Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

{"title":"Die Autorinnen und Autoren dieses Heftes.","authors":"","doi":"10.13109/zptm.2024.70.3.302","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.302","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"302"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300370","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}

{"title":"Editorial. Viele Wege führen zum Ziel – Therapieerfolg im Spiegel individueller Strukturen und systemischer Herausforderungen.","authors":"Claas Lahmann","doi":"10.13109/zptm.2024.70.3.209","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.209","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"209-211"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300371","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}

{"title":"Mitteilungen und Personalia.","authors":"","doi":"10.13109/zptm.2024.70.3.301","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.301","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"301"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300373","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}

{"title":"Originalbeiträge (Originals). High Young schema levels predict manualized confrontation therapy outcome in patients with panic disorder / Der Einfluss von Schemata nach Young auf das Therapieergebnis von Patienten mit Panikstörung.","authors":"Vanessa Renner, Jana Henker, Peter Joraschky, Andrea Keller, Katja Petrowski","doi":"10.13109/zptm.2024.70.3.212","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.212","url":null,"abstract":"<p><p>The role of schemas is well established in personality disorders. Their influence on therapy outcome of patients with Axis I disorders remains unclear. Therefore, patients with a panic disorder (PD) with/without agoraphobia varying in their expression of early maladaptive schemas were examined regarding therapy outcomes after exposure therapy. In this study, a sample of 216 patients with panic disorder with/without agoraphobia were recruited in a day clinic. After the initial diagnosis with the Structured Clinical Interview, the patients filled out the Young Schema Questionnaire (YSQ-S2), Beck Depression Inventory and Revised Symptom Checklist. Afterwards, they participated in a five-week manualized exposure therapy by Lang et al. (2011). Subjects with high schema scores showed lower therapeutic success rates than subjects with a weaker pattern score. In addition, it was found that high schema levels, especially of schemas regarding impaired autonomy and achievement (YSQ-S2: domain 2), influenced therapy outcome by either predicting more/severe or less/milder anxiety-, phobicrelated and general symptoms after therapy. The results of this study emphasize the role of schemas not only for personality disorders but also for disorders on Axis I. For PD with/without agoraphobia, schemas regarding impaired autonomy and achievement seem to play the most important role regarding the influence on therapy outcome.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"212-227"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300376","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}

{"title":"Originalbeiträge (Originals). Patientencharakteristika an einer psychodynamischen Ausund Weiterbildungsambulanz.","authors":"Florian Juen, Larissa Vierl, Susanne Hörz-Sagstetter","doi":"10.13109/zptm.2024.70.3.228","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.228","url":null,"abstract":"<p><p>Patient characteristics at a psychodynamic training institute Outpatient clinics affiliated with psychotherapeutic training institutions play a crucial role in ensuring the quality of future psychotherapists' training.</p><p><strong>Objective: </strong>In the present study we examined the characteristics of patients in terms of symptomatology and psychodynamic dimensions.</p><p><strong>Methods: </strong>The study utilized online questionnaires completed by n = 421 patients between September 2020 and March 2021. These questionnaires gathered information on sociodemographics, symptomatology (PHQ-D), relationship dynamics (IIP), personality functioning (OPD-SQS, IPO-16), and intrapsychic conflicts (OPD-KF).</p><p><strong>Results: </strong>The sample consisted of 71.0 % females, with 65 % having prior experience with psychotherapeutic treatments. Notably, 74.9 % of the patients fulfilled the criteria of a depressive disorder in PHQ-D (with 34.8 % identified as Major Depressive Disorder, MDD). Additionally, 53.1 % of all patients surpassed the threshold for the diagnosis of a personality disorder based on the IPO-16.</p><p><strong>Discussion: </strong>Findings suggest that patients seeking treatment at these clinics exhibit significant psychological distress and often have a history of prior psychotherapeutic interventions.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"228-243"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300377","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}

{"title":"Originalbeiträge (Originals). Belastung(sgrenz)en für Psychotherapeut:innen nach der Reform.","authors":"Deborah Engesser, Susanne Singer, Pascal Kemmerer, Rainer Paul, Andrea Petermann-Meyer, Katrin Reuter, Lena Dotzauer","doi":"10.13109/zptm.2024.70.3.283","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.283","url":null,"abstract":"<p><p>Loads and limits for outpatient psychotherapists after the reform Objectives: The reform of the psychotherapy directive in 2017 challenged psychotherapists by new obligations and processes. We investigated burdens psychotherapists experience due to the reform and differences concerning urban vs. rural region, half vs. full care license and psychotherapy method.</p><p><strong>Methods: </strong>Of 128 psychotherapists approached, 41 (32 %) agreed to study participation. Semistructured interviews were examined via qualitative content analysis.</p><p><strong>Results: </strong>83 % (n = 34) expressed some kind of burden. Burdens in terms of time, pressure/ stress and having to decline patients were named most frequently. 54 % of the participants (n = 22) pointed out various limits to what they can accomplish, mostly related to shortened waiting times and treatment availability. Burdens were more common among psychotherapists with a half care license and behavioural therapy; there were no major differences between urban or rural residents.</p><p><strong>Discussion: </strong>Burdens for psychotherapists may result from individual life situations and resources of treatment availability.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"283-296"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300374","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}

{"title":"Originalbeiträge (Originals). Veränderungen in der Konfliktpathologie während stationärer Psychotherapie und ihr Zusammenhang mit Symptomreduktion.","authors":"Miriam Henkel, Cord Benecke, Matthias Volz, Carola Cropp, Carsten Spitzer","doi":"10.13109/zptm.2024.70.3.266","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.266","url":null,"abstract":"<p><p>Changes in conflict pathology during inpatient psychotherapy and their relationship with symptom reduction Background: In psychodynamic psychotherapy, the treatment of a patient's unconscious conflicts represents an essential aspect of psychotherapeutic success. The present study therefore investigated whether 1) the significance of conflict issues changes during inpatient psychodynamic psychotherapy, and whether 2) greater changes in the significance of conflicts are associated with a greater reduction in symptoms.</p><p><strong>Method: </strong>113 patients provided information on their symptoms (BSI-18) and the significance of six OPD conflict themes in active and passive mode (12 conflict scales) by self-report on admission and discharge. Using Welch's t-tests and multiple regression models, both pre-post changes in symptoms and conflict significance and the influence of conflict changes on symptom reduction were analyzed.</p><p><strong>Results: </strong>Four OPD conflict scales changed significantly during treatment. Patients who changed more strongly in terms of the manifestation of conflicts also showed a greater reduction in symptoms.</p><p><strong>Discussion: </strong>The results indicate both a certain stability of conflict issues and their changeability and confirm the psychodynamic theory that change in conflict issues is associated with symptom reduction.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"266-282"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300378","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}

{"title":"Inhalt.","authors":"","doi":"10.13109/zptm.2024.70.3.207","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.207","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"207-208"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300372","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}

{"title":"Originalbeiträge (Originals). Wirksamkeit und Grenzen einer DBT-basierten tagesklinischen Behandlung für Patient:innen mit Borderline-Persönlichkeitsstörung.","authors":"Katharina Wolf, René Noack, Andrea Keller, Kerstin Weidner","doi":"10.13109/zptm.2024.70.3.244","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.244","url":null,"abstract":"<p><p>Effectiveness and limitations of a DBT-informed day-patient treatment for patients with borderline personality disorder Introduction: Borderline personality disorder, a highly prevalent personality disorder is associated with remarkable impairment and is considered one of the most challenging mental illnesses to treat. Dialectical Behavioral Therapy has been recommended by the American Psychiatric Association as a specific treatment for patients with borderline personality disorder. So far, little is known about its effectiveness in a day-patient setting.</p><p><strong>Methods: </strong>This retrospective longitudinal study investigates changes in symptom burden during an average of 11 weeks of DBT-informed treatment at discharge, and three months after discharge. The symptomatology of n = 178 patients with borderline personality disorder treated from 2009 to 2017 was investigated with established borderline-specific (BSL) and -unspecific questionnaires (BSI-18, BDI) at admission, discharge, and 3-months follow-up by calculating mixed models, effect sizes, and response rates.</p><p><strong>Results: </strong>80 % of the patients completed the treatment regularly. In borderline-specific impairments, there were moderate and highly significant improvements with good effects and a response rate of 48 %. Approximately 20 % showed a symptom level equivalent to that of the general population. The strongest effect sizes of approximately .8 were obtained for general psychopathology, with a response rate of 66 %. Results remained stable at follow-up.</p><p><strong>Discussion: </strong>Similar effects to inpatient treatment with good acceptance and efficacy could be achieved. Effect sizes differed for borderline-specific and unspecific symptoms, suggesting that DBT has different effects on different symptom areas. When comparing responders and non-responders, outpatient psychotherapy appeared to have a positive impact on the therapeutic effect. Furthermore, the results suggest that changes in borderline personality disorder extend over a longer period of time, which may indicate the limitations of curative treatment.</p>","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"244-265"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300379","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}

{"title":"Originalbeiträge (Originals). Blick in internationale Zeitschriften (Looking into international journals).","authors":"Eva M Klein, Sonja Etzler","doi":"10.13109/zptm.2024.70.3.297","DOIUrl":"10.13109/zptm.2024.70.3.297","url":null,"abstract":"","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":"70 3","pages":"297-300"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300375","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}