10 Fakultät Wirtschafts- und Sozialwissenschaften

Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/11

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    How to investigate within-subject associations between physical activity and momentary affective states in everyday life : a position statement based on a literature overview
    (2013) Kanning, Martina; Ebner-Priemer, Ulrich W.; Schlicht, Wolfgang
    Several meta-analyses have investigated the association between physical activity and affective states and have found evidence suggesting that exercise exerts a positive effect on affective state. However, in this field of research, most studies have conducted between-subject analyses. Nonetheless, there is more and more interest in the within-subject associations between physical activity and momentary affective states in everyday life. This position statement pertains to this up-and-coming field of research and provides methodological recommendations for further studies. The paper is divided into three parts: First, we summarise and evaluate three methodological requirements necessary for the proper evaluation of within-subject associations between physical activity and momentary affective states in everyday life. We propose that the following issues should be considered: a) to address the dynamic nature of such relationships, repeated assessments are necessary; b) as activities performed in everyday life are mostly spontaneous and unconscious, an objective assessment of physical activity is useful; c) given that recall of affective states is often affected by systematic distortions, real-time assessment is preferable. In sum, we suggest the use of ambulatory assessment techniques, and more specifically the combination of acceloremeter-assessment of physical activity with an electronic diary assessment of the momentary affective state and additional context information. Second, we summarise 22 empirical studies published between 1980 and 2012 using ambulatory assessment to investigate within-subject associations between momentary affective states and physical activity in everyday life. Generally, the literature overview detects a positive association, which appears stronger among those studies that were of high methodological quality. Third, we propose the use of ambulatory assessment intervention strategies to change people's behaviour (ambulatory assessment intervention) and to enable people to be active as often as possible during the day (e.g., reducing sitting time, taking more steps per day).
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    How does the COVID-19 pandemic affect the personal lives and care realities of people with a schizophrenia spectrum disorder? : a qualitative interview study
    (2023) Kaltenboeck, Alexander; Portela Millinger, Filipe; Stadtmann, Sarah; Schmid, Christine; Amering, Michaela; Vogl, Susanne; Fellinger, Matthäus
    Background:The COVID-19 pandemic constitutes one of the greatest recent public crises. This study explored its influence on the lives and care realities of people with a schizophrenia spectrum disorder (SSD). Methods: Between October 2020 and April 2021, semi-structured in-depth interviews were conducted with 30 volunteers with SSDs receiving inpatient or outpatient treatment in Vienna (Austria). Interviews were audio-recorded, transcribed verbatim and analysed thematically. Results: Three main themes were identified. First, ‘Pandemic life is deprived, lonely and surreal - though certain aspects can be perceived as positive’. Second, ‘Bio-psycho-social support systems were struck at their core by the pandemic and were left severely compromised’. Last, ‘There is a complex interplay between one’s prior experience of psychosis and the experience of the COVID-19 pandemic’. The pandemic situation affected interviewees in various ways. For many, it led to a drastic reduction in day-to-day and social activities and contributed to an atmosphere of strangeness and threat. Bio-psycho-social support providers frequently suspended their services and offered alternatives were not always helpful. Participants indicated that whilst having an SSD might render them vulnerable to the pandemic situation, prior experience with psychotic crises can also provide knowledge, skills and self-confidence which enable better coping. Some interviewees also perceived aspects of the pandemic situation as helpful for recovering from psychosis. Conclusion: Healthcare providers must acknowledge the perspectives and needs of people with SSDs in present and future public health crises to ensure proper clinical support.
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    The effects of the combination of high-intensity interval training with 3D-multiple object tracking task on perceptual-cognitive performance: a randomized controlled intervention trial
    (2021) Park, Soo-Yong; Klotzbier, Thomas J.; Schott, Nadja
    The ability to process goal-related visual information while ignoring goal-irrelevant information is essential for the human attention system. The study aimed to investigate how perceptual-cognitive performance was affected during high-intensity interval training (HIIT) using a 3D-multiple object tracking (3D-MOT) task called Neurotracker (NT). In an experimental design, 42 healthy adults (age M = 23.3 SD = 2.94, VO2max 52.8 ± 5.66 mL·kg-1·min-1) were randomly assigned to an intervention (HIIT + NT, NT, HIIT) or control group. NT performance (20 trials per session) was measured pre-and post-test (at 5, 15, and 25 min while running on the treadmill). The participants trained twice a week for a 4-week intervention period. There was a significant interaction effect between pre/post-test and groups regarding perceptual-cognitive performance, indicating similar enhancements in the HIIT + NT and the NT group during exercise. HIIT influences physical fitness but did not show any impact on perceptual-cognitive performance. Due to the specific NT task characteristics, improved physical abilities may not directly impact sport-specific perceptual-cognitive performance. Our findings suggest that training resulted in substantial task-specific gains. Therefore, combination training may be proposed as a training program to improve perceptual-cognitive, and physical performance in a time-efficient way.
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    Emotional reactions to climate change : a comparison across France, Germany, Norway, and the United Kingdom
    (2023) Böhm, Gisela; Pfister, Hans-Rüdiger; Doran, Rouven; Ogunbode, Charles A.; Poortinga, Wouter; Tvinnereim, Endre; Steentjes, Katharine; Mays, Claire; Bertoldo, Raquel; Sonnberger, Marco; Pidgeon, Nicholas
    We present a study of emotional reactions to climate change utilizing representative samples from France, Germany, Norway, and the United Kingdom (UK). Drawing on appraisal theories of emotion, we examine relations between appraisals, emotions, and behavioral intentions in the context of climate change. We compare the four countries concerning emotional differences and commonalities and relate our findings to pertinent models of cultural values. Five distinct emotions were measured: worry, hope, fear, outrage, and guilt. In addition, the survey asked respondents to appraise a set of climate-related statements, such as the causality of climate change, or the efficacy of mitigation efforts. Also, a set of climate-relevant actions, such as willingness to reduce energy consumption or support for climate policies, was assessed. Findings show that appraisals of human causation and moral concern were associated with worry and outrage, and appraisals of efficacy and technological solutions were associated with hope. Worry and outrage are associated with intentions to reduce one’s energy consumption, whereas hope and guilt are related to support for policies such as tax and price increases. A country comparison shows that French respondents score high on outrage and worry and tend to engage in individual behaviors to mitigate climate change, whereas Norwegian respondents score high on hope and show a tendency to support policies of cost increase. Generally, worry is the most and guilt the least intense emotion. Moral concerns and perceived collective efficacy of one’s country in addressing climate change are relatively strong in France, while beliefs in human causation and in negative impacts of climate change prevail in Germany, and confidence in technological solutions are prevalent in Norway. In sum, findings reveal typical patterns of emotional responses in the four countries and confirm systematic associations between emotions and appraisals as well as between emotions and behaviors. Relating these findings to models of cultural values reveals that Norway, endorsing secular and egalitarian values, is characterized by hope and confidence in technological solutions, whereas France and Germany, emphasizing relatively more hierarchical and traditional values, are rather characterized by fear, outrage, and support for behavioral restrictions imposed by climate change policies.
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    Assessing the well-being of residents in nursing facilities : translation and validation of the German version of the Laurens Well-being Inventory for Gerontopsychiatry (LWIG-GER)
    (2021) Schott, Nadja; Johnen, Bettina; Klotzbier, Thomas J.
    Well-adapted and validated well-being (WB) instruments for the nursing home population are scarce. To our knowledge, the Laurens Well-Being Inventory for Gerontopsychiatry (LWIG) is a practical and reliable well-being assessment tool that has never been validated for German nursing home populations. Therefore, the purpose of our study was to (1) translate and crossculturally adapt the LWIG to a German context and (2) test the reliability and validity of the German LWIG in a group of older nursing home residents using the Raschmodel. Methods. This study has a cross-sectional, descriptive study design. Cross-cultural adaption of the LWIG-GER from English to German was performed according to a standardized method. The data obtained from 104 long-term nursing home residents (57 women, 47 men) aged 60–99 years (mean 79.5, standard deviation ±9.11) were analyzed for psychometric testing (exploratory and confirmatory factor analysis, item fit, McDonald’s ω, convergent validity, and known-group validity, Rasch). Results. The final LWIG-GER consists of 19 items with three subscales, including “psychologicalWB”, “socialWB”, and “physical WB”. The LWIG-GER showed good overall reliability with McDonald’s ω of 0.83; the LWIG-GER dimensions’ scores were significantly correlated with depression, functional performance, activities, fear of falling, and education. Conclusions. Our findings suggest that the German language version of the LWIG is a reliable and valid tool for measuring WB in nursing home residents. Furthermore, we propose that the LWIG-GER questionnaire can broaden and deepen our understanding of residents’ perception of quality of care and their environment.
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    Using activity triggered e-diaries to reveal the associations between physical activity and affective states in older adult’s daily living
    (2015) Kanning, Martina; Ebner-Priemer, Ulrich; Schlicht, Wolfgang
    Background: Evidence suggests that elderly show positive affects after participating in an exercise program. However, it is less clear, how physical activities in daily living enhance affective states. This is surprising, as most of elderly’s physical activities are part of their daily living. We used activity-triggered e-diaries to investigate the within-subject effects of physical activity on three dimensions of affective states (valence, energetic arousal, calmness) in everyday life. Methods: Older adults (N = 74) between 50 and 70 years took part in the study during three consecutive days. Physical activity in daily living was objectively assessed with accelerometers. Affects were measured 10 minutes after a study participant surpassed a predefined threshold for activity or inactivity. The participants were prompted by an acoustic signal to assess their momentary affective states on an e-diary. Data were analyzed with hierarchical multilevel analyses. Results: When older individuals were more physically active, they felt more energized (energetic arousal) and agitated (calmness). However, they did not feel better (valence). Interestingly, body mass index (BMI) and valence were associated in a significant cross-level interaction, which demonstrates that BMI was a moderating variable. Lower BMI scores were associated with higher valence affect scores after being physically active. Conclusions: Activities in daily living only partially enhance the elderly’s affective states, because participants feel energized and agitated but not better. Accordingly to the moderating effect of BMI, older people with lower BMI feel better whereas older people with higher BMI did not feel better after being physically active in daily living.
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    Cognitive-motor Interference during walking in older adults with probable mild cognitive impairment
    (2017) Klotzbier, Thomas J.; Schott, Nadja; Schott, Nadja
    Although several studies have shown that dual-tasking (DT) mobility is impaired in Alzheimer’s disease, studies on the effects of DT conditions in probable Mild Cognitive Impairment (pMCI) have not yielded unequivocal results. The objectives of the study were to (1) examine the effect of a concurrent task on a complex walking task in adults with cognitive impairment; and (2) determine whether the effect varied with different difficulty levels of the concurrent task. Furthermore, the study was designed to evaluate the Trail-Walking Test (TWT) as a potential detection tool for MCI. We examined DT performance in 42 young adults (mean age 23.9 ± 1.98), and 43 older adults (mean age 68.2 ± 6.42). The MoCA was used to stratify the subjects into those with and without pMCI. DT was assessed using the TWT: participants completed 5 trials each of walking along a fixed pathway, stepping on targets with increasing sequential numbers (i.e., 1-2-…-15), and increasing sequential numbers and letters (i.e., 1-A-2-B-3-…-8). Motor and cognitive DT effects (DTE) were calculated for each task. ROC curves were used to distinguish younger and healthy older adults from older adults with pMCI. The TWT showed excellent test-retest reliability across all conditions and groups (ICC : 0.83–0.97). SEM% was also low (<11%) as was the MDC95% (<30%). Within the DT conditions, the pMCI group showed significantly longer durations for all tasks regardless of the cognitive load compared to the younger and the healthy older adults. The motor DTEs were greatest for the complex condition in older adults with pMCI more so than in comparison with younger and healthy older adults. ROC analyses confirmed that only the tasks with higher cognitive load could differentiate older adults with pMCI from controls (area under the curve >0.7, p < 0.05). The TWT is a reliable DT mobility measure in people with pMCI. However, the condition with high cognitive load is more sensitive than the condition with low cognitive load in identifying pMCI. The TWT-3 thus could serve as a screening tool for early detection of individuals with pMCI. Future studies need to determine the neural correlates for cognitive-motor interference in older adults with pMCI.
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    Workload-dependent hemispheric asymmetries during the emotion-cognition interaction : a close-to-naturalistic fNIRS study
    (2023) Lingelbach, Katharina; Gado, Sabrina; Wirzberger, Maria; Vukelić, Mathias
    Introduction: We investigated brain activation patterns of interacting emotional distractions and cognitive processes in a close-to-naturalistic functional near-infrared spectroscopy (fNIRS) study. Methods: Eighteen participants engaged in a monitoring-control task, mimicking common air traffic controller requirements. The scenario entailed experiencing both low and high workload, while concurrently being exposed to emotional speech distractions of positive, negative, and neutral valence. Results: Our investigation identified hemispheric asymmetries in prefrontal cortex (PFC) activity during the presentation of negative and positive emotional speech distractions at different workload levels. Thereby, in particular, activation in the left inferior frontal gyrus (IFG) and orbitofrontal cortex (OFC) seems to play a crucial role. Brain activation patterns revealed a cross-over interaction indicating workload-dependent left hemispheric inhibition processes during negative distractions and high workload. For positive emotional distractions under low workload, we observed left-hemispheric PFC recruitment potentially associated with speech-related processes. Furthermore, we found a workload-independent negativity bias for neutral distractions, showing brain activation patterns similar to those of negative distractions. Discussion: In conclusion, lateralized hemispheric processing, regulating emotional speech distractions and integrating emotional and cognitive processes, is influenced by workload levels and stimulus characteristics. These findings advance our understanding of the factors modulating hemispheric asymmetries during the processing and inhibition of emotional distractions, as well as the interplay between emotion and cognition. Moreover, they emphasize the significance of exploring emotion-cognition interactions in more naturalistic settings to gain a deeper understanding of their implications in real-world application scenarios (e.g., working and learning environments).
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    Evaluation of the instrumented Timed Up and Go test as a tool to measure exercise intervention effects in nursing home residents: results from a PROCARE substudy
    (2021) Klotzbier, Thomas J.; Korbus, Heide; Johnen, Bettina; Schott, Nadja
    Background and objectives. To achieve independence in activities of daily living, a certain level of functional ability is necessary. The instrumented Timed Up and Go (iTUG) test provides guidance for appropriate interventions, for example, when considering the subphases within the TUG. Therefore, we evaluated the iTUG as a tool to measure the effects of a multicomponent exercise intervention on the iTUG subphases in nursing home residents. Methods. Fifty long-term nursing home residents (34 women, 82.7± 6.46 [65–91] years; 16 men, 78.6± 7.0 [62–90] years) performed the iTUG test before and after a 16-week intervention period (2× 45–60 min/week). According to the attendance rates, participants were divided into three groups. Results. The total iTUG duration decreased from baseline to posttest, F(2,46)= 3.50, p= 0.038, η2 p= 0.132.We observed significant correlations between the attendance rates and the total iTUG duration (r(50)= 0.328, p= 0.010). However, we did not observe significant group× time interaction effects in the subphases. The Barthel Index moderated the effect between attendance rate and the total duration of the iTUG test, ΔR2= 8.34%, F(1,44)= 4.69, p= 0.036, 95% CI [0.001, 0.027]. Conclusions.We confirmed the effectiveness of the iTUG as a tool to measure exercise intervention effects in nursing home residents, especially when participants exhibit high attendance rates. That said, mobility needs to be considered in a more differentiated way, taking into account parameters in the subphases to detect changesmore sensitively and to derive recommendations in a more individualized way.