Prädiktoren für die Inanspruchnahme einer Psychotherapie
Abstract
Background The aim of this study was to discover prognostic criteria for outpatients' making use of psychotherapy. Data from patients and therapists were collected. Subjects and methods After initial psychoanalytic interviews, 92 patients at a university psychotherapy outpatient department were asked to complete narrative forms and standardized questionnaires (FMP) regarding their motivation to seek psychotherapy. In addition, the therapists contributed a Global Assessment of Functioning (GAF) and estimate of the initial therapeutic working alliance (iTAB) for each patient. In the follow-up, we investigated patients' actual use of psychotherapy. Results Sociodemographic variables, personality variables, and diagnoses had only minor prognostic relevance, whereas therapists' assessments of patient resources for therapeutic relationship and work proved to be of high predictive value. Conclusion Positive assessment of a patient's ability for therapeutic working alliance in the initial diagnostic interview is shown to be an important prognostic factor of a patient's entering psychotherapy.
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The willingness of rehabilitants to implement treatment recommendations following psychodiagnostics is an important prerequisite for optimizing care of comorbid psychologically distressed patients.
“Neben einer adäquaten psychodiagnostischen Routine ist die Bereitschaft der Rehabilitanden, die auf die Psychodiagnostik folgenden Behandlungsempfehlungen auch umzusetzen, eine weitere wichtige Voraussetzung zur notwendigen Optimierung der Versorgung komorbid psychisch belasteter Patienten [ 22 -25 ] .”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [24]
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Jahed, J., Bengel, J., & Baumeister, H. (2012) · Die Rehabilitation · doi:10.1055/s-0032-1308964 · Cited by 4 · see citing works
- Authors
- Fischer-Kern, M., Slunecko, T., Leithner, K., Löffler-Stastka, H., & Ponocny-Seliger, E.
- Affiliations
- University of Vienna (AT)
- Medical University of Vienna (AT)
- Venue
- Der Nervenarzt
- Published
- 2006-03
- Volume
- 77
- Issue
- 3
- Pages
- 309-317
- ISSN
- 0028-2804 (ISSN-L)
- 1433-0407
- OpenAlex
- W55273190
- Cited by
- 6
- References
- 0
- Citations by year
- 2023: 2 · 2022: 1 · 2020: 1 · 2016: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- de
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Der Nervenarzt (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychotherapy utilization, psychotherapy indication, therapist assessment, personality traits, sociodemographic factors, diagnosis, treatment guidelines
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, Personality Assessment, Professional-Patient Relations, Prognosis, Psychoanalytic Therapy, Surveys and Questionnaires, Referral and Consultation, Treatment Outcome, Retreatment
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