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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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As a result <strong>of</strong> <strong>the</strong> planned project work, a complete<br />

package <strong>of</strong> generic specification pr<strong>of</strong>iles can be made<br />

available for networkable documentation platforms. In<br />

addition, <strong>the</strong> necessary conceptual, legal and technical<br />

preconditions are created to place <strong>the</strong> recruitment <strong>of</strong><br />

extensive samples for clinical studies and epidemiological<br />

and economic studies on a broader basis. In addition,<br />

within <strong>the</strong> framework <strong>of</strong> a business model, economic<br />

framework conditions can be defined, in order to place any<br />

future adaption and implementation by o<strong>the</strong>r competence<br />

networks on a basis that would ensure success. Finally,<br />

practical experience values will be assured through <strong>the</strong><br />

exemplary implementation <strong>of</strong> a case implementation <strong>of</strong> <strong>the</strong><br />

neuropsychiatric research networks.<br />

Research project for <strong>the</strong> cross-sectoral analysis <strong>of</strong><br />

healthcare <strong>of</strong> people with mental disorders: “Crossdisciplinary<br />

and –sectoral healthcare analysis with <strong>the</strong><br />

aim <strong>of</strong> optimising <strong>the</strong> healthcare situation <strong>of</strong> people with<br />

mental and psychosomatic illnesses”<br />

Project director: W. Gaebel<br />

Scientific assistants: J. Zielasek, S. Kowitz<br />

Financing: Federal Medical Chamber<br />

Cooperation partner: Federal Medical Chamber; DGPPN,<br />

IGES Institute <strong>of</strong> Health System Research, Berlin; VdEK,<br />

Berlin; HKK, DAK, KKH.<br />

In this third-party–funded project, obtained from <strong>the</strong><br />

DGPPN in 2008 and funded within <strong>the</strong> healthcare research<br />

programme <strong>of</strong> <strong>the</strong> Federal Medical Chamber, for <strong>the</strong> first<br />

time data from three health insurance companies will be<br />

combined anonymously with <strong>the</strong> datasets from <strong>the</strong> German<br />

Pension Insurance Association in order to carry out a<br />

cross-sectoral analysis <strong>of</strong> <strong>the</strong> utilisation <strong>of</strong> health services<br />

because <strong>of</strong> mental disorders. Indicators for over-, underand<br />

inadequate healthcare will be identified and analysed.<br />

In addition to descriptive statistical procedures, methods<br />

will also be used to model healthcare systems. The aim is to<br />

obtain information regarding <strong>the</strong> necessary improvements<br />

in mental healthcare by analysing treatment pathways and<br />

identifying predictors <strong>of</strong> unfavourable disease courses such<br />

as somatic comorbidity.<br />

Additional Mental Health Survey within <strong>the</strong><br />

German Health Survey 2009-2011<br />

Project director: W. Gaebel<br />

Scientific assistant: J. Zielasek<br />

Financing: DGPPN, Federal Health Ministry<br />

Cooperation partner: DGPPN; Institute for Psychology, TU<br />

Dresden (U. Wittchen), Robert Koch Institute Berlin (B. Kurth)<br />

In this project, funded by <strong>the</strong> DGPPN, <strong>the</strong> project group has<br />

carried out – within <strong>the</strong> context <strong>of</strong> <strong>the</strong> new additional Mental<br />

108<br />

<strong>of</strong> <strong>the</strong> German Health Survey (Project director: Robert Koch<br />

Institute, Berlin) – investigations since 2008 into <strong>the</strong> early<br />

diagnosis <strong>of</strong> psychotic disorders in <strong>the</strong> general population by<br />

means <strong>of</strong> questionnaire interviews with around 7,000 German<br />

citizens. The investigations are designed to determine <strong>the</strong><br />

frequency <strong>of</strong> subclinical psychotic symptoms in <strong>the</strong> general<br />

population in a cross-sectional study and <strong>the</strong>n follow up <strong>the</strong>se<br />

individuals in future surveys, <strong>the</strong>reby providing new knowledge<br />

about <strong>the</strong> prospective significance <strong>of</strong> subclinical psychotic<br />

phenomena in healthy adults, which could be significant for<br />

<strong>the</strong> early diagnosis and prevention <strong>of</strong> psychoses.<br />

3.1.3.8 Transcranial magnet stimulation<br />

Director: J. Cordes<br />

Scientific assistants: E. Ben Sliman, K. Hoppe,<br />

S. Arnau, T. Nolting, J. Brinkmeyer, S. J. Kim, J. Kotrotsios,<br />

L. Kostorz, M. Arends, F. Hellen<br />

Clinical assistants: J. Closset, C. Lange-Asschenfeldt,<br />

B. Stueken, T. Salamon, J. Malevani, C. von Hirsch,<br />

J. Kotrotsios, C. Huck<br />

Doctoral candidates: S. J. Kim, J. Kotrotsios<br />

Internal cooperation: W. Wölwer, W. Gaebel,<br />

A. Mobascher, P. Kienbaum, T. Klenzner, C. Plettenberg<br />

External cooperation: Ruhr <strong>University</strong>, Bochum:<br />

M. W. Agelink, J. Kornischka; Georg-August <strong>University</strong>,<br />

Göttingen: P. Falkai, T. Wobrock; <strong>University</strong> <strong>of</strong> Regensburg:<br />

B. Langguth, G. Hajak, P. Eichhammer, M. Landgrebe;<br />

Offenbach City <strong>Hospital</strong>: A. Klimke<br />

Financing: German Research Association (GRA)<br />

16<br />

14<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

GAF Score Health Survey (Coordinator: U. Wittchen, Dresden) as part<br />

Control group rTMS<br />

Figure 23: Statistically significant (p=0.048) improvement <strong>of</strong> global<br />

functioning (measured as improvement in <strong>the</strong> Global Assessment <strong>of</strong><br />

Functioning (GAF) scale) in patients with schizophrenia with pronounced<br />

negative symptoms (score on <strong>the</strong> negative symptom scale <strong>of</strong> <strong>the</strong> Positive<br />

and Negative Symptom Scale (PANSS) > 17) after treatment with repetitive<br />

transcranial magnetic stimulation (rTMS) compared to a control group<br />

(figure modified after: Cordes et al., Psychiatr. Res. 2009; DOI:10.1016/j.<br />

psychres.2009.01.014)

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