Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"[Eating Disorder-Related Symptom Reduction, Suicidal/Self-Injurious Behavior, Emotional Dysregulation and Interpersonal Difficulties in an Eating Disorder-Specific Treatment - A Clinical Study].","authors":"Brigitte Dippold, Kathrin Dreyße, Christoph Kröger","doi":"10.1055/a-2426-9643","DOIUrl":"10.1055/a-2426-9643","url":null,"abstract":"<p><p>This study exploratively investigated a possible relationship between suicidal/self-injurious behavior and the change in self-reported eating disorder symptoms as well as emotional dysregulation and interpersonal difficulties during eating disorder-specific treatment. For this purpose, the symptom index of the Eating Disorder Inventory-2 (EDI-SI) and the scale for the assessment of impulsivity and emotional dysregulation of borderline personality disorder (IES-27) with its subscales suicidal and self-injurious behavior (SVV/SEV), emotional dysregulation (EmotDys) and interpersonal difficulties (BezSchw) were collected from 167 female patients at a psychosomatic clinic. The participants were divided into four groups depending on the occurrence of SVV/SEV before the start and/or end of treatment. A one-way multivariate analysis of variance (MANOVA) with repeated measures showed an interaction of time and SVV/SEV group with regard to EDI-SI, EmotDys and BezSchw. The effect sizes of the pre-post comparison of the EDI-SI were very different in the groups divided according to the occurrence of SVV/SEV (0.27<g*< 1.32). No significant improvement in the EDI-SI was found on average for people with new occurrence of SVV/SEV during the course of treatment. People who were able to cease SVV/SEV in the course of treatment also benefited in terms of the EDI-SI. The decisive factor for the consideration of SVV/SEV in patients with eating disorders appears to be less the SVV/SEV reported before the start of treatment, but rather newly occurring or persistent SVV/SEV during the course of treatment.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"44-48"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Global Change in Psychotherapy: Influences of Current Social Change on Mental Health and Therapy].","authors":"Annika Kleinschmitt, Marie Mohrmüller, Andreas Beelmann","doi":"10.1055/a-2457-3479","DOIUrl":"10.1055/a-2457-3479","url":null,"abstract":"<p><p>Global change affects both individual life situations and social coexistence in a variety of ways. However, the effects of social events on mental illness and psychotherapy are only recorded and included in psychotherapy research in individual areas. The aim of this study is to explore current problems and concerns of patients in Germany on the basis of practical experience reports, to collect possible social causes and to bundle considerations for therapeutic treatment. To this end, psychotherapists (n=10) and psychotherapy patients (n=12) were interviewed in qualitative interviews and these were analyzed using grounded theory. After evaluating the collected perspectives, five main effects of current social events and the consequences of globalization were identified. From the perspectives of psychotherapists and patients, these include increasing anxiety about the future, decreasing social inclusion, increased questions about goals and identity as a concern for psychotherapy, increased psychological stress as a result of political divide and an increased demand for diversity-sensitive psychotherapy. In addition to expanding the scope of action, therapeutic approaches primarily include providing contact, guidance, orientation, emotional support and bonding experiences. The inclusion of knowledge from psychotherapists and patients as well as findings from social science can be helpful for identifying current problems and developing new therapeutic approaches or bundling, linking, and effectively using existing ones.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"28-36"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Making aging positive - can we learn from Japan's centenarian society?]","authors":"Anja Mehnert-Theuerkauf","doi":"10.1055/a-2465-6802","DOIUrl":"https://doi.org/10.1055/a-2465-6802","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"75 1","pages":"7-8"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Experiences of Psychologists and Sport Therapists Conducting Open and Closed Therapy Groups].","authors":"Meike Südmeier, Scott Gissendanner, Kai Lorenz, Beate Muschalla","doi":"10.1055/a-2435-8015","DOIUrl":"10.1055/a-2435-8015","url":null,"abstract":"<p><p>Few studies compare differences between open and closed therapy groups. Different characteristics of both formats, which have been theoretically and practically substantiated to date, are presumably responsible for different therapeutically relevant effects. The present analysis documents and analyzes therapists' experiences with both open and closed group formats and provides information relevant to the selection of group format. To this end, psychologists and sport therapists in a department for behavioral orthopedic rehabilitation were asked in open, guided interviews about their experiences during a changeover from closed to open groups. Their responses were analyzed using qualitative content analysis. Characteristics of open and closed groups identified in the literature were largely confirmed, but differences not yet identified in the literature were also discovered. These relate to everyday therapeutic practice and therapist motivation. Additionally, similarities and differences between sport and psychotherapy groups are highlighted. In sum, closed groups are characterized by high group cohesion and deeper relationships in the course of therapy. Closed group sessions can build on each other and are structured. Open groups have a consistent level of energy and stronger dynamics over time and offer a wide range of contact opportunities. Different patient roles in group therapy must be kept in mind in both formats. Both group forms have characteristics that can be used for different therapeutic goals and indications and are therefore justified in a therapeutic context. These empirical findings suggest that therapists can strategically choose a specific group form for the support of specific types of patients or for reaching specific therapy goals.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"37-43"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Organised abuse in the GDR - A Secondary Analysis of the Victims' Perspective].","authors":"Philipp Laue, Bernhard Strauß","doi":"10.1055/a-2422-0496","DOIUrl":"10.1055/a-2422-0496","url":null,"abstract":"<p><strong>Objective: </strong>Organiszed abuse (OA) is a form of long-lasting, mostly sexualized violence against children, youth, or women by networked perpetrators for financial and power-related enrichment. Individual reports and historical analyses imply this violence could have taken place in the German Democratic Republic (GDR). This study is the first to shed light on OA in the GDR from the perspective of those affected.</p><p><strong>Methods: </strong>N=10 confidential hearings and written reports of victims of sexualized violence in childhood and adolescence in the GDR, which were made available by the Independent Inquiry into Child Sexual Abuse in Germany, were analyzed using content-structuring qualitative content analysis.</p><p><strong>Results: </strong>OA was described with multiple forms of sexualized, physical and psychological violence. Those affected place OA in different contexts, with other categories (perpetrators, duration/frequency of violence, motives) sometimes dependent on these. The consequences for victims are both short- and long-term in nature and occur on both health (especially psychopathological) and psychosocial levels up to the present. There were no indications of further GDR-specific characteristics of OA.</p><p><strong>Discussion: </strong>The reports of victims enable the perspective of \"experienced knowledge\", which has its limit where descriptions presuppose the knowledge of perpetrators (e. g., motives for violence, characteristics of violence structure). Possible political-ideological features of violence could not be discussed due to considering OA as an \"ideology-free\" phenomenon (in contrast to e. g. ritual abuse). In addition to definitional distinctions between different phenomena of violence, a multiperspective and multiprofessional approach is necessary to guarantee a historically sensitive continuation of research.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"9-19"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Symptom perception and coping in patients with primary biliary cholangitis: a qualitative study in the context of SOMA.LIV].","authors":"Nele Hasenbank, Laura Buck, Kerstin Maehder, Johannes Hartl, Bernd Löwe, Christoph Schramm, Anne Toussaint","doi":"10.1055/a-2434-6837","DOIUrl":"10.1055/a-2434-6837","url":null,"abstract":"<p><p>Patients with primary biliary cholangitis (PBC) suffer from a variety of physical complaints such as fatigue, itching or joint pain. Since little is known about the experience of symptoms and the corresponding coping strategies in this patient group, a qualitative study was conducted in which 15 patients with PBC were interviewed. The patients reported being burdened by numerous physical complaints, some of which require extensive coping and adaptation processes. By means of thematic analysis, two overarching themes could be generated from the data material: \"Accepting limitations and shifting boundaries\" describes the patients' challenge of redefining their own stress limits and adapting demands and expectations to their own capabilities. \"Maintaining normality and reorienting\" describes the tension between the desire to maintain normality and the challenge of integrating the symptoms as perceptible signs of their illness into their own self-image. The results illustrate the central role of physical symptoms in the everyday lives of many patients with PBC, the complexity of the experience of symptoms and the challenges of dealing with these symptoms. They also emphasize the supportive and mediating function of healthcare practitioners in individual symptom management.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"20-27"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Body-Focused Repetitive Behavior Disorders: Classification, Diagnosis and Treatment].","authors":"Steffen Moritz, Lena Jelinek, Stella Schmotz, Luca Hoyer","doi":"10.1055/a-2231-7847","DOIUrl":"https://doi.org/10.1055/a-2231-7847","url":null,"abstract":"<p><p>Body-focused repetitive behaviors (BFRBs) such as trichotillomania and skin picking are disorders at the interface of psychiatry/psychology, dermatology and dentistry. The disorders can be both either a consequence or a cause of severe somatic disorders. If BFRBs remain undetected and untreated, they tend to become chronic with at times serious somatic complications. There is currently no approved medication for BFRBs. Cognitive-behavioral therapy, especially habit reversal training, is the method of choice. The self-help technique decoupling is also effective for a subgroup of patients. In addition to behavioral change, therapy should also address precipitating factors such as poor stress and emotion regulation strategies and sensory triggers.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"74 12","pages":"519-532"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The Effect of Therapists' Interpersonal Skills on Therapeutic Alliance].","authors":"Brian Schwartz, Julian A Rubel, Wolfgang Lutz, Henning Schöttke","doi":"10.1055/a-2450-9882","DOIUrl":"https://doi.org/10.1055/a-2450-9882","url":null,"abstract":"<p><strong>Objective: </strong>Therapists' interpersonal skills play a significant role in outcome differences between therapists. Similarly, the strength of the therapeutic alliance is influenced by therapist characteristics. Therefore, the aim of this study was to capture therapist differences in the alliance and to examine the effect of therapists' interpersonal skills on the therapeutic alliance.</p><p><strong>Methods: </strong>Interpersonal skills of 99 incoming therapists were measured in a group discussion using the Therapy-Related Interpersonal Behaviors (TRIB) scale. The therapists treated <i>n</i>=1031 psychotherapy outpatients as part of their clinical training. The alliance was assessed at the end of therapy using the Assessment for Signal Clients (ASC). Hierarchical linear models were used to predict the alliance from interpersonal skills, controlling for other patient and therapist variables. Initial impairment was examined as a moderator of the effect.</p><p><strong>Results: </strong>The therapist effect (TE) on the alliance was 7.3%. Interpersonal skills were a significant predictor of the alliance (<i>b</i>=0.104, <i>p</i><0.001) and could explain 1.8% of the total variance beyond all control variables. The TE was reduced to 5.7%, meaning that 23.0% of the therapist differences in the alliance could be attributed to interpersonal skills. Although the moderation effect of initial impairment was only marginally significant (<i>b</i>=0.069, <i>p</i>=0.061), the association between interpersonal skills and alliance disappeared with low patient impairment.</p><p><strong>Discussion: </strong>The TRIB scale can measure interpersonal skills before the start of training. The prediction should be considered in the context of the several years' temporal distance between the measurements of interpersonal skills and the alliance, applicable to the selective sample of therapists chosen for the training.</p><p><strong>Conclusion: </strong>Interpersonal skills can predict the alliance. The influence of therapists' interpersonal skills on the alliance increases with the initial impairment of patients, while there is no significant relationship with low-impaired patients. Using video-based rating systems, interpersonal skills of individual therapists can be measured automatically, therapists with deficits can be identified, and targeted training can be provided.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"74 12","pages":"504-510"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Explaining Transtheoretical Therapist Training using Alliance-Focused Training as an Example].","authors":"Anna Babl","doi":"10.1055/a-2415-5871","DOIUrl":"10.1055/a-2415-5871","url":null,"abstract":"<p><p>Although most psychotherapists adopt an integrative and process-oriented approach, transtheoretical approaches to psychotherapy training are rare. To better prepare future therapists for the complexities of clinical practice, such an approach is needed. A promising way forward is to consider principles of change that cut across different schools of therapy. The principle of the therapeutic alliance is where different therapy schools agree most. Therefore, an alliance-focused training is presented below, where therapists learn to recognize ruptures in the therapeutic alliance and respond to them with resolution strategies. Current teaching methods like role-playing and supervision have their limitations, as they can only be applied post hoc and to a small number of cases. A new approach could be an online training that integrates principles of change, such as the alliance and markers for interventions, utilizes proven methods of deliberate practice and expert training, and makes use of the potential of technology.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"498-503"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Training and Continuing Education in Psychotherapeutic Skills: State of Research and new Developments].","authors":"Wolfgang Lutz, Jana Bommer, Bernhard Strauß","doi":"10.1055/a-2444-2679","DOIUrl":"https://doi.org/10.1055/a-2444-2679","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"74 12","pages":"471-473"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}