@article{MaiwaldJungaLangetal.2019, author = {Maiwald, Lisa Marie and Junga, Yvonne Marie and Lang, Thomas and Montini, Romina and Witth{\"o}ft, Michael and Heider, Jens and Schr{\"o}der, Annette and Weck, Florian}, title = {The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia}, series = {Journal of clinical psychology}, volume = {75}, journal = {Journal of clinical psychology}, number = {4}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22738}, pages = {614 -- 626}, year = {2019}, abstract = {Objective There is a very limited amount of research on the relationship between therapist and patient in-session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low-control CBT setting by using comprehensive measures. Methods Twenty-six patients with PD/AG received 12 sessions of exposure-based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in-session behavior. Results Patient interpersonal behavior was significantly associated with outcome at follow-up (r = 0.49). At posttreatment, the correlation did not reach significance ( r = 0.34). Competence, adherence, and alliance were not outcome associated. Conclusion The findings emphasize the need for therapists to pay particular attention to patients' interpersonal behavior during treatment.}, language = {en} } @article{RichtbergJakobHoeflingetal.2016, author = {Richtberg, Samantha and Jakob, Marion and Hoefling, Volkmar and Weck, Florian}, title = {Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis}, series = {Journal of clinical psychology}, volume = {73}, journal = {Journal of clinical psychology}, number = {6}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22356}, pages = {612 -- 625}, year = {2016}, abstract = {ObjectivePsychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. MethodCharacteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior. ResultsSeverity of pretreatment hypochondriacal symptoms, comorbid mental disorders, and patient in-session interpersonal behavior were significant predictors in multiple hierarchical regression analyses. Interactions between the predictors and the treatment (CT or ET) were not found. ConclusionsIn-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET.}, language = {en} }