Workgroup Qualitative Social Research

Head: Priv. Doz. Dr. phil. Silvia Krumm

The Workgroup Qualitative Social Research is located at the Department of Psychiatry II at Ulm University and is dedicated to the implementation, application and development of qualitative methods in social psychiatric research. It complies with increasing demands for social science approaches in order to gain a comprehensive understanding of mental health and with the consideration and/or involvement of subjective perspectives in mental health research. The research is focussed on sociological approaches to mental health issues including gender, family, or violence. Since 2014, the workgroup provides the „Qualitative Research Workshop“ on a monthly basis including peer-support for junior researchers.

Further information and registration via silvia.krumm@uni-ulm.de.

Profilbild von Priv. Doz. Dr. phil. Silvia Krumm

Priv. Doz. Dr. phil. Silvia Krumm

M. A. soc. | Head of Workgroup Qualitative Social Research

Contact

Postal address:

Workgroup Qualitative Social Research
Department of Psychiatry II, Ulm University
Bezirkskrankenhaus Günzburg
Lindenallee 2
89312 Günzburg, Germany

Ongoing Projects

Unwanted pregnancies among women with mental health problems
Duration: 2020 - 2023

Lead:
Priv. Doz. Dr. phil. Silvia Krumm, M. A., Department of Psychiatry II, Ulm University, Head of Workgroup Qualitative Social Research

Project partners:
Hochschule Fulda (Prof. Dr. Daphne Hahn, Gesamtkoordination)
Evangelische Hochschule Freiburg, SoFFi F. (Prof. Dr. Cornelia Helfferich)
Hochschule Merseburg (Prof. Dr. Maika Böhm)
Freie Universität Berlin (Prof. Dr. Christine Knaevelsrud)
Hochschule Nordhausen (Prof. Dr. Petra Brzank)

Staff Ulm University:
Yamara-Monika Wessling, M. A.
Dr. Susanne Jaeger
Chloe Rascacea

Finance: Federal Ministry of Health 

Funding: 293.638,36 €

Duration: 2020 – 2023

Summary:
ELSA PSY is a sub-project of the nationwide study ELSA: Experiences and life situations of women with unwanted pregnancies - counseling and care services https://elsa-studie.de/). The overall aim of the study is to draw evidence based conclusions for the development and improvement of health and psychosocial services for women experiencing unwanted pregnancies. On the one hand, we aim at the identification of the burdens and resources over time of women who carry or terminate an unwanted pregnancy. On the other hand, we will analyze women’s service and support needs. Finally, the perspective of health professionals and relevant institutions will be examined.

The sub-projects of the overall study take women into account who are considered to be particularly vulnerable. This includes women with mental health problems, who are the focus of the sub-project ELSA PSY at Ulm University. Previous findings show that women with mental health problems more often become pregnant unintentionally and that they are confronted with special challenges in dealing with the pregnancy due to specific reproductive risks and sociocultural factors. At the same time, there are indications that an unwanted pregnancy can be related to considerable psychological distress. Overall, it can therefore be assumed that women with mental health problems have specific support needs. However, the research on this is still deficient.

The aim of the subproject ELSA PSY is therefore to examine the psychosocial problems at the onset and in the further course of an unwanted pregnancy, to inquire about attitudes and behavior in dealing with an unwanted pregnancy, as well as to examine the subjective need and the use of counseling and support services by women with mental health problems. Methodically, the analysis is carried out on the basis of a representative online survey of women with unwanted pregnancies carried to term as well as women who terminated the pregnancy. Building on this, in-depth analyzes of the subjective constructions of meaning in dealing with an unwanted pregnancy in the context of mental health are carried out using narrative-biographical approaches. The results provide an empirical basis for developing appropriate services for women with mental health problems who have become pregnant unintentionally.

Development of recommendations for actions for the implementation of existing guidelines on psychopharmacotherapy for individuals with intellectual disabilities
Duration: 2021 - 2022

Lead:
Prof. Dr. sc. hum. habil. Dipl.-Psych. Matthias Schützwohl, Department of Psychiatry and Psychotherapy, Technical University Dresden 

Project partners:
Priv. Doz. Dr. phil. Silvia Krumm, M. A., Department of Psychiatry II, Ulm University, Head of Workgroup Qualitative Social Research

Staff Ulm University:
Lea Mayer
Nicole Stasch

Finance: Innovationsfonds des Gemeinsamen Bundesausschusses (G-BA)

Funding: 249.504 €

Duration: 2021 – 2022

Summary:
Recent studies indicate a lack of implementation of existing guidelines on psychopharmacotherapy for individuals with Intellectual Disability (ID) living in institutionalized residential settings. Therefore, the current project aims to support the implementation of existing guidelines by developing recommendations for action.
In a first step, we plan to interview professionals from residential settings for individuals with ID in two German federal states (Baden-Wuerttemberg and Saxony) about promoting factors and barriers for the implementation of guidelines on psychopharmacotherapy for individuals with ID. With the results of the interviews, focus groups will be developed in a second step. Focus groups will be conducted with professionals from residential settings for individuals with ID in Baden-Wuerttemberg and Saxony. The aim of focus groups is to develop recommendations for action for existing guidelines on psychopharmacotherapy for individuals with ID. In a third step, the recommendations will be summarized and disseminated. The recommendation for action can contribute to a more guideline-compliant psychopharmacological treatment of persons with IE living in institutionalized residential settings in Germany.

Masculinity constructions and mental health behavior among depressed men
Duration: 10/2016 - 09/2019, Cost-neutral extension until June 2021: Special evaluation of paternity in men with depression

Lead:
Priv. Doz. Dr. phil. Silvia Krumm, M. A. soc., Department of Psychiatry II, Ulm University, Head of Workgroup Qualitative Social Research
Prof. Dr. rer. soc. Reinhold Kilian, Department of Psychiatry II, Ulm University
Prof. Dr. med. Harald Gündel, Klinik für Psychosomatische Medizin und Psychotherapie der Universität Ulm, Medical director

Project partners:
Prof. Dr. med. Thomas Becker, Department of Psychiatry II, Ulm University, Medical director
Dr. med. Petra Beschoner, Klinik für Psychosomatische Medizin und Psychotherapie der Universität, Oberärztin und Leitung Verhaltenstherapeutische Behandlungsgruppe

Staff Ulm University:
Dr. PH Tobias Staiger
Maja Stiawa, M. A. soc.
Dr. biol. hum. Annabel Sandra Müller-Stierlin
Dr. phil. Felicitas Söhner
Christian Götzl, M. A.

Finance: German Research Foundation (DFG)

Funding: 416.482 €

Duration: October 2016 – September 2019, Cost-neutral extension until June 2021: Special evaluation of paternity in men with depression

Summary:    
The prevalence of depression in women is twice the rate in men while men have much higher suicide rates. It is assumed that this ´gender paradox in depression´ is related to the fact that gender-specific bio-psychosocial factors are not adequately taken into account in the treatment of depressed men. Despite a broad consensus on the need for adequate mental health services for men and women suffering from depression, there is a knowledge gap regarding men´s needs with regard to depressive illness. By focusing on the concept of traditional masculinity some studies provide a one-dimensional understanding of men´s (mental) health behavior including reduced service use. Beyond such stereotypes, little is known about male mental health behavior, service needs and masculinity constructions in the context of depression, as well as men´s coping strategies in relation to discourses of masculinity and/or depression. Furthermore, there is a lack of knowledge on how men´s specific needs are addressed and/or met by mental health services.
Against the background of rising health service use due to depression among both men and women the mixed-method-study aims at a comprehensive analysis of men´s masculinity constructions and consequences for their mental health behavior: First, depressed men´s masculinity constructions with regard to social factors, job involvement, and attitudes towards mental illness will be analysed by cluster analysis on the basis of interviews with men suffering from depression. Masculinity types will then be identified and related to specific indicators of mental health behavior. Second, on the basis of these types, qualitative interviews will be conducted with exemplary cases in order to gain a deeper understanding of men´s subjective perspectives regarding their coping with depression. These results, on the basis of focus groups with depressed men, will be validated communicatively. Finally, semi-structured interviews will be conducted with mental health professionals to understand their views and attitudes towards depressed men and their service needs.
By analyzing male patients´ and professionals´ perspectives on male coping strategies and mental health needs the study provides an empirically based starting point for the development of gender sensitive mental health services. From a gender perspective the study aims at a better understanding of masculinity constructions in the context of depression with regard to social and discursive factors. Furthermore, through an analysis of the diversity of masculinity concepts, the study contributes to a more detailed picture of depression in men.

Publications: 

  1. Staiger T, Stiawa M, Mueller-Stierlin A, Kilian R, Beschoner P, Gündel H, Becker T, Frasch K,  Panzirsch M, Schmauß M, Krumm S. Masculinity and Help-Seeking Among Men With Depression: A Qualitative Study. Frontiers in Psychiatry 2020, 11:599039.
  2. Götzl C, Staiger T, Krumm S. Erschöpfte Väter? Vaterschaft und psychische Erkrankung. Sozialpsychiatrische Informationen 2020, 50(3):42-45.
  3. Kilian R, Müller-Stierlin A, Söhner F, Beschoner P, Gündel H, Staiger T, Stiawa M, Becker T, Frasch, K, Panzirsch M, Schmauß M, Krumm S. Masculinity norms and occupational role orientations in men treated for depression. PLOS ONE 2020, 15(5):e0233764.
  4. Stiawa M, Müller-Stierlin A, Staiger T, Kilian R, Becker T, Götzl C, Gündel H, Beschoner P, Grinschgl A, Frasch, K, Schmauß M, Krumm S. Männer mit depressiven Erkrankungen in der stationären Behandlung. Bedarf und Behandlungsziele aus Sicht psychiatrischer Fachkräfte. Psychiatrische Praxis 2020, DOI: 10.1055/a-1149-5429.
  5. Stiawa M, Müller-Stierlin A, Staiger T, Kilian R, Becker T, Götzl C, Gündel H, Beschoner P, Grinschgl A, Frasch, K, Schmauß M, Krumm S. Mental Health Professionals View About the Impact of Male Gender for the Treatment of Men With Depression - A Qualitative Study. BMC Psychiatry 2020, 20(1):276.
  6. Staiger T, Stiawa M, Müller-Stierlin A, Kilian R, Beschoner P, Gündel H, Becker T, Frasch, K, Panzirsch M, Schmauß M, Krumm S. Depression und Männlichkeit: Krankheitstheorien und Bewältigung – Eine biografisch-narrative Studie. Psychiatrische Praxis 2020, 47:65-70.
  7. Krumm S, Kilian R, Beschoner P, Becker T, Gündel H: Wenn Mann sein zum Problem wird. Zum Verhältnis von Männlichkeitsorientierung und Depression. Sozialpsychiatrische Informationen 2018, 48, 23-26 
  8. Krumm S, Checchia C, Koesters M, Kilian R, Becker T. Men's Views on Depression: A Systematic Review and Metasynthesis of Qualitative Research. Psychopathology. 2017;50(2):107-124
Participatory Research accompanying the project “Living Lab AI4U - artificial intelligence for personalized digital mental health promotion for youth”
Duration: 01/2021 - 12/2023

Project website: www.zi-mannheim.de/en/research/departments-research-groups-institutes/public-mental-health/infos-pmh-e.html/#Real

Head of Participatory Health Research:
Priv. Doz. Dr. phil. Silvia Krumm, M. A., Department of Psychiatry II, Ulm University, Head of Workgroup Qualitative Social Research

Lead:
Prof. Dr. Ulrich Reininghaus, Head of Department Public Mental Health, Central Institute of Mental Health, Mannheim (CIMH)

Project partners:

Central Institute of Mental Health, Mannheim (CIMH)

  • Department of Public Mental Health
  • Department of Theoretical Neurosciences

Involved stakeholders:
Jugendgemeinderat Baden-Württemberg
Jugendstiftung Baden-Württemberg
Zentrum für Schulqualität und Lehrerbildung
Landesverband Schulpsychologie Baden-Württemberg
Landesarbeitsgemeinschaft für Erziehungsberatung Baden-Württemberg
Netzwerk Schulsozialarbeit Baden-Württemberg
Landesmedienzentrum Baden-Württemberg (LMZ)
War Child Deutschland
Fachbereich Schulpsychologie Mannheim
movisens GmbH

Staff Ulm University:
Selina Hiller, B. Sc.
Christian Götzl, M. A.

Staff Central Institute of Mental Health, Mannheim (CIMH):
Prof. Dr. Daniel Durstewitz (Professor in Theoretical Neuroscience / Head of Department)
Dr. Georgia Koppe (Head of RG Computational Psychiatry)
Christian Rauschenberg, M. Sc.

Finance: Federal Ministry of Science, Education and Culture of Baden-Württemberg (MWK)

Funding: 216.644 € (Evaluation Ulm)

Duration: 01/2021 – 12/2023

Summary:
Mental disorders are among the main causes of disease burden in young age groups, with three fourths of all mental disorders first emerge before the age of 24. At the same time, studies have shown that young people, despite evidence on an objective and subjective need, are often insufficiently reached by health promotion and preventive interventions, as these are often not tailored to their individual needs or daily routines. Measures to contain the SARS-CoV-2 pandemic (social distancing, homeschooling) and the resulting psychosocial distress in young people further emphasize the need for novel intervention strategies, which can be used individually, in any given context and without personal contact.

The Living Lab AI4U “Artificial Intelligence for personalized digital mental health promotion in youth”, which is conducted in Mannheim and Ulm, aims to examine how the digital transformation in health care based on the new application of AI methods can succeed. For this purpose, a digital mobile health training for mental health promotion and prevention in adolescents and young adults is being developed, which is tailored to person, moment and context in individuals' daily life. Modern AI algorithms, recurrent neural networks in particular, can support mental health promotion and prevention in young people by evaluating multimodal ecological momentary assessment data, determining predictive factors, process forecasts and their translation back into suggestions for behavioral options.

AI4U will be carried out in a 3-year project phase with the direct participation of young people through focus groups and research workshops as well as expert interviews with relevant stakeholders from the areas of educational counseling, school psychological counseling, school social work, and media education. The primary goal is to strengthen emotional resilience and other protective factors in adolescents and young adults. For this purpose, quality assessments will be conducted primarily focusing on a) quality from the user perspective, safety, feasibility and effectiveness of the AI-based mHealth training, as well as b) initial process and outcome quality and barriers and facilitators of implementation and structural embedding. The participation of non-academic actors and potential users will ensure ongoing quality assurance, sustainability assessment, public relations and networking.

Completed Projects

Lead: Prof. Dr. Reinhold Kilian, Dr. phil. Silvia Krumm

Duration: 2007-2009

Publications:

  1. Krumm S (2010): Biografie und Kinderwunsch bei Frauen mit schweren psychischen Erkrankungen. Eine soziologische und sozialpsychiatrische Untersuchung. Bonn: Psychiatrie-Verlag
  2. Krumm S, Kilian R, Becker T (2011): „Ich werde sie sicherlich nicht einfach so in die Welt setzen…“. Der soziale Kontext des Kinderwunschs aus der Sicht von Frauen mit psychischen Erkrankungen. Eine qualitative Studie. Psychiatrische Praxis 38, 23–30
  3. Krumm S, Kilian, R, Becker, T (2010): "Ein Kind wäre schon ein Wunsch..." Kinderwunsch und psychische Erkrankung aus der subjektiven Sicht betroffener Frauen. Psychiatrische Praxis 37, 134-41

Duration: 03/2011 - 04/2015

Publications:

  1. Krumm S, Checchia C, Kilian R, Becker T. Mental health nurses’ and psychiatrists’ views on addressing parenthood issues among service users. International Journal of Mental Health Nursing 2018, First published: 01 August 2018; doi.org/10.1111/inm.12525
  2. Checchia C, Badura-Lotter G, Kilian K, Becker T, Krumm S: Umgang mit Elternschaft psychiatrischer  Patienten während der stationären Behandlung: Möglichkeiten und  Grenzen aus subjektiver Sicht psychiatrischer Fachkräfte. Psychiatrische Praxis Psychiat Prax Psychiat Prax 2017; 44(06): 332-338.
  3. Checchia C, Badura-Lotter G, Kilian R, Becker T, Krumm S. Kinderwunsch und Familienplanung psychiatrischer PatientInnen aus Sicht der Fachkräfte – Ergebnisse einer qualitativen Studie Psychiatrische Praxis 2016, 43(8), 23–30. 
  4. Krumm S, Checchia C, Badura-Lotter G, Kilian R, Becker T: The attitudes of mental health professionals towards patient’s desire for children. BMC Medical Ethics 2014 15:18
  5. Badura-Lotter G, Krumm, S (2014): Kinderwunsch und  Elternschaft bei psychisch Kranken? Eine Topographie ethischer Konfliktlagen. In: Feuerstein, G. & Schramme, T. (Hrsg): Ethik der Psyche. Campus.
  6. Krumm S: „Was ganz Wichtiges im Leben“: Kinderwunsch und Elternschaft bei psychischen Erkrankungen aus zwei Perspektiven. Kerbe 32, 2014, Nr. 4, S. 42-45.
  7. Checchia C, Badura-Lotter G, Kilian R, Becker T, Krumm S. "Hat ja jeder eigentlich das Recht" - Zum professionellen Umgang mit Kinderwunsch und Elternschaft bei psychiatrischen PatientInnen. In: Wolfersdorf M, Laux G (Hrsg) 9. Forschungskongress der Fachkliniken der bayerischen Bezirke. Kloster Irsee 2013. Roderer Verlag Regensburg 2014

Duration: 2004 - 2006

Publication:

  1. Krumm S, Kilian R, Becker T: Attitudes towards patient gender among psychiatric hospital staff. Results of a case study with focus groups. Social Science and Medicine 2006, 62(6): 1528-40.