Caroline Rometsch, Alexandra Martin, Fiammetta Cosci
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PRISMA guidelines were followed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Most studies applied CBT-based interventions (<i>n</i> = 19), mainly face-to-face, with some internet-based (<i>n</i> = 5), while fewer used emotional-based (<i>n</i> = 4), mindfulness-based (<i>n</i> = 3), psychodynamic (<i>n</i> = 1) or operant behavioural therapy (<i>n</i> = 1). The primary factors identified as predictive of treatment success in FM and somatization were the intensity of experienced pain. Moreover, the presence of mental disorders, i.e., depression and anxiety disorders, emerged as predictors for a range of disorders including FM, IBS, somatization disorder, hypochondriasis, medically unexplained symptoms and dissociative seizures. Symptom severity was recognized as a predictor across various FDs with findings indicated that severe severity could predict treatment outcomes.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The body of research concerning predictors of treatment success in the context of FDs can help clinicians identifying appropriate psychotherapy trajectories.</p>\n \n <p><b>Trial Registration:</b> Not applicable. PROSPERO no. CRD42022379791; OSF (https://osf.io/8q7z9).</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70075","citationCount":"0","resultStr":"{\"title\":\"Predictors of Treatment Success of Psychotherapy in Functional Disorders: A Systematic Review of the Literature\",\"authors\":\"Caroline Rometsch, Alexandra Martin, Fiammetta Cosci\",\"doi\":\"10.1002/cpp.70075\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Functional disorders (FDs) benefit from psychotherapy. 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引用次数: 0
摘要
目的功能障碍（FDs）从心理治疗中获益。然而，预测其功效的决定因素在很大程度上仍未被探索。方法进行系统的文献复习。PubMed, Web of Science, Embase， Cochrane collaboration和灰色文献从成立到2024年11月进行筛选。纳入成人（即≥18岁）FDs（如躯体形式疾病、肠易激综合征[IBS]、慢性疲劳综合征/肌痛性脑脊髓炎[CFS/ME]、纤维肌痛[FM]）心理治疗成功预测因素的随机对照试验。该综述产生了24项符合条件的研究，包括3382名参与者。通过rob2工具进行标准化质量评估。遵循PRISMA准则。结果大多数研究采用了基于cbt的干预措施（n = 19），主要是面对面的干预，还有一些基于互联网的干预（n = 5），而较少使用基于情绪（n = 4）、基于正念（n = 3）、心理动力学（n = 1）或操作性行为治疗（n = 1）。被确定为预测FM和躯体化治疗成功的主要因素是经历疼痛的强度。此外，精神障碍的存在，即抑郁症和焦虑症，成为一系列疾病的预测因素，包括FM、肠易激综合征、躯体化障碍、疑病症、医学上无法解释的症状和分离性癫痫发作。症状严重程度被认为是各种fd的预测因子，研究结果表明严重程度可以预测治疗结果。结论关于fd治疗成功预测因素的大量研究可以帮助临床医生确定合适的心理治疗轨迹。试验注册：不适用。普洛斯彼罗。CRD42022379791;OSF (https://osf.io/8q7z9)。
Predictors of Treatment Success of Psychotherapy in Functional Disorders: A Systematic Review of the Literature
Objective
Functional disorders (FDs) benefit from psychotherapy. However, the determinants predicting their efficacy remain largely unexplored.
Methods
A systematic literature review was conducted. PubMed, Web of Science, Embase, Cochrane collaboration and grey literature were screened from inception to November 2024. Randomized controlled trials on predictors of success of psychotherapy for FDs (e.g., somatoform disorders, irritable bowel syndrome [IBS], chronic fatigue syndrome/myalgic encephalomyelitis [CFS/ME], fibromyalgia [FM]) in adults (i.e., ≥ 18 years of age) were included. The review yielded 24 eligible studies and included 3382 participants. A standardized quality assessment via ROB-2 Tool was performed. PRISMA guidelines were followed.
Results
Most studies applied CBT-based interventions (n = 19), mainly face-to-face, with some internet-based (n = 5), while fewer used emotional-based (n = 4), mindfulness-based (n = 3), psychodynamic (n = 1) or operant behavioural therapy (n = 1). The primary factors identified as predictive of treatment success in FM and somatization were the intensity of experienced pain. Moreover, the presence of mental disorders, i.e., depression and anxiety disorders, emerged as predictors for a range of disorders including FM, IBS, somatization disorder, hypochondriasis, medically unexplained symptoms and dissociative seizures. Symptom severity was recognized as a predictor across various FDs with findings indicated that severe severity could predict treatment outcomes.
Conclusion
The body of research concerning predictors of treatment success in the context of FDs can help clinicians identifying appropriate psychotherapy trajectories.
Trial Registration: Not applicable. PROSPERO no. CRD42022379791; OSF (https://osf.io/8q7z9).
期刊介绍：
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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