjust patients' oral diet. This knowledge might contribute to lower mortality and morbidity. [ABSTRACT FROM AUTHOR]

Published
2021
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27. Development and Validation of a Brief Measure of Self-Management Competence: The Self-Management Self-Test (SMST)

Author

Wehmeier, Peter M., Fox, Theresa, Doerr, Johanna M., Schnierer, Nadja, Bender, Matthias, and Nater, Urs M.

Abstract

Background: Self-management can be considered a way of dealing with oneself and relates to actions undertaken to create order, discipline, and control. The concept is closely linked to concepts of self-efficacy and self-regulation but can be distinguished from these. The Self-Management Self-Test (SMST) is a 5-item assessment scale designed to measure self-management competence in individuals with or without a psychiatric disorder (as screened using PHQ). The aim of this study was to validate the SMST in terms of convergent validity, the ability to differentiate, criterion validity, internal consistency, and test-retest reliability.Methods: Eighty-seven adults hospitalized for treatment of major depression (clinical sample) and 595 individuals from the general population (population sample) filled out the SMST and 5 other stress-related psychometric instruments measuring similar constructs. All instruments were repeated 4 to 6 weeks later. Convergent validity, internal consistency, and test-retest reliability were tested based on data from the population sample. Convergent validity was determined by correlations with other stress-related psychometric instruments. Correlations in the range of r= –0.4 to –0.6 were expected. To test for criterion validity, the clinical sample was matched with a subsample from the population sample, consisting only of individuals without a psychiatric disorder as screened using PHQ (nonclinical subsample, n = 87). The ability to differentiate was based on receiver operating characteristic (ROC) curve analysis.Results: Correlations between the SMST and the other stress-related tests were significant and in the expected direction and predominantly within the expected range (Pearson r= –0.40 to –0.64). The correlation with the Multidimensional Fatigue Inventory–20, measuring fatigue, and with the dimensional scale for depression in the PHQ was higher than expected and referred to very similar items. Thus, convergent validity mainly lay within the expected range. Internal consistency was high (Cronbach α= 0.80), and test-retest reliability was fairly low (r= 0.71). The SMST showed a significant difference, t(157) = 7.97, P< .001, between the clinical sample (M = 9.36, SD = 3.39) and the nonclinical subsample (M = 12.94, SD = 2.47) with a large effect size (d =1.3). The area under the ROC curve (AUC) was excellent (AUC = 0.81, SE = 0.034, P< .001), suggesting that the SMST can distinguish between the clinical and nonclinical samples.Conclusions: The SMST can be considered an effective self-rating test to assess self-management competence in individuals from the general population as well as in people with major depression. It may also be useful to detect treatment outcomes in people with major depression. The high internal consistency indicates that all 5 items are important for the test as a whole. The low test-retest reliability suggests sensitivity to change. The SMST is likely to differentiate particularly well at low levels of self-management competence, suggesting it may be a useful tool in studies investigating people with depression or other psychiatric disorders such as post-traumatic stress disorder. Furthermore, the SMST could be useful in assessing the effect of treatment interventions over time and evaluating patient-reported outcomes.

Published
2024
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33. Co-variation of fatigue and psychobiological stress in couples’ everyday life

Author

Ulrike Ehlert, Beate Ditzen, Johanna M. Doerr, Urs M. Nater, University of Zurich, and Doerr, Johanna M

Subjects
Adult, Male, Hypothalamo-Hypophyseal System, Hydrocortisone, Endocrinology, Diabetes and Metabolism, Biological Stress, Pituitary-Adrenal System, Nested design, 2738 Psychiatry and Mental Health, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Negatively associated, Activities of Daily Living, Humans, Valence (psychology), Saliva, Everyday life, Fatigue, Biological Psychiatry, Salivary cortisol, Family Characteristics, 10093 Institute of Psychology, Endocrine and Autonomic Systems, Multilevel model, Co variation, 1310 Endocrinology, 030227 psychiatry, 2712 Endocrinology, Diabetes and Metabolism, 2807 Endocrine and Autonomic Systems, Psychiatry and Mental health, Female, Self Report, alpha-Amylases, 150 Psychology, Psychology, 2803 Biological Psychiatry, Stress, Psychological, 030217 neurology & neurosurgery, Clinical psychology
Abstract

Objective There is limited knowledge about how fatigue develops and worsens and what influences fluctuations in daily fatigue. Stress was found to influence fatigue, and being in a relationship seems to either increase or decrease stress depending on the couple interaction. In this study, co-variation of fatigue, self-reported stress, and biological stress markers in couples’ everyday lives was investigated. Specifically, we examined a) whether momentary couple interactions moderated dyadic outcomes and b) whether and how stress and relationship measures influenced individual momentary fatigue. Methods Forty heterosexual couples (age: 28 ± 5 years) reported subjective fatigue and stress levels 4 times a day for 5 consecutive days (1600 measures). Furthermore, participants reported whether they had interacted with their partner since the last data entry and, if so, they rated the valence of this interaction. Salivary cortisol (a measure of HPA axis activity) and alpha amylase (a measure of ANS activity) were analyzed as biological stress markers from saliva samples obtained at the same time points. Moment-to-moment data were analyzed using dyadic multilevel models to account for the nested design. Results Stress (women and men: p ≤ 0.001) and fatigue (women: p = .003, men: p = .020) showed patterns of co-variation within couples, especially if partners had interacted with each other since the previous data entry. Cortisol was also found to co-vary between partners (women: unstandardized coefficient (UC) = 0.12, p ≤ .001, men: UC = 0.18, p ≤ .001), whereas the regulation of alpha-amylase levels depending on the partner’s levels was only present in women (UC = 0.11, p = .002). Valence of couple interaction was negatively associated with fatigue (women: UC = −0.13, p ≤ .001, men: UC = −0.06, p = .011). There was no momentary association of fatigue with an individual’s own or the partner’s subjective or biological stress markers. Conclusions Fatigue and stress levels during the day seem to co-vary within couples. These associations were particularly strong when the partners had interacted with each other since the last measurement. These data underline the importance of social factors in fatigue and stress in everyday life.

Published
2018

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