Holger Muehlan
Biographic Data
| ID | 1781671 |
|---|---|
| NAME | Holger Muehlan |
| GIVEN NAMES | Holger |
| FAMILY NAME | Muehlan |
| SIGNATURE | MUEHLAN H |
| AFFILIATIONS | Universität Greifswald |
| ORCID | 0000-0001-8048-5682 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Retrospectively appraised life changes since the German reunification and health
BACKGROUND: The German reunification (1989/1990) was a period of rapid socio-structural transformation, with heterogeneous consequences for work, finances, and personal life in East Germany. Drawing on Conservation of Resources (COR) theory, this study examined whether retrospectively appraised changes since the reunification are associated with later-life health and whether psychosocial resources show gender-specific indirect associations. METHO…
Exploring adverse childhood experiences in the wake of system change – A natural experiment comparing East and West Germany
BACKGROUND: Adverse childhood experiences (ACEs) have negative effects on individuals necessitating examination to discern contributing conditions. The use of quasi-experimental settings, arising from socio-political changes, offers retrospective insight into the macro-level context. OBJECTIVE: To examine the prevalence of ACEs in the separate macro-systems of both German states, as well as the influence of the socio-political system change due t…
Switching location—shifting mindset? The attitude towards female employment of East–West migrants in Germany
The strong migration of former East German residents to the western part of Germany opens a unique way to study the impact of migration modifying gender-related attitudes towards division of labor. While in West Germany more traditional gender attitudes have been prevailing for decades, the East pursued more progressive attitudes regarding the home and labor domain. However, attitudes of East-to-West migrants are mostly unknown. Thus, this articl…
The help-seeking process and predictors of mental health care use among individuals with depressive symptoms
Purpose: The goal of the study was to identify the most important influences on professional healthcare use of people with depressive symptoms. We incorporated findings from research areas of health behaviors, stigma, and motivation to predict the help-seeking process variables from a wide range of personal factors and attitudes. Methods: A sample of 1,368 adults with untreated depressive symptoms participated in an online survey with three-and s…
The differential influence of self-construal on the effect of self-efficacy on the help-seeking process
The study's findings, strengths, and limitations are discussed in relation to current research. Results indicate differential experiences of self-efficacy interventions based on individuals' self-construal. Moreover, varying associations among help-seeking variables suggest self-construal-based differences in their interrelationships. These findings highlight the importance of considering self-construal in health related research
Active psychoeducational components of antistigma interventions for untreated depressive symptoms
Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (Qolibri-KID/ADO) Questionnaire
Until recently, no disease-specific health-related quality of life (HRQoL) questionnaire existed for pediatric traumatic brain injuries (TBIs). In this revalidation study, the psychometric properties and the validity of the 35-item QOLIBRI-KID/ADO questionnaire in its final German version were examined in 300 children and adolescents. It is the first self-reported TBI-specific tool for measuring pediatric HRQoL in individuals aged between 8 and 1…
A short scale to measure health-related quality of life after traumatic brain injury in children and adolescents (Qolibri-OS-KID/ADO)
In combination with the cut-offs, the QOLIBRI-OS-KID/ADO provides a cost-effective screening tool, complemented by interpretation guidelines, which may help to draw clinical conclusions and indications such as further administration of a longer version of the instrument to gain more detailed insight into impaired HRQoL domains or omission of further steps in the absence of an indication
How socio-political change is associated with the number of individually reported negative life events
BACKGROUND: Socio-political change often leads to disruptions in employment and social networks, which can exacerbate health issues and increase mortality rates. These consequences are likely observed as an increase in negative life events (NLEs), serving as indicators of the broader social and health impacts. Using the German reunification in 1989/1990 as an example, this study investigates changes in reported numbers of NLEs and differences reg…
Explorative analyses on spatial differences in the desire for social distance toward people with mental illness in a diverging city
Introduction Stigma is an individual and societal process based on attitudes and power and relates to both spatial disparities and social distinction. In this study, we examined differences in desire for social distance toward people with mental illness within a city using social and spatial information. Methods ANOVAs and Scheffé post-hoc tests analyzed varying desires for social distance toward people with mental illness within Leipzig (East Ge…
The effects of causal and self-efficacy beliefs on help-seeking for people with depressive complaints
Background Only approximately a third of people with depressive symptoms seek professional health care. Furthermore, people labelled as mentally ill may experience stigmatisation, which can impede help-seeking behaviour. Aim To examine the effects of three vignette-based interventions endorsing biopsychosocial causal beliefs and strengthening self-efficacy on help-seeking intention and behaviour, as well as the predictive values of these variable…
The Seeking Mental Health Care model
German Clinical Trials Register: DRKS00023557. Registered 11 December 2020. World Health Organization, Universal Trial Number: U1111-1264-9954. Registered 16 February 2021
Measuring context that matters
Both measures show convincing psychometric properties. The final multidimensional Tele-QoL assessment consists of six outcome scales and two impact scales assessing (un-)intended effects of TM on QoL. In addition, the Tele-QoL index provides a short alternative for outcome assessment. The Tele-QoL measures can be used as complementary modules to existing QoL instruments capturing healthcare-related aspects of QoL from the patients' perspective
Digitale Sexualaufklärung
Einleitung Die Inhalte ganzheitlicher Sexualaufklärung können in Deutschland nur bedingt innerhalb des schulischen Kontexts vermittelt werden. Eine App zur sexuellen Gesundheit oder zu Themen der Sexualaufklärung könnte Jugendliche bei ihrer Informationssuche und Pädagog:innen in ihrem Lehrauftrag unterstützen. Forschungsziele Ziel dieser systematischen Übersichtsarbeit ist es, die Qualität und die Inhalte von deutschsprachigen mobilen digitalen …
Blood for Blood”? Personal Motives and Deterrents for Blood Donation in the German Population
It is crucial to provide updated knowledge about blood (non-)donors, as it is necessary to design targeted interventions with the aim of retaining blood donors and thus contributing to a functioning health system. This study investigates the prevalence and socio-demographic patterning of lifetime blood donation, assessing blood donation intention within the next 12 months and exploring personal motives and deterrents of blood donation qualitative…
Setting-Sensitive Conceptualization and Assessment of Quality of Life in Telemedical Care—Study Protocol of the Tele-QoL Project
Quality of life (QoL) is a core patient-reported outcome in healthcare research, alongside primary clinical outcomes. A conceptual, operational, and psychometric elaboration of QoL in the context of TM is needed, because standardized instruments to assess QoL do not sufficiently represent essential aspects of intended outcomes of telemedical applications (TM). The overall aim is to develop an instrument that can adequately capture QoL in TM. For …
Measuring Temporal Instability of Momentary Affect, Subjective Health and Symptom Burden Depending on Environmental Parameters—An Ambulatory Assessment Study in Persons with Hay Fever
Our ambulatory assessment study explores the impact of the weather on the mental well-being of people with increased susceptibility. Participants with hay fever ( n = 28) were assessed three times a day over a period of two weeks. Self-reported assessments covered different indicators of mental well-being, including momentary affect, subjective health as well as symptom burden. Based on tracked time stamps and location information, the data was m…
A Short Form of the Child/Youth Health Care Questionnaire on Satisfaction, Utilization, and Needs in Children and Adolescents with a Chronic Condition (CHC-SUN-SF/YHC-SUN-SF)
We decided to develop a short-form of the CHC-SUN/YHC-SUN, a questionnaire aiming at assessing health care satisfaction of children and adolescents with chronic health conditions. Data analysis was based on samples from three different studies. Item selection involved statistical analysis and expert consensus. For independent validation purposes, we calculated descriptive statistics on single-item and composite-scale levels and applied classic te…
How can the utilisation of help for mental disorders be improved? A quasi-experimental online study on the changeability of stigmatising attitudes and intermediate variables in the process of utilisat…
German Clinical Trials Register: DRKS00023557 . Registered 11 December 2020. World Health Organization, Universal Trial Number: U1111-1264-9954. Registered 16 February 2021
The interplay of gender, social context, and long-term unemployment effects on subjective health trajectories
In an economic crisis, individuals who already carry a higher burden, and not only those most directly affected economically, may show the greatest health effects
Registered reports and paediatric research
Development and validation of the child humor orientation scale short-form
Background Studies on children’s humor mainly focus on short-term effects of sense of humor and laughter. There is also evidence that children possess the predisposition to communicate humorously, labeled “Humor Orientation” (HO). All children possess some level of HO, but highly humor oriented children enact humor successfully and frequently, perceive situations more often as funny, and perform humorously across different interactions than low h…
How stigma interferes with symptom awareness
Implementation of the Kids-CAT in clinical settings
Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile
The aim of this study was to focus on the ethical and social issues derived from the implementation of transtelephonic electrocardiography (TTECG) in the public healthcare sector in Chile, studying patients and healthcare providers' acceptance and expectations concerning: (a) TTECG effectiveness and safety; and (b) data protection issues, such as confidentiality, privacy and security. For this purpose, we developed two psychosocial surveys; the f…
How socio-political change is associated with the number of individually reported negative life events
BACKGROUND: Socio-political change often leads to disruptions in employment and social networks, which can exacerbate health issues and increase mortality rates. These consequences are likely observed as an increase in negative life events (NLEs), serving as indicators of the broader social and health impacts. Using the German reunification in 1989/1990 as an example, this study investigates changes in reported numbers of NLEs and differences reg…
Field testing of a European quality of life instrument for children and adolescents with chronic conditions
Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile
The aim of this study was to focus on the ethical and social issues derived from the implementation of transtelephonic electrocardiography (TTECG) in the public healthcare sector in Chile, studying patients and healthcare providers' acceptance and expectations concerning: (a) TTECG effectiveness and safety; and (b) data protection issues, such as confidentiality, privacy and security. For this purpose, we developed two psychosocial surveys; the f…
Implementation of the Kids-CAT in clinical settings
How stigma interferes with symptom awareness
Registered reports and paediatric research
Development and validation of the child humor orientation scale short-form
Background Studies on children’s humor mainly focus on short-term effects of sense of humor and laughter. There is also evidence that children possess the predisposition to communicate humorously, labeled “Humor Orientation” (HO). All children possess some level of HO, but highly humor oriented children enact humor successfully and frequently, perceive situations more often as funny, and perform humorously across different interactions than low h…
Digitale Sexualaufklärung
Einleitung Die Inhalte ganzheitlicher Sexualaufklärung können in Deutschland nur bedingt innerhalb des schulischen Kontexts vermittelt werden. Eine App zur sexuellen Gesundheit oder zu Themen der Sexualaufklärung könnte Jugendliche bei ihrer Informationssuche und Pädagog:innen in ihrem Lehrauftrag unterstützen. Forschungsziele Ziel dieser systematischen Übersichtsarbeit ist es, die Qualität und die Inhalte von deutschsprachigen mobilen digitalen …
Blood for Blood”? Personal Motives and Deterrents for Blood Donation in the German Population
It is crucial to provide updated knowledge about blood (non-)donors, as it is necessary to design targeted interventions with the aim of retaining blood donors and thus contributing to a functioning health system. This study investigates the prevalence and socio-demographic patterning of lifetime blood donation, assessing blood donation intention within the next 12 months and exploring personal motives and deterrents of blood donation qualitative…
Setting-Sensitive Conceptualization and Assessment of Quality of Life in Telemedical Care—Study Protocol of the Tele-QoL Project
Quality of life (QoL) is a core patient-reported outcome in healthcare research, alongside primary clinical outcomes. A conceptual, operational, and psychometric elaboration of QoL in the context of TM is needed, because standardized instruments to assess QoL do not sufficiently represent essential aspects of intended outcomes of telemedical applications (TM). The overall aim is to develop an instrument that can adequately capture QoL in TM. For …
Measuring Temporal Instability of Momentary Affect, Subjective Health and Symptom Burden Depending on Environmental Parameters—An Ambulatory Assessment Study in Persons with Hay Fever
Our ambulatory assessment study explores the impact of the weather on the mental well-being of people with increased susceptibility. Participants with hay fever ( n = 28) were assessed three times a day over a period of two weeks. Self-reported assessments covered different indicators of mental well-being, including momentary affect, subjective health as well as symptom burden. Based on tracked time stamps and location information, the data was m…
A Short Form of the Child/Youth Health Care Questionnaire on Satisfaction, Utilization, and Needs in Children and Adolescents with a Chronic Condition (CHC-SUN-SF/YHC-SUN-SF)
We decided to develop a short-form of the CHC-SUN/YHC-SUN, a questionnaire aiming at assessing health care satisfaction of children and adolescents with chronic health conditions. Data analysis was based on samples from three different studies. Item selection involved statistical analysis and expert consensus. For independent validation purposes, we calculated descriptive statistics on single-item and composite-scale levels and applied classic te…
How can the utilisation of help for mental disorders be improved? A quasi-experimental online study on the changeability of stigmatising attitudes and intermediate variables in the process of utilisat…
German Clinical Trials Register: DRKS00023557 . Registered 11 December 2020. World Health Organization, Universal Trial Number: U1111-1264-9954. Registered 16 February 2021
The interplay of gender, social context, and long-term unemployment effects on subjective health trajectories
In an economic crisis, individuals who already carry a higher burden, and not only those most directly affected economically, may show the greatest health effects
Explorative analyses on spatial differences in the desire for social distance toward people with mental illness in a diverging city
Introduction Stigma is an individual and societal process based on attitudes and power and relates to both spatial disparities and social distinction. In this study, we examined differences in desire for social distance toward people with mental illness within a city using social and spatial information. Methods ANOVAs and Scheffé post-hoc tests analyzed varying desires for social distance toward people with mental illness within Leipzig (East Ge…
The effects of causal and self-efficacy beliefs on help-seeking for people with depressive complaints
Background Only approximately a third of people with depressive symptoms seek professional health care. Furthermore, people labelled as mentally ill may experience stigmatisation, which can impede help-seeking behaviour. Aim To examine the effects of three vignette-based interventions endorsing biopsychosocial causal beliefs and strengthening self-efficacy on help-seeking intention and behaviour, as well as the predictive values of these variable…
The Seeking Mental Health Care model
German Clinical Trials Register: DRKS00023557. Registered 11 December 2020. World Health Organization, Universal Trial Number: U1111-1264-9954. Registered 16 February 2021
Measuring context that matters
Both measures show convincing psychometric properties. The final multidimensional Tele-QoL assessment consists of six outcome scales and two impact scales assessing (un-)intended effects of TM on QoL. In addition, the Tele-QoL index provides a short alternative for outcome assessment. The Tele-QoL measures can be used as complementary modules to existing QoL instruments capturing healthcare-related aspects of QoL from the patients' perspective
Switching location—shifting mindset? The attitude towards female employment of East–West migrants in Germany
The strong migration of former East German residents to the western part of Germany opens a unique way to study the impact of migration modifying gender-related attitudes towards division of labor. While in West Germany more traditional gender attitudes have been prevailing for decades, the East pursued more progressive attitudes regarding the home and labor domain. However, attitudes of East-to-West migrants are mostly unknown. Thus, this articl…
The help-seeking process and predictors of mental health care use among individuals with depressive symptoms
Purpose: The goal of the study was to identify the most important influences on professional healthcare use of people with depressive symptoms. We incorporated findings from research areas of health behaviors, stigma, and motivation to predict the help-seeking process variables from a wide range of personal factors and attitudes. Methods: A sample of 1,368 adults with untreated depressive symptoms participated in an online survey with three-and s…
The differential influence of self-construal on the effect of self-efficacy on the help-seeking process
The study's findings, strengths, and limitations are discussed in relation to current research. Results indicate differential experiences of self-efficacy interventions based on individuals' self-construal. Moreover, varying associations among help-seeking variables suggest self-construal-based differences in their interrelationships. These findings highlight the importance of considering self-construal in health related research
Active psychoeducational components of antistigma interventions for untreated depressive symptoms
Final Validation of the Quality of Life after Brain Injury for Children and Adolescents (Qolibri-KID/ADO) Questionnaire
Until recently, no disease-specific health-related quality of life (HRQoL) questionnaire existed for pediatric traumatic brain injuries (TBIs). In this revalidation study, the psychometric properties and the validity of the 35-item QOLIBRI-KID/ADO questionnaire in its final German version were examined in 300 children and adolescents. It is the first self-reported TBI-specific tool for measuring pediatric HRQoL in individuals aged between 8 and 1…
A short scale to measure health-related quality of life after traumatic brain injury in children and adolescents (Qolibri-OS-KID/ADO)
In combination with the cut-offs, the QOLIBRI-OS-KID/ADO provides a cost-effective screening tool, complemented by interpretation guidelines, which may help to draw clinical conclusions and indications such as further administration of a longer version of the instrument to gain more detailed insight into impaired HRQoL domains or omission of further steps in the absence of an indication
How socio-political change is associated with the number of individually reported negative life events
BACKGROUND: Socio-political change often leads to disruptions in employment and social networks, which can exacerbate health issues and increase mortality rates. These consequences are likely observed as an increase in negative life events (NLEs), serving as indicators of the broader social and health impacts. Using the German reunification in 1989/1990 as an example, this study investigates changes in reported numbers of NLEs and differences reg…
Retrospectively appraised life changes since the German reunification and health
BACKGROUND: The German reunification (1989/1990) was a period of rapid socio-structural transformation, with heterogeneous consequences for work, finances, and personal life in East Germany. Drawing on Conservation of Resources (COR) theory, this study examined whether retrospectively appraised changes since the reunification are associated with later-life health and whether psychosocial resources show gender-specific indirect associations. METHO…
Psychology (18 works) · Medicine (17 works) · Clinical Psychology (12 works) · Psychiatry (11 works) · Clinical Psychology (10 works) · Mental health (7 works) · Nursing (7 works) · Child and Adolescent Psychosocial and Emotional Development (6 works) · Childhood Cancer Survivors' Quality of Life (6 works) · Computer Science (6 works)