WWW.ABSTRACT.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Abstract, dissertation, book
 
<< HOME
CONTACTS



Pages:   || 2 | 3 | 4 | 5 |   ...   | 26 |

«Dissertation zur Erlangung des akademischen Grades des Doktors der Naturwissenschaften (Dr.rer.nat) an der Mathematisch-Naturwissenschaftliche ...»

-- [ Page 1 ] --

!"#$%&'()*%&"+,-(!#..'(/&0$1+"23(4+"2#%#$(5,,",,6"2%(7*+(

4,'8&*,*80#$(90,:(7#8%*+,(;,02(=&"(?@ABC(?2(4DE$08(!"#$%&(F"%%02,(

?2(F.#02-(G+""8"(521(4"+D(

Dissertation

zur Erlangung des akademischen Grades des Doktors der

Naturwissenschaften (Dr.rer.nat)

an der

Mathematisch-Naturwissenschaftliche Sektion

Fachbereich Psychologie

vorgelegt von

Spyridou, Andria

Tag der mündlichen Prüfung: 30.10.2013

1. Referent: Prof. Dr. Thomas Elbert

2. Referent: Prof. Dr. Brigitte Rockstroh ! !

Konstanzer Online-Publikations-System (KOPS) URL: http://nbn-resolving.de/urn:nbn:de:bsz:352-253423 !

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

"#$!%&'()*+!,&&*!-./(+!012'.23!'&!4)!(1,,$+!4)1')2!'0&!&*!'(*))!'.%)/!1!0))5+!')66.23!%)!

'&!4)!(1,,$7!89)2*$+!/%.6):!;($!&2='!$&!)?)*!/%.6)@8!12!'()2!/()!0&6!/%.6)+!'&!

/(&0!%)!(&0+!12!.'!01/!'()!/1)/'!/%.6)!A!)?)*!/10B Charles Bukowski !

58:2*H$"16"2%, I would like to thank my advisors Dr. Martina Ruf-Leuschner for her valuable input on the drafts, her constructive recommendations and her guidance throughout the entire project; and Prof. Dr. Thomas Elbert for his overall support and scientific supervision of the studies. I would like to express my gratitude to Dr. Maggie Schauer for the training in the clinical interviews and the overall support during the project.

This project would not have been possible without the financial support from the Young Scholar Fund, the Landesgraduiertenstiftung and the Deutsche Forschungsgemeinschaft (DFG). I thank the women who participated in this project and the medical staff that collaborated in all studies, without them this project would not had been possible. I also appreciate the support from the translators and those who provided us with the Spanish and Greek versions of the instruments. I am also grateful to Dagmar Moret for the logistical support.

Furthermore I would like to thank my colleagues Inga Schalinski for her input on methodological issues and general support and Claudia Bueno Castellanos for her support during the entire period of this project. A special thanks to Nerea Schniewind for accompanying me inthe follow-up study in Spain, and for making the data collection a less solitary task. Finally I want to thank Eva Barnewitz for her valuable help with the German Summary of this dissertation.

I am also grateful to Dr. Elena Delgado Rico for her support and input especially during the studies in Spain and to Nora Irigalba Diaz, for her encouragement. I am also obliged to Carlos Cazorla Garcia for his encouragement and unconditional support during the project.

A very special thanks to Dr. Antonis Proestakis, Chrisi Kartaki, Heraklis Kartakis Aggeliki Kartaki and Eleutheria Proestaki for their priceless support during the study in Chania, Crete.

Finally, I would like to dedicate this work to Vassos and Christina Spyrides, who have supported and encouraged me in every moment and have provided me with strength and qualities that only loving parents and honorable individuals could offer to a daughter.

!"#$%&'()!!

.

Content 5 Contents

–  –  –

RECORD OF ACHIEVEMENTS

!

Article 1: Feasibility and Psychometric Properties of the KINDEX-Spanish Version: a prenatal screening instrument for psychosocial risks designed for use by medical staff in obstetrical care (Submitted in Journal of Pregnancy and Childbirth) Andria Spyridou, Maggie Schauer, Martina Ruf-Leuschner

My contributions:

organized and coordinated the study in Spain carried out the data entry conducted the statistical analysis drafted the manuscript.

Article 2: Concurrent validity and feasibility of the KINDEX-Spanish Version: a valid tool for the prenatal assessment of psychosocial risks in public health settings.

(Submitted to Journal of Child and Adolescent Psychiatry and Mental Health) Andria Spyridou, Maggie Schauer, Martina Ruf-Leuschner

My contributions:

- collected the Spanish Version of the instruments used in the clinical interview

- carried out the clinical interviews

- carried out the data entry

- conducted the statistical analysis

- drafted the manuscript Article 3: Assessing prenatal psychosocial risk factors: Feasibility and Psychometric Properties of the KINDEX-Greek Version, a multi-risk screening instrument designed for use by medical staff in obstetrical care. (Unpublished manuscript) Andria Spyridou, Maggie Schauer, Martina Ruf-Leuschner

My contributions:

organized and coordinated the study in Spain carried out the data entry conducted the statistical analysis drafted the manuscript.

Record of Achievements 9 Article 4: Prenatal assessment for psychosocial risk factors in public health settings in Crete Island: Cultural adaptation and Validation of the KINDEX-Greek Version.

(Unpublished manuscript) Andria Spyridou, Maggie Schauer, Martina Ruf-Leuschner

My contributions:





- collected the Greek Version of the instruments used in the clinical interview

- carried out the clinical interviews

- carried out the data entry

- conducted the statistical analysis

- drafted the manuscript Article 5: Prenatal Screening for psychosocial risks in a high risk-population in Peru.

(Unpublished manuscript) Andria Spyridou, Maggie Schauer, Martina Ruf-Leuschner

My contributions:

- organized and coordinated the study in Peru

- carried out the clinical interviews

- carried out the data entry

- conducted the statistical analysis

- drafted the manuscript Summary 10 Summary The present thesis explored the psychometric properties of the KINDEX Spanish and Greek version and the feasibility of prenatal screening for psychosocial risks in public health settings in three countries, Spain, Greece and Peru. The KINDEX, a brief and easy to apply screening instrument, was originally developed by Schauer and Ruf-Leuschner, in the University of Konstanz, and assesses eleven factors that have been identified in the current literature to be risks for both the mother and the fetus. The psychometric properties of the KINDEX German Version have been explored and the validity has been examined through validation studies in Germany (Schauer & Ruf-Leuschner submitted; Ruf-Leuschner & Schauer, submitted). The risks that have been proven to have negative impact on mother’s and fetus health, on pregnancy outcomes, and child’s development, include adolescent pregnancy (Panduro Baron et al., 2012), immigrant and/or ethnic minority parental status (Giscombé & Lobel, 2005), lack of social support (Collins, Dunkel-Schetter, Lobel, & Scrimshaw, 1993; Elsenbruch et al., 2006), poverty and financial difficulties (Tanya Nagahawatte & Goldenberg, 2008;

Larson, 2007), high stress levels (Talge, Neal, Glover, & The Early Stress, Translational Research and Prevention Science Network: Fetal and Neonatal Experience on Child and Adolescent Mental Health, 2007; Loomans et al., 2012), negative maternal-fetal attachment (Goecke et al., 2012; Alhusen, Hayat, & Gross, n.d.), substances consumption (O’Leary, Jacoby, Bartu, D’Antoine, & Bower, 2013; Falgreen Eriksen et al., 2012), medical risks, pregnancy complications and physical complaints (Munch, Korst, Hernandez, Romero, & Goodwin, 2010; Okun, Schetter, & Glynn, 2011), traumatic experiences during childhood physical and sexual abuse; (Gilson & Lancaster, 2008; Mezey, Bacchus, Bewley, & White, 2005), intimate partner violence (Silverman, Decker, Reed, & Raj, 2006; Rosen, Seng, Tolman, & Mallinger, 2007) and maternal psychiatric history (Dunkel Schetter & Tanner, 2012; Alder, Fink, Bitzer, Hösli, & Holzgreve, 2007).

In the first study the KINDEX was translated and culturally adapted into Spanish and was used by medical staff in the Maternity Hospital of Granada, Spain to interview one hundred nineteen pregnant women. The validity of the KINDEX was examined through validation interviews carried out in the same Hospital using established instruments for the assessment of psychosocial variables. Findings permitted the examination of the psychometric properties and validity of the instrument and confirmed the feasibility of prenatal assessment in public health settings in Spain.

Summary 11 The second study applied a similar methodological design in public health settings and a Social-Medical center in Crete Island, Greece. Again, medical staff used the KINDEX to interview pregnant women, nevertheless in this case they were instructed to identify high-risk women through the interview and refer them to the mental health services of the Hospital or medical center the women were attending. From the ninety-three women that were interviewed, thirteen were referred by the medical staff. The results show that decision making of the medical staff was precise and that they correctly identified high-risk women.

Validation interviews were once again carried through and findings permitted the exploration of the psychometric properties of the KINDEX and the validity testing of the KINDEX Greek Version.

The third study was carried out in a different cultural ambient from the ones in the previous studies; in a suburban crime-ridden area in Lima, Peru. Midwives of the gynecological department of a General Public Hospital interviewed ninety-five pregnant women. These are considered to be a high-risk population due to their low SES and other sociodemographic characteristics such as high percentage of adolescent pregnancy. Clinical Expert interviews were once again carried out, and the feasibility of the KINDEX was assessed in this setting. Additionally we examined the relationship between the KINDEX and the risk areas of maternal perceived stress, psychopathology symptoms during pregnancy and trauma load. The specific relationship between each risk factor assessed by the KINDEX also and the three risk areas assessed in the Clinical Expert Interview was also examined. Results have proven the feasibility of prenatal assessment using the KINDEX in public health settings serving high-risk population in urban Peru. The KINDEX and the specific risks were related significantly with the three risk areas assessed in the Clinical Expert Interview.

Zusammenfassung 12

Zusammenfassung Die vorliegende Abschlussarbeit untersucht die psychometrischen Eigenschaften des KINDEX in der spanischen und griechischen Version und die Anwendbarkeit pränatalen Screenings hinsichtlich psychosozialer Risikofaktoren im öffentlichen Gesundheitswesen in den drei Ländern Spanien, Griechenland und Peru. Der KINDEX, ein kurzes und einfach anwendbares Screening-Instrument, wurde von Schauer und Ruf-Leuschner an der Universität Konstanz entwickelt und untersucht das Vorliegen von elf Faktoren, die in der aktuellen Literatur als Risiko für die Mutter und den Fötus identifiziert wurden. Die psychometrischen Eigenschaften des KINDEX in der deutschen Version wurden untersucht und die Validität wurde mithilfe von Validierungsstudien in Deutschland geprüft. (Schauer & Ruf-Leuschner submitted) (Ruf-Leuschner M. & Schauer, M., submitted). Die Risiken, deren negativer Einfluss auf die Gesundheit der Mutter und des Fötus, auf den Ausgang der Schwangerschaft, und auf die kindliche Entwicklung nachgewiesen wurde, umfassen Jugendschwangerschaft, (Panduro Baron et al., 2012), Immigrantenstatus und/oder Zugehörigkeit mindestens eines Elternteils zu einer ethnischen Minderheit (Giscombé & Lobel, 2005), Mangel an sozialer Unterstützung (Collins, Dunkel-Schetter, Lobel, & Scrimshaw, 1993; Elsenbruch et al., 2006), Armut und finanzielle Schwierigkeiten (Tanya Nagahawatte & Goldenberg, 2008;

Larson, 2007), hohe Stressbelastung (Talge, Neal, Glover, & The Early Stress, Translational Research and Prevention Science Network: Fetal and Neonatal Experience on Child and Adolescent Mental Health, 2007; Loomans et al., 2012), mütterlich-fetale Bindung (Goecke et al., 2012; Alhusen, Hayat, & Gross, n.d.), Substanzkonsum (O’Leary, Jacoby, Bartu, D’Antoine, & Bower, 2013; Falgreen Eriksen et al., 2012), medizinische Risiken, Schwangerschaftskomplikationen und körperliche Beschwerden (Munch, Korst, Hernandez, Romero, & Goodwin, 2010; Okun, Schetter, & Glynn, 2011), traumatische Erfahrungen während der Kindheit (körperlicher und sexueller Missbrauch; Gilson & Lancaster, 2008;

Mezey, Bacchus, Bewley, & White, 2005), Gewalt durch Beziehungspartner (Silverman, Decker, Reed, & Raj, 2006; Rosen, Seng, Tolman, & Mallinger, 2007) und psychiatrische Erkrankungen in der Vergangenheit (Dunkel Schetter & Tanner, 2012; Alder, Fink, Bitzer, Hösli, & Holzgreve, 2007).

In der ersten Studie wurde der KINDEX ins Spanische übersetzt, kulturell angepasst und von medizinischem Personal in einer Geburtsklinik in Granada, Spanien bei den Interviews von 119 schwangeren Frauen eingesetzt. Die Validität des KINDEX wurde anhand von Validierungsinterviews untersucht, die in derselben Klinik mithilfe von bewährten

Zusammenfassung 13

Instrumenten für die Begutachtung psychosozialer Variablen durchgeführt wurden. Die Befunde erlaubten die Untersuchung der psychometrischen Eigenschaften und der Validität des Instruments und bestätigten die Durchführbarkeit pränataler Begutachtung im Rahmen des öffentlichen Gesundheitssystems in Spanien.



Pages:   || 2 | 3 | 4 | 5 |   ...   | 26 |


Similar works:

«DISTRICT EIGHT SERVICE CALL TO CONFERENCE ISSUE Volume 55, Issue 4 February 2013 Our Governor’s Message This special edition of the District Service Bulletin is our official Call to Conference invitation to all District Eight members to join us in Norman, OK April 26-27, 2013. This is our first electronic Call to Conference District Service Bulletin! Postcards announcing the availability of this 2013 Call to Conference DSB edition were mailed to all District Eight members. Let’s remember to...»

«PROGRAM SCHEDULE WITH ABSTRACTS APRIL 19, 2011 University of Mary Washington Fredericksburg, Virginia Schedule of Events April 19, 2011 Researcher Registration/Poster Set-up 8:30 am 9:30 am The Great Hall Oral Sessions 9:30 am-4:30 pm Woodard Meeting Rooms 1, 2, 4 & Red Room Poster Sessions 12:00 noon – 1:00 pm The Great Hall refreshments served for all Researcher Registration, continued 12:00 noon – 1:00 pm The Great Hall Additional Exhibits and Sessions Melchers Hall 3:30 pm-5:00 pm Combs...»

«EUROPÄISCHES NACHBARSCHAFTSUND PARTNERSCHAFTSINSTRUMENT TUNESIEN STRATEGIEPAPIER 2007 2013 & NATIONALES RICHTPROGRAMM 2007 2010 EUROPÄISCHES NACHBARSCHAFTSUND PARTNERSCHAFTSINSTRUMENT ABKÜRZUNGEN UND AKRONYME AA Assoziierungsabkommen (mit der Europäischen Union) ADB Afrikanische Entwicklungsbank AFD Agence française de développement (Die französische Entwicklungshilfeagentur) AMF Allfaserabkommen BIP Bruttoinlandsprodukt CAS Country assistance strategy (Weltbank) EIB Europäische...»

«Department of Parks and Recreation Christopher Williams, Acting Superintendent (206) 684-4075 http://www.seattle.gov/parks/ Department Overview The Department of Parks and Recreation (Parks) works with all residents to be good stewards of the environment, and to provide safe, welcoming opportunities to play, learn, contemplate, and build community. Parks manages a 6,200 acre park system of 465 parks with hundreds of athletic fields, tennis courts, and play areas, extensive natural areas, 120...»

«Erwin Hepperle | Hans Lenk (eds.) Land Development Strategies: Patterns, Risks, and Responsibilities Strategien der Raumentwicklung: Strukturen, Risiken und Verantwortung FACULTÉ EUROPÉENNE DES SCIENCES DU FONCIER EUROPÄISCHE FAKULTÄT FÜR BODENORDNUNG EUROPEAN FACULTY OF LAND USE AND DEVELOPMENT in memoriam Aimé De Leeuw and Paul Trappe This work is licensed under a creative commons license Dieses Werk ist gedruckt unter www.vdf.ethz.ch erhältlich Vorwort Die herausragenden...»

«DOCUMENT RESUME ED 370 604 IR 055 087 AUTHOR Brandt, Randal S., Ed.; Davis-Kimball, Jeannine, Ed. TITLE Bibliographies of Northern and Central California Indians. Volume 2Tribal Bibliographies P-Y. INSTITUTION California State Library, Sacramento.; California Univ., Berkeley. California Indian Library Collections. SPONS AGENCY Office of Educational Research and Improvement (ED), Washington, DC. Office of Library Programs. REPORT NO ISBN-0-929722-78-7 PUB DATE 94 NOTE 413p.; For related...»

«A study of the Learning Performance Network an education programme of the Royal Shakespeare Company Research conducted by: Pat Thomson, Christine Hall and Deborah Thomas, The University of Nottingham Ken Jones, Goldsmiths College, The University of London Anton Franks, The Institute of Education, The University of London for Creativity, Culture and Education November 2010 This report was commissioned by Creativity, Culture and Education Creativity, Culture and Education (CCE) aims to transform...»

«These written materials are not for publication or distribution (directly or indirectly) in or to the United States, Canada, Australia or Japan. They are not an offer of securities for sale in or into the United States, Canada, Australia or Japan. The securities to which these materials relate have not been and will not be registered under the United States Securities Act of 1933, as amended (the “Securities Act”), and may not be offered or sold in the United States absent registration or...»

«Eidgenössisches Departement für auswärtige Angelegenheiten EDA Bern, 21. Februar 2012 Bericht über die aussenpolitischen Schwerpunkte der Legislatur (aussenpolitische Strategie 2012–2015), in Erfüllung der Motion 10.3212 («Klare strategische Ausrichtung der Aussenpolitik») Inhaltsverzeichnis 1. Einleitung 1.1. Übergeordnetes Ziel: Interessen und Werte 1.2. Grundsätze der Umsetzung 2. Strategische Schwerpunkte der Aussenpolitik 2.1. Nachbarländer 2.2. Europäische Union und...»

«Classical Music and the Hebrew Song Repertoire YOSEF GOLDENBERG The repertoire of Hebrew folk and popular songs has various links to the tradition of classical music, some of which we will examine here. These links include: occasional textual references, musical quotations, stylistic imitations, biographical relationships of Israeli art music composers to the folk or popular repertoire and vice versa, classical performances of Israeli songs, stylistic features shared with classical music (much...»

«Strafverfolgung der Korruption 2014 Geldwäschebekämpfung und Korruptionsbekämpfung Der Schutz von Whistleblowern Unternehmensstrafrecht Die Internationalisierung der Strafverfolgung Dokumentation einer Tagung von Tagung von Transparency International Deutschland e.V. Transparency International Deutschland e.V. und der Friedrich-Ebert-Stiftung am 1. und 2. Dezember 2014 in Berlin 4. 5. 2012 IMPRESSUM Strafverfolgung der Korruption 2014 Geldwäschebekämpfung Der Schutz von Whistleblowern...»

«Looking at the Executive Power through the High Court’s New Spectacles Gabrielle Appleby ∗ and Stephen McDonald † Abstract Federation heralded a new constitutional order in Australia. The new Constitution carefully divided legislative power between the two levels of government, but left the division of executive power between them unclear. Since Federation, it had generally been accepted, and reflected in the Commonwealth’s policies and conduct, that the Commonwealth executive power...»





 
<<  HOME   |    CONTACTS
2016 www.abstract.xlibx.info - Free e-library - Abstract, dissertation, book

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.