Jutta Ernst - Academia.edu (original) (raw)

Papers by Jutta Ernst

Summary Interoceptive awareness (IA) is the awareness of bodily signals and has been highlighted ... more Summary Interoceptive awareness (IA) is the awareness of bodily signals and has been highlighted as important in many early theories of emotion. William James was one of the first to present a psychological theory linking viscero-afferent feedback to emotional experience. The processing of bodily and thus interoceptive stimuli may be a crucial component in yielding empathy, since affective states are often assumed to involve awareness of one´s own bodiliy state. The assumption of a close relationship between interceptive awareness and empathy is further supported when considering the regions recruited during both processes, like the insula and the anterior cingulate cortex. Although especially the affective component may implicate interoception and interoceptive awareness, the impact of interoception on empathy has never been evaluated behaviorally or neurophysiologically. Also associated with altered insula and anterior cingulate cortex (ACC) function is Alexithymia. Alexithymia, a...

Zur Beachtung spritiueller und religioser Bedurfnisse von Patientinnen und Patienten im klinische... more Zur Beachtung spritiueller und religioser Bedurfnisse von Patientinnen und Patienten im klinischen Alltag.

Australian Critical Care, 2021

Stroke, 2021

Background and Purpose: Delirium is a common severe complication of stroke. We aimed to determine... more Background and Purpose: Delirium is a common severe complication of stroke. We aimed to determine the cost-of-illness and risk factors of poststroke delirium (PSD). Methods: This prospective single-center study included n=567 patients with acute stroke from a hospital-wide delirium cohort study and the Swiss Stroke Registry in 2014. Delirium was determined by Delirium Observation Screening Scale or Intensive Care Delirium Screening Checklist 3 times daily during the first 3 days of admission. Costs reflected the case-mix index and diagnosis-related groups from 2014 and were divided into nursing, physician, and total costs. Factors associated with PSD were assessed with multiple regression analysis. Partial correlations and quantile regression were performed to assess costs and other factors associated with PSD. Results: The incidence of PSD was 39.0% (221/567). Patients with delirium were older than non-PSD (median 76 versus 70 years; P <0.001), 52% male (115/221) versus 62% non-...

Background: Health care workers (HCWs) typically face high work demands, which can be exacerbated... more Background: Health care workers (HCWs) typically face high work demands, which can be exacerbated during crises such as the COVID-19 pandemic. These demands may result in high psychological distress and reduced work performance. Although there are psychological interventions to reduce stress in HCWs under normal working circumstances, no intervention have been specifically developed to addresses stress in the context of public health crises such as the current COVID-19 pandemic. This study aims to evaluate the effectiveness of RECHARGE, a psychological intervention specifically developed for HCWs to reduce distress in HCWs. It is based on a brief crisis intervention of the World Health Organization that teaches basic stress management skills from cognitive behavioural therapy. Methods: A randomized controlled trial (RCT) will be carried out among 160 physicians, nurses, and other HCWs working in hospitals in Switzerland during COVID-19, who are at least moderately distressed. HCWs w...

Human Brain Mapping, 2021

Palliative and Supportive Care, 2020

ObjectiveNursing instruments have the potential for daily screening of delirium; however, they ha... more ObjectiveNursing instruments have the potential for daily screening of delirium; however, they have not yet been evaluated. Therefore, after assessing the functional domains of the electronic Patient Assessment — Acute Care (ePA-AC), this study evaluates the cognitive and associated domains.MethodsIn this prospective cohort study in the intensive care unit, 277 patients were assessed and 118 patients were delirious. The impacts of delirium on the cognitive domains, consciousness and cognition, communication and interaction, in addition to respiration, pain, and wounds were determined with simple logistic regressions and their respective odds ratios (ORs).ResultsDelirium was associated with substantial impairment throughout the evaluated domains. Delirious patients were somnolent (OR 6), their orientation (OR 8.2–10.6) and ability to acquire knowledge (OR 5.5–11.6) were substantially impaired, they lost the competence to manage daily routines (OR 8.2–22.4), and their attention was co...

Background: Adverse responses to critical illness, such as symptoms of depression, anxiety or pos... more Background: Adverse responses to critical illness, such as symptoms of depression, anxiety or posttraumatic stress, are relatively common among family members. The role of risk factors, however, remains insufficiently understood, but may be important to target those family members most in need for support. We therefore examined the association of patient-, family member- and care-related factors with post-ICU psychological distress in family members in a general population of critical ill patients.Methods: We conducted a prospective, single-centre observational study in a twelve-bed surgical ICU in a 900-bed University Hospital in Switzerland. Participants were family members of patients treated in ICU who completed the Family Satisfaction in ICU-24 Survey, the Hospital Anxiety Depression Scale, Impact of Event Scale-Revised-6, and a demographic form within the first three months of their close other’s ICU stay. Data were analysed using linear mixed-effects models, with depression, ...

Psychiatry and Clinical Neurosciences, 2020

Neuropsychiatry, Hyogo College of Medicine, Hyogo, Department of Psychiatry, School of Medicine, ... more Neuropsychiatry, Hyogo College of Medicine, Hyogo, Department of Psychiatry, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Deaprtment of Neuropsychiatry, University of Tokyo Hospital, Tokyo, Department of Psychiatry, Hokkaido University Graduate School of Medicine, Hokkaido, Department of Psychiatry and Psychotherapy, Gifu University Graduate School of Medicine, Gifu, Department of Psychiatry, Dokkyo Medical University School of Medicine, Tochigi, Department of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Department of Psychiatry, Shinshu University School of Medicine, Nagano, Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba, Department of Psychiatry, Nihon University School of Medicine, Tokyo, Department of Psychiatry, Nagoya University Graduate School of Medicine, Aichi, Department of Applied Occupational Therapy, Shinshu University School of Health Sciences, Nagano, Department of Neuropsychiatry, Keio University School of Medicine, Department of Neuropsychiatry, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Department of Psychiatry, Showa University Northern Yokohama Hospital, Department of Psychiatry, Yokohama City University Graduate School of Medicine, Kanagawa, Department of Psychiatry, Faculty of Medicine, University of Tsukuba, Ibaraki, Department of Psychiatry, Tokyo Women’s Medical University, Tokyo, Katsumoto Mental Clinic, Osaka, Department of Psychiatry, Kitasato University School of Medicine, Kanagawa, Adolescent Mental Health Service, Biwako Hospital, Shiga, Department of Psychiatry, Tohoku University Hospital, Miyagi, Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Department of Psychiatry, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Department of Neuropsychiatry, Faculty of Medicine, Tottori University, Tottori, Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Suzuka Kosei Hospital, Mie, Department of Psychiatry, Nara Medical University School of Medicine, Nara, Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Department of Neuropsychiatry, University of Toyama School of Medicine, Toyama, Medical Corporation Matsuzaki Hospital, Toyohashi Mental Care Center, Aichi, Department of Neuropsychiatry, Iwate Medical University, Iwate, Department of Neuropsychiatry, Tokyo Metropolitan Tama Medical Center, Tokyo, Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University School of Medicine, Yamaguchi, Department of Psychiatry, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, and Department of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan Email: ryotahashimoto55@ncnp.go.jp Received 11 June 2020; revised 19 August 2020; accepted 29 August 2020.

Psychological Medicine, 2020

BackgroundVirus outbreaks such as the current SARS-CoV-2 pandemic are challenging for health care... more BackgroundVirus outbreaks such as the current SARS-CoV-2 pandemic are challenging for health care workers (HCWs), affecting their workload and their mental health. Since both, workload and HCW's well-being are related to the quality of care, continuous monitoring of working hours and indicators of mental health in HCWs is of relevance during the current pandemic. The existing investigations, however, have been limited to a single study period. We examined changes in working hours and mental health in Swiss HCWs at the height of the pandemic (T1) and again after its flattening (T2).MethodsWe conducted two cross-sectional online studies among Swiss HCWs assessing working hours, depression, anxiety, and burnout. From each study, 812 demographics-matched participants were included into the analysis. Working hours and mental health were compared between the two samples.ResultsCompared to prior to the pandemic, the share of participants working less hours was the same in both samples,...

BackgroundThe current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs)... more BackgroundThe current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs), which may impair their mental health. First evidence from China suggests that HCWs are at risk for anxiety and depression. However, generalizability to western countries is limited. The current study aimed at exploring HCWs’ mental health during the SARS-CoV-2 pandemic in Switzerland. In addition, we conducted a network analysis to investigate the independent effect of risk and protective factors on HCWs’ mental health and their interplay.MethodsIn an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 857 physicians and 553 nurses during the pandemic in Switzerland. At the time of data collection, Switzerland had among the highest per capita rate of COVID-19 cases in the world.ResultsOverall symptom levels of anxiety, depression, and burnout were elevated. Women, nurses, fro...

Brain Imaging and Behavior, 2019

Journal of Advanced Nursing, 2019

European Psychiatry, 2014

Social neuroscience, Jan 18, 2017

This paper introduces a picture system that can be used in functional imaging experiments explori... more This paper introduces a picture system that can be used in functional imaging experiments exploring interpersonal relations. This is important for psychotherapy research to understand the neural basis of psychological treatment effects. Pictures have many advantages for the design of functional imaging experiments, but no picture system illustrating interpersonal behavior patterns is, to date, available. We therefore developed, on the basis of a validated card-sorting test, the Interpersonal Relations Picture System. In summary, 43 pictures with 2 or more stick figures in different social situations and 9 control pictures were composed. To test the relation between each picture and the appropriate description, two successive online surveys, including 1058 and 675 individuals respectively, were conducted. Using two question types, the grade expressiveness of each picture was assessed. In total, 24 pictures and 6 control pictures met our criteria for sufficient strength and consistenc...