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Murphy KM, Chen E, Ip EH, Rosenberg AR, Snyder MA, Salsman JM. Properties of the Shift and Persist Questionnaire in adolescent and young adult cancer patients and survivors: Validity, consistency, and interpretability. Qual Life Res 2023; 32:273-283. [PMID: 35962916 PMCID: PMC9839473 DOI: 10.1007/s11136-022-03219-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2022] [Indexed: 01/17/2023]
Abstract
PURPOSE The Shift and Persist model provides an informative framework to understand how adolescent and young adult (AYA) cancer patients and survivors (ages 15-39) may withstand stress and thrive despite adversity. The goal of the present study was to examine the psychometric properties of the Shift and Persist Questionnaire (SPQ) in this population and provide guidelines for interpretation. METHODS AYA cancer patients and survivors were recruited via an online research panel. Participants reported demographics and health history and completed the SPQ and Patient-Reported Outcome Measurement Information System 29-item profile (PROMIS®-29). We evaluated the structural validity, internal consistency, and construct validity of the SPQ. Minimally important differences (MIDs) were estimated to inform SPQ score interpretation. RESULTS 572 eligible individuals completed the survey. On average, participants were aged 24 (SD = 7) at evaluation. Of the participants, 43.5% were female, 77.1% were white, and 17.5% were Hispanic (across races). The two-factor structure of the SPQ demonstrated very good structural validity (CFI > 0.95, SRMR < 0.08), and construct validity with PROMIS-29® domains (convergent Rs = 0.17 to 0.43, divergent Rs = - 0.11 to - 0.51). Internal consistency was adequate (ω = 0.76-0.83). Recommended MIDs were 1 point for the Shift subscale, 1-2 point(s) for the Persist subscale, and 2-3 points for the total SPQ score. CONCLUSION The SPQ is a psychometrically sound measure of skills that contribute to resilience in AYA cancer patients and survivors. MID recommendations enhance the interpretability of the SPQ in this population. Future studies examining shifting and persisting in this population may benefit from administering the SPQ.
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Affiliation(s)
- Karly M Murphy
- Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA.
| | - Edith Chen
- Department of Psychology, Weinberg College of Arts & Sciences, Northwestern University, Evanston, IL, USA
| | - Edward H Ip
- Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Abby R Rosenberg
- Palliative Care and Resilience Program, Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, USA
- Department of Pediatrics, Division of Hematology/Oncology, University of Washington School of Medicine, Seattle, WA, USA
| | - Mallory A Snyder
- Office of Research and National Laboratories, The University of Chicago, Chicago, IL, USA
| | - John M Salsman
- Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA
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Baczewska B, Block B, Janiszewska M, Leśniewski K, Zwolak A. Assessment of Mood and Hope in Critically-Ill Patients as a Basis for the Improvement for the Palliative and Hospice Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9987. [PMID: 36011622 PMCID: PMC9408676 DOI: 10.3390/ijerph19169987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 08/09/2022] [Accepted: 08/11/2022] [Indexed: 06/15/2023]
Abstract
The aim of the research is to present a level of hope in people in the terminal phase of cancer who differ in terms of mood: cheerful vs. sad. The study group consisted of 246 patients. Their average age was 59.5. The youngest respondent was 18 and the oldest was 90. The Personal Card tests by T. Witkowski (KI) and B.L. Block (NCN-36), designed for people struggling with serious life-threatening diseases, were used. The test consists of four scales distinguished by factor analysis. Each scale comprises of eight items. The following are used to study hope: the situational dimension-health; the telek-temporal dimension-goals; the spiritual dimension-religious beliefs; and the emotional-affective dimension-motivations. In the global view, the hope of the subjects was moderate. In the situational dimension-health, the telek-temporal dimension-goals, and the spiritual dimension-religious beliefs, people with a generally cheerful mood had stronger hope, in comparison to people with a sad mood. Only in the emotional-affective dimension-motivations, did people with a sad mood manifest stronger hope in comparison to people with a cheerful mood. The conducted research allowed us to conclude that mood is one of the determinants of hope in terminally ill cancer patients.
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Affiliation(s)
- Bożena Baczewska
- Department of Internal Medicine in Nursing, Medical University of Lublin, Chodźki 7 Street, 20-093 Lublin, Poland
| | - Bogusław Block
- Institute of Psychology, The John Paul II Catholic University of Lublin, Al. Racławickie 14, 20-950 Lublin, Poland
| | - Mariola Janiszewska
- Department of Medical Informatics and Statistics with e-Health Lab, Medical University of Lublin, Jaczewskiego 4 Street, 20-090 Lublin, Poland
| | - Krzysztof Leśniewski
- Department of Orthodox Theology, The John Paul II Catholic University of Lublin, Al. Racławickie 14, 20-950 Lublin, Poland
| | - Agnieszka Zwolak
- Department of Internal Medicine in Nursing, Medical University of Lublin, Chodźki 7 Street, 20-093 Lublin, Poland
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Buchhold B, Lutze S, Freyer-Adam J, Jünger M, Ramp M, Konschake W, Jülich A, Nordt C, Peters S, Arnold A, Hannich HJ. Validierung der psychometrischen Eigenschaften einer "Modifizierten Version des Hornheider Screening-Instruments" (HSI-MV) anhand einer Stichprobe ambulanter und stationärer Hauttumorpatienten. J Dtsch Dermatol Ges 2022; 20:597-610. [PMID: 35578437 DOI: 10.1111/ddg.14692_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 11/15/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Britta Buchhold
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald
| | - Stine Lutze
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
| | | | - Michael Jünger
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
| | - Marleen Ramp
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
| | - Wolfgang Konschake
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
| | - Andreas Jülich
- Klinik und Poliklinik für Innere Medizin C, Universitätsmedizin Greifswald
| | - Claudia Nordt
- Onkologisches Zentrum, Universitätsmedizin Greifswald
| | | | - Andreas Arnold
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
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Buchhold B, Lutze S, Freyer‐Adam J, Jünger M, Ramp M, Konschake W, Jülich A, Nordt C, Peters S, Arnold A, Hannich H. Validation of the psychometric properties of a “Modified Version of the Hornheider Screening Instrument” (HSI‐MV) using a sample of outpatient and inpatient skin tumor patients. J Dtsch Dermatol Ges 2022; 20:597-609. [DOI: 10.1111/ddg.14692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 11/15/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Britta Buchhold
- Institute of Medical Psychology Greifswald University Medical Faculty Greifswald Germany
| | - Stine Lutze
- Department of Dermatology Greifswald University Medical Faculty Greifswald Germany
| | - Jennis Freyer‐Adam
- Institute of Medical Psychology Greifswald University Medical Faculty Greifswald Germany
| | - Michael Jünger
- Department of Dermatology Greifswald University Medical Faculty Greifswald Germany
| | - Marleen Ramp
- Department of Dermatology Greifswald University Medical Faculty Greifswald Germany
| | - Wolfgang Konschake
- Department of Dermatology Greifswald University Medical Faculty Greifswald Germany
| | - Andreas Jülich
- Department of Internal Medicine C Greifswald University Medical Faculty Greifswald Germany
| | - Claudia Nordt
- Center of Oncology Greifswald University Medical Faculty Greifswald Germany
| | - Sebastian Peters
- Center of Oncology Greifswald University Medical Faculty Greifswald Germany
| | - Andreas Arnold
- Department of Dermatology Greifswald University Medical Faculty Greifswald Germany
| | - Hans‐Joachim Hannich
- Institute of Medical Psychology Greifswald University Medical Faculty Greifswald Germany
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Singer S, Kojima E, Deppisch L, Taylor K, Wickert M, Riedel P, Alt J, Heß G, Hechtner M, Bayer O. What is the best time for psychosocial counselling from the perspective of cancer patients and their relatives? A multi‐centre qualitative study. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12488] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Susanne Singer
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Erika Kojima
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Larissa Deppisch
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Katherine Taylor
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
| | | | | | - Jürgen Alt
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Georg Heß
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Marlene Hechtner
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
| | - Oliver Bayer
- Division of Epidemiology and Health Services Research Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) University Medical Centre of Johannes Gutenberg University Mainz Germany
- University Cancer Centre Mainz (UCT) Mainz Germany
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Reschke R, Jäger I, Mehnert-Theuerkauf A, Ziemer M. Therapieverständnis und gesundheitsbezogene Lebensqualität bei Patienten mit Melanom im Stadium III/IV unter Behandlung mit neuen adjuvanten Therapien. J Dtsch Dermatol Ges 2021; 19:215-222. [PMID: 33586876 DOI: 10.1111/ddg.14317_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 06/17/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Robin Reschke
- Klinik für Dermatologie, Universitätsklinikum Leipzig, Deutschland
| | - Iris Jäger
- Klinik für Dermatologie, Universitätsklinikum Leipzig, Deutschland
| | - Anja Mehnert-Theuerkauf
- Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig, Deutschland
| | - Mirjana Ziemer
- Klinik für Dermatologie, Universitätsklinikum Leipzig, Deutschland
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7
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Reschke R, Jäger I, Mehnert-Theuerkauf A, Ziemer M. Therapy understanding and health related quality of life in stage III/IV melanoma patients treated with novel adjuvant therapies. J Dtsch Dermatol Ges 2021; 19:215-221. [PMID: 33491923 DOI: 10.1111/ddg.14317] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 06/17/2020] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Our aims were to investigate the motivation for therapy, the understanding and valuation of potential treatment toxicities in melanoma patients offered adjuvant therapies. METHODS Between September 2018 and September 2019 49 adjuvant patients with stage III and IV melanoma received a self-created, pre-treatment questionnaire. Furthermore, the patients were handed out the REPERES-G, EQ-5D-3L and EORTC QLQ C-30 questionnaires. RESULTS Eight patients (18.3 %) decided against adjuvant therapy (mean age 71.6 years). Four of these had stage IIIA melanoma. The majority of patients (73.4 %) decided for adjuvant treatment with PD1-inhibitors despite their potential high grade, persistent, irreversible or even fatal toxicities. About a third of patients with BRAF V600 mutated melanoma who decided for therapy chose targeted therapy (31.3 %). These patients were younger (mean age 49 years), still working and had families with children. The REPERES-G questionnaire showed that our patients were generally satisfied with medical care. The average scores in the EQ-5D-3L and EORTC QLQ C-30 questionnaires indicated good subjective general health. CONCLUSIONS Despite the associated toxicities as well as the required time and effort for a one-year treatment the majority of patients decided for adjuvant treatments.
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Affiliation(s)
- Robin Reschke
- Department of Dermatology, University Medical Center Leipzig, Leipzig, Germany
| | - Iris Jäger
- Department of Dermatology, University Medical Center Leipzig, Leipzig, Germany
| | - Anja Mehnert-Theuerkauf
- Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany
| | - Mirjana Ziemer
- Department of Dermatology, University Medical Center Leipzig, Leipzig, Germany
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Steeb T, Wessely A, Merkl H, Voskens C, Erdmann M, Heinzerling L, Berking C, Heppt MV. Experiences of In-Patients with Skin Cancer in a German University Hospital Setting: A Cross-Sectional Survey. Patient Prefer Adherence 2021; 15:41-48. [PMID: 33469273 PMCID: PMC7811463 DOI: 10.2147/ppa.s276417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 09/25/2020] [Indexed: 11/23/2022] Open
Abstract
PURPOSE An important measure of hospital quality is the satisfaction of the patients receiving in-patient care. This cross-sectional study aimed to assess skin cancer patients' experiences in a university hospital setting as a measure of quality of cancer care. PATIENTS AND METHODS Questionnaires were mailed to patients with skin cancer after receiving in-patient overnight treatment in the dermatological unit of the university hospital Erlangen (Germany) from 1 September to 30 November 2017. Patients were asked to evaluate their overall experience of this episode of care and to complete the Picker Inpatient Survey questionnaire on specific aspects of their care, such as patient satisfaction regarding contact with staff, need for information, recommendation of the hospital as well as tumor-specific questions. The results were re-coded as problems and reported as frequencies and their percentage. RESULTS A total of 103 of 159 questionnaires were returned (64.8%). All patients rated the treatment and care they had received to be good or very good. Additionally, all patients would recommend our in-patient clinic to their families or friends. The patients most commonly criticized inconsistency of care delivered by the same physician (29.7%, 30/101) and feeling of insufficient involvement in the decision-making processes (21.1%, 20/95). Besides this, 19.0% (11/58) and 34.6% (18/52) of patients were not satisfied with physicians and nurses, respectively, appropriately addressing their fears or anxieties. In the cancer-specific questionnaire, the majority of patients were dissatisfied with further support regarding professional and social rehabilitation possibilities (85.7%, 30/35) and psycho-oncology (56.3%, 18/32). CONCLUSION Overall, the majority of patients were satisfied with the in-patient skin cancer treatment. However, physicians and nurses can enhance patient satisfaction by addressing patients' fears and anxieties regarding their disease and treatment. Besides, our results highlight the importance of psycho-oncological support.
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Affiliation(s)
- Theresa Steeb
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Anja Wessely
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Heike Merkl
- University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen91054, Germany
| | - Caroline Voskens
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Michael Erdmann
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Lucie Heinzerling
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Carola Berking
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
| | - Markus V Heppt
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Erlangen91054, Germany
- Comprehensive Cancer Center Erlangen, European Metropolitan Region of Nuremberg, Erlangen, Germany
- Correspondence: Markus V Heppt Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University (FAU) Erlangen-Nuremberg, Ulmenweg 18, Erlangen91054, GermanyTel +49-9131-85-35747 Email
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Buchhold B, Wiesmann U, Röske K, Lutze S, Arnold A, Jülich A, Ramp M, Jünger M, Hannich H. Psychosoziale Belastung stationärer dermatologischer Patienten und ihrer Angehörigen – Vergleich von Patienten mit und ohne Krebs. J Dtsch Dermatol Ges 2020; 18:1103-1114. [DOI: 10.1111/ddg.14285_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 05/10/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Britta Buchhold
- Institut für Medizinische Psychologie Universitätsmedizin Greifswald
| | - Ulrich Wiesmann
- Institut für Medizinische Psychologie Universitätsmedizin Greifswald
| | - Kathrin Röske
- Institut für Medizinische Psychologie Universitätsmedizin Greifswald
| | - Stine Lutze
- Klinik und Poliklinik für Hautkrankheiten Universitätsmedizin Greifswald
| | - Andreas Arnold
- Klinik und Poliklinik für Hautkrankheiten Universitätsmedizin Greifswald
| | - Andreas Jülich
- Klinik und Poliklinik für Innere Medizin C Universitätsmedizin Greifswald
| | - Marleen Ramp
- Klinik und Poliklinik für Hautkrankheiten Universitätsmedizin Greifswald
| | - Michael Jünger
- Klinik und Poliklinik für Hautkrankheiten Universitätsmedizin Greifswald
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Buchhold B, Wiesmann U, Röske K, Lutze S, Arnold A, Jülich A, Ramp M, Jünger M, Hannich HJ. Psychosocial stress of dermatology inpatients and their relatives - Comparison of patients with and without cancer. J Dtsch Dermatol Ges 2020; 18:1103-1113. [PMID: 32985095 DOI: 10.1111/ddg.14285] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 05/10/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND In the clinical treatment pathways of certified oncological centers, psychotherapeutic services are mandatory. Although patients with somatic, non-oncological illnesses show an equally high prevalence of psychosocial stress, these guidelines do not exist for the general hospital sector. Are these patients really less burdened and is psychological support only needed in individual cases? The example of dermatological patients will be used to show whether the need for psychosocial care and the desire for support vary between individuals with and without malignant disease. PATIENTS AND METHODS Using the Hornheider screening instrument and distress thermometer, 216 dermatological inpatients assessed their psychosocial stress and that of a close relative. In addition, they were asked about their desire for support and preferred support provider. RESULTS i) Patients without skin cancer were more frequently and more severely distressed than cancer patients. ii) Patients of both groups assessed their relatives to be approximately equally distressed. Compared with their own distress, cancer patients assessed their relatives as more frequently and on average more severely distressed. More than 50 % of all patients regarded their own disease as the cause of their relatives' distress. iii) The desire for support in both groups was about 18 %. iv) Doctors and psychologists were usually named as potential contact persons. CONCLUSIONS The expansion of psychosocial support services for non-tumor patients and their relatives seems necessary. The establishment of appropriate screening methods should be considered. Further studies in other clinical areas are required.
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Affiliation(s)
- Britta Buchhold
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald [Institute of Medical Psychology, Greifswald University Medical Faculty
| | - Ulrich Wiesmann
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald [Institute of Medical Psychology, Greifswald University Medical Faculty
| | - Kathrin Röske
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald [Institute of Medical Psychology, Greifswald University Medical Faculty
| | - Stine Lutze
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald [Department of Dermatology, Greifswald University Medical Faculty]
| | - Andreas Arnold
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald [Department of Dermatology, Greifswald University Medical Faculty]
| | - Andreas Jülich
- Klinik und Poliklinik für Innere Medizin C, Universitätsmedizin Greifswald [Department of Internal Medicine C, Greifswald University Medical Faculty]
| | - Marleen Ramp
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald [Department of Dermatology, Greifswald University Medical Faculty]
| | - Michael Jünger
- Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald [Department of Dermatology, Greifswald University Medical Faculty]
| | - Hans-Joachim Hannich
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald [Institute of Medical Psychology, Greifswald University Medical Faculty
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