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Biomedical subjects

W W Wittmann

Publications and source records attributed to W W Wittmann.

9 recordsLinked to original sources
PubMed2004

[Outcome quality of psychosomatic rehabilitation: goal attainment scaling on the basis of a structured catalogue of therapy goals].

Within the scope of a multicenter study regarding the outcome quality of inpatient psychosomatic rehabilitation a structured catalogue of therapy goals (SZK, strukturierter Therapiezielkatalog) was developed. The catalogue contains 89 predetermined therapy goals as well as the option to formulate further goals in own words. The SZK is available both as a patient and as a therapist version. At the beginning of treatment up to five primary objectives are chosen from the list. At the end of treatment and at the 1-year follow-up the level of achievement of objectives is assessed. Moreover the SZK contains the option to mark goals as not relevant any more and to add goals which came up during the treatment and to evaluate them regarding the level of achievement. The study on hand asks for empirical identification of the target structure. Furthermore, reliability and validity of the calculated measures of goal attainment are analysed. As the most important finding the SZK turns out to be a practical and economical assessment instrument for goal-oriented evaluation.

Adult↗
PubMed2003

[Individualized outcome measurement -- a comparison between prospective and retrospective problem marking in psychosomatic rehabilitation].

This article reports on a questionnaire concerning individual problems in psychosomatic rehabilitation. A sample of 858 patients answered the questions at the beginning and on a one year catamnestic measurement. First, the frequency of occurrence of several symptoms was asked. Second, the rehabilitants were asked to indicate for each symptom if it was an important problem before treatment. This procedure of identifying problems was done at the beginning (prospective marking) and also at the one year follow up (retrospective marking). The questionnaire allows to compute eight subscales and one global scale regarding all items (classical approach). Frequency of occurrence decreased with an average effect size (ES) of 0.56 on the global scale. In the next step, measurement was individualized by regarding only items which were marked as relevant problem. By prospective marking, effect size was 1.32. By retrospective marking, no growth of effect size in comparison to the classical approach was found (ES = 0.56). The results indicate that the prospective approach of identifying problems is the better way of individualizing measurements. Moreover, the impact of individual problem definition on outcome was demonstrated.

Adjustment Disorders↗
PubMed1995

[Evaluation of psychosomatic treatment--results of a catamnestic study].

The authors report first results of a program evaluation (n = 560) in a psychoanalytically oriented psychosomatic clinic. Based on a naturalistic design, the study includes three points of measurement (beginning and end of treatment, 1-year follow-up) at which data were collected from patients and therapists. The article gives an overview of the general issues involved as well as of the methodological procedure and presents some catamnestic subjective and cost-relevant singular outcome criteria.

Adult↗
PubMed1989

[Satisfaction with inpatient management. Development of a questionnaire and initial validity studies].

In Germany methodologically reliable procedures to assess patients satisfaction with inpatient health care are almost totally missing. With reference to the well known American CSQ-Questionnaire (Attkisson et al.) a 17-items questionnaire (to assess satisfaction) was developed and presented to a sample of 300 patients undergoing inpatient treatment within a psychosomatic clinic (the rate of responding was about 80%). With a concise form of the questionnaire (Zuf-8, 8 items) an economical and reliable test-instrument is presented in this paper to measure general satisfaction, which also was investigated in regard to item- and factor analysis. This method seems suitable for measuring patient satisfaction with inpatient psychosomatic treatment. The investigated scales of satisfaction show a statistically significant correlation with additionally obtained patient characteristics. This inquiry also suggests that it might be rewarding to pursue the often neglected phenomenon of questionnaires filled out incomplete as an indicator of latent dissatisfaction.

Adult↗
PubMed1980

On palmar and plantar pattern variability of the two baboon genera Papio and Theropithecus.

In general the results of the investigators Biegert (1961) and Gladkova (1958), concerning the palm and sole skin patterns in baboons can be confirmed, and some features can serve to distinguish some of the species in a very characteristic manner. The findings of our investigations of the papillary system substantiate the proposed taxonomic classification for baboons by Buettner-Janusch in 1966. The value and significance of the inter- and intra-species differences in baboons, with regard to morphological and quantified pattern analysis, could be fully evaluated when further comparisons of the presented data are accomplished and compared with those of other primate species and families.

Animals↗
PubMed1975

[Does there exist a correlation between the number of whorls of the finger tips and birth order of sibs? (author's transl)].

It was stated by Birdsong and Rashad (1972) that the child of birth order number six of Korean families has significantly more true whorls on the finger tips than older brothers and sisters. To verify this assertion we studied a sample of all members of 43 normal German families with 5 or more legitimate children. The findings of the epidermal finger pattern types and those of the toe patterns were analysed. Results indicate a different conclusion regarding the number of digital whorls which were not increased statistically with increasing number of sibs. The number of whorls were randomly distributed within the heritable range of variability of the particular family. It appears of importance that, due to our analyses, the value of information of the characteristic "number of whorls" is not reduced and does not require a specific consideration regarding birth order. Furthermore, it can be stated preliminarly that there is no hint pointing to an influence of the maternal age on the number of whorls in their offspring.

Adult↗
PubMedDate not supplied

[Long-term outcomes of psychosomatic rehabilitation].

According to the latest state of research psychosomatic rehabilitation can be considered as effective and efficient. Several program-evaluation studies document process and outcomes of over 4000 psychosomatic patients in rehabilitation clinics so far. The majority of patients in all studies show positive therapy outcomes, which also can be demonstrated in follow-up investigations. Those positive results cover disease and disorder related aspects as well as cost relevant facets. This paper presents one of those program-evaluation studies which reports the outcomes of a one year and a five year follow-up respectively. It focuses on the outcomes of those subjects which participated in both inquiries. In addition to single criteria the construction of a multiple outcome criterion is discussed.

Adult↗
PubMedDate not supplied

[Evaluation of change by patients and staff and specialist physicians in psychosomatic rehabilitation--a catamnestic comparison].

Considering three single outcome criteria reflecting the change of a) physical state, b) general condition and c) ability to work catamnestic ratings of patients and of external doctors are compared. The ratings were assessed by questionnaires 12 months after the end of inpatient psychosomatic treatments ("direct measurement of change"). Mayor findings are: a) the judgements of both data sources indicated positive change or improvement for a majority of patients, b) the ratings of the external doctors were more favourable than the patients' self-ratings, c) moderate but statistically significant correlations between the ratings of the two groups of judges were to be observed. From a more methodological point of view it will be attempted to analyze the meaning of these correlations somewhat more in detail.

Adult↗