Inhaltszusammenfassung

background: This study examines a new concept to support adaptive decision making in psychotherapy based on data from continous treatment documentation. The study follows on a patient-focussed research strategy, which has the goal to develop decision rules for the ongoing psychotherapeutic process in clinical practice. objective: A "growth curve" method is used to describe the influence of patient characteristics (e.g. chronicity, symptoms) and treatment process information on each patient's ...background: This study examines a new concept to support adaptive decision making in psychotherapy based on data from continous treatment documentation. The study follows on a patient-focussed research strategy, which has the goal to develop decision rules for the ongoing psychotherapeutic process in clinical practice. objective: A "growth curve" method is used to describe the influence of patient characteristics (e.g. chronicity, symptoms) and treatment process information on each patient's expected course of recovery for different psychotherapy modalities individual, couple, group and mixed (individual and couple) modalities. methods: Repeated measurement data is used from 322 patients of the outpatient clinic at the University of Berne. First, a growth function relating time to the status in the Inventory of Emotional Distress (EMI) was. developed for each patient. This pattern of EMI change reflected changes both during the treatment and during a follow-up period. Next, "average" models were developed within the four modalities. results: The results of these analysis allow the prediction of individual progress based on initial patient characteristics for different treatment modalities. Those expected treatment response models based on initial information can be compared to the actual treatment course of a patient. conclusions: Results are discussed in terms of implications for treatment modality decisions at patient presentation and therapeutic processes following the initial decision. Further implications of this strategy (e.g. for the scientist-practitioner integration) are discussed. » weiterlesen» einklappen

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