@article{SchwindNengWeck2016,
  author    = {Schwind, Julia and Neng, Julia M. B. and Weck, Florian},
  title     = {Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy},
  series = {Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies},
  volume    = {44},
  journal   = {Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies},
  publisher = {Cambridge Univ. Press},
  address   = {New York},
  issn      = {1352-4658},
  doi       = {10.1017/S1352465816000163},
  pages     = {601 -- 614},
  year      = {2016},
  language  = {en}
}
@misc{SchwindNengWeck2016,
  author    = {Schwind, Julia and Neng, Julia M. B. and Weck, Florian},
  title     = {Changes in free symptom attributions in hypochondriasis after cognitive therapy and exposure therapy},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {457},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-414169},
  pages     = {14},
  year      = {2016},
  abstract  = {Background: Cognitive-behavioural therapy can change dysfunctional symptom attributions in patients with hypochondriasis. Past research has used forced-choice answer formats, such as questionnaires, to assess these misattributions; however, with this approach, idiosyncratic attributions cannot be assessed. Free associations are an important complement to existing approaches that assess symptom attributions. Aims: With this study, we contribute to the current literature by using an open-response instrument to investigate changes in freely associated attributions after exposure therapy (ET) and cognitive therapy (CT) compared with a wait list (WL). Method: The current study is a re-examination of a formerly published randomized controlled trial (Weck, Neng, Richtberg, Jakob and Stangier, 2015) that investigated the effectiveness of CT and ET. Seventy-three patients with hypochondriasis were randomly assigned to CT, ET or a WL, and completed a 12-week treatment (or waiting period). Before and after the treatment or waiting period, patients completed an Attribution task in which they had to spontaneously attribute nine common bodily sensations to possible causes in an open-response format. Results: Compared with the WL, both CT and ET reduced the frequency of somatic attributions regarding severe diseases (CT: Hedges's g = 1.12; ET: Hedges's g = 1.03) and increased the frequency of normalizing attributions (CT: Hedges's g = 1.17; ET: Hedges's g = 1.24). Only CT changed the attributions regarding moderate diseases (Hedges's g = 0.69). Changes in somatic attributions regarding mild diseases and psychological attributions were not observed. Conclusions: Both CT and ET are effective for treating freely associated misattributions in patients with hypochondriasis. This study supplements research that used a forced-choice assessment.},
  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}
}
@article{WeckGrikscheitHoeflingetal.2016,
  author    = {Weck, Florian and Grikscheit, Florian and H{\"o}fling, Volkmar and Kordt, Anne and Hamm, Alfons O. and Gerlach, Alexander L. and Alpers, Georg W. and Arolt, Volker and Kircher, Tilo and Pauli, Paul and Rief, Winfried and Lang, Thomas},
  title     = {The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia},
  series = {Journal of anxiety disorders},
  volume    = {42},
  journal   = {Journal of anxiety disorders},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0887-6185},
  doi       = {10.1016/j.janxdis.2016.05.007},
  pages     = {10 -- 18},
  year      = {2016},
  abstract  = {Treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) are considered to be important for cognitive behavioral therapy (CBT) for panic disorder and agoraphobia (PD/AG). In the current study, four independent raters conducted process evaluations based on 168 two-hour videotapes of 84 patients with PD/AG treated with exposure-based CBT. Two raters evaluated patients' interpersonal behavior in Session 1. Two raters evaluated treatment delivery factors in Session 6, in which therapists provided the rationale for conducting exposure exercises. At the 6-month follow-up, therapists' adherence (r = 0.54) and therapeutic alliance (r = 0.31) were significant predictors of changes in agoraphobic avoidance behavior; therapist competence was not associated with treatment outcomes. Patients' interpersonal behavior in Session 1 was a significant predictor of the therapeutic alliance in Session 6 (r = 0.17). The findings demonstrate that treatment delivery factors, particularly therapist adherence, are relevant to the long-term success of CBT for PD/AG.},
  language  = {en}
}