Verhaltenstherapie最新文献_第3页

Kann die Einstellung gegenüber Psychotherapie von Alkoholabhängigen anhand einer kurzen Videointervention verändert werden? 通过短片介入来改变对酒精成瘾心理治疗的态度吗?

IF 0.6 4区医学

Verhaltenstherapie Pub Date : 2023-02-20 DOI: 10.1159/000527698

Kristina Braun-Koch, W. Rief

{"title":"Kann die Einstellung gegenüber Psychotherapie von Alkoholabhängigen anhand einer kurzen Videointervention verändert werden?","authors":"Kristina Braun-Koch, W. Rief","doi":"10.1159/000527698","DOIUrl":"https://doi.org/10.1159/000527698","url":null,"abstract":"Hintergrund: Patienten mit einer Alkoholabhängigkeit beschreiben häufig geringe Therapieerwartungen oder negative Einstellungen gegenüber Psychotherapie. Da realistische Therapieerwartungen substanziell zum Therapieergebnis beitragen, ist eine frühe erwartungsfokussierte Intervention bei dieser Patientengruppe indiziert. Kurze Videointerventionen mit Patienten als Rollenmodelle zeigten sich bereits als sinnvolle Methode zur Veränderung von Therapieerwartungen. Patienten und Methoden: Es wurden insgesamt 92 Patienten mit einer Alkoholabhängigkeit in zwei Gruppen randomisiert: (1) eine Kontrollgruppe, die ein Video mit Patienten sah, die lediglich Informationen zu ihren Symptomen gaben, oder (2) in eine Experimentalgruppe, die ein Video mit den gleichen Patienten sah, die zusätzlich Informationen zu dem vorwiegend positiven Ausgang einer Psychotherapie gaben. Ergebnisse: Es zeigte sich kein differentieller Effekt zwischen den Gruppen, jedoch konnte eine signifikante Verbesserung der Therapieerwartung und Einstellung gegenüber Psychotherapie nach Betrachten beider Videos festgestellt werden. Nach einem Pooling der Gruppen ließen sich als Moderatoren die Selbstwirksamkeit, die Symptomschwere und die Krankheitsdauer identifizieren. Schlussfolgerung: Eine kurze Videointervention mit Patienten als Rollenmodelle verbessert Therapieerwartungen und Einstellung gegenüber Psychotherapie von Patienten mit einer Alkoholabhängigkeit, insbesondere wenn diese eine kurze Erkrankungsdauer, geringe Selbstwirksamkeit und schwere Symptomatik vorweisen. Frühe Interventionen bei therapieunerfahrenen Patienten scheinen indiziert. Es sind weitere Studien nötig, um die effektiven Videoanteile zur erfolgreichen Erwartungs- und Einstellungsveränderung zu identifizieren.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82455885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapist Interpersonal Behavior: An Investigation of Various Constructs and Underlying Abilities 治疗师人际行为:各种构式和潜在能力的调查

IF 0.6 4区医学

Verhaltenstherapie Pub Date : 2023-01-12 DOI: 10.1159/000526953

Christine Wolfer, P. Hilpert, C. Flückiger

{"title":"Therapist Interpersonal Behavior: An Investigation of Various Constructs and Underlying Abilities","authors":"Christine Wolfer, P. Hilpert, C. Flückiger","doi":"10.1159/000526953","DOIUrl":"https://doi.org/10.1159/000526953","url":null,"abstract":"Objective: Psychotherapists differ in their treatment effectiveness as measured by the therapy outcome of their patients. One possible factor for therapist effects seems to be the therapists’ interpersonal skills. Therapist assessments of interpersonal skills have demonstrated sufficient predictive validity, but little is known about underlying skills and related constructs. The purpose of the present study is to compare the different constructs of interpersonal skills with each other and to investigate possible underlying abilities. Study Population and Methods: In this exploratory study, the concept of interpersonal skills was investigated using three survey methods (questionnaires, computer tests, and assessments) and comparing two measurements each. For this purpose, 6 measures of interpersonal skills were collected from 20 prospective psychotherapists as well as 28 psychology students (total N = 48). Alongside more traditional methods, the correlations and overlaps of the constructs were examined using partial and Bayesian networks. Results: Moderate to high correlations are found within the self-report measures. The assessments, however, did not correlate with self-report measures nor with computer tests. Discussion and Conclusion: The similarities in the self-assessments indicate stable self-concepts of interpersonal skills, which, however, cannot be explained by the underlying skills nor by the observer-based evaluations. The marginal correlation between the assessments also indicates that interpersonal, therapy-related abilities must be interpreted in a situation-specific manner.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82012533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der Verbände / Information by Behavior Therapy Associations Mitteilungen . Verbände /行为治疗协会提供的信息

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000531038

引用次数: 0

STAIR and STAIR/NT as a Treatment for Posttraumatic Stress: A Systematic Review STAIR和STAIR/NT治疗创伤后应激:系统综述

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000526592

Noemi Lorbeer, Christine Knaevelsrud, Helen Niemeyer

{"title":"STAIR and STAIR/NT as a Treatment for Posttraumatic Stress: A Systematic Review","authors":"Noemi Lorbeer, Christine Knaevelsrud, Helen Niemeyer","doi":"10.1159/000526592","DOIUrl":"https://doi.org/10.1159/000526592","url":null,"abstract":"Background: Current guidelines recommend phase-based approaches such as Skills Training in Affective and Interpersonal Regulation/ Narrative Therapy (STAIR/NT) for the treatment of posttraumatic stress disorder (PTSD) following complex traumatization. However, to date there is no systematic review on the efficacy of STAIR as initial treatment phase and STAIR/NT. Methods: Searching various databases, we conducted a systematic review on studies with and without control condition investigating the efficacy of STAIR, STAIR/NT, and their adaptations. Results: Overall, k = 10 studies (including 5 studies with control condition) on STAIR/-adaptations and k = 5 studies (including 4 studies with control condition) on STAIR/NT/-adaptations were identified. In 7 studies on STAIR/- and 4 studies on STAIR/NT/-adaptations, samples consisted of at-risk groups for complex traumatization. Both STAIR/- and STAIR/NT/-adaptations revealed positive effects on posttraumatic stress, affective dysregulation, and interpersonal problems. When compared to passive and active control conditions, STAIR/- and STAIR/NT/-adaptations were equally or more effective. Discussion: Findings on the efficacy of STAIR/- and STAIR/NT/-adaptations are mixed. Evidence is limited by the small number of studies, heterogeneous adaptations, often uncontrolled study designs, subclinical samples, and small sample sizes. Future studies should investigate the efficacy of STAIR/NT among patients with complex PTSD.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135501225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Buchbesprechung 书评

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000530176

Hans Reinecker

引用次数: 0

“Nicht so anstrengend wie erwartet”: Wie ein Fokus auf Erwartungsverletzungen die Wirksamkeit von Verhaltensaktivierung bei Depressionen steigern kann “不像预期中那么剧烈”:专注于期望伤害能够增强抑郁症中行为障碍运动的效力

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000531150

Tobias Kube, Sophia Jakobs

{"title":"“Nicht so anstrengend wie erwartet”: Wie ein Fokus auf Erwartungsverletzungen die Wirksamkeit von Verhaltensaktivierung bei Depressionen steigern kann","authors":"Tobias Kube, Sophia Jakobs","doi":"10.1159/000531150","DOIUrl":"https://doi.org/10.1159/000531150","url":null,"abstract":"Verhaltensaktivierung ist ein zentraler Bestandteil der kognitiven Verhaltenstherapie bei depressiven Störungen. Befunde aus der Grundlagenforschung zum inhibitorischen Lernen und deren klinische Anwendungen legen nahe, dass die Wirksamkeit von Verhaltensaktivierung zusätzlich gesteigert werden könnte, wenn bei der Durchführung ein besonderer Fokus auf das Erleben von Erwartungsverletzungen gelegt wird. So wird in diesem Artikel ein Behandlungsansatz vorgestellt, der die Verhaltensaktivierung um den Aspekt der Erwartungsverletzung ergänzt. Zentral ist dabei die Erfahrung, dass das Durchführen von geplanten Aktivitäten für Depressionspatient:innen meist weniger anstrengend als erwartet ist und mehr Freude als erwartet macht. In der Nachbesprechung wird zudem die nachhaltige Verarbeitung einer solchen erwartungsverletzenden Erfahrung besonders gefördert, indem einer nachträglichen Entwertung der Erfahrung durch die Patient:innen entgegengewirkt wird. So lernen die Patient:innen, dass sie aufgrund der Depression dazu neigen, Aktivitäten als unverhältnismäßig aversiv anzunehmen, sich diese Erwartung jedoch in aller Regel nicht bestätigt. Dadurch trauen sie sich in der Folge mehr zu und können zukünftige Aktivitäten optimistischer angehen. In einer kleinen Machbarkeitsstudie bei teilstationär behandelten Depressionspatient:innen (N = 7) zeigte sich, dass der hier vorgestellte Behandlungsansatz gut umsetzbar ist und von den Patient:innen gut angenommen wird. Dies kann die Grundlage für eine größer angelegte klinische Studie zur Wirksamkeitsprüfung sein und eine Weiterentwicklung der Verhaltensaktivierung anstoßen.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136257141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Zum Titelbild 去想你闻

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000534941

引用次数: 0

Suicide Attempt Self-Injury Interview (SASII): Initiale Validierung einer deutschen Version 自杀企图自伤访谈(SASII):初步验证德国版

4区医学

Verhaltenstherapie Pub Date : 2023-01-01 DOI: 10.1159/000531081

Carola Claus, Jan Schomberg, Jan C. Cwik, Heide Glaesmer, Thomas Forkmann, Laura Paashaus, Dajana Rath, Antje Schönfelder, Georg Juckel, Tobias Teismann

{"title":"Suicide Attempt Self-Injury Interview (SASII): Initiale Validierung einer deutschen Version","authors":"Carola Claus, Jan Schomberg, Jan C. Cwik, Heide Glaesmer, Thomas Forkmann, Laura Paashaus, Dajana Rath, Antje Schönfelder, Georg Juckel, Tobias Teismann","doi":"10.1159/000531081","DOIUrl":"https://doi.org/10.1159/000531081","url":null,"abstract":"Hintergrund: Eine detaillierte Exploration suizidalen und nicht-suizidalen selbstverletzenden Verhaltens mittels spezifischer Interviewverfahren kann die Risikoabschätzung in der klinischen Praxis und Forschung unterstützen. Methode: In der vorliegenden Studie wurde die deutschsprachige Version des Suicide Attempt Self-Injury Interviews (SASII) in einer Stichprobe von N = 240 stationär psychiatrischen Patient:innen in Hinblick auf ihre psychometrischen Eigenschaften untersucht. Diese Arbeit orientiert sich dabei an der Faktorenstruktur der englischsprachigen Fassung des SASII. Ergebnisse und Schlussfolgerungen: Die konfirmatorische Faktorenanalyse zeigte eine gute Modellpassung, während die interne Konsistenz als gering einzustufen ist. Es zeigten sich wenige positive Zusammenhänge zu Maßen aktueller Theoriemodelle suizidalen Erlebens und Verhaltens. Angesichts der in dieser Studie ermittelten geringen Reliabilität der untersuchten Faktorenstruktur wird von einer Verwendung dieser in Forschungsarbeiten abgeraten. Jenseits einer solchen Verwendung kann das SASII in Forschung und klinischer Praxis gleichwohl gewinnbringend genutzt werden.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135599905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complex Trauma Symptoms after Childhood Maltreatment: Strengths and Challenges of the Therapy Program STAIR-NT 儿童虐待后的复杂创伤症状:治疗方案STAIR-NT的优势和挑战

IF 0.6 4区医学

Verhaltenstherapie Pub Date : 2022-12-16 DOI: 10.1159/000526594

Roberto Rojas, Melissa Hitzler, Sebastian Palmer, K. S. Sauer, Christine Wendler-Bödicker, A. Boos, J. Hoyer, H. Niemeyer

{"title":"Complex Trauma Symptoms after Childhood Maltreatment: Strengths and Challenges of the Therapy Program STAIR-NT","authors":"Roberto Rojas, Melissa Hitzler, Sebastian Palmer, K. S. Sauer, Christine Wendler-Bödicker, A. Boos, J. Hoyer, H. Niemeyer","doi":"10.1159/000526594","DOIUrl":"https://doi.org/10.1159/000526594","url":null,"abstract":"The number and type of traumatic experiences (especially childhood maltreatment) appear to increase the risk of developing complex trauma symptoms. There is initial evidence that patients with complex trauma benefit from phase-based therapeutic approaches. STAIR-NT (Skills Training in Affective and Interpersonal Regulation with Narrative Therapy) is a two-phase trauma therapy approach: emotion regulation and interpersonal skills are learned in the STAIR phase, and in the narrative therapy phase (NT) the exposure to trauma aims at recognizing and changing dysfunctional, trauma-associated assumptions. Experiences with STAIR-NT in the context of a current treatment study show that the two phases provide a clear structure and more security for the treatment. First clinical experiences with STAIR-NT as well as short case vignettes are presented and recommendations for the treatment of patients with complex trauma are given. Concrete practical recommendations are offered for the implementation and individualization on interventions, which among others relate to offender contact, motivational work, handling dissociative states, therapeutic methods (especially exposure), and therapy completion. The close connection between theory and practice facilitates the transfer of learning experiences into everyday life and promotes the strengthening of patients’ self-efficacy and autonomy.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83248357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Structure of Child Externalizing Behavior and Associated Parental Stress in Family Situations 家庭情境下儿童外化行为结构与相关父母压力

IF 0.6 4区医学

Verhaltenstherapie Pub Date : 2022-12-09 DOI: 10.1159/000525732

Morena Lauth, Mariella Panagl, G. Lauth

{"title":"Structure of Child Externalizing Behavior and Associated Parental Stress in Family Situations","authors":"Morena Lauth, Mariella Panagl, G. Lauth","doi":"10.1159/000525732","DOIUrl":"https://doi.org/10.1159/000525732","url":null,"abstract":"All three cardinal symptoms of attention deficit hyperactivity disorder (ADHD) describe impaired stimulus control over behavior. Children with ADHD require more frequent and explicit behavioral cues from others and thereby increase parental stress. Both self-control deficits and parental stress manifest depending on the situation and possess intra-individual variability. Common measures of externalizing behavior and parental stress rarely address this and target generalized impressions instead. Intraindividual differences in externalizing and stressful child behavior can be assessed with a family situations inventory including two rating scales. It rests on the HSQ and supplements the original with a parental stress scale. Method: Parents of children with (male = 204, female = 33; mean = 8.6 years) and without confirmed ADHD (male = 206, female = 155; mean = 7.6 years) took part. They were asked to rate 16 family situations concerning the extent of child externalizing behavior and their own associated stress. Three established scales (CBCL, PSI, BAP) were employed in the clinical sample to determine the external validity of the German HSQ adaption. Results: Both HSQ scales share the same two-factorial structure with satisfying explained variance (56.02–60.38%) and acceptable external and discriminant validity. “Accomplishments” (factor 2) discriminates better than “agreeableness” (factor 1) between children with and without ADHD. Discussion: “Accomplishments” refers to behavior in regularly recurring situations and demands rule following. Parental stress associated with child externalizing behaviors in family situations appears to represent regulation load rather than mental load.","PeriodicalId":49386,"journal":{"name":"Verhaltenstherapie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77707268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0