The association of early response with the outcome of psychosomatic rehabilitation in patients with mental disorders and its link to treatment and illness beliefs-A prospective longitudinal cohort study.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-21 DOI:10.1080/10503307.2024.2316014

Rieka von der Warth, Matthias Rudolph, Jürgen Bengel, Manuela Glattacker

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引用次数: 0

Abstract

Early response is considered to be an important predictor for therapy outcomes; yet little is known about its relevance in psychosomatic rehabilitation. This paper aims to describe the association of early response in psychosomatic rehabilitation, as well as the associations of early response with pre-rehabilitative factors such as illness and treatment beliefs.

A longitudinal study with three measurement points was applied. Early response was defined using the percent improvement method after two weeks of treatment. Its association with therapy outcome and with illness and treatment beliefs was analyzed using multiple regression analyses.

A total of 264 participants took part. Early response was a significant predictor of psychosomatic rehabilitation outcome, explaining an incremental variance of 1-30% after controlling for initial symptom burden. Illness and treatment beliefs predicted 6-20% variance in early response. Important illness beliefs referred to perceived symptoms, consequences and comprehensibility of the illness. Important treatment beliefs referred to expectations about rehabilitation structure, processes and concerns.

Early response is associated with the therapy outcome of psychosomatic rehabilitation, with illness and treatment beliefs found to be associated with early response. Further research on the predictors of early response in psychosomatic rehabilitation is needed.

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精神障碍患者早期反应与心身康复结果的关联及其与治疗和疾病信念的联系--一项前瞻性纵向队列研究。

早期反应被认为是治疗结果的重要预测因素；然而，人们对其在心身康复中的相关性知之甚少。本文旨在描述早期反应在心身康复中的相关性，以及早期反应与疾病和治疗信念等康复前因素的相关性。研究采用了三个测量点的纵向研究。早期反应的定义是治疗两周后的改善百分比。共有 264 人参加了这项研究。早期反应是心身康复结果的重要预测因素，在控制初始症状负担后，可解释1%-30%的增量差异。疾病和治疗信念可预测早期反应的6-20%差异。重要的疾病信念是指感知到的症状、后果和疾病的可理解性。早期反应与心身康复的治疗效果有关，疾病和治疗信念与早期反应有关。关于心身康复早期反应的预测因素还需要进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.