TY  - JOUR
A1  - Esser, Peter
A1  - Mehnert‐Theuerkauf, Anja
A1  - Friedrich, Michael
A1  - Johansen, Christoffer
A1  - Brähler, Elmar
A1  - Faller, Hermann
A1  - Härter, Martin
A1  - Koch, Uwe
A1  - Schulz, Holger
A1  - Wegscheider, Karl
A1  - Weis, Joachim
A1  - Kuba, Katharina
A1  - Hinz, Andreas
A1  - Hartung, Tim
T1  - Risk and associated factors of depression and anxiety in men with prostate cancer: Results from a German multicenter study
JF  - Psycho‐Oncology
N2  - Objective
In order to optimize psycho‐oncological care, studies that quantify the extent of distress and identify certain risk groups are needed. Among patients with prostate cancer (PCa), findings on depression and anxiety are limited.

Methods
We analyzed data of PCa patients selected from a German multi‐center study. Depression and anxiety were assessed with the PHQ‐9 and the GAD‐7 (cut‐off ≥7). We provided physical symptom burden, calculated absolute and relative risk (AR and RR) of depression and anxiety across patient subsets and between patients and the general population (GP) and tested age as a moderator within the relationship of disease‐specific symptoms with depression and anxiety.

Results
Among 636 participants, the majority reported disease‐specific problems (sexuality: 60%; urination: 52%). AR for depression and anxiety was 23% and 22%, respectively. Significant RR were small, with higher risks of distress in patients who are younger (eg, RR\(_{depression}\) = 1.15; 95%‐CI: 1.06‐1.26), treated with chemotherapy (RR\(_{depression}\)n = 1.46; 95%‐CI: 1.09‐1.96) or having metastases (RR\(_{depression}\) = 1.30; 95%‐CI: 1.02‐1.65). Risk of distress was slightly elevated compared to GP (eg, RR\(_{depression}\) = 1.13; 95%‐CI: 1.07‐1.19). Age moderated the relationship between symptoms and anxiety (B\(_{urination}\) = −0.10, P = .02; B\(_{sexuality}\) = −0.11, P = .01).

Conclusions
Younger patients, those with metastases or treatment with chemotherapy seem to be at elevated risk for distress and should be closely monitored. Many patients suffer from disease‐specific symptom burden, by which younger patients seem to be particularly distressed. Support of coping mechanisms associated with disease‐specific symptom burden seems warranted.
KW  - anxiety
KW  - cancer
KW  - depression
KW  - oncology
KW  - prostatic neoplasms
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-218277
VL  - 29
IS  - 10
SP  - 1604
EP  - 1612
ER  - 
TY  - THES
A1  - Brähler, Michael
T1  - Bemessungsgrundlagen- und Tarifeffekte in der deutschen Alterssicherung - Eine modelltheoretische Kennzahlenanalyse des Steuer- und Sozialversicherungsrechts
T1  - Assessment base and tariff effects in the German pension system - A model-theoretical analysis of key figures
N2  - In der vorliegenden Studie wird ein entscheidungsmodelltheoretischer Ansatz verwendet, um unter Vernachlässigung von Unsicherheit und Risiko Kennzahlen zu entwickeln, die verschiedene Formen der Altersvorsorge miteinander vergleichbar machen. Zu diesem Zweck werden die steuer- und sozialversicherungsrechtlichen Grundlagen für ausgewählte Altersvorsorgeformen (gesetzliche Rentenversicherung, Basisrentenversicherung, zulagengeförderte Altersvorsorge, betriebliche Altersversorgung und private Rentenversicherung) im Rechtsrahmen des Jahres 2020 erläutert. Darauf aufbauend wird ein eigenes System von Kennzahlen entwickelt, um die Vor- und Nachteile der jeweiligen Alterssicherungsform zu quantifizieren. Die Ergebnisse werden anhand von stilisierten Modellbiografien präsentiert und diskutiert. Eine abschließende Gesamtwürdigung fasst schließlich wesentliche Erkenntnisse zusammen.
N2  - In this dissertation, a decision-theoretic approach is employed to develop key figures, while disregarding uncertainty and risk, to make various forms of retirement provisions comparable. To achieve this, the tax and social security law of selected retirement provision schemes (e.g., statutory pension insurance, basic pension insurance, state-subsidized retirement provisions, company pension schemes, and private pension insurance) within the legal framework of the year 2020 are elucidated. Based on this, a unique system of key figures is developed to quantify the advantages and disadvantages of each retirement provision type. The results are presented and discussed using stylized model biographies. Finally, a concluding overall appraisal summarizes the key findings.
T3  - Studien zu Rechnungslegung, Steuerlehre und Controlling - 7 
KW  - Rentenversicherung
KW  - Private Altersversorgung
KW  - Betriebliche Altersversorgung
KW  - Steuerrecht
KW  - Sozialversicherungsrecht
KW  - Modelltheorie
KW  - Förderquoten
KW  - Rürup-Rente
KW  - Riester-Rente
KW  - Doppelverbeitragung
KW  - Betriebsrente
KW  - BAV-Förderbetrag
KW  - Geringverdiener
KW  - Alterssicherung
KW  - Entgeltumwandlung
KW  - Sozialversicherung
KW  - Gesetzliche Rente
KW  - Basisrentenversicherung
KW  - zulagengeförderte Altersvorsorge
Y1  - 2024
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-330681
SN  - 978-3-95826-232-4
SN  - 978-3-95826-233-1
SN  - 2627-129X
SN  - 2627-1281
N1  - Parallel erschienen als Druckausgabe bei Würzburg University Press, ISBN 978-3-95826-232-4, 32,90 Euro
PB  - Würzburg University Press
CY  - Würzburg
ER  -