Jun.-Prof. Dr. Adina Carmen Rusu-Klappheck

Wissenschaftliche Mitarbeiterin

Research Staff

Room MA 0/141
Phone +49 234 32 27577
Fax +49 234 32 14203
E-Mail Rusu-Klappheck@medpsych.rub.de
Hours on appointment




Research Interests

Overview
Neuro-cognitive mechanisms and changes in musculoskeletal disorders
Cognitive processing, negative affectivity and distress in chronic pain
Treatment and measurement in depressed pain patients
Psychosocial subgroups in patients with chronic pain
Measurement and development of instruments for social support and coping with chronic illnesses
Attachment, interpersonal relationships and clinical disorder in adolescents

Research Projects

Cognitive processing, negative affectivity and distress in chronic pain
Adina Rusu is interested in cognitive processes of pain-related disability and suffering and how they relate to mood and behaviour. Her research is particularly focusing on cognitive biases and future thinking in chronic pain and depression. Research has revealed qualitative differences among patients with clinical depression and depressed pain patients. The way people view themselves and their ideas about their future might be a key to prevent suffering.

The proposed study aims to compare cognitive biases with reference to future thinking in four different groups: People with persistent pain, people with pain who are also depressed, people with a diagnosed depression but without pain and matched controls. A mixed methods approach will combine cognitive experimental approaches with self-report data in order to identify schema specific contents of depressed pain patients. Finding further evidence for these differences may improve our understanding of the underlying cognitive and behavioural processes of adjustment and may facilitate the accurate identification and treatment of depression in chronic pain.


Cognitive biases and future thinking in chronic pain and depression

Principle investigators
Dr. Adina C. Rusu

Financial support
Supported by a PhD Studentship from the Friedrich-Ebert Foundation (Germany) and a grant from the Central Research Fund of the University of London (U.K.).

Research collaborations:
Dr. Tamar Pincus, Department of Psychology, Royal Holloway, University of London, U.K.
Steven Vogel, British School of Osteopathy, London, U.K.
Dr. Charles Pither, Dr. Johannes van der Merwe, Real Health Institute, London, U.K.
Dr. Richard Savage, Stockwell Group Practice, London, U.K.
Dr. Dylan Morrissey, Department of Physiotherapy, Mile End Hospital, London, U.K.
Prof. Martin Underwood, Barts and The London, Queen Mary's School of Medicine and Dentistry, London, U.K.
Musculoskeletal Process of Care Collaboration (MPCC)
Treatment and measurement in depressed pain patients
Several reviews have described the difficulty in accurate and appropriate measurement of negative mood in pain patients (Pincus & Williams, 1999; Clyde & Williams, 2002). Although assumed to be a 'gold standard', little research has been done to investigate the validity and appropriateness of the Structured Clinical Interview for DSM-IV (SCID; First et al., 2002) for use with patients who have chronic back pain and depression. The aim is to examine, which elements of the SCID relate to pain versus depressed mood and to relate emerging themes from depressed back pain patients and depressed patients to leading theories of pain and depression.

Additional problems with accurate measurement of mood are related to criterion contamination by somatic items in the case of negative mood and a lack of measurement of positive affect in pain populations. The development of new measures is needed to address these concerns by measuring distress without somatic items and positive affect (Pincus et al., 2004).


Reliability and validity of the SCID interview for depression for the use with chronic back pain patients

Principle investigators
Dr. Adina C. Rusu, Dr. Tamar Pincus

Responsiveness and construct validity of the Depression, Anxiety and Positive Outlook Scale (DAPOS)

Principle investigators
Dr. Tamar Pincus, Dr. Adina C. Rusu

Financial support
Supported by two grants from Back Care, U.K. a charity for back pain.

Research collaborations
Dr. Tamar Pincus, Department of Psychology, Royal Holloway, University of London, U.K..
Dr. Charles Pither, Dr. Johannes van der Merwe, Real Health Institute, London, U.K.
Steven Vogel, British School of Osteopathy, London, U.K.
Psychosocial subgroups in patients with chronic pain
Patients with chronic back pain are a heterogeneous group, differing in their pain-related responses. Researchers have pointed out the need to detect distinct subgroups of patients to tailor interventions in order to improve treatment outcomes (Turk, 2005; Vlaeyen & Morley, 2005). The aim is to examine possible differences between subgroups with particular focus on fear-avoidance coping and pain-related endurance coping.

Groups were compared on patterns of pain-related fear-avoidance coping (anxiety/depression; help-/hopelessness; catastrophizing; avoidance of social and physical activity) and endurance coping (positive mood; thought suppression; endurance behaviour) measured by the Kiel Pain Inventory (KPI; Hasenbring, 1994). In a first study, we found that subgroups differed significantly across the scales for pain-related fear-avoidance and endurance coping.

Empirically derived subgroups of patients with chronic pain: Considering heterogeneity for treatment.

Principle investigators
Dr. Adina C. Rusu, Prof. Dr. Monika Hasenbring

Financial support
Supported by a PhD Studentship from the Friedrich-Ebert Foundation (Germany)

Scientific career

Education and qualifications
2004-2008 Royal Holloway, University of London / London, UK.

PhD Programme in Psychology in association with University of Bochum, Germany. Research topic: Cognitive biases and future thinking in chronic pain and depression. Supervisor: Prof. Tamar Pincus, Advisor: Prof. Bernice Andrews.
2006 The RealHealth Institute / London, UK.

Clinical Internship: Interdisciplinary, cognitive behavioural pain management programme. Medical director: Dr. Charles Pither; Clinical Psychologist: Dr. Johannes Van der Merwe.
2007 University of Keele / Keele, U.K.

Delegate at the Decade of Flags Conference
2005-2006 Lifespan Research Group, University of London / London, U.K.

Childhood Experiences of Care and Abuse (CECA) interview training and the Attachment Style (ASI) interview training with Prof. Antonia Bifulco.
2002-2005 University of Bochum / Bochum, Germany

Postgraduate Training in Cognitive-Behavioural Psychotherapy.
Full chartered clinical psychologist. Supervision: Prof. Dietmar Schulte and Prof. Monika Hasenbring.
2003-2004 German Society for Behavioural Therapy / Krefeld, Germany

Postgraduate Training in Cognitive Behavioural Psychotherapy with Children and Adolescents.
2000-2003 University of Bochum / Bochum, Germany

Philosophy, Social Science and Educational Science.
1996-2003 University of Bochum / Bochum, Germany

Degree in Psychology (equivalent to BSc and MSc with distinction).
Dissertation: The development and validation of a measure of spousal support in chronic pain patients. Supervisors: Prof. Monika Hasenbring and Dr. Pi Ovaskainen.
1998-2004 Training in Clinical Hypnosis, full chartered Hypnotherapist (German Society of Hypnosis). Special focus: Hypnotic techniques in pain relief.

Trainings in "Cognitive-Behavioural Pain Management", "Brief-Psychotherapy", and several relaxation techniques.
Academic positions and posts held
08/09 -heute University of Bochum / Bochum, Germany

Assistant Professor at the Department of Medical Psychology and the Pain Management Unit. Director: Prof. Dr. Monika Hasenbring.
03/07-07/09 University of Bochum / Bochum, Germany

Research Fellow and Lecturer at the Department of Medical Psychology and the Pain Management Unit. Director: Prof. Dr. Monika Hasenbring.
seit 2007 Royal Holloway, University of London / London, UK.

Associated Researcher at the Lifespan Research Group, Department of Health and Social Care. Director: Prof. Antonia Bifulco.
08/06-02/07 Royal Holloway, University of London / London, UK.

Research Assistant at the Department of Psychology (Prof. Tamar Pincus).
07/05-02/07 Royal Holloway, University of London / London, UK.

Research Assistant at the Lifespan Research Group, Department of Health and Social Care. Director: Prof. Antonia Bifulco.
2002-2004 Freelance Trainer: Run training courses in relaxation techniques, stress management and self-hypnosis for health professionals and community centres
2002-2003 University of Bochum / Bochum, Germany

Lecturer at the Department of Medical Psychology and Sociology: Psychology of pain, health psychology and clinical psychology.
2003-2004 University of Bochum / Bochum, Germany

Assistant Clinical Psychologist, Pain Management Unit, Department of Medical Psychology. Supervisor: Prof. Dr. Monika Hasenbring.
2002-2003 Institute of Psychiatry, University of Bochum / Bochum, Germany

Assistant Clinical Psychologist (worked with patients with different mental disorders). 
2002 Institute for Assessment and Learning Therapy / Bochum, Germany

Worked with legasthenic children.
1999-2002 Counselling for the Red Cross / Bochum, Germany

Worked as a counsellor for people with dementia and their relatives.
1998-2000 University of Bochum / Bochum, Germany

Research Assistant at the Department of Medical Psychology and Sociology and the Centre for Psychotherapy.

Publications

Peer reviewed publications
A.C. Rusu-Klappheck (2012). Depression im Kontext von chronischen Schmerzen: Neue Entwicklungen in Diagnostik und Therapie. Z Med Psychol Sonderheft 21: 29.
Rusu AC, Pincus T, Morley S (2012). Depressed pain patients differ from other depressed groups: Examination of cognitive content in a sentence completion task. Pain. 2012 Jul 4. [Epub ahead of print] PubMed
Hasenbring, M. I., Rusu, A. C., & Turk, D. C. (Eds.) (2012). From acute to chronic back pain: Risk     factors, mechanisms, and clinical implications. New York NY: Oxford University Press.
Hasenbring, M. I., Hallner, D., & Rusu, A. C. (2012). Endurance-Related Pain Responses in the Development of Chronic Back Pain. In M. I. Hasenbring, A. C. Rusu, & D. C. Turk (Eds.), From acute to chronic back pain. Risk factors, mechanisms, and clinical implications (pp. 295–314). New York NY: Oxford University Press.
Rusu A. C., & Pincus T. (2012). Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain. In M. I. Hasenbring, A. C. Rusu, & D. C. Turk (Eds.), From acute to chronic back pain. Risk factors, mechanisms, and clinical implications (pp. 315–338). New York NY: Oxford University Press.
Rusu A. C., Boersma, K., & Turk, D. C. (2012). Reviewing the Concept of Subgroups in Subacute and Chronic Pain and Potential of Customizing Treatment. In M. I. Hasenbring, A. C. Rusu, & D. C. Turk (Eds.), From acute to chronic back pain. Risk factors, mechanisms, and clinical implications (pp. 485–512). New York NY: Oxford University Press.
Hasenbring, M. I., Klasen, B. W., & Rusu A. C. (2012). Risk Factor-Based Cognitive-Behavioural Therapy for Acute and Subacute Back Pain. In M. I. Hasenbring, A. C. Rusu, & D. C. Turk (Eds.), From acute to chronic back pain. Risk factors, mechanisms, and clinical implications (pp. 513–530). New York NY: Oxford University Press.
Hasenbring MI, Hallner D, Klasen B, Streitlein-Böhme I, Willburger R, Rusche H. Pain-related avoidance versus endurance in primary care patients with subacute back pain: Psychological characteristics and outcome at a 6-month follow-up. Pain. 2012 Jan;153(1):211-7. Pub Med
Hasenbring M., Hallner D., Rusu A. C. Fear-avoidance- and endurance-related responses to pain: Development and validation of the Avoidance-Endurance Questionnaire (AEQ). Eur J Pain. 2009 Jul;13(6):620-8. Pub Med
Hasenbring M., Hallner D., Rusu A. C. Comment on: chronic pain: avoidance or endurance? by Petra Karsdorp and Johan Vlaeyen. Eur J Pain. 2009 Jul;13(6):662-3. Pub Med
Hasenbring, M. I., Hallner, D. & Rusu, A. C. (2008). The Avoidance-Endurance Questionnaire: Development and validation of a short version of the Kiel Pain Inventory (KPI). European Journal of Pain
Rusu, A. C. (2008). Cognitive biases and future thinking in chronic pain. Unpublished doctoral thesis. London UK: University of London.
Rusu, A. C., Pincus, T. & Morley, S. J. Measuring depressive thinking in chronic pain: Development and preliminary validation of the Sentence Completion Test for Chronic Pain (SCP). Abstracts of the 12th World Congress on Pain, International Association for the Study of Pain, Glasgow, U.K. 2008: PH 317.
Rusu, A. C., Hasenbring, M. Multidimensional Pain Inventory derived classifications of chronic pain: Evidence for maladaptive coping within the dysfunctional group. Pain. 2008, 134 (1-2): 80-90. Pub Med
Rusu, A. C. & Hasenbring, M. Psychosocial subgroups in patients with chronic pain: Evidence for maladaptive pain-related coping within the dysfunctional group based on the Multidimensional Pain Inventory. International Journal of Psychology. 2008, 43 (3/4): 513 - 514.
Hasenbring M., Hallner D., Rusu A. C. Fear avoidance and endurance related responses to pain: Development and validation of the Avoidance Endurance Questionnaire (AEQ). European Journal of Pain. 19-DEC-2008 DOI information: 10.1016/j.ejpain.2008.11.001. Pub Med
Hasenbring, M. I., Rusu, A. C. & Hallner, D. The Kiel-Pain-Inventory Avoidance-Endurance Questionnaire (KPI-AEQ) to assess cognitive/affective and behavioral responses to pain: Development and first validation. Abstracts of the 12th World Congress on Pain, International Association for the Study of Pain, Glasgow, U.K. 2008: PF 325.
Pincus, T., Rusu, A., Santos, S. Responsiveness and construct validity of the Depression, Anxiety and Positive Outlook Scale (DAPOS). Clinical Journal of Pain. 2008, 24 (5): 431-437. Pub Med
Rusu, A. C. Deliberate self-harm among high-risk adolescents in the UK: The significance of attachment and role reversal. International Journal of Psychology. 2008, 43 (3/4): 566.
Rusu, A. C. (2007). Self-harm and disorder among high-risk young Londoners: The role of gender in attachment and disorder. Conference Abstracts, British Psychological Society, Psychology of Women Section, Annual Conference, Windsor, U.K.: 28 - 29.
Rusu, A. C., Santos, R., Vogel, S., Pither, C., Williams, A. & Pincus, T. (2007). Responsiveness and construct validity of the Depression, Anxiety and Positive Outlook Scale. Book of Abstracts, Annual Scientific Meeting of the British Pain Society, Glasgow, U.K.: R49.
Rusu, A. C. & Hasenbring, M. (2006). Psychosocial subgroups in patients with chronic pain: Evidence for maladaptive pain-related coping within the dysfunctional group based on the Multidimensional Pain Inventory. European Journal of Pain, 10 (1): 241-242.
Rusu, A. C., Ovaskainen, P. & Hasenbring, M. (2004). Die Erfassung der sozialen Unterstützung bei chronischen Schmerzpatienten [Assessment of social support in chronic pain patients]. In D. Hallner, O. v.d. Knesebeck & M. Hasenbring (Hrsg.), Neue Impulse in der Medizinischen Psychologie und Medizinischen Soziologie. Lengerich: Pabst Science Publishers: 20 - 21.
Rusu, A. C., Ovaskainen, P. & Hasenbring, M. (2003). The role and assessment of social support in chronic back pain patients. Book of Abstracts, Forth Congress of the European Federation of the International Association for the Study of Pain Chapters: 441.
Rusu, A. C., Ovaskainen, P. & Hasenbring, M. (2002). Soziale Unterstützung bei chronischen Schmerzen: Entwicklung und Validierung eines neuen Fragebogens (FPUS) [Social support in chronic pain: Development and preliminary validation of a new questionnare]. Der Schmerz, 16 (1): 83.
Rusu, A. C., Ovaskainen, P. & Hasenbring, M. (2002). Konstruktion und Validierung eines Fragebogens zur Erfassung der partnerschaftlichen Unterstützung bei chronischen Schmerzen (FPUS). Abstractband des 3. Kongresses der Deutschen Gesellschaft für Psychologische Schmerztherapie und -forschung (DGPSF) [Development and validation of a measure of spousal support in chronic pain patients] in Prien: 44 - 45.
Reports and Media
British Psychological Society (2007). Neglected girls more likely to self-harm. Press release, 20/07/2007.
Rusu, A. C. (2007). Attachment style in the context of physical illnesses. Newsletter, June 2007, Lifespan Research Group, Royal Holloway, University of London, U.K.
Rusu, A. C. (2007). Self-harm and clinical disorder among young Londoners. Newsletter, June 2007, Lifespan Research Group, Royal Holloway, University of London, U.K.
Rusu, A. C. (2006). Bullying victimisation in adolescents and clinical disorder. Newsletter, December 2006, Lifespan Research Group, Royal Holloway, University of London, U.K.
Rusu, A. C. (2006). Psychosocial mechanisms of persistent pain. Newsletter, June 2006, Department of Physiotherapy, Mile End Hospital, London, U.K.
Bifulco, A., Robinson, N., Bunn, A., Lorenc, A. & Rusu, A. C. (2006). Solutions on Stress (SOS): Stress Management and Prevention for School Children and Students. DVD Documentation, Royal Holloway, March, 2006.
Bifulco, A., Robinson, N., Bunn, A., Lorenc, A. & Rusu, A. C. (2006). Workshops Tackle Stress in Young People. Nursing Times, Volume 102 (26), 21.
Spiegel Online, 05.03.2002. Stipendien in Serie: Auch ohne Parteibrille gerne gesehen. Von Britta Heidemann.
Presentations
Rusu, A. C., Pincus, T. & Morley, S. J. (2008). Measuring depressive thinking in chronic pain: Development and preliminary validation of the Sentence Completion Test for Chronic Pain (SCP). Poster presented at the “Symptom Perception, Illness Behaviour Special Interest Meeting”, Ghent, Belgium, 22 September 2008.
Rusu, A. C. (2008). Deliberate self-harm among high-risk adolescents in the UK: The significance of attachment and role reversal. Invited presentation for the international symposium “Insecure attachment style and depression in adolescents and adults: The impact on parenting and partner roles”. XXIX International Congress of Psychology, 20 – 25 July 2008, Berlin, Germany (ICP Travel Award).
Rusu, A. C. (2007). Self-harm and disorder among high-risk young Londoners: The role of gender in attachment and disorder. Invited presentation for the Symposium "Early life abuse and attachment style in women and girls", Annual Conference of the British Psychological Society, Psychology of Women Section, Windsor, U.K., 18 - 20 July 2007 (conference grant by the German Research Council, DFG).
Rusu, A. C. (2007). Cognitive bias and future thinking. Presentation at the Research Seminar, Department of Medical Psychology and Medical Sociology, 06 June 2007.
Rusu, A. C. (2007). Psychology of Mood and Motivation. Invited lecture at the Department of Psychology, Royal Holloway, University of London, U.K., 26 February 2007.
Rusu, A. C. (2007). Alternative Approaches to Studying Individual Differences. Invited lecture at the Department of Psychology, Royal Holloway, University of London, U.K., 12 February 2007.
Rusu, A. C. (2007). The Psychology of Pain. Invited lecture at the Department of Psychology, Royal Holloway, University of London, U.K., 24 January 2007.
Rusu, A. C., Bunn, A., Bifulco, A. and the SOS Group (2006). Changing Negative Thinking. Poster presented at the West Focus Innovations Day: Helping Enterprises Grow at Kempton Park Conference Centre, U.K., 18 May 2006.
Bunn, A., Rusu, A. C., Bifulco, A. and the SOS Group (2006). Young People Project: What is SOS? Poster presented at the West Focus Innovations Day: Helping Enterprises Grow at Kempton Park Conference Centre, U.K., 18 May 2006.
Rusu, A. C. (2006). Future thinking in chronic pain and depression: Testing the Schema Enmeshment Model of Pain (SEMP). Presentation at the Postgraduate Convention, Department of Psychology, Royal Holloway, University of London, U.K., 21 June 2006.
Rusu, A. C. (2006). Empirically derived subgroups of patients with chronic back pain: Considering patient heterogeneity for treatment. Invited presentation at the International Symposium "Biopsychosocial mechanisms in acute and chronic pain: impact on screening and treatment procedures", Bochum, Germany, 06. - 07. June 2006 (funded by the German Ministry of Education and Research, BMBF).
Rusu, A. C. & Pincus, T. (2006). Cognitive biases and future thinking in chronic pain and depression: Testing the Schema Enmeshment Model of Pain (SEMP). Invited presentation at the THPCT Physiotherapy Clinical Effectiveness Programme, Department of Physiotherapy, The Royal London Hospital, London, U.K., 14 June 2006.
Rusu, A. C. (2005). How do contribute cognitive biases to the understanding of persistent pain? Interdisciplinary Postgraduate Seminar at the Bedford Centre, Royal Holloway, University of London, U.K., May 2005.
Rusu, A. C. (2005). Future thinking in chronic pain and depression. Presentation at the Adult Child and Cognition Group, Department of Psychology, Royal Holloway, University of London, U.K., March 2005.
Rusu, A. C., Vogel, S. & Pincus, T. (2005). Future thinking in chronic pain and depression. Presentation at the UK National Science Week 2005 at the House of Commons, London, U.K., March 2005.
Rusu, A. C. (2005). An investigation of future thinking deploying three cognitive paradigms. Presentation at the Musculoskeletal Process of Care Collaboration Group (MPCC), Bedford Square, London, U.K., January 2005.
Rusu, A. C., Vogel, S. & Pincus, T. (2004). Cognitive biases in chronic pain: An investigation of future thinking. Presentation at the Research Seminar of the British School of Osteopathy, London, U.K., December 2004.
Rusu, A. C. (2004). Patientenclustering bei chronischen Schmerzpatienten mittels MPI-D und KSI. Vortrag im Forschungskolloquium der Med. Psychologie und Soziologie der Ruhr-Universität in Bochum, Februar 2004.
Rusu, A. C. (2003). Psychologische Mechanismen im Prozess der Schmerzentwicklung. Vortrag auf dem 3. Physioforum Wuppertal "Befundung und Behandlung des lumbalen Rückenschmerzes" in Wuppertal, November 2003.
Rusu, A. C. (2003). Adaptation, Validierung einer englischsprachigen Version des Kieler Schmerz-Inventars und Analyse von Informationsverarbeitungsprozessen. Vortrag auf dem Doktorandenkolloquium der Friedrich-Ebert-Stiftung, Bonn, Juli 2003.
Rusu, A. C. (2002). Konstruktion und Validierung eines Fragebogens zur Sozialen Unterstützung. Vortrag im Forschungskolloquium der Med. Psychologie und Soziologie der Ruhr-Universität in Bochum, April 2002.

Grants and awards

2009-2010
Young Investigator at the Global Young Faculty (GYF).
2009-2010
Research Grant of the Ruhr-University Bochum (Rektoratsprogramm).
2008
German Research Council (DFG) Travel Award for 12th World Congress on Pain, International Association for the Study of Pain, Glasgow (UK).
2008
ICP Travel Award for XXIX International Congress of Psychology, German Federation of Psychological Associations & International Union of Psychological Science, Berlin (Germany).
2007
German Research Council (DFG) Travel Award for 20th Annual Conference, The British Psychological Society. Psychology of Women Section, Windsor (UK).
2006-2007
Back Care (UK) Research Grants. Back Care is a charity for back pain.
2006
EFIC Travel Award to the 5th Congress of the European Federation of the International Association for the Study of Pain Chapters (EFIC), Istanbul (Turkey).
2006
Central Research Fund, University of London (UK), Research Grant.
2004-present
College Research Studentship, Royal Holloway, University of London (UK).
2004-06/2006
Friedrich Ebert Foundation, PhD Scholarship (Germany).
1998-2002
Friedrich Ebert Foundation Merit Scholarship (Germany).

Professional memberships and functions

IASP - International Association for the Study of Pain, Member (since 2007)
MPCC - Musculoskeletal Process of Care Collaboration Group, Member (since 2004)
West Focus Knowledge Exchange - Health Network: Academics offer an interdisciplinary and evidence-based approach to real life problems in the community. Member (since 2005)
DGVT - German Society of Behavioural Therapy, Member (since 2003)
DGH - German Society of Hypnosis, Member (since 1998)
FES - Friedrich Ebert Foundation, Federal Panel of Scholars Representative (2000-2001)
FES – Friedrich Ebert Foundation, Founding Member of the Gender Forum (2001)
FES – Friedrich Ebert Foundation, Mentoring Student Programme (since 2007)
Mentoring Programme of the Medical Faculty (since 2009)