Extreme deviations from expected recovery curves and their associations with therapeutic alliance, social support, motivation, and life events in psychosomatic in-patient therapy
Abstract
OBJECTIVES: Within the clinical support tools (CST) of the OQ-Analyst, the "Assessment for Signal Cases" (ASC) evaluates the therapeutic alliance, social support, motivation, and life events. We investigated whether the ASC covers domains of importance in treatment weeks with extreme deviations from expected recovery curves (ERCs). METHODS: Psychosomatic in-patients were monitored weekly with the ASC and the "Outcome Questionnaire" (OQ-45). The ERCs of the OQ-45 empirical algorithm were used to define treatment weeks with extreme positive deviations (EPD), extreme negative deviations (END), or without extreme deviations (NO). Associations between the ASC scales and EPD as well as END were analyzed by multilevel models. RESULTS: While each ASC scale was positively associated with EPD, only the social support and life events scales were negatively related to END. CONCLUSIONS: CSTs prioritizing social support and life events might be more effective in preventing treatment failure.
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Addressing extra-therapeutic conditions such as social support and understanding of ongoing life events to increase therapeutic efficacy has been shown by psychotherapy research to be important.
“Addressing extra-therapeutic conditions—such as social support and understanding of ongoing life events—in order to increase therapeutic efficacy has been shown by psychotherapy research to be important [26]”
If mental health problems are seen as the result of external stressors, assistance in mastering these external factors may be more appropriate than treatment with psychotherapy or medication.
“If mental health problems are seen as the result of external stressors, assistance in mastering these external factors may be more appropriate than treatment with psychotherapy or medication”
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References 56 · Cited by 35
- Authors
- Probst, T., Lambert, M. J., Loew, T. H., Dahlbender, R. W., & Tritt, K.
- Affiliations
- University of Regensburg (DE)
- Brigham Young University (US)
- University Hospital Regensburg (DE)
- Universität Ulm (DE)
- Corresponding author
- Probst, Thomas
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2014-11-20
- Volume
- 25
- Issue
- 6
- Pages
- 714-723
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2164203203
- Cited by
- 35
- References
- 56
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 3 · 2015: 5 · 2013: 1
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- therapeutic relationship, social support, motivation, life events, Outcome Questionnaire, treatment monitoring
- MeSH terms
- Adult, Female, Humans, Life Change Events, Male, Middle Aged, Motivation, Professional-Patient Relations, Psychophysiologic Disorders, Psychotherapy, Surveys and Questionnaires, Social Support, Outcome Assessment, Health Care
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