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Ambulante Psychotherapie unter Routinebedingungen: Forschungsbefunde aus dem deutschsprachigen Raum
Abstract
There is a growing body of literature recognizing the importance of outpatient psychotherapy. Several studies investigated the efficacy of outpatient psychotherapy and aspects of the health care system under natural conditions. This paper gives an overview of studies from German speaking countries (TRANS-OP-, TK-, PAP-S- and QS-PSY-BAY-study).The results of the different studies indicate both, positive outcome of the therapies (e. g., reduction of symptoms with an average ES of 1,03; improvement of symptoms despite premature termination) as well as an economic benefit (end of treatment depending on treatment outcome and not limited by therapy sessions; extensions of psychotherapy only if patient is highly impaired and therapeutic alliance is positive; high reduction of supply costs and sick leave). However, the low health care density in rural areas and the waiting periods before starting therapy are indicators of structural problems of the health care system with respect to outpatient psychotherapy.The efficacy of outpatient psychotherapies under natural conditions is sufficiently supported. Future studies should investigate structural aspects of the health care system, for example by focussing on the establishment of inter-sectoral connections between different professional groups and a reduction of bureaucratic actions.
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“Substantial improvements in symptoms can only be achieved for about 63 % of patients through psychotherapy (Altmann et al., 2016).”
From TONI - One for all? Participatory development of a transtheoretic and transdiagnostic online intervention for blended care (2024) · cites this paper as Altmann et al., 2016
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Qualitätsmerkmale und Versorgungsrelevanz psychodynamischer Ausbildungsambulanzen: Das QVA-Projekt
Benecke, C., & Volz, M. (2023) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2023.69.oa4 · Cited by 14
Behr, S., Fenski, F., Boettcher, J., Knaevelsrud, C., Hammelrath, L., Kovacs, G., Schirmer, W., Petrick, H., Becker, P., & Schaeuffele, C. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100723 · Cited by 11
“Substantial improvements in symptoms can only be achieved for about 63 % of patients through psychotherapy (Altmann et al., 2016).”
BackgroundDevelopment of Three Psychology Sub-Disciplines Over the Past 30 Years: A Citation Analysis
Singer, S. (2022) · Review of General Psychology · doi:10.1177/10892680221133785 · Cited by 8
“…as it is applied in clinical practice, a setting in which several theoretical backgrounds are used in the administration of psychotherapy (Altmann et al., 2016; Alvarez, 2020; Singer et al., 2017; Thoma & Cecero, 2009), and the variety of sub-disciplines in this field has been found to…”
BackgroundGantner, M., Jarczok, M. N., Schneider, J., Brandner, S., Gündel, H., & von Wietersheim, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.838823 · Cited by 7
Effektivität stationärer und teilstationärer psychosomatisch-psychotherapeutischer Behandlung
Hirt, A.-R., Croy, I., Joraschky, P., Kreßner-Kiel, D., Schellong, J., Wolff, S., Keller, A. K., Hanßke, A.-M., Noack, R., Schiling, C., et al. (2021) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/a-1559-4359 · Cited by 6
“[4] Altmann U, Thielemann D, Strauß B.”
Background„Die Strukturen müssen viel flexibler sein“
Singer, S., Beckerle, J., Kleining, B., Reuter, K., Schneider, E., & Kojima, E. (2017) · Psychotherapeut · doi:10.1007/s00278-017-0229-1 · Cited by 6
Spahlholz, J., Baumann, E., Müller-Hilmer, R., Hilmer, R., Sander, C., Schindler, S., Speerforck, S., Angermeyer, M. C., & Schomerus, G. (2023) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796023000641 · Cited by 5
Beurteilung und Nutzung der 2016 reformierten Psychotherapierichtlinie
Bangeow, P., & Rapp, M. A. (2020) · Psychiatrische Praxis · doi:10.1055/a-1045-9820 · Cited by 2
Behr, S., Fenski, F., Böttcher, J., Knaevelsrud, C., Hammelrath, L., Kovacs, G., Schirmer, W., Becker, P., & Schaeuffele, C. (2023) · doi:10.31234/osf.io/8xu5z · Cited by 2
Zur Rolle therapeutischer Demut bei der Beendigung ambulanter Psychotherapien
Kokot, M. R. (2026) · PDP – Psychodynamische Psychotherapie · doi:10.21706/pdp-25-2-190
Metadata
- Authors
- Altmann, U., Thielemann, D., & Strauß, B.
- Affiliations
- Jena University Hospital (DE)
- Corresponding author
- Altmann, Uwe
- Venue
- Psychiatrische Praxis
- Publisher
- Georg Thieme Verlag KG
- Published
- 2016-10-12
- Volume
- 43
- Issue
- 07
- Pages
- 360-366
- ISSN
- 0303-4259 (ISSN-L)
- 1439-0876
- OpenAlex
- W2530154541
- Cited by
- 11
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 2 · 2017: 1
- FWCI
- 0.45
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- Psychiatrische Praxis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- outpatient psychotherapy, usual care, naturalistic settings, treatment efficacy, early termination, economic benefits, health care system, waiting time, rural health care, therapeutic relationship, symptom relief, sick leave, intersectoral collaboration
- MeSH terms
- Ambulatory Care, Mental Disorders, Clinical Trials as Topic, Cost-Benefit Analysis, Cross-Cultural Comparison, Europe, Health Services Accessibility, Humans, National Health Programs, Patient Dropouts, Psychotherapy, Social Environment, Waiting Lists, Treatment Outcome, Cost Savings
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