Therapeutischer Misserfolg in der ambulanten Psychotherapie: Daten aus einer verhaltenstherapeutischen Hochschulambulanz
Abstract
Theoretischer Hintergrund: Zum Thema therapeutischer Misserfolg in der Psychotherapie fehlen methodisch gut vergleichbare Studien, sodass Forschungsbedarf besteht. Fragestellung: Ziele der vorliegenden Arbeit sind eine Replikation der Studie zur Häufigkeit therapeutischen Misserfolgs von Jacobi, Uhmann und Hoyer (2011) sowie die Erweiterung der Definition therapeutischen Misserfolgs. Methode: Wir analysierten die Daten von 1866 konsekutiven Patienten hinsichtlich Non-Response, Verschlechterung, auffälligen und hoch-symptomatischen Therapieabschlusswerten. Als Messinstrumente kamen der BSI, BDI und der GAF zum Einsatz. Ergebnisse: Verschlechterungen (i. S. einer Untermenge therapeutischen Misserfolgs) traten mit 0.9 – 3.8 % selten auf, therapeutischen Misserfolg fanden wir bei 17.1 % der Stichprobe. Es zeigten sich Zusammenhänge zum Schweregrad der psychopathologischen Belastung und zur Anzahl der vorhandenen Störungen, außerdem fanden sich Störungsbilder bei denen es häufiger zu therapeutischem Misserfolg kam. Schlussfolgerungen: Es bedarf weiterer Studien zur Identifikation von Prädiktoren therapeutischen Misserfolgs.
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Approximately 30% of patients being treated at German university therapy-training centers suffer from a primary anxiety disorder.
“We chose these two disorder groups because from patients being treated at German university therapy-training centers; approximately 40 % suffer from a primary major depression, and approximately 30 % suffer from a primary anxiety disorder (e.g. (Nelson and Hiller 2013)).”
From The process-outcome mindfulness effects in trainees (PrOMET) study: Protocol of a pragmatic randomized controlled trial (2015) · cites this paper as Nelson and Hiller 2013
Approximately 40% of patients being treated at German university therapy-training centers suffer from a primary major depression.
“We chose these two disorder groups because from patients being treated at German university therapy-training centers; approximately 40 % suffer from a primary major depression, and approximately 30 % suffer from a primary anxiety disorder (e.g. (Nelson and Hiller 2013)).”
From The process-outcome mindfulness effects in trainees (PrOMET) study: Protocol of a pragmatic randomized controlled trial (2015) · cites this paper as Nelson and Hiller 2013
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Mander, J., Blanck, P., Neubauer, A. B., Kröger, P., Flückiger, C., Lutz, W., Barnow, S., Bents, H., & Heidenreich, T. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22695 · Cited by 56 · see citing works
“We chose these two mental disorders because of patients being treated at German university therapy‐training centers; approximately 30% suffer from a primary anxiety disorder, and approximately 40% suffer from a primary major depression (Nelson & Hiller, 2013).”
MethodMander, J., Kröger, P., Heidenreich, T., Flückiger, C., Lutz, W., Bents, H., & Barnow, S. (2015) · BMC Psychology · doi:10.1186/s40359-015-0082-3 · Cited by 15 · see citing works
- Authors
- Nelson, N. E., & Hiller, W.
- Affiliations
- Johannes Gutenberg University Mainz (DE)
- Venue
- Zeitschrift für Klinische Psychologie und Psychotherapie
- Publisher
- Hogrefe Publishing Group
- Published
- 2013-10
- Volume
- 42
- Issue
- 4
- Pages
- 217-229
- ISSN
- 1616-3443 (ISSN-L)
- 2190-6297
- OpenAlex
- W2133298534
- Cited by
- 11
- References
- 20
- Citations by year
- 2023: 1 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2015: 2
- FWCI
- 0.74
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- Zeitschrift für Klinische Psychologie und Psychotherapie (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Keywords
- treatment failure, outpatient psychotherapy, replication study, symptom worsening, comorbidities, Beck Depression Inventory
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