Wulf Rössler
Dados Biográficos
| ID | 177212 |
|---|---|
| NOME | Wulf Rössler |
| PRENOMES | Wulf |
| SOBRENOME | Rössler |
| ASSINATURA | RÖSSLER W |
| AFILIAÇÕES | Universidade de São Paulo |
| ORCID | 0000-0003-0049-4533 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 60 |
| TOTAL DE CITAÇÕES | 39 |
| TOTAL COMO AUTOR | 59 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Adverse childhood experiences and mental health outcomes among women in sex work and social care
Introduction: Adverse childhood experiences (ACEs) are well-established risk factors for mental disorders, yet their impact within vulnerable occupational groups remains insufficiently understood. Women engaged in sex work and social care are disproportionately exposed to violence and emotional stressors, potentially compounding the effects of early-life adversity. Methods: We conducted a mixed-methods study in Berlin, Germany, including 560 wome…
An explorative qualitative study of barriers to the use of health and mental health services among migrant female sex workers in Germany and needs for action
Background: Migrant female sex workers (MFSWs) can be exposed to various health risks due to their occupation, including mental and physical health, substance use, and experience of violence. However, they face substantial barriers to accessing healthcare services. The inadequate access to medical care for migrant female sex workers poses a challenge to the German healthcare system. Research aims: This qualitative study aimed to identify and anal…
Quality of life, mental health, and socio-demographic differences across sex work settings
Background: Existing research shows that quality of life (QoL), mental health, and working conditions vary widely across sex work settings. Street-based work, for example, involves different risks than, for example, online sex work. Little is known about what drives individuals into specific environments. This study examines whether work setting predicts working conditions, QoL, mental health, and reported socio-medical needs, and explores factor…
The impact of self-stigmatization on the mental health of female sex workers (FSWs)
Introduction Sex workers are exposed to high levels of mental health risk. Yet, the psychological effects of self-stigmatization in legalized sex work contexts remain underexplored. This study examines how different dimensions of self-stigma influence mental health outcomes among female sex workers (FSWs) in Germany, where sex work is legalized and regulated. Methods A cross-sectional study was conducted with 397 FSWs recruited across diverse wor…
A quantitative study on female sex workers’ mental health in Germany
Introduction Sex workers provide sexual services in exchange for monetary compensation, encompassing a range of activities such as escorting, pornography and street-based or online sex work. Individuals doing sex work are frequently referred to as a vulnerable group when it comes to their mental health. Despite the legality of sex work in Germany, there are significant risk factors associated with negative impact on the mental health, such as sti…
Prevalence, risk and resilience factors of mental health conditions among female sex workers
Negative symptoms and self-reflection increase alienation in individuals at clinical high-risk for psychosis
Our data highlights the importance of identifying pronounced negative symptoms in CHR individuals as a reinforcer of internalized stigma. In this sense, addressing stigma in CHR should carefully consider negative symptoms, given their influence on alienation both directly and indirectly via self-reflection
Mismatch negativity generation in subjects at risk for psychosis
MMN activity differed significantly between subjects presenting only basic symptoms and subjects which additionally meet UHR criteria. The largest differences between groups as well as between individuals with and without transition were observed at the frontal source. The present results suggest that source analysis is more sensitive than surface electrodes in psychosis risk prediction by MMN
Addressing Mood Disorder Diagnosis' Stigma With an Honest, Open, Proud (HOP)-Based Intervention
Introduction: The public stigma and self-stigma contribute to the dilemma of disclosing or not one's own mental illness diagnosis. Studies suggest that revealing it diminishes stress, besides helping with self-esteem. Honest, Open, Proud (HOP) is a group program that aids in the process of deciding on it, reducing its impact. Considering the relevance of this issue, the present study aimed to apply a HOP-based intervention in a group of patients …
Childhood maltreatment in individuals at risk of psychosis
BACKGROUND: Childhood maltreatment is a known risk factor for the development of mental disorders, such as psychotic symptoms. An extensive body of literature about childhood maltreatment and mental health has been developed in wealthy countries, but information about this connection is lacking in developing countries. AIMS: To explore a possible relationship between childhood maltreatment and ultra-high risk of psychosis in a non-help-seeking po…
Psychiatric Acute Day Hospital as an Alternative to Inpatient Treatment
For the first time in the Swiss health care system, this evaluation study examined whether patients with acute psychiatric illness who were admitted for inpatient treatment could be treated in an acute day hospital instead. The acute day hospital is characterized by the possibility of direct admission of patients without preliminary consultation or waiting time and is open every day of the week. In addition, it was examined whether and to what ex…
Bank Account Ownership and Access Among In-Patients in Psychiatric Care in Berlin, Germany—A Cross-Sectional Patient Survey
The lack of bank account ownership and access among this population of psychiatric patients is concerning. The interrelationship between factors of financial exclusion and mental health should be further explored in longitudinal studies. More attention is needed to support people with severe mental illness to be able to access resources associated with financial inclusion
Disclosing the diagnosis of schizophrenia
BACKGROUND: Schizophrenia is one of the most stigmatized psychiatric disorders, and disclosing it is often a source of stress to individuals with the disorder. The Coming Out Proud (COP) group intervention is designed to reduce the stigma's negative impact and help participants decide if they want to disclose their disorder. AIMS: To assess the effect of the COP intervention in individuals with the diagnosis of schizophrenia. METHODS: A pilot stu…
Antidepressant Use During Acute Inpatient Care Is Associated With an Increased Risk of Psychiatric Rehospitalisation Over a 12-Month Follow-Up After Discharge
Background: Some evidence suggests that antidepressants may relate to poor outcomes in depression. The aim of this study was, therefore, to examine, whether antidepressant use may worsen the long-term outcome in real-world psychiatric patients with both primarily affective and non-affective mental disorders. Methods: Based on a total of n = 151 inpatients with a mixed range of diagnoses enrolled at two psychiatric hospitals in Zurich, Switzerland…
Borderline Personality Pathology in an At Risk Mental State Sample
Introduction: Transient psychotic symptoms in patients with borderline personality disorder seem to be similar to those in patients with psychotic disorders. Especially in the field of early detection of psychosis, this might lead to individuals with borderline personality disorder being wrongly classified as subjects at risk for developing a manifest psychosis. The aim of the present study was to investigate the occurrence of borderline symptoms…
Stigma as a Barrier to Mental Health Service Use Among Female Sex Workers in Switzerland
Background: Many sex workers suffer from mental health problems, but do not seek help. Aim: To examine stigma-related and non stigma-related barriers to care and perceived need for treatment among female sex workers in Switzerland. Methods: Mental health service use, barriers to care, perceived need and presence of illness, symptoms, and psychiatric diagnoses were assessed among 60 female sex workers in Zürich, Switzerland. Outcomes: Mental healt…
Predictors of Compulsory Re-admission to Psychiatric Inpatient Care
Objective: This prospective study addresses risk factors of compulsory re-admission focusing on the role of the patient's subjective symptom distress and perceived social support, based on comprehensive patient and external (clinicians, study staff) assessments. Methods: Of the baseline sample, 168 (71%) patients with serious mental disorders, who had been compulsorily admitted to psychiatric inpatient care, were followed over 24 months after dis…
Early Somatosensory Processing Over Time in Individuals at Risk to Develop Psychosis
Objective: Somatosensory evoked potentials (SEPs) enable the investigation of thalamocortical and early cortical processing. Previous studies reported alterations of SEPs in patients with schizophrenia as well as in individuals in the prodromal stage. Moreover, cannabis use as an environmental risk factor for the development of schizophrenia has been demonstrated to influence SEP parameters in individuals at risk to develop psychosis. The aim of …
Predictors of Employment for People With Mental Illness
Background: Individual placement and support (IPS) has proven to be effective for vocational outcomes in people with mental illness. The original concept of IPS requires temporally unlimited provision of support. Using limited placement budgets and investigating factors that predict their effectiveness may inform decisions about resource allocation. Methods: A range of patient characteristics were tested as predictors of employment outcomes in pa…
Evaluation of the Combined Treatment Approach “Robin” (Standardized Manual and Smartphone App) for Adolescents at Clinical High Risk for Psychosis
Introduction: The prevention of schizophrenia and other psychotic disorders has led researchers to focus on early identification of individuals at clinical high risk (CHR) for psychosis and to treat the at-risk symptoms in the pre-psychotic period. Although at-risk symptoms such as attenuated hallucinations or delusions are common in adolescents and associated with a marked reduction in global functioning, the evidence base of effective intervent…
Sleep Disturbances and Suicidality–A Longitudinal Analysis From a Representative Community Study Over 30 Years
Study objectives: Associations between sleep problems and suicidality are increasingly acknowledged, but prospective data from well-controlled long-term community studies are lacking. Methods: We analyzed data from a longitudinal cohort study with n = 591 young adults from Zurich, Switzerland, prospectively followed from 1979 (age 20/21 years) to 2008 (age 49/50 years). Twelve-month prevalence of various mental disorders, socio-environmental conf…
Predicting Medical Students’ Current Attitudes Toward Psychiatry, Interest in Psychiatry, and Estimated Likelihood of Working in Psychiatry
Psychiatry as a medical discipline is becoming increasingly important due to the high and increasing worldwide burden associated with mental disorders. Surprisingly, however, there is a lack of young academics choosing psychiatry as a career. Previous evidence on medical students' perspectives is abundant but has methodological shortcomings. Therefore, by attempting to avoid previous shortcomings, we aimed to contribute to a better understanding …
Online Survey of Medical and Psychological Professionals on Structured Instruments for the Assessment of Work Ability in Psychiatric Patients
Objective: To evaluate perceived needs and difficulties related to instruments for assessing work ability in individuals with mental disorders. Method: We conducted an online survey of 104 German-speaking medico-legal experts (forensic psychiatric and psychology experts, insurance physicians) and therapists. Results: The large majority of respondents reported they would welcome a standardized, structured instrument for the assessment of work abil…
Placement Budgets” for Supported Employment—Impact on Quality of Life in a Multicenter Randomized Controlled Trial
Background: Employment is an important aspect of psychiatric rehabilitation. The objective of this analysis was to explore how quality of life (QoL) may affect the outcome of supported employment and vice versa. Methods: A total of 116 participants with severe mental disorders were randomly assigned to either 25h, 40h or 55h placement budgets, which comprises job coaches’ time resources to support a client in finding a job. The intervention follo…
The Stigma of Mental Illness - End of the Story?
Factors Influencing Social Distance Toward People with Mental Illness
Changing Times
We investigated changes in the proportion of firearm suicides in Western countries since the 1980s and the relation of these changes to the change in the proportion of households owning firearms. Several countries had an obvious decline in firearm suicides: Norway, United Kingdom, Canada, Australia, and New Zealand. Multilevel modeling of longitudinal data confirmed the effect of the proportion of households owning firearms. Legislation and regul…
Predictors and course of vocational status, income, and quality of life in people with severe mental illness
Are seasonalities in suicide dependent on suicide methods? A reappraisal
A Matter of Psychological Safety
Immigration entails the risk of feeling disconnected in the receiving society, in both everyday life and the workplace. This may affect the way immigrant employees relate to their job and their workplace. In this article, we investigate the affective commitment of Turkish immigrant employees in Germany (TG) and their subsequent work engagement, mental health, and turnover intention. Specifically, we compared TG ( n = 201) to both German employees…
A Swiss Longitudinal Study of the Prevalence of, and Overlap Between, Sexual Problems in Men and Women Aged 20 to 50 Years Old
The aim of this study was to obtain data on the development and course of sexual problems and their interrelationships by investigating a representative sample of men and women over a period of 30 years. A representative sample of 299 women selected from the complete electoral register and 292 men selected from screening lists for military service in Zurich, Switzerland, answered questions about their sexuality as part of a series of seven interv…
Dyspareunia in the Context of Psychopathology, Personality Traits, and Coping Resources
Determinants of Attitude to Volunteering in Psychiatry
Background: The United Nations proclaimed 2001 the “international Year of Volunteers”. Little is known about factors influencing the attitude to volunteering in psychiatry. However, knowledge about these factors is important as target groups to be addressed by an awareness and promotion campaign could be identified. Aims: To determine the influence of demographic, psychological and sociological factors on the attitude to volunteering in psychiatr…
Are seasonalities in suicide dependent on suicide methods? A reappraisal
Factors Influencing Social Distance Toward People with Mental Illness
Attitudes of Mental Health Professionals Toward People With Schizophrenia and Major Depression
Several studies reveal poor knowledge about mental illness in the general population and stigmatizing attitudes toward people with mental illness. However, it is unknown whether mental health professionals hold fewer stigmatizing attitudes than the general population. A survey was conducted of the attitudes of mental health professionals (n = 1073) and members of the public (n = 1737) toward mental illness and their specific reaction toward a per…
Family Burden During Exacerbation of Schizophrenia
Background/aims: Family members of people with schizophrenia are heavily burdened. Thus, we aimed at quantifying the amount of additional efforts during the two weeks before hospitalisation of acute exacerbating psychosis compared to the time before. Methods: By means of the semi-structured ‘Interview for Measuring the Burden on the Family' we interviewed relatives of people with schizophrenia. To quantify additional burden we asked how much time…
Mental health literacy in an educational elite – an online survey among university students
Among the educational elite, a wide variability in mental health literacy was found. Therefore, it's important for public mental health interventions to focus on the different recognition rates in depression and schizophrenia. Possibilities for contact must be arranged according to interest and activity (e.g., at work). In order to improve mental health literacy, finally, education and/or internship should be integrated in high school or apprenti…
Diversity and change in suicide seasonality over 125 years
Background: Recent research has corroborated the notion that seasonality in suicide is more heterogeneous and less consistent than postulated by former scholars. This work investigates the smoothing out of suicide seasonality in Switzerland between the late 19th and the end of the 20th century. It includes analyses by region and by suicide method. Methods: Monthly suicide frequencies in Switzerland are available for the period 1876–2000. Data on …
Community Psychiatry
Background: Mental health authorities must know the public's attitude to community psychiatry when planning community mental health services. However, previous studies have only investigated the impact of demographic variables on the attitude to community psychiatry. Aim: To assess the influence of psychological and sociological parameters on the public opinion of community psychiatry in Switzerland. Method: Linear regression analyses of the resu…
The effects of economic deprivation on psychological well-being among the working population of Switzerland
The findings of this study contribute to our understanding of the potential psychological impact of material deprivation on working Swiss citizens. Such knowledge may aid in the design of community intervention programs to help reduce the individual and societal burdens of poverty in Switzerland
Changing Times
We investigated changes in the proportion of firearm suicides in Western countries since the 1980s and the relation of these changes to the change in the proportion of households owning firearms. Several countries had an obvious decline in firearm suicides: Norway, United Kingdom, Canada, Australia, and New Zealand. Multilevel modeling of longitudinal data confirmed the effect of the proportion of households owning firearms. Legislation and regul…
The effectiveness of supported employment for people with severe mental illness
Stigma towards people with mental illness in developing countries in Asia
BACKGROUND: There is a wide range of literature on stigmatization and discrimination of people with mental illness. Most studies, however, derive from Western countries. This review aims at summarizing results from developing countries in Asia published between 1996-2006. METHOD: Medline search focusing on English-speaking literature. RESULTS: Comparable to Western countries, there is a widespread tendency to stigmatize and discriminate people wi…
Changes in Social Network Diversity and Perceived Social Support After Psychiatric Hospitalization
Background: There is a large empirical basis for the importance of social networks and support for people with a mental illness. However, only a few studies have eXamined the predictors, changes and correlations of these constructs within a longitudinal framework. Aim: To analyze changes in social network diversity as measured by the number of social roles and perceived social support over the course of three years after a psychiatric hospitaliza…
Predictors and course of vocational status, income, and quality of life in people with severe mental illness
Exposure to the tsunami disaster, PTSD symptoms and increased substance use – an Internet based survey of male and female residents of Switzerland
The tsunami was associated with increased substance use. This study not only replicates earlier findings but also suggests for a gender specificity of post-traumatic substance use increase
Antecedents and Covariates of Alcohol Consumption among Swiss Male Conscripts
This study aimed to investigate prevalence and correlates of alcohol consumption frequency in a sample of Swiss conscripts (n=25,611) in order to identify factors that predispose for frequent consumption. A self-report of drinking frequencies, as well as socio-demographic and psychosocial variables, was collected at psychiatric baseline screening. Based on univariate analyses, relevant variables were included in a multivariate multinomial logisti…
Seasonality in suicide – A review and search of new concepts for explaining the heterogeneous phenomena
Internet-based Self-Assessment after the Tsunami
ONSET was used by a large number of subjects who thought to be affected by the catastrophe in order to help them decide if they needed to see a mental health professional. Furthermore, men more frequently accessed the instrument than women, indicating that Internet-based testing facilitates reaching out to a different group of people than "ordinary" public mental health strategies
Patterns of stigma toward schizophrenia among the general population
OBJECTIVE: Our purpose was to assess stigma toward schizophrenia in a representative sample of the Brazilian general population. METHODS: The sample consisted of 1015 individuals interviewed by telephone. A vignette describing someone with schizophrenia was read, and four stigma aspects regarding this hypothetical individual were assessed: stereotypes, restrictions, perceived prejudice and social distance. Latent profile analysis searched for sti…
Social Intervention in Psychiatric Disorders
Where are patients who have co-occurring mental and physical diseases located
BACKGROUND: Patients with a psychiatric illness have a higher prevalence of physical diseases and thus a higher morbidity and mortality. AIM: The main aim was to investigate where patients with co-occurring physical diseases and mental disorders (psychotic spectrum or mood) in the health and social service system are identified most frequently before admission into psychiatry. The second aim was to compare the differences in the treatment routes …
Preventing Compulsory Admission to Psychiatric Inpatient Care
Our findings suggest that changes in the subjective perspective were fueled primarily by participation in this study rather than by having received the specific intervention. The study contributes to a better understanding of the interaction between "objective" measures (compulsory readmissions) and patients' perceptions and highlights the need for treatment approaches promoting empowerment in individuals with a history of involuntary psychiatric…
Mental Health and Functioning of Female Sex Workers in Chittagong, Bangladesh
Our study revealed that FSW in Chittagong are very vulnerable and highly impaired, as expressed by high rates of abuse and mental disorders. Coercion is very common and many FSW are required to work in the sex business because they need the money to support their families. FSW are a very marginalized population, especially in the developing countries where awareness for mental health is low and the availability of mental health services is insuff…
Serum Testosterone Levels and Symptom-Based Depression Subtypes in Men
The main objective of this preliminary study was to further clarify the association between testosterone (T) levels and depression by investigating symptom-based depression subtypes in a sample of 64 men. The data were taken from the ZInEP epidemiology survey. Gonadal hormones of a melancholic (n = 25) and an atypical (n = 14) depression subtype, derived from latent class analysis, were compared with those of healthy controls (n = 18). Serum T wa…
A Swiss Longitudinal Study of the Prevalence of, and Overlap Between, Sexual Problems in Men and Women Aged 20 to 50 Years Old
The aim of this study was to obtain data on the development and course of sexual problems and their interrelationships by investigating a representative sample of men and women over a period of 30 years. A representative sample of 299 women selected from the complete electoral register and 292 men selected from screening lists for military service in Zurich, Switzerland, answered questions about their sexuality as part of a series of seven interv…
Medicine (50 obras) · Psychiatry (48 obras) · Psychology (43 obras) · Mental health (32 obras) · Schizophrenia research and treatment (25 obras) · Clinical Psychology (23 obras) · Mental Health Treatment and Access (23 obras) · Mental illness (18 obras) · Clinical Psychology (15 obras) · Environmental health (11 obras)