German Psychiatrist Research Articles

Compensation for National Socialist Persecution as a Catalyst for a Paradigm Shift - A Contribution to the History of Psychiatry in the Early Federal Republic of Germany

After WW II, Holocaust survivors often faced negative assessments by German psychiatrists when claiming compensation for psychological damage, a fact that was met with criticism. This study examines how as a result the prevailing doctrine on trauma sequelae underwent a transformation. Academic contributions in German language from 1946 to 1969 are analyzed for their para-digmatic views on the etiology of mental disorders after war and Nazi persecution. Only a new generation of psychiatrists was able to develop more adequate psychotraumatological concepts by using anthropological and occasionally psychoanalytic theoretical elements. At the same time this also questioned the medically oriented concept of illness in psychiatry. Less the persistence of anti-Semitic sentiments but rather internal scientific reasons such as an unevidenced dogmatism obstructed the the advancement of science.

Arc: A new target for treating alzheimer's disease

Arc: A new target for treating alzheimer's disease Antonius M. VanDongen, Associate Professor from Duke University, walks us through Arc, a new target for treating Alzheimer’s disease. Alois Alzheimer is a German psychiatrist credited with identifying the first case of the debilitating disease named after him. In 1906, he described neurofibrillary tangles and amyloid plaques in his patient’s brain as unique hallmarks of her dementia. Advances in neuroimaging, genetics, and molecular biology have expanded our understanding of the mechanisms underlying Alzheimer’s disease (AD) significantly. But despite heroic efforts to find a cure, there is currently no therapy that prevents, stabilizes or reverses the progression of this disorder that is poised to take on epidemic proportions as the world ages.

The Gut Microbiota-Brain Axis: A New Frontier in Alzheimer's Disease Pathology.

Dr. Aloysius Alzheimer, a German neuropathologist and psychiatrist, recognized the primary instance of Alzheimer's disease (AD) for a millennium, and this ailment, along with its related dementias, remains a severe overall community issue related to health. Nearly fifty million individuals worldwide suffer from dementia, with Alzheimer's illness contributing to between 60 and 70% of the instances, estimated through the World Health Organization. In addition, 82 million individuals are anticipated to be affected by the global dementia epidemic by 2030 and 152 million by 2050. Furthermore, age, environmental circumstances, and inherited variables all increase the likelihood of acquiring neurodegenerative illnesses. Most recent pharmacological treatments are found in original hypotheses of disease, which include cholinergic (drugs that show affective cholinergic system availability) as well as amyloid-accumulation (a single drug is an antagonist receptor of Nmethyl D-aspartate). In 2020, the FDA provided approval on anti-amyloid drugs. According to mounting scientific data, this gut microbiota affects healthy physiological homeostasis and has a role in the etiology of conditions that range between obesity and neurodegenerative disorders like Alzheimer's. The microbiota-gut-brain axis might facilitate interconnection among gut microbes as well as the central nervous system (CNS). Interaction among the microbiota-gut system as well as the brain occurs through the "two-way" microbiota-gut-brain axis. Along this axis, the stomach as well as the brain develop physiologically and take on their final forms. This contact is constant and is mediated by numerous microbiota-derived products. The gut microbiota, for instance, can act as non-genetic markers to set a threshold for maintaining homeostasis or getting ill. The scientific community has conducted research and found that bowel dysbiosis and gastrointestinal tract dysregulation frequently occur in Alzheimer's disease (AD) patients. In this review, the effects of the microbiota- gut-brain axis on AD pathogenesis will be discussed.

Gaps and Controversies in Catatonia as a Movement Disorder.

The term "catatonia" was introduced by German psychiatrist Karl Kahlbaum in 1874. Although historically tied to schizophrenia, catatonia exhibits a diverse range of phenotypes and has been observed in various medical and neuropsychiatric conditions. Its intrinsic movement characteristics and association with hypokinetic and hyperkinetic phenomenologies place catatonia within the purview of movement disorders. Despite the presence of catatonia in psychiatry literature for over 150 years, many gaps and controversies persist regarding its etiopathogenesis, phenomenology, diagnostic criteria, and treatment. The current versions of the International Classification of Diseases (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) require clinicians to identify any three signs of 15 (ICD-11) or 12 (DSM-5) for the diagnosis of catatonia. Catalepsy and waxy flexibility are the only motor features with high specificity for the diagnosis. We highlight the gaps and controversies in catatonia as a movement disorder, emphasize the lack of a clear definition, and discuss the inconsistencies in the description of various catatonic signs. We propose the exploration of a bi-axial classification framework similar to that used for dystonia and tremor to encourage the evaluation of underlying etiologies and to guide therapeutic decisions to improve the outcome of these patients. © 2024 International Parkinson and Movement Disorder Society.

Barriers to long-acting injectable atypical antipsychotic use in Japan: Insights from a comparative psychiatrist survey.

To investigate the negative attitudes of Japanese psychiatrists toward atypical long-acting injectable (LAI) antipsychotics, which are the current mainstream LAIs in Japan. We surveyed 69 Japanese psychiatrists using a 5-point Likert scale to assess their attitudes toward atypical LAI antipsychotics. Our assessment referenced concerns identified in a study conducted in Japan a decade ago, which found significant differences when compared with a survey of German psychiatrists. We also identified the factors influencing these negative attitudes. Additionally, the results were compared with those of previous Japanese and German studies. More than 50% of Japanese psychiatrists expressed negative attitudes toward atypical LAI antipsychotics in various areas. These concerns included apprehensions about cost, reluctance to recommend them initially, pain from injections, complexity of switching to LAI, usage in first-episode cases, and sufficient medication adherence with oral drugs. In all three studies, cost and adequate adherence to oral medication were concerns that exceeded the average of the three negative comments. Age and experience in psychiatry influenced the psychiatrists' attitudes toward using these drugs in first-episode cases. These findings shed light on the reasons for the underutilization of atypical LAI antipsychotics and suggest opportunities to enhance their appropriate use in clinical settings.

Berger and the Breakthrough: A Centennial Celebration of the Human Electroencephalogram

ABSTRACT A century ago, it was a challenge for neuroscientists to decipher the mysteries of human brain functioning until German psychiatrist Hans Berger discovered what is now one of the most well-known electrophysiological recording techniques to examine brain function, EEG. He is rightly regarded as the Father of The Electroencephalogram (EEG), since he performed the first human electroencephalogram in 1924. Berger attempted to investigate the connection between psychology and physiology and to solve the “psychic energy” enigma. Despite turbulence in his professional life and slow progress in his research, he persevered and succeeded in giving humankind an indispensable technique that is now widely used in clinical and research practice. His publications on EEG provide valuable insight into our current understanding of several of the brain’s responses to physiological and pathological phenomena. In July 2024, it will be 100 years since Berger recorded the first human EEG, and that calls for a celebration among EEG researchers, neuroscientists, psychiatrists, and neurologists. This article presents a brief account of his journey and commemorates Hans Berger’s contributions to the field of neurodiagnostics.

William James, Karl Jaspers, And The Call to Transcendence

William James (1842-1910), one of the founders of American psychology, was also among the most important pioneers of the academic study of mysticism. Karl Jaspers (1883-1969), German psychiatrist and existential philosopher, too was fascinated with transient self-transcendent experiences (STEs) in which participation with “something greater” than the baseline egoic self-structure seemingly occurs. Karl Jaspers more actively than James pursued STEs through his “self-annihilating” dialectics, his receptivity to “cyphers” in empirical existence, and what he referred to as his daily “transcending meditation.” It is suggested in this paper that when the classical Jamesian markers of “mystical” experiences are applied to Jaspers’ STEs; Jaspers convincingly fits on James’ “mystical ladder.” Reasons for Jaspers’ reluctance to self-identify as a “mystic” are identified, and parallels between James and Jaspers are noted in passing. Jaspers remains significant for his respect for an existential life productively lived in-the-world while at the same time engaging in an approach to self-transcendence in which “I as myself vanish.”

Coming to Terms with “Self-Actualization”: The Reception of Kurt Goldstein in Humanistic Psychotherapy

The ideals and practices of self-improvement aimed at achieving a sense of self-realization of our lives have permeated popular culture since the mid-20th century, largely due to the work of American humanistic psychologists. This paper delves into the popularization of these notions, arguing that they partially stem from a particular American appropriation of the German neurologist and psychiatrist Kurt Goldstein’s concept of self-actualization. First, the paper examines Goldstein’s encounter with American psychology, tracing his early interest in psychotherapy, the stages of his forced migration to America, and the reception of his work within American psychology. Second, it offers an analysis of the interpretations and applications of Goldstein’s holistic approach and its concept of self-actualization by humanistic practitioners, notably Abraham Maslow’s theory of motivation and Carl Rogers’s client-centered approach to psychotherapy. Finally, the paper closes with a critical discussion of the distinction between Goldstein’s approach, which emphasizes the creative process of a “coming to terms” between organism and environment, and humanistic psychotherapy, which underscores individual responsibility.

A phenomenological approach to virtual reality in psychiatry education

Virtual Reality has emerged as a valuable tool in medical education, primarily for teaching basic sciences and procedural skills. However, its potential in clinical psychiatry, particularly in comprehending the subjective experiences of individuals with mental illness, remains largely untapped. This paper aims to address this gap by proposing a phenomenological-driven approach to the design of virtual reality in psychiatry education. Insights into psychopathology, which involves the systematic study of abnormal experiences as well as self-awareness on behalf of the clinician, demands training. The clinician must develop sensitivity, observational skills, and an understanding of patients’ subjective experiences. While integrating the subjective perspective and promoting emotional self-awareness in psychiatry education have been recommended, further research is necessary to effectively harness virtual reality for this purpose. Drawing from the convergence of virtual reality, phenomenological approaches to grasping subjectivity and psychopathology, this paper aims to advance teachings in psychopathology. It underscores the importance of integrating biomedical knowledge with the lived experiences of psychiatric patients to offer learners a comprehensive understanding of clinical psychiatry. This approach is deeply rooted in the theories of three influential figures: Karl Jaspers, a German psychiatrist and philosopher, who emphasized the role of phenomenology in clinical psychiatry; Ludwig Binswanger, a Swiss psychiatrist and psychotherapist, known for his work on existential analysis; and Medard Boss, a Swiss psychiatrist and psychoanalyst, who introduced Daseinsanalysis, focusing on the individual’s existence in the world. To facilitate learning in acute psychiatry, a virtual reality scenario was developed. This scenario offers two perspectives: one from the patient’s viewpoint, simulating a severe psychotic incident, and the other from the perspective of junior doctors, exposing them to the challenges of communication, decision-making, and stress in a clinical setting. This paper argues that these phenomenological approaches are valuable in helping inform the didactical considerations in the design of the virtual reality scenario, enhancing the learning experience in psychiatry education. It highlights the potential of virtual reality to deepen understanding in the teaching of clinical psychiatry and provides practical insights into its application in an educational context.

Conventional and living guideline for schizophrenia: barriers and facilitating factors in guideline implementation

This study aims to investigate the barriers and facilitators to guideline adherence for the print format of the German schizophrenia guideline as well as for the concept of a digital living guideline for the first time. For this purpose, the schizophrenia guideline was transferred to a digital guideline format within the web-based tool MAGICapp. An online survey was performed under participation of mental healthcare professionals (medical doctors, psychologists/psychotherapists, psychosocial therapists, caregivers) in 17 hospitals for psychiatry in Southern Germany and a professional association for German neurologists and psychiatrists. 524 participants opened the survey, 439 completed the demographic questions and commenced the content-related survey and 309 provided complete data sets. Results indicate a higher occurrence of knowledge-related barriers for the living guideline. The print version is associated with more attitude-related and external barriers. Older professionals reported more attitude-related barriers to a living guideline compared to younger professionals. Differences between professions regarding barriers were found for both formats. Various barriers exist for both guideline formats and a need for facilitators was expressed across professions. Many of the mentioned obstacles and facilitators can be more easily addressed with living guidelines. However, also living guidelines face barriers. Thus, the introduction of these new formats alone cannot lead to sustainable behavior change regarding guideline adherence. Yet, living guidelines seem to be a cornerstone to improved and tailored guideline implementation as they facilitate to keep recommendations up to date and to address the need of individual professional groups.

Politicization of psychiatry and the improvement of ethical standards in the 1970s.

The Code of Ethics for Psychiatry adopted by the World Psychiatric Association in 1977, also known as the Declaration of Hawaii, was a milestone in the development of ethical standards in psychiatry. The impetus for the development of the code came primarily from the politicization of psychiatry, first discovered in the USSR, and later in other countries of the socialist camp, such as Romania, Yugoslavia, and the People's Republic of China. The purpose of this article is to trace reasons for the lack of consolidation among Western psychiatrists against the politicization of psychiatry and their efforts to improve the ethical standards in this medical field. We analyzed unpublished documents from the Archive of the German Association for Psychiatry, Psychotherapy and Psychosomatics, the private archives of the West German psychiatrists Gerd Huber and Walter von Baeyer as well as research works. To examine these sources, we implemented the historical-critical method. The World Psychiatric Association made efforts to collect, analyze and discuss materials concerning psychiatric ethics in order to create the Code of Ethics for Psychiatry and establish an Ethical Committee. In general, the reaction of Western psychiatrists to the information about the internment of dissidents in psychiatric hospitals was restrained and focused on attempts to solve the issue together with the Soviet colleagues. The international policy of détente of the time as well as collisions between different medical concepts and ethical dimensions did not allow Western psychiatrists to condemn cases of politicization of psychiatry without proir clarification of the situation. The efforts of the World Psychiatric Association in the ethical field improved the ethical standards for psychiatry.

«НАДУВНАЯ ТЕРРИТОРИЯ» И «БАРОЧНЫЙ ПУЗЫРЬ»: ПРИДВОРНЫЕ ТАНЦЫ XVII ВЕКА В ТЕОРИИ ДЕЛЁЗА-ГВАТТАРИ И ПРАКТИКЕ ХОРЕОГРАФОВ-РЕСТАВРАТОРОВ

In Thousand Plateaus (1980), Felix Guattari and Gilles Deleuze draw on ethology (the study of animal behaviour) and biosemiotics to explain the continuity between animal and human rituals: how rituals are used to control and redirect aggression, mark and protect territory. The philosophers refer to the experiments of the German psychiatrist Wolfgang Blankenburg, who treated schizophrenic patients by teaching them Baroque dances in which the distance between dancers is particularly important. The article traces parallels between these theoretical conceptions of baroque dances and the practical methods of “The New York Baroque Dance Company”, which since the 1970s seeks to reconstruct dances and ballet techniques of the 17th and 18th centuries.

Guideline for schizophrenia: implementation status and attitude toward an upcoming living guideline

The implementation status of clinical guidelines is, despite their important role in connecting research with practice, frequently not satisfactory. This study aims to investigate the implementation status of the current German guideline for schizophrenia. Moreover, the attitude toward a living guideline has been explored for the first time by presenting screenshots of the German schizophrenia guideline transferred to a digital living guideline format called MAGICapp. A cross-sectional online survey was performed under the participation of 17 hospitals for psychiatry and psychosomatic medicine in Southern Germany and one professional association for German neurologists and psychiatrists. 439 participants supplied sufficient data for analysis. 309 provided complete data sets. Regarding the current guideline for schizophrenia and key recommendations, a large awareness-to-adherence gap was found. Group comparisons between different professions (caregivers, medical doctors, psychologists/psychotherapists, psychosocial therapists) detected differences in the implementation status showing higher awareness and agreement with the schizophrenia guideline and its key recommendations among medical doctors compared to psychosocial therapists and caregivers. Moreover, we detected differences in the implementation status of the guideline as a whole and its key recommendations between specialist and assistant doctors. The attitude toward an upcoming living guideline was mostly positive, especially among younger healthcare professionals. Our findings confirm an awareness-to-adherence gap, not only for the current schizophrenia guideline in general but also for its key recommendations with apparent differences between professions. Overall, our results show promising positive attitudes toward the living guideline for schizophrenia among healthcare providers, suggesting that a living guideline may be a supportive tool in everyday clinical practice.

From Marginalia to the Museum: The Transfiguration of the Doodle by Gottfried Keller, Hans Prinzhorn, and Jean Dubuffet

In 1922 German art historian and psychiatrist Hans Prinzhorn published his groundbreaking monograph Bildnerei der Geisteskranken, which psychologically and aesthetically analyzed the art of the mentally ill. Tucked away in a footnote is reference to an episode in Gottfried Keller’s novel Der grüne Heinrich (1855, 1879/80) when the title artist creates a monstrous web of doodles. This essay explores the implications of Keller’s doodle for Prinzhorn’s thesis along with the re-evaluation of doodling as a legitimate creative gesture. It concludes by following the doodle into the museum through the artworks of Jean Dubuffet, a pioneering force behind outsider art who was influenced by Prinzhorn’s Bildnerei and wielded the doodle as critique against traditional notions of art. Doodles’ journey from marginalia to museum-worthy artworks reveals their subversive power to give voice to those marginalized by society, while also exposing the weaknesses and paradoxes of an outsider art for effecting true institutional reform.

‘…Who saw his own sunset while still living…’ From the journal of the doctor Anton Dietrich

A publication of journal entries left by the German psychiatrist A. Dietrich, who for years studied the poet K. Batyushkov’s mental illness (caused by multiple intermarriages in the family) and supervised his treatment at the Sonnenstein psychiatric asylum. The publication is compiled and supplied with a preface and comments by the poet and literary historian G. Shulpyakov. The level of detail in the doctor’s notes gives an idea of the sick poet’s condition and helps to reconstruct the hospital routine that surrounded Batyushkov in the 1820s. The comments shed light on the poet’s family life and his relationship with sisters Aleksandra and Yulia, his brother Pompey, and contemporaries such as V. Zhukovsky and N. Karamzin. Batyushkov mentions their names in his every interaction with the clinic’s staff — evidence of an unrelenting loss of sanity: at one point, he insists that Zhukovsky ‘has visited him accompanied by his wife’; at another, he takes a random visitor for his paternal half-brother.

The Beginnings of Scientific Psychiatric Twin Research: Luxenburger's 1928 "Preliminary Report on the Psychiatric Examination of a Series of Twins".

While reports of twin pairs concordant for insanity began to appear in the 19th century, the first modern psychiatric twin study that fulfilled Galton's 1875 promise of the value of the twin method was published by the German Psychiatrist and Geneticist Hans Luxenburger in 1928. Luxenburger introduced four major methodological advances: the use of representative sampling, proband-wise concordance, rigorous zygosity diagnoses, and age correction. He used a narrow Kraepelinian diagnostic approach diagnosis and ascertained twins hospitalized, on a specific day, in all large Bavarian asylums. We include a brief biography of Luxenburger, summarize the findings of his paper and provide a full English translation in the appendix. Luxenburger presents evidence that the frequency of twinning in those with severe mental illness were as expected and reports proband-wise concordance for probable and definite dementia praecox (MZ-76%, DZ-0%) and manic-depressive insanity (MZ-75%, DZ-0%). He also examined eccentricity and hyperthymic or hypothymic personality in the dementia praecox and manic-depressive pairs, respectively. Luxenburger's substantial contributions to the history of psychiatric genetics should be considered in the context of his intimate but ambivalent relationship with the racial-hygiene policy of the German National Socialists.

The exclusion of "non-Aryan" scientists: universities, clinics and professional organizations

With the implementation of the Law for the Restoration of the Professional Civil Service (1933), including the Third Implementation Decree (1934), the Regulation for Obtaining aTeaching License (1934) and the Law for the Dismissal and Transfer of University Teachers (1935), the National Socialist (NS) government created legislative instruments to ban university staff (from lecturers to full professors) labelled as Jewish or considered politically unwanted from teaching and research. Whereas around 20% of the staff at the universities were affected by these measures after 1933, at various medical faculties the figures reached 30-40% and at neurological departments and institutes sometimes up to 90%. Student Nazi activists played asignificant role in expelling faculty members from office. As beneficiaries of the expulsions, young doctors often improved their career prospects and established professors remained silent out of political conviction, opportunism or fear. A(self) coordination (Gleichschaltung) with immediate or gradual exclusion of "non-Aryan" members and boards is documented for numerous medical organizations and associations (e.g. Deutscher Ärztevereinsbund, Hartmannbund, German Medical Women's Association, Association of Statutory Health Insurance Physicians) as well as for scientific academies (e.g. Leopoldina) and research societies (Kaiser Wilhelm Institutes, German Research Foundation). The NS-loyal Society of German Neurologists and Psychiatrists, which had been founded in 1935, tolerated "Jewish" members until 1938. As awhole, the picture that emerged from everyday medical (and neurological) practice is one of drastic changes that massively affected not only the lives of many doctors but also the moral standards in terms of patient care, teaching, research and collegiality.

The Archive of Gerd Huber (1921-2012) at Bezirkskrankenhaus Günzburg

Gerd Huber (1921-2012) was an influential West German psychiatrist and neurologist of the postwar period. Especially his studies with imaging techniques on the question of brain atrophy, the long-term course and the basic symptoms of schizophrenic disorders made a significant contribution to the research of schizophrenia and were discussed internationally. The Huber Archive, which was handed over to Bezirkskrankenhaus Günzburg, is currently being catalogued for research purposes. The archive contains Huber's private and professional papers, his writings, and a small partial archive of Kurt Schneider. These archival records not only reflect the development of Gerd Huber's academic career, but also are significant for research on the history of psychiatry in postwar West Germany, the development of concepts in the fields of schizophrenia research and biological psychiatry, the history of universities and everyday life, and other topics.

To the Delineation of the Notion of Self-Consciousness in Psychiatry: J.Ch. Reil’s Concept

The aim was to establish the rst authors of the notion and the conception of depersonalization in psychiatry, to analyze the criteria (signs) of normal and disordered consciousness in its “primary” concept. Method: the analysis of scientic works of G.E. Berrios, M. Sierra, A.A. Megrabjan, W. Maier-Gross, K. Haug, K. Oesterreich, P. Schilder, K. Jaspers, H. Dagonet, Th. Ribot, P. Janet, J. Reil and some other authors. Conclusion: although G.E. Berrios mentioned only two priority “schools” of the ΧΙΧ century developing phenomenology of consciousness and self-consciousness: French and English, we discovered that already in 1803 German physiologist, anatomist and psychiatrist J. Reil presented the original concept of self-consciousness (Selbstbewusstsein) and its deviations that in his psychopathological subtlety of elaboration did not yield to the originated much later concepts of H. Dagonet (1884, 1894) and K. Jaspers (1913). J. Reil highlighted the following properties of self-consciousness: 1) “belonging to oneself”; 2) connection of impressions in unity; 3) demarcation of “I and not I”. According to J. Reil, the nervous system compounds all parts of our body in unity in one main focal point: the brain, similarly the soul strives to processing of various impressions in unity. The state of consciousness is changeable, J. Reil marked its changeability according to ve signs: the loss of ability with necessary clarity for differentiation of subject and object; the predominance of the object with plunge into semi- darkness of the subject; the excessive lighting of the subject with corresponding shading of the external world; I-orientation in time and space; “consciousness of the past”, or continuity of “I”. Concerning the disorders of the state of self-consciousness J. Reil slightly modied these signs in: 1) the disorders of self-consciousness of “objectivity”; 2) the disorders of “subjectivity and own personality”, as a special kind of disorders of subjectivity J. Reil decribed the phenomena that later were designated by the term “depersonalization”; 3) the disorders of the soul and body unity; 4) disorders of continuity of self-consciousness (corresponding to the criterion of “I-identity” of K. Jaspers); 5) wrong reection of place and time.

The Impact of One-Time Relaxation Training on Attention Efficiency Measured by Continuous Performance Test in Depressive Disorders.

Introduction: People with depression often complain of dysfunction in cognitive processes, particularly attention. Pharmacotherapy is one of the most commonly used methods of treating depressive disorders and related attention difficulties. Patients also benefit from various forms of psychotherapy and frequently support themselves with alternative therapeutic methods. The purpose of this study was to examine whether a 15-min-long relaxation training session could improve the efficiency of attention and perceptiveness in individuals diagnosed with depressive disorders. Methods: Forty-two individuals participated in the study, including 20 individuals diagnosed with recurrent depressive disorder (rDD) and 22 healthy subjects (comparison group, CG). The so-called continuous performance test in the Polish version (Attention and Perceptiveness Test, APT) was applied in the study. In the first stage, the participants completed the 6/9 version of the APT test and then took part in a 15-min relaxation training session (autogenic training developed by the German psychiatrist Johannes Heinrich Schultz). The next step of the study was to perform APT again (parallel version—3/8). Results: The analyses showed statistically significant differences (p < 0.001) in the results obtained in the two versions of APT between the studied groups (rDD versus CG) in terms of the perceptual speed index. These differences were seen both before and after the introduction of the relaxation training. There was a statistically significant difference in the value of the perceptual speed index before and after the applied relaxation training for the subjects with depression (p = 0.004) and for the whole study group (p = 0.008). A significant correlation of illness symptom severity with decreased attentional efficiency was observed in the rDD group (perceptual speed index)—both before (r = −0.864; p < 0.001) and after the relaxation training (r = −0.785; p < 0.001). Conclusions: The continuous performance test (APT) is a reliable indicator of impaired attention efficiency among patients with depressive symptoms compared to healthy subjects. 15-min-long one-time relaxation exercise has a beneficial effect on attention efficiency measured by APT in people with depression.