Fakultät Angewandte Sozial- und Gesundheitswissenschaften
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Institute
Begutachtungsstatus
- peer-reviewed (13)
- begutachtet (2)
Background:
With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being.
Methods:
Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors.
Results:
The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness.
Conclusion:
Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs.
BACKGROUND
Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties.
METHODS
We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design.
RESULTS
A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P<0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P<0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P<0.00001), cardiovascular (both P<0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P<0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P<0.00001).
CONCLUSION
Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties.
The elite sport movement for athletes with hearing impairments, namely Deaflympics, differs from the Paralympic and Olympic sport movements because it exhibits a variety of distinct sociocultural and organisational characteristics. Yet, mental training with Deaflympic athletes receives little to no attention from the scientific community. Little is known about sport psychology consultants’ (SPCs) work with Deaflympic athletes. In this study, we explored SPCs’ exposure to so called Deaf sport as well as their experiences, attitudes, and assumptions regarding the utility of psychological skills training (PST) with Deaflympic athletes. A self-constructed questionnaire with closed and semi-open questions was completed by 93 (58.8% female) SPCs in European German-speaking countries. Analyses revealed SPCs had limited exposure to Deaflympic sport but indicated readiness to work with Deaflympic athletes. SPCs shared no reasons as to why PST skills and techniques would not be effective with Deaflympic athletes. However, SPCs regarded communication challenges as a major obstacle. We conclude that the integration of elite Deaf sport in SPCs’ training programmes is vital, considering SPCs’ lack of exposure and experience with Deaflympic athletes as well as their communication insecurities. In addition, further empirical research on PST effectiveness in Deaflympics athletes should provide the foundation for evidence-based utility of applied sport psychology in Deaflympic sport.
Einfach Fußball
(2012)
Welche Freizeitaktivitäten bedingen sportliche Aktivitäten in einer mediatisierten Gesellschaft?
(2010)
Psychologische Fertigkeiten im Hörgeschädigten-Spitzensport: Analyse des Einsatzes bei Kaderathleten
(2010)
Psychische Leistungsvoraussetzungen im Rollstuhlbasketball: Theorie, Empirie und Intervention
(2010)
Thema der Publikation sind die zentralen psychischen Leistungsvoraussetzungen im Mannschaftssport Rollstuhlbasketball. Ein zielbezogenes, systematisches und kontinuierliches sportpsychologisches Training zur Leistungsoptimierung setzt theoretisches und empirisches Wissen über bedeutsame leistungsrelevante Komponenten voraus. Nach einer gründlichen theoretischen Aufarbeitung werden demnach in sechs Studien motivationsbezogene, emotionsbezogene, kognitionsbezogene und sozialbezogene Leistungsfaktoren analysiert und Bezüge zu angewandt-psychologischen Trainingsmaßnahmen hergestellt.
Dieses Lehr- und Fachbuch gibt einen umfassenden Überblick über den aktuellen Stand der Wissenschaft im Bereich Behindertensport: Grundlagen: Entwicklung des Behindertensports, internationale Organisationen, aktuelle Diskussionen, u.v.m. / Zielgruppen des Behindertensports: Sportler mit körperlichen, Sinnes- und geistigen Beeinträchtigungen / Anwendungsfelder: die wichtigsten Sportarten mit Regelwerken, Klassifizierung und Zielgruppen.
The purpose of this study was to empirically analyze the sports background, personality dimensions, attitudes, and social competencies of adult head coaches and young assistant coaches involved in the German Einfach Fußball ( Just Soccer) program, which promotes the participation of pupils with intellectual disabilities in soccer/sports and society. Methods. The study recruited 28 head coaches and 29 assistant coaches who completed a questionnaire battery of standardized instruments (NEO Five-Factor Inventory, Interpersonal Reactivity Index, Social Self-Efficacy) as well as self-developed instruments. Analysis of the data involved descriptive and inferential statistical procedures. A descriptive comparison of the assistant coaches with a normative sample of males aged 16–20 years was performed. Results. The head coaches were found with little soccer/sports experience with persons with disabilities prior to participation in the Just Soccer program. However, the majority were familiar with these persons through personal/vocational contacts. Overall, the head coaches were differentiated by formal coaching levels and playing backgrounds, with very few holding any additional formal qualifications in special education. The assistant coaches pre
sented below average scores in the analyzed five personality dimensions when compared with the normative sample. Their attitudes
and social competencies did not change during their 8-month involvement in Just Soccer . Conclusions. The findings highlight
the important role of the coaching staff in the success of the Just Soccerprogram. coaches involved in such activities should be familiarized with needs of people with disabilities, be stress-resistant, and possess a balanced set of personality traits. In addition, the results suggest that such individuals should be coaches/players from conventional soccer clubs instead of special school physical education teachers.
Der deaflympische Sport (Syn.: Gehörlosensport) ist sowohl in der medialen als auch in der sportaktiven Öffentlichkeit weithin unbekannt. Der paralympische Behindertensport wird zunehmend stärker beachtet, der deaflympische hingegen insgesamt wenig. Im vorliegenden Beitrag wird deshalb ein Überblick gegeben. Es wird zunächst dessen geschichtliche Entwicklung näher beschrieben und verdeutlicht, dass der institutionalisierte Sport von Athleten mit Hörbeeinträchtigungen die längste Tradition im Behindertensport aufweist. Außerdem erfolgt eine Beschreibung der institutionellen Rahmenbedingungen dieser Sportbewegung. Dabei ist hervorzuheben, dass für die Belange des Leistungssports von Menschen mit Hörbeeinträchtigungen der Deutsche GehörlosenSportverband (DGS) und nicht der Deutsche Behindertensportverband (DBS) zuständig ist, da es sich beim deaflympischen Sport um eine historisch gewachsene, eigenständige Sportbewegung handelt. Die weiteren Ausführungen betreffen Aspekte zum Training und Wettkampf von Athleten mit Hörschädigungen. Um an Wettkämpfen im Gehörlosensport teilnehmen zu dürfen, muss ein Mindestmaß an Hörminderung vorliegen. Die Teilnahme an hochrangigen (internationalen) Wettkämpfen (z. B. Deaflympics) erfordert dann – wie im Spitzensport generell – ein systematisches und regelmäßiges Training. In Bezug auf Athleten mit Hörminderungen bedeutet dies insbesondere eine bestimmte Art der Kommunikation, des Vermittelns bzw. Erlernens (neuer) Bewegungen sowie die Beachtung etwaiger Einschränkungen der Gleichgewichtsfähigkeit. Auf diese Aspekte wird in diesem Übersichtsbeitrag ausführlich eingegangen. Es wird unter anderem verdeutlicht, dass „gehörlose“ Sportler häufig durchaus noch über ein Resthörvermögen verfügen. Außerdem erfordert das Training eine bestimmte Art der Kommunikation zwischen Trainer und Athlet, um effektiv im Sinne einer Leistungsentwicklung sein zu können. Schließlich gehen mit Höreinschränkungen häufig auch Defizite der Gleichgewichtsfähigkeit einher, die jedoch nicht a priori vorhanden sind und sich durch Training verbessern lassen.
Im Resümee wird nochmals herausgestellt, weshalb Grundkenntnisse über den deaflympischen Sport nicht nur zur Leistungsentwicklung hörgeschädigter Spitzenathleten beitragen, sondern auch Trainern und Vereinen des Regelsportsystems des Deutschen Olympischen Sportbundes (DOSB) nützlich sein können.
Sport im Strafvollzug
(2011)
Zum Einsatz sportpsychologischen Trainings bzw. dem Kenntnisstand über diesbezügliche Maßnahmen im Fußball liegen noch keine Studien vor. Ziel der vorliegenden Studie war es daher, den Kenntnisstand und die tatsächliche Anwendung sportpsychologischer Maßnahmen bei Fußballtrainern verschiedener Lizenzstufen zu untersuchen. Als zentrales Ergebnis lässt sich konstatieren, dass dem sportpsychologischen Training von fast allen Trainern eine große Bedeutung zugesprochen wird, der Kenntnisstand jedochäußerst lückenhaft ist und der Einsatz entsprechender Intervention kaum stattfindet.
Im Mittelpunkt der vorliegenden Studie steht die Frage, welchen Einfluss Sport und Bewegung auf die Motorik und auf die körpernahen Bereiche des Selbstkonzepts bei Erwachsenen mit geistiger Behinderung ausüben. Hierzu wurden die im Rahmen einer 12-monatigen quasi-experimentellen Feldstudie erhobenen Daten einer sportlich aktiven Versuchsgruppe (n = 49) mit denen einer sportlich inaktiven Kontrollgruppe (n = 21) verglichen. Die Ergebnisse weisen die motorische Entwicklungsfähigkeit und Trainierbarkeit von Menschen mit geistiger Behinderung empirisch nach. Neben der Verbesserung im motorischen Bereich konnten, wenn auch geringer ausgeprägt, positive Veränderungen im Bereich des Körperselbstkonzepts beobachtet werden. Der besondere Stellenwert von Bewegung, Sport und Spiel für eine umfassende Persönlichkeitsentwicklung bei Menschen mit geistiger Behinderung wird durch die vorliegende Studie verdeutlicht.
Purpose
The purpose of this study was to gather data about physical activity and quality of life (QoL) for people of working age with visual impairments to optimize upcoming physical activity-based interventions in vocational rehabilitation.
Methods
Two hundred and seventy-seven former participants of four vocational rehabilitation centres in Germany answered an online questionnaire. The health-related QOL has been assessed by means of the WHOQOL-BREF questionnaire. The data were analysed via multivariate analysis of covariances (MANCOVAs), univariate analysis of covariances (ANCOVAs) and discriminant function analysis.
Results
Compared to a normative group of adults aged 36-45, the study group showed lower values in all domains of QOL. The MANCOVA (visual acuity) produced no multivariate significant effect. Also, the ANCOVA showed no significant effect for the global dimension of the WHOQOL-BREF. The MANCOVA (leisure time activity) produced a multivariate significant effect. Post-hoc ANCOVAS revealed significant effects for all four domains of QoL. The ANCOVA analysing the global domain showed a similar significant effect as well. The active persons had higher values in all domains of QoL compared to the more passive participants.
Conclusion
Interventions in vocational rehabilitation should focus on leisure time activity to enhance QoL. At this stage, the role of physical activity is still unclear and further studies are needed.
Implications for rehabilitation People with visual impairments often show a worse quality of life than normal-sighted people.
The degree of severity of the visual impairment does not affect quality of life.
Sport and physical activity are effective means of improving quality of life.
An active leisure time activity supports the improvement of the quality of life of visual-impaired people that participated in a vocational rehabilitation.
Physical Education with Eduball Stimulates Non-Native Language Learning in Primary School Students
(2022)
Although the neuronal mechanisms of action and cognition are related, the division of intellectual and physical lessons is standard in schools. This is surprising, because numerous studies show that integrating physical education (PE) with teaching content stimulates critical skills. For example, several experiments indicate that Eduball-based PE (i.e., lessons in a sports hall during which students play team mini-games with educational balls with printed letters, numbers, and other signs) develops mathematical and language competencies. At the same time, the Eduball method does not slow down learners' physical development. However, we have little knowledge about the effects of such techniques on non-native language learning. Consequently, the absence of incorporating core academic subjects into PE in dual-language schools or during foreign language education is exceptionally high. Here, we replicated the Eduball experiment, but with the goal of testing this method for non-native language learning. Thus, the intervention occurred in a dual-language primary school and we evaluated second language (L2) learning. As before, we used the technique of parallel groups (experimental and control); in both groups, there were three 45-min PE classes per week. In the experimental class, two of them were held using Eduball. After a half-year experiment, children from the experimental group (one second-grade, N = 14) improved their non-native language skills significantly more than their peers from the control group (one second-grade, N = 12). These findings demonstrate that Eduball-type intervention stimulates non-native language learning in children. Hence, our report suggests that specific body training forms can support L2 learning.
Diese Untersuchung setzt sich mit der weiteren Entwicklung von zwölf jungen Erwachsenen nach Beendigung der Förderschulzeit auseinander und analysiert die substanziellen Aspekte für die Teilhabe am Erwerbsleben auf dem allgemeinen Arbeitsmarkt anhand der Berufsperspektive "Fußballspieler" im Sinne eines Außenarbeitsplatzes der gemeinnützigen Werkstätten. Durch eine zweijährige wissenschaftliche Begleitung des Fußballleistungszentrums der Gold-Kraemer-Stiftung wurden fußballspezifische und pädagogische Effekte zur psychosozialen Entwicklungsförderung von jungen Erwachsenen mit geistiger Behinderung erhoben und im Bezug auf erwerbsspezifische Schlüsselkompetenzen analysiert. Zunächst werden das Teilhabepotenzial des Fußballs sowie das in Deutschland einzigartige Programm des Fußballleistungszentrums der Gold-Kraemer-Stiftung vorgestellt. Anschließend erläutern Verf. das Forschungsdesign und die Ergebnisse der Untersuchung, die unter anderem eine signifikante Verbesserung der erwerbsbezogenen Schlüsselqualifikationen durch die fußballspezifische Maßnahme zeigen. (Messerschmidt). (BISp).