Research in Health Psychology

Research Focus

  1. Health behavior (nutrition and physical activity) in individuals with heart failure
  2. Psychosocial characteristics and heart failure
  3. Stress and stress management in heart diseases
  4. Health behavior, gender, and gender role self-concept
  5. Digitization and health

current projects

Immersive Extented Reality for Physical ActiviTy and Health (XR-PATH)

Project „XR-PATH

The Ministry of Science and Health will be funding the scientific research college "Immersive eXtended Reality for Physical ActiviTy and Health (XR-PATH)" starting from July 2021 for a duration of 3 years. The research college is jointly supported by the Trier University of Applied Sciences and the Trier University. Within this interdisciplinary research college, six collaborative doctoral projects will focus on the scientifically based development of movement-related eXtended Reality (XR) solutions for the healthcare sector.

Sub-Project„XR-CISE“

Development of XR-based approaches to investigate and promote physical activity in people with heart failure.

Department: Health Psychology/ Nursing Sciences

Issue: Physical activity in people with heart failure - Investigation of multifactorial relationships and individualized feedback mechanisms using exergames in virtual reality (VR).

Background

Medical professionals recommend regular exercise and physical activity as important non-pharmacological treatments for chronic heart failure (HF). However, the level of actual physical activity performed by individuals with HF is significantly lower than in those without HF. Compliance with exercise recommendations and participation in cardiac rehabilitation is currently suboptimal.

Objective target

This subproject aims to reduce uncertainties regarding symptoms and perceived exertion in individuals with chronic heart failure, ultimately increasing long-term physical activity. To achieve this goal, the focus is on the multifactorial relationships between physical activity (type, intensity, duration, and frequency), emotional factors (fear of physical movement, positive emotional states after successful activity), cognitive factors (self-efficacy expectations, outcome expectations), symptom experience (dyspnea, fatigue), and physiological parameters in individuals with heart failure.

„XR-CISE“: Cooperation interoffice Trier University and Trier University of Applied Sciences

The Department of Health Psychology at the Trier University, in collaboration with the Department of Software Engineering at Trier University of Applied Sciences, is developing a human-centered system in virtual reality (VR). This VR system enables the investigation of multifactorial relationships between psychological factors and physical performance. Additionally, this system provides the capability to generate personalized feedback. Through this feedback, individuals with heart failure are intended to be supported by reducing their fear of movement while simultaneously increasing their motivation for a physically active lifestyle.

„XR-CISE“ Project management and Project staff:
Health Psychology, Trier University:
Prof.‘in Dr. Heike Spaderna; Sandra Schwab, M.Sc.

Software Engineering, Trier University of Applied Sciences:
Prof. Dr. Georg Rock; Lucas Küntzer, M.Sc.

Project Founding:
Ministry of Science and Health, State of Rhineland-Palatinate
Trier University
Trier University of Applied Sciences

[Translate to Englisch:] Beat Saber
[Translate to Englisch:] Erster Entwurf eines Prototyps für die Messung der Herzfrequenz während der Bewegung in der virtuellen Realität (VR). Grundlage ist das VR Spiel Beat Saber (beatsaber.com).

SimbaT - Simulation-based Training in Nursing Studies

Skills Lab
Dipl.-Päd. Carola Kraft teaches in the Skillslab

In the research project SimbaT (Simulation-Based Training in Nursing Studies), funded by the Teaching Incentive Fund (TIF), new simulation scenarios are being designed in the Skillslab.

Within the Bachelor's degree program in Clinical Nursing B.Sc., training on a nursing simulator in the Skillslab has been offered since the beginning of the program. So far, individual skills or nursing situations have been practiced. With SimbaT, a change in teaching is aimed for. The comprehensive and previously unused capabilities of the nursing simulator can be utilized for highly complex nursing scenarios, and a simulation-based training can be designed, programmed, and conducted. The goal of SimbaT is seen in innovative and scientifically based, as well as practice-oriented, teaching sessions that significantly improve the practical nursing education of students and prepare them for highly complex nursing situations in practice.

 

Gender and psychosocial factors in individuals with LVAD

Psychosocial and demographic predictors of clinical outcomes in male and female recipients of left ventricular assist devices (LVAD)

The aim of the project "Psychosocial and demographic predictors of clinical outcomes in male and female recipients of left ventricular assist devices," funded by the DFG, is to investigate the role of psychosocial and demographic factors (such as depression, social support, substance abuse, and age) on survival and the occurrence of adverse events (such as infections, stroke, and internal bleeding) in women and men with implanted ventricular assist devices. The analyses are based on data from the US Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) and the European Registry for Patients with Mechanical Circulatory Support (EUROMACS).

Project Funding: German Research Foundation (DFG)

Publications:

Maukel, L.-M., Weidner, G., Beyersmann, J. & Spaderna, H. (2023). Adverse events after left ventricular assist device implantation linked to psychosocial risk in women and men. The Journal of Heart and Lung Transplantation, 42(11), 1557-1568. https://doi.org/10.1016/j.healun.2023.06.013

Maukel, L.-M., Weidner, G., Beyersmann, J. & Spaderna, H. (2022). Sex differences in recovery and device replacement after left ventricular assist device as destination therapy. Journal of the American Heart Association, 11(5), e023294. https://doi.org/10.1161/JAHA.121.023294

Löchel, S., Maukel, L.-M., Weidner, G., de By, T. M. M. H. & Spaderna, H. (2021). Gender differences in psychosocial and clinical characteristics in the European Registry for Patients with Mechanical Circulatory Support. Heart and Lung, 50(6), 845-852. https://doi.org/10.1016/j.hrtlng.2021.06.007

International and national cooperation partners:

Prof. Dr. Gerdi Weidner, Department of Biology, San Francisco State University, San Francisco, USA und Prof. Dr. Jan Beyersmann, Institute of Statistics, Universität Ulm.

Physical activity of breast cancer patients

Physical activity of breast cancer patients undergoing (neo-)adjuvant chemotherapy in routine care (KAB-R)

Physical activity is recommended for breast cancer patients in all therapy situations and is recommended by healthcare providers. The extent to which these recommendations are implemented and the overall level of physical activity during chemotherapy will be investigated in this prospective, longitudinal, multicenter observational study. Currently, there is no data on the prevalence of physical activity during (neo)adjuvant chemotherapy in outpatient routine care. N=100 stage I to III breast cancer patients receiving neoadjuvant or adjuvant intravenous chemotherapy according to the EC-P(w) or P(w)-EC regimen are planned to participate. The patients will be informed about the project by their treating physician before starting chemotherapy and will participate on a voluntary basis (informed consent). Throughout the chemotherapy treatment (approximately 4-6 months), the patients will be interviewed multiple times and objective movement data will be collected using an accelerometer. A positive vote from the Ethics Committee of the State Medical Association of Rhineland-Palatinate has been obtained.

Cooperation partners

Fear of Activity in Situations (FActS)

Fear of physical activity in heart failure

The aim of the study is to psychometrically evaluate and validate the newly developed self-report instrument for assessing fear of physical activity in patients with heart failure (both with reduced and preserved ejection fraction).

For this purpose, adult individuals diagnosed with heart failure will complete additional questionnaires on anxiety, depression, anxiety coping, and other personality traits. In addition, medical parameters will be recorded. A subsample will wear an accelerometer for one week to objectively assess their physical activity in daily life.

The results from a pilot study are to be replicated using a larger sample. Initial findings showed a very good internal consistency of the questionnaire. Fear of movement was independent of personality traits such as openness to experience and agreeableness. Higher fear of movement was only moderately associated with depression but could predict less physical activity in daily life as expected.

Publications

Spaderna, H., Hoffmann, J. M., Hellwig, S., & Brandenburg, V. M. (2020). Fear of physical activity, anxiety, and depression - Barriers of physical activity in outpatients with heart failure? European Journal of Health Psychology, 27, 3-13.

Hoffmann, J. M., Hellwig, S., Brandenburg, V. M., & Spaderna, H. (2018). Measuring fear of physical activity in patients with heart failure. International Journal of Behavioral Medicine, 25 (3), 294-303. doi:10.1007/s12529-017-9704-x

Cooperation partners:

  • Hospital of the Barmherzigen Brüder, Trier (Contact: Dr. med. K. E. Hauptmann, PD Dr. med. M. Lauterbach, PD Dr. med. F. Voss)
  • University Hospital  Aachen (Contact: Dr. med. V. Brandenburg)
  • University Hospital  des Saarlands, Homburg (Contact: PD Dr. I. Kindermann)
  • Klinikum Mutterhaus of the Borromäerinnen, Trier (Contact: Dr. med. R. Mahlberg, Dr. med. F. P. Schmidt, Dr. rer. nat. A.-R. Waladkhani)

Relaxation with Heart - Effects of Autogenic Training

Short- and medium-term effects of autogenic training on psychological and psychobiological stress indicators in chronic heart failure.

Individuals suffering from chronic heart failure with reduced ejection fraction (HFrEF) often report similar levels of stress as individuals in the general population. Since poorly managed stress can contribute to the development of depression, and stress and depression can further worsen the prognosis of HFrEF, efficient stress management is highly relevant for this patient group. Therefore, a randomized controlled intervention study will be conducted to investigate whether the provision of systematic relaxation in the form of autogenic training over a period of two months has short- and medium-term positive effects on subjective stress experience and objectively measurable psychobiological stress markers in ambulatory individuals diagnosed with HFrEF. The intervention group will be compared to an active control group participating in a guided self-help group with education on heart failure-related topics.

Pre-Registrationnumber: DRKS00023810

Duration of data collection: December 2020 till July 2022

Founding: Forschungsfond der Universität Trier & Forschungsschwerpunkt „Psychobiologie des Stresses“

 

Cooperation partners

  • Klinikum Mutterhaus der Borromäerinnen          
    (Contact: PD Dr. med Frank Patrick Schmidt)
  • Krankenhaus der Barmherzigen Brüder   
    (Contact: Priv.-Doz. Dr. med Frederik Voss, Prof. Dr. med. Nikos Werner)
  • Marienhaus Klinikum Eifel       
    (Contact: Prof. Dr. Rainer Zotz) 
  • Gesundheitspark Trier
  • Herzsport - TuS Mosella Schweich e.V.
[Translate to Englisch:] Entspannung mit Herz
[Translate to Englisch:] Forschung

Completed Projects

Simulation of Nudging Methods to Enhance the Independence of Care-dependent Individuals (SiNuS)

Simulation of Nudging Methods to Enhance the Independence of Care-dependent Individuals (SiNuS)  

In this study, funded by the Federal Ministry of Education and Research (BMBF), we are investigating together with the Department of Business Informatics I (Prof. Dr. Ingo Timm) how wearing an age simulation suit (Gerontological Simulator, GERT) affects standardized physical activities and associated characteristics in young healthy individuals. In a randomized controlled trial, the healthy participants in the experimental group wore a suit with additional weight, while the control group wore a suit with only a few weights. All participants completed the 6-minute walk test and the 1-minute stair climbing test. In addition to gaining insights into how wearing the GERT affects physical activities, as well as cognitive and affective characteristics, this approach aims to obtain initial reference data that can be used in simulations of activity behavior in older, chronically ill individuals, such as those with chronic heart failure. Since recruiting individuals with heart failure for study purposes is limited due to ethical and health reasons, agent-based simulations offer the opportunity to simulate interventions to promote physical activity and develop starting points for promising real-life measures.


Projectfounding: BMBF (Bundesministerium für Bildung und Forschung)

Publications

Timm, I. J., Spaderna, H., Rodermund, S. C., Lohr, C., Buettner, R. & Berndt, J. O. (2020). Designing a randomized trial with an age simulation suit-Representing people with health impairments. Healthcare, 9(1), 1-11. https://doi.org/10.3390/healthcare9010027

Physical exercise and emotions - Physiological correlates and interoceptive ability

Physiological correlates of fear of physical movement and interoceptive ability in individuals with heart failure and healthy individuals

The aim of the study is to investigate why some patients with heart failure engage in a high level of physical activity in their daily lives, while others are less active, and to determine the emotions that play a role in this behavior. Doctors recommend staying physically active and engaging in sports. There are also special exercise programs specifically designed for patients with heart failure, such as cardiac rehabilitation groups or swimming courses. As an alternative to sports, everyday activities such as regular walks or climbing stairs are also very helpful in maintaining good health despite or even because of heart failure.

Project Funding: Research Funding 2017 der University Trier

Publications

Hoffmann, J. M., Finke, J. B., Schächinger, H., Schulz, A., Vögele, C. & Spaderna, H. (2020). Modulation of startle and heart rate responses by fear of physical activity in patients with heart failure and in healthy adults. Physiology & Behavior, 225, 113044. DOI 10.1016/j.physbeh.2020.113044

Hoffmann, J. M., Hellwig, S., Brandenburg, V. M., & Spaderna, H. (2018). Measuring fear of physical activity in patients with heart failure. International Journal of Behavioral Medicine, 25 (3), 294-303. doi:10.1007/s12529-017-9704-x

Cooperation partners:

  • Hosipital of Barmherzigen Brüder, Trier (Contact: Dr. med. K. E. Hauptmann, PD Dr. med. M. Lauterbach, PD Dr. med. F. Voss)

Fear of Activity in Situations (FActS) - Pilot

Fear of Physical Activity in Heart Failure

The aim of the study is to psychometrically evaluate and validate a newly developed self-report instrument for assessing fear of physical activity in patients with heart failure (both with reduced and preserved ejection fraction).

To achieve this, adult individuals diagnosed with heart failure complete additional questionnaires on anxiety, depression, anxiety coping, and other personality traits. Additionally, medical parameters are recorded. A subset of participants wears an accelerometer for one week to objectively measure daily physical activity.

Preliminary results show excellent internal consistency of the questionnaire. Fear of activity was independent of personality traits openness to experience and agreeableness. Higher fear of activity was only moderately associated with depression but could predict reduced daily physical activity as expected.

Publications

Hoffmann, J. M., Hellwig, S., Brandenburg, V. M., & Spaderna, H. (2018). Measuring fear of physical activity in patients with heart failure. International Journal of Behavioral Medicine, 25 (3), 294-303. doi:10.1007/s12529-017-9704-x

National collaborative partners:

Karlsruhe Institute of Technology (KIT), Karlsruhe, Dr. Hey; Department of Cardiology, Pneumology, Angiology, University Hospital Düsseldorf, Prof. Dr. Kelm, Dr. Westenfeld; Research Division Heart Failure and Heart Transplantation, Medical Clinic I, University Hospital Aachen, Prof. Dr. Brandenburg; University of Wuppertal, Faculty G, Psychology, Department of Methodology and Psychological Diagnostics, Prof. Dr. Schulze; Outpatient Rehabilitation Center Cardiowell Wuppertal

Waiting for a new heart

Psychosocial and behavioral predictors of outcomes before and after heart transplantation

The multicenter, prospective observational study "Waiting for a New Heart" has been conducted since 2005 in collaboration with the Eurotransplant International Foundation and 17 clinics. The goal is to identify psychosocial and behavioral patient characteristics that, independent of medical risk, are associated with health improvement or deterioration and the survival of patients during the waiting period, as well as after heart transplantation.

The study included 318 adult individuals who were newly registered on the waiting list between April 2005 and December 2006. During the waiting period, depressive symptoms, social isolation, dietary habits (frequent consumption of foods high in salt and saturated fats; infrequent consumption of foods with unsaturated fats), and low physical activity were associated with a worse prognosis (increased risk of death, urgent transplantation, implantation of mechanical circulatory support devices, or withdrawal due to clinical deterioration, or reduced chance of withdrawal due to clinical improvement).

In the latest phase of the study, utilizing follow-up data until January 2013, two objectives are pursued: (1) examining the combined contribution of psychosocial and behavioral risk factors for outcomes before transplantation using a state-of-the-art Competing Risks approach, and (2) investigating psychosocial and behavioral characteristics for short- and long-term survival after transplantation, controlled for medical risk and transplantation-related variables.

Previous Project Funding: DFG, International Society for Heart and Lung Transplantation, Alexander von Humboldt Foundation, German Academic Exchange Service, Johannes Gutenberg University Mainz

Publications

de Zwaan, M., Tigges-Limmer, K. & Spaderna, H. (2020). Warten auf ein neues Herz. Wie psychosoziale Unterstützung zum Transplantationserfolg beitragen kann. HERZ heute39(3), 24-29.

Spaderna, H., Zittermann, A., Reichenspurner, H., Ziegler, C., Smits, J., & Weidner, G. (2017). Role of depression and social isolation at time of waitlisting for survival 8 years after heart transplantation. Journal of the American Heart Association, 6(12). https://doi.org/10.1161/JAHA.117.007016

Gali, K., Spaderna, H., Smits, J. M., Bramstedt, K. A., & Weidner, G. (2016). Smoking status at time of listing for a heart transplant predicts mortality on the waiting list: A multicenter prospective observational study. Progress in Transplantation, 26(2), 117-121. https://doi.org/10.1177/1526924816640687

Gerhardt, A., Weidner, G., Grassmann, M., & Spaderna, H. (2014). Everyday physical activity in ambulatory heart transplant candidates: the role of expected health benefits, social support and potential barriers. International Journal of Behavioral Medicine, 21, 248-257. https://doi.org/10.1007/s12529-013-9304-3

Spaderna, H., Vögele, C., Barten, M. J., Smits, J. M. A., Bunyamin, V., & Weidner, G. (2014). Physical activity and depression predict event-free survival in heart transplant candidates. Health Psychology, 33(11), 1328-1336. https://doi.org/10.1037/hea0000033

Spaderna, H., Zahn, D., Pretsch, J., Connor, S. L., Zittermann, A., Schulze Schleithoff, S., Bramstedt, K. A., Smits, J. M. A., & Weidner, G. (2013). Dietary habits are related to outcomes in patients with advanced heart failure awaiting heart transplantation. Journal of Cardiac Failure, 19(4), 240-250. https://doi.org/10.1016/j.cardfail.2013.02.004

Weidner, G., Hemmersbach, M., Smits, J.M.A., Kubiak, T., Schulz, U., Gummert, J., Weyand, M. & Spaderna, H. (2013). Prognosis of patients listed for a heart transplant during the pre-transplant period: Does diabetes matter? [Online Observation]. Diabetes Care, 36(4), e45-e46. https://doi.org/10.2337/dc12-1725

Spaderna, H., Weidner, G., Koch, K. C., Kaczmarek, I., Wagner, F. M., & Smits, J. M. A. (2012). Medical and psychosocial predictors of mechanical circulatory support device implantation and competing outcomes in the Waiting for a New Heart Study. Journal of Heart and Lung Transplantation, 31(1), 16-26. Featured Article. https://doi.org/10.1016/j.healun.2011.07.018

Weidner, G., & Spaderna, H. (2012). The role of the Heart Failure Survival Score and psychosocial stress in predicting event-free survival in patients referred for heart transplantation. Correspondence. Journal of Heart and Lung Transplantation, 31(4), 436-438. https://doi.org/10.1016/j.healun.2011.11.021

Weidner, G., Zahn, D., Mendell, N. R., Smits, J. M. A., Deng, M. C., Zittermann, A., & Spaderna, H. (2011). Patients’ sex and emotional support as predictors of death and clinical deterioration in the Waiting for a New Heart Study: results from the 1 Year Follow-Up. Progress in Transplantation, 21(2), 106-114. https://doi.org/10.7182/prtr.21.2.j779w1q6k61k0jk4

Spaderna, H., Mendell, N. R., Zahn, D., Wang, Y., Kahn, J., Smits, J. M. A., & Weidner, G., (2010). Social isolation and depression predict 12-months outcomes in the „Waiting for a New Heart Study“. Journal of Heart and Lung Transplantation, 29(3), 247-254. – Accompanied with an Editorial by W. Kop (2010). https://doi.org/10.1016/j.healun.2009.07.018

Spaderna, H., Zahn, D., Schulze Schleithoff, S., Stadlbauer, T., Rupprecht, L., Smits, J. M. A., Krohne, H. W., Münzel, T., & Weidner, G. (2010). Depression and disease severity as correlates of everyday physical activity in heart transplant candidates. Transplant International, 23(8), 813-822. https://doi.org/10.1111/j.1432-2277.2010.01056.x

Zahn, D., Weidner, G., Beyersmann, J., Smits, J.M.A., Deng, M., Kaczmarek, I., Mehlhorn, U., Reichenspurner, H. C., Wagner, F. M., Meyer, S., & Spaderna, H. (2010). Combined risk scores and depression as predictors for competing waiting-list outcomes in the “Waiting for a New Heart Study”. Transplant International, 23(12), 1223-1232. https://doi.org/10.1111/j.1432-2277.2010.01133.x

Spaderna, H., Weidner, G., Zahn, D., & Smits, J. M. A. (2009). Psychological characteristics and social integration of patients with ischemic and non-ischemic heart failure newly listed for heart transplantation: The Waiting for a New Heart Study. Applied Psychology: Health and Well-Being, 1(2), 188-210. https://doi.org/10.1111/j.1758-0854.2008.01006.x

Scientific Workshop 2019

From October 10 to 12, an international scientific workshop titled "The Relevance of Registry Research for Clinical Practice: Gender Differences in Left Ventricular Assist Device Recipients with a Focus on Psychosocial and Behavioral Factors" took place at the University of Trier, Department of Health Psychology, Nursing Science, Faculty I. Under the leadership of Prof. Dr. Heike Spaderna and Prof. Dr. Gerdi Weidner, scientists from INTERMACS (1) and EUROMACS (2), two major patient registries in the USA and Europe, gathered with students and doctoral candidates from the University of Trier. The workshop program can be found here.

New approaches and research questions for collaborative projects were developed to enhance clinical practice and outcomes for women and men with mechanical heart support systems in the future. Heart diseases are the leading cause of death in Germany. The number of affected individuals increases annually in both Europe and the USA. Technological advancements offer new treatment possibilities. According to the German Heart Report 2017 (German Heart Foundation, 2017), approximately 1000 left ventricular assist devices (LVADs) were implanted in Germany alone in 2016.

The effectiveness of these devices is researched based on patient data from large registries such as INTERMACS (USA) and EUROMACS (EU). Previous scientific investigations into the treatment courses of affected patients generally support the use of LVADs. However, some issues are observed concerning female patients. Women are underrepresented in the registries, and it is still unclear whether women benefit from LVAD implantation as much as men do. Especially with regard to adverse events (e.g., stroke), women seem to be affected more frequently. Existing findings, however, do not provide clear answers, necessitating more research in this gender-specific area. In addition to examining medical parameters, the question arises: What influence do psychosocial and behavioral factors have on the disease courses of affected women?

This is precisely where the workshop led by Director Heike Spaderna (University of Trier) and Co-Director Gerdi Weidner (San Francisco State University, USA) comes into play. They were supported by the German Research Society, the Alexander von Humboldt Foundation, and the University of Trier. Prof. Spaderna and her team, consisting of Lisa-Marie Maukel, Sarah Löchel, Julia Ruff, Natascha Lauer, and Tabea König, were pleased to welcome Marissa A. Miller (National Institutes of Health, USA), Kathleen L. Grady (Northwestern University, Chicago, USA), Jan Beyersmann (Ulm University, Germany), Theo M.M.H. de By (European Association of Cardiothoracic Surgery, UK, EUROMACS), Markus Barten (University Medical Center Hamburg-Eppendorf, Germany), Christiane Kugler (Albert-Ludwigs-University Freiburg, Germany), Volker Lauenroth (Heart and Diabetes Center NRW, Germany), Katrien Vandersmissen (Universitair Ziekenhuis Leuven, Belgium), and John Pennington (University of Alabama, USA, Kirklin Institute of Research in Surgical Outcomes) from October 10 to 12 at the University of Trier.

The workshop facilitated international and interdisciplinary collaboration among scientists in the fields of psychology, nursing science, statistics, data management, cardiology, as well as nursing coordinators involved in ventricular assist device (VAD) care. Lectures, research reports, practice reports, group work, and discussions provided an excellent foundation for addressing open questions, identifying research gaps, and establishing future collaborations. Promising methodological approaches were discussed, and opportunities for funding further research projects were explored. This marked an important step toward improving the care of patients with LVADs.

(1) INTERMACS: Interagency Registry for Mechanically Assisted Circulatory Support

(2) EUROMACS: European Registry for Mechanically Assisted Circulatory Support

Contact:

Prof. Dr. Heike Spaderna

spaderna@uni-trier.de +49 (0)651 201-4335 (Secretary) Health Psychology Faculty I - Nursing Science University of Trier 54286 Trier

Sources:

German Heart Report. Frankfurt am Main: German Heart Foundation, 2017.

[Translate to Englisch:] Workshop 2019
[Translate to Englisch:] Workshop 2019

Coping Conference 2017

[Translate to Englisch:] Coping-Tagung 2017

Research on Coping with Stress

22nd Coping Conference at the University of Trier

On June 23 and 24, 2017, researchers gathered at the University of Trier for the 22nd Coping Conference to present and discuss new research projects and findings in the areas of stress coping, well-being, and health. The conference, held annually at various locations, is open to professionals in this field. It sees itself less as a congress and more as a platform for discussion and informal exchange. Therefore, this forum is particularly suitable for young researchers to present and discuss their work and to receive feedback from experienced experts.

The host was the department of Heike Spaderna, Professor of Health Psychology at the University of Trier. The results of the Coping Conference are intended to contribute to diversifying patient care in the region.