Akzeptanz- und Commiment-Therapie mit therapieresistenten Störungen im stationären Setting: Eine Beobachtungsstudie
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Zusammenfassung. Hintergrund: Stationäre psychotherapeutische Behandlungen haben eine große Bedeutung im Versorgungsalltag. Ihre Bewährung bei schwergradigen und komorbiden Störungsbildern ist jedoch nur lückenhaft untersucht. Dies gilt besonders für die zunehmend angewendete Akzeptanz- und Commitment-Therapie (ACT). Fragestellung: In erster Linie soll die Wirksamkeit einer stationären störungsübergreifenden ACT-basierten Behandlung in erwähnten Stichproben untersucht werden. Ergänzend wird der zeitliche Verlauf der psychischen Flexibilität (PF), dem Kernkonzept der ACT, explorativ untersucht. Methode: Eine konsekutive Stichprobe von 47 Patientinnen und Patienten mit heterogenen und komorbiden Störungsbildern in stationärer Psychotherapie wurde im Rahmen einer explorativen Beobachtungsstudie mittels wöchentlicher Verlaufsmessungen sowie umfassender Prä-Post-Vergleiche untersucht. Ergebnisse: Die Effektstärken hinsichtlich allgemeiner Symptomreduktion, der Zunahme psychischer Flexibilität sowie weiterer ACT-spezifischer Fertigkeiten sind moderat bis hoch. Die Verlaufsmessungen weisen auf lineare Verbesserungen sowie hohe Übereinstimmungen zwischen Selbst- und Fremdrating hin. Schlussfolgerungen: Die Ergebnisse zeigen positive Effekte der ACT im stationären Setting bei einer diagnostisch heterogenen Stichprobe mit einem hohen Anteil komorbider Störungen.
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Benoy et al. (2019) found moderate to large effects on general symptom reduction for 47 inpatients with various mental disorders.
“A recent study by Benoy et al. (2019) found moderate to large effects on general symptom reduction for 47 inpatients with various mental disorders.”
From A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders (2021) · cites this paper as Benoy et al. (2019)
The large and stable improvements in depressive symptoms across both therapy conditions are comparable to those of the effectiveness trial of ACT for inpatients by Benoy et al., 2019 and larger than those effect sizes reported in the most recently published meta-analysis of psychotherapy for inpatients.
“The large and stable improvements in depressive symptoms across both therapy conditions are comparable to those of the effectiveness trial of ACT for inpatients by Benoy et al., 2019 and larger than those effect sizes reported in the most recently published meta-analysis of psychotherapy for inpatients (Paterson et al., 2018; Schefft et al., 2019).”
From A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders (2021) · cites this paper as Benoy et al., 2019
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References 32 · Cited by 3
- Authors
- Benoy, C., Meyer, A., Knitter, B., Pinhard, K., Walter, M., Bader, K., & Gloster, A. T.
- Affiliations
- University of Basel (CH)
- Universitäre Psychiatrische Kliniken Basel (CH)
- Venue
- Zeitschrift für Klinische Psychologie und Psychotherapie
- Publisher
- Hogrefe Publishing Group
- Published
- 2019-04
- Volume
- 48
- Issue
- 2
- Pages
- 90-100
- ISSN
- 1616-3443 (ISSN-L)
- 2190-6297
- OpenAlex
- W3008856993
- Cited by
- 3
- References
- 32
- Citations by year
- 2021: 1 · 2020: 2
- FWCI
- 0.88
- Type
- journal article
- Language
- de
- Open access
- green
- edoc.unibas.ch
- Licence
- other-oa
- Locations
- Zeitschrift für Klinische Psychologie und Psychotherapie (publishedVersion)
- edoc (University of Basel) (acceptedVersion, other-oa)
- edoc (University of Basel) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- acceptance and commitment therapy, inpatient psychotherapy, treatment-resistant disorders, comorbidities, psychiatric inpatients, psychological flexibility, symptom relief, treatment outcomes
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