@article{JungaWitthoeftWeck2019,
  author    = {Junga, Yvonne Marie and Witth{\"o}ft, Michael and Weck, Florian},
  title     = {Assessing therapist development: Reliability and validity of the Supervisee Levels Questionnaire (SLQ-R)},
  series = {Journal of clinical psychology},
  volume    = {75},
  journal   = {Journal of clinical psychology},
  number    = {9},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {0021-9762},
  doi       = {10.1002/jclp.22794},
  pages     = {1658 -- 1672},
  year      = {2019},
  language  = {en}
}
@article{KuehnePaunovWeck2021,
  author    = {K{\"u}hne, Franziska and Paunov, Tatjana and Weck, Florian},
  title     = {Recognizing obsessive-compulsive disorder},
  series = {BMC psychiatry},
  volume    = {21},
  journal   = {BMC psychiatry},
  publisher = {Springer Nature},
  address   = {London},
  issn      = {1471-244X},
  doi       = {10.1186/s12888-021-03458-x},
  pages     = {7},
  year      = {2021},
  abstract  = {Background Despite the prevalence of obsessive-compulsive disorder (OCD), its precise identification remains challenging. With the Zohar-Fineberg Obsessive-Compulsive Screen (ZF-OCS; 5 or 6 items), a brief instrument is widely available mainly in English. As there is a lack of empirical studies on the ZF-OCS, the aim of the present study was to translate the items into German and investigate the instrument in a nonclinical sample. Methods In two consecutive online surveys, n = 304 and n = 51 students participated. Besides the ZF-OCS, they answered established measures on OCD, depression, health anxiety, general anxiety and health-related well-being. Results Whereas internal consistency was low (α = .53-.72; ω = .55-.69), retest reliability (rt1,t2 = .89) at two weeks was high. As expected, we found high correlations with other OCD instruments (r > .61; convergent validity), and significantly weaker correlations with measures of depression (r = .39), health anxiety (r = .29), and health-related well-being (r = -.28, divergent validity). Nonetheless, the correlations with general anxiety were somewhere in between (r = .52). Conclusions Due to heterogeneous OCD subtypes, the ZF-OCS asks diverse questions which probably resulted in the present internal consistency. Nevertheless, the results on retest reliability and validity were promising. As for other OCD instruments, divergent validity regarding general anxiety seems problematic to establish. Even so, the ZF-OCS seems valuable for screening purposes, as it is short and easy to administer, and may facilitate initiating subsequent clinical assessment. Further studies should determine the instrument's diagnostic accuracy.},
  language  = {en}
}
@article{KuehneFauthDestinaSevdeetal.2021,
  author    = {K{\"u}hne, Franziska and Fauth, Henriette and Destina Sevde, Ay-Bryson and Visser, Leonie N.C. and Weck, Florian},
  title     = {Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes},
  series = {Cancer Medicine},
  volume    = {10},
  journal   = {Cancer Medicine},
  edition   = {24},
  publisher = {Wiley},
  address   = {Hoboken, New Jersey, USA},
  issn      = {2045-7634},
  doi       = {10.1002/cam4.4396},
  pages     = {9012 -- 9021},
  year      = {2021},
  abstract  = {Background Communicating a diagnosis is highly important, yet complex, especially in the context of cancer and mental disorders. The aim was to explore the communication style of an oncologist vs. psychotherapist in an online study. Methods Patients (N = 136: 65 cancer, 71 depression) were randomly assigned to watch a standardized video vignette with one of two communication styles (empathic vs. unempathic). Outcome measures of affectivity, information recall, communication skills, empathy and trust were applied. Results Regardless of diagnosis, empathic communication was associated with the perception of a significantly more empathic (p < 0.001, η2partial = 0.08) and trustworthy practitioner (p = 0.014, η2partial = 0.04) with better communication skills (p = 0.013, η2partial = 0.05). Cancer patients reported a larger decrease in positive affect (p < 0.001, η2partial = 0.15) and a larger increase in negative affect (p < 0.001, η2partial = 0.14) from pre- to post-video than depressive patients. Highly relevant information was recalled better in both groups (p < 0.001, d = 0.61-1.06). Conclusions The results highlight the importance of empathy while communicating both a diagnosis of cancer and a mental disorder. Further research should focus on the communication of a mental disorder in association with cancer.},
  language  = {en}
}
@misc{GropalisBailerWecketal.2018,
  author    = {Gropalis, Maria and Bailer, Josef and Weck, Florian and Witth{\"o}ft, Michael},
  title     = {Optimierung von Expositionstherapie bei pathologischen Krankheits{\"a}ngsten},
  series = {Psychotherapeut},
  volume    = {63},
  journal   = {Psychotherapeut},
  number    = {3},
  publisher = {Springer},
  address   = {New York},
  issn      = {0935-6185},
  doi       = {10.1007/s00278-018-0285-1},
  pages     = {188 -- 193},
  year      = {2018},
  abstract  = {Pathologische Krankheits{\"a}ngste wurden bislang nach ICD und DSM prim{\"a}r als somatoforme St{\"o}rung bzw. als somatische Belastungsst{\"o}rung klassifiziert. Theoretische Erw{\"a}gungen und empirische Befunde legen jedoch nahe, dass es sich bei pathologischen Krankheits{\"a}ngsten eigentlich um eine Angstst{\"o}rung handelt. Innerhalb des vorliegenden Beitrags wird daf{\"u}r argumentiert, dass Defizite in der aktuellen Behandlungspraxis und in der Wahrnehmung von Patienten mit Hypochondrie als „schwierige Patienten" teilweise auf Unklarheit in der Nosologie sowie bez{\"u}glich der entscheidenden Mechanismen der Entstehung und Aufrechterhaltung zur{\"u}ckzuf{\"u}hren sind. Ausgehend von innovativen theoretischen Ans{\"a}tzen zur Erkl{\"a}rung pathologischer Krankheits{\"a}ngste werden Vorschl{\"a}ge f{\"u}r eine verbesserte therapeutische Praxis skizziert. Der Fokus liegt hierbei auf einem verst{\"a}rken Einsatz expositionsbasierter Behandlungselemente, die sich am „Inhibitory-learning"-Ansatz orientieren und sich bei anderen Angstst{\"o}rungen bereits bew{\"a}hrt haben.},
  language  = {en}
}
@misc{KuehneMaasWiesenthaletal.2017,
  author    = {K{\"u}hne, Franziska and Maas, Jana and Wiesenthal, Sophia and Weck, Florian},
  title     = {Supervision in der Verhaltenstherapie},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {540},
  doi       = {10.25932/publishup-42694},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-426943},
  pages     = {32},
  year      = {2017},
  abstract  = {Theoretischer Hintergrund:Supervision spielt eine zentrale Rolle zum Wissens- und Kompetenzerwerb sowie in der Qualit{\"a}tssicherung. Fragestellung:Ziel war es, den aktuellen Forschungsstand zur Supervision im Rahmen der kognitiven Verhaltenstherapie abzubilden, um daraus Schlussfolgerungen f{\"u}r die zuk{\"u}nftige Forschung abzuleiten. Methode:Zur Evidenzsynthese wurde ein Scoping Review durchgef{\"u}hrt, das die Darstellung zentraler Konzepte, aktueller Evidenz und m{\"o}glicher Forschungsbedarfe erm{\"o}glichte. Neben einer systematischen Literaturrecherche wurden Vorw{\"a}rts- und R{\"u}ckw{\"a}rtssuchstrategien eingesetzt. Ergebnisse:Eingeschlossen wurden zw{\"o}lf Publikationen basierend auf zehn empirischen Studien. Alle Studien beschrieben Ausbildungssettings, aber nur wenige untersuchten {\"u}bende Interventionen (z. B. Rollenspiele). H{\"a}ufig wurden Effekte subjektiv erfasst, die methodische Qualit{\"a}t der Begleitstudien variierte. Schlussfolgerungen:Notwendig sind weitere methodisch hochwertige Studien, experimentell orientiert oder in der klinischen Praxis, die die Supervisionsforschung bereichern k{\"o}nnen.},
  language  = {de}
}
@article{KuehneMaassWeck2021,
  author    = {K{\"u}hne, Franziska and Maaß, Ulrike and Weck, Florian},
  title     = {Einsatz standardisierter Patienten im Psychologiestudium},
  series = {Verhaltenstherapie : Praxis, Forschung, Perspektiven},
  volume    = {31},
  journal   = {Verhaltenstherapie : Praxis, Forschung, Perspektiven},
  number    = {2},
  publisher = {Karger},
  address   = {Basel},
  issn      = {1016-6262},
  doi       = {10.1159/000509249},
  pages     = {152 -- 160},
  year      = {2021},
  abstract  = {Hintergrund: Im Rahmen des reformierten Psychotherapeutengesetzes wird eine starkere Praxisorientierung in der klinisch-psychologischen Lehre und in der Prufung psychotherapeutischer Kompetenzen verankert. Hierbei sollen Studierende durch die Interaktion mit standardisierten Patient*innen (SP) therapeutische Kompetenzen erwerben und demonstrieren. Fragestellung: Das Ziel des vorliegenden Beitrags ist es, eine evidenzbasierte Umsetzung dieser neuen Lehr- und Prufungsformate zu unterstutzen, indem bisherige Forschungsbefunde zum Einsatz von SP dargestellt und Bereiche, in denen weitere Forschung notwendig ist, aufgezeigt werden. Ergebnisse: Empirische Befunde zeigen, dass SP psychische Storungen authentisch darstellen konnen. Voraussetzung dafur sind beispielsweise die Auswahl geeigneter SP, detaillierte Rollenanleitungen, spezifisches Training, Feedback und Nachschulungen. Auch wenn einige Forschungsfragen, wie zur vergleichenden Wirksamkeit des Einsatzes von SP, noch unbeantwortet sind, lassen sich praktische Implikationen fur SP-Programme in Lehre, Prufung und Forschung ableiten, die in einem Ablaufschema dargestellt werden. Schlussfolgerungen: Der Einsatz von SP bietet gro ss es Potenzial fur die klinisch-psychologische Lehre und Ausbildungsforschung. Um den Einsatz von SP an anderen Standorten zu unterstutzen, werden Beispielmaterialien (z.B. Rollenanleitung) in den elektronischen Supplementen (siehe www.karger.com/doi/10.1159/000509249 fur alle Supplemente) zum Artikel zur Verfugung gestellt.},
  language  = {de}
}
@misc{Weck2021,
  author    = {Weck, Florian},
  title     = {Ein praxisnaher Leitfaden zur kognitiv-verhaltenstherapeutischen Behandlung von Auftritts{\"a}ngsten bei Musikerinnen und Musikern},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {50},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {1},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  isbn      = {978-3-8017-2988-2},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000615},
  pages     = {46 -- 47},
  year      = {2021},
  language  = {de}
}
@article{MaassKuehneMaasetal.2020,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Maas, Jana and Unverdross, Maria and Weck, Florian},
  title     = {Psychological interventions for health anxiety and somatic symptoms},
  series = {Zeitschrift f{\"u}r Psychologie = Journal of psychology},
  volume    = {228},
  journal   = {Zeitschrift f{\"u}r Psychologie = Journal of psychology},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {2190-8370},
  doi       = {10.1027/2151-2604/a000400},
  pages     = {68 -- 80},
  year      = {2020},
  abstract  = {This study examined the effectiveness of psychological interventions for severe health anxiety (SHA) regarding somatic symptoms (SS) and health anxiety (HA). The databases Web of Science, EBSCO, and CENTRAL were searched on May 15, 2019, May 16, 2019, and August 5, 2019, respectively. Eighteen randomized controlled trials (N = 2,050) met the inclusion criteria (i.e., hypochondriasis, illness anxiety disorder or somatic symptom disorder with elevated HA being assessed with validated interviews: use of standardized outcome measures). Two reviewers independently evaluated the studies' risk of bias using the Revised Cochrane Risk-of-Bias Tool for randomized trials (RoB-2) tool. Overall, psychological interventions were significantly more effective than waitlist, treatment-as-usual, or placebo post-treatment (g(SS) = 0.70, g(HA) = 1.11) and at follow-up (g(SS) = 0.33, g(HA)= 0.70). CBT outperformed other psychological interventions or pharmacotherapy for HA post- treatment (Hedge's g(HA) = 0.81). The number of sessions did not significantly predict the effect sizes. In sum, psychological interventions were effective for SHA, but the generalizability of the results for SS is limited, because only two high-quatity trials contributed to the comparison.},
  language  = {en}
}
@article{AyBrysonWeckKuehne2022,
  author    = {Ay-Bryson, Destina Sevde and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Can simulated patient encounters appear authentic?},
  series = {Training and education in professional psychology},
  volume    = {16},
  journal   = {Training and education in professional psychology},
  number    = {1},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {1931-3918},
  doi       = {10.1037/tep0000349},
  pages     = {20 -- 27},
  year      = {2022},
  abstract  = {Public Significance Statement This study demonstrates that simulated patients (SPs) can authentically portray a depressive case. The results provide preliminary evidence of psychometrically sound properties of the rating scale that contributes to distinguishing between authentic and unauthentic SPs and may thus foster SPs' dissemination into evidence-based training. <br /> For training purposes, simulated patients (SPs), that is, healthy people portraying a disorder, are disseminating more into clinical psychology and psychotherapy. In the current study, we developed an observer-based rating instrument for the evaluation of SP authenticity-namely, it not being possible to distinguish them from real patients-so as to foster their use in evidence-based training. We applied a multistep inductive approach to develop the Authenticity of Patient Demonstrations (APD) scale. Ninety-seven independent psychotherapy trainees, 77.32\% female, mean age of 31.49 (SD = 5.17) years, evaluated the authenticity of 2 independent SPs, each of whom portrayed a depressive patient. The APD demonstrated good internal consistency (Cronbach's alpha = .83) and a strong correlation (r = .82) with an established tool for assessing SP performance in medical contexts. The APD scale distinguished significantly between an authentic and unauthentic SP (d = 2.35). Preliminary evidence for the psychometric properties of the APD indicates that the APD could be a viable tool for recruiting, training, and evaluating the authenticity of SPs. Strengths, limitations, and future directions are also discussed in detail.},
  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{WeckKaufmannWitthoeft2017,
  author    = {Weck, Florian and Kaufmann, Yvonne Marie and Witth{\"o}ft, Michael},
  title     = {Topics and techniques in clinical supervision in psychotherapy training},
  series = {Cognitive Behaviour Therapist},
  volume    = {10},
  journal   = {Cognitive Behaviour Therapist},
  publisher = {Cambridge University Press},
  address   = {Cambridge},
  issn      = {1754-470X},
  doi       = {10.1017/S1754470X17000046},
  pages     = {17},
  year      = {2017},
  abstract  = {Clinical supervision is regarded as one of the most important components of psychotherapy training. In clinical practice, it has been found that the implementation of clinical supervision varies substantially and often differs from the recommendations made in the literature. The objective of the current study was to investigate the frequency of topics (e.g. ethical issues) and techniques (e.g. role play) in the clinical supervision of psychotherapy trainees in Germany. To this end, we considered supervisions in cognitive behavioural therapy (CBT) and psychodynamic therapy (PT). A total of 791 psychotherapy trainees (533 CBT and 242 PT) were asked via the internet to provide information about their current supervision sessions. We found that clinical supervision in psychotherapy training addressed topics that are central for the effective treatment of supervised patients (i.e. therapeutic interventions, therapeutic alliance, maintaining factors, and therapeutic goals). However, the most frequently used intervention in clinical supervision in psychotherapy training was case discussion. Rarely were techniques used that allowed the supervisor to give the supervisee feedback based on the supervisee's demonstrated competencies. For example, 46\% of the supervisors never used audiotapes or videotapes in the supervision. Differences between CBT and PT were rather small. Current practice regarding the techniques used in clinical supervision for psychotherapy trainees contradicts recommendations for active and feedback-oriented clinical supervision. Thus the potential of clinical supervision might not be fully used in clinical practice.},
  language  = {en}
}
@article{ProbstJakobKaufmannetal.2018,
  author    = {Probst, Thomas and Jakob, Marion and Kaufmann, Yvonne Marie and M{\"u}ller-Neng, Julia M. B. and Bohus, Martin and Weck, Florian},
  title     = {Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy},
  series = {Journal of clinical psychology},
  volume    = {74},
  journal   = {Journal of clinical psychology},
  number    = {4},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {0021-9762},
  doi       = {10.1002/jclp.22519},
  pages     = {509 -- 522},
  year      = {2018},
  abstract  = {ObjectiveThis secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT). MethodA total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision). After each session, both patients (BITE: n=19; DVB: n=23) and therapists (BITE: n=11; DVB: n=12) completed the Helping Alliance Questionnaire (HAQ) and the Bernese Post Session Report (BPSR). The HAQ total score and the 3 secondary factors of the BPSR (interpersonal experiences, intrapersonal experiences, problem actuation) functioned as GCMs. Multilevel models were performed. ResultsFor patients, GCMs did not develop differently between BITE and DVB during CBT. Therapists rated the alliance as well as interpersonal and intrapersonal experiences not significantly different between BITE and DVB during CBT, but they perceived problem actuation to increase significantly more in BITE than in DVB (p<.05). ConclusionBITE supervision might be helpful in encouraging CBT therapists to apply interventions, which focus on the activation of relevant problems and related emotions.},
  language  = {en}
}
@article{WeckNagelRichtbergetal.2017,
  author    = {Weck, Florian and Nagel, Laura Carlotta and Richtberg, Samantha and Neng, Julia M. B.},
  title     = {Personality disorders in hypochondriasis},
  series = {Journal of personality disorders},
  volume    = {31},
  journal   = {Journal of personality disorders},
  publisher = {Guilford Press},
  address   = {New York},
  issn      = {0885-579X},
  pages     = {567 -- 576},
  year      = {2017},
  abstract  = {Previous studies found high prevalence rates of personality disorders (PDs) in patients with hypochondriasis; however, assessment was often based only on questionnaires. In the current study, a sample of 68 patients with hypochondriasis was compared to 31 patients with panic disorder and to 94 healthy controls. Participants were investigated with the Structured Clinical Interview for DSM-IV Personality Disorders questionnaire (SCID-II questionnaire) and the SCID-II interview. Based on the cut-off scores of the SCID-II questionnaire, we found a prevalence rate of 45.6\% for PD in patients with hypochondriasis. In comparison to healthy controls, patients with hypochondriasis showed characteristics of paranoid, borderline, avoid ant, and-dependent PDs in the dimensional assessment significantly more often. However, no significant differences were found between the clinical samples. Based on the SCID-II interview, only 2.9\% of the patients with hypochondriasis fulfilled the criteria for a PD. These results suggest that PDs are not a specific characteristic of hypochondriasis.},
  language  = {en}
}
@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{KuehneLackiMuseetal.2019,
  author    = {K{\"u}hne, Franziska and Lacki, Fiona Janina and Muse, Kate and Weck, Florian},
  title     = {Strengthening competence of therapists-in-training in the treatment of health anxiety (hypochondriasis)},
  series = {Clinical psychology \& psychotherapy : an international journal of theory and practice},
  volume    = {26},
  journal   = {Clinical psychology \& psychotherapy : an international journal of theory and practice},
  number    = {3},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {1063-3995},
  doi       = {10.1002/cpp.2353},
  pages     = {319 -- 327},
  year      = {2019},
  abstract  = {Although the observation and assessment of psychotherapeutic competences are central to training, supervision, patient care, quality control, and life-long practice, structured instruments are used only occasionally. In the current study, an observation-based tool for the Assessment of Core CBT Skills (ACCS) was translated into German and adapted, and its psychometric properties were pilot evaluated. Competence of therapists-in-training was assessed in a random sample of n = 30 videos on cognitive behavioural therapy including patients diagnosed with hypochondriasis. Two of three raters independently assessed the competences demonstrated in the entire, active treatment sessions (n = 60). In our sample, internal consistency was excellent, and interrater reliability was good. Convergent validity (Cognitive Therapy Scale) and discriminant validity (Helping Alliance Questionnaire) were within the expected ranges. The ACCS total score did not significantly predict the reduction of symptoms of hypochondriasis, and a one-factorial structure of the instrument was found. By providing multiple opportunities for feedback, self-reflection, and supervision, the ACCS may complement current tools for the assessment of psychotherapeutic competences and importantly support competence-based training and supervision.},
  language  = {en}
}
@article{WeckWitthoeft2017,
  author    = {Weck, Florian and Witth{\"o}ft, Michael},
  title     = {Context effects in the evaluation of bodily symptoms},
  series = {Journal of experimental psychopathology},
  volume    = {8},
  journal   = {Journal of experimental psychopathology},
  publisher = {Sage Publishing},
  address   = {London},
  issn      = {2043-8087},
  doi       = {10.5127/jep.054216},
  pages     = {241 -- 251},
  year      = {2017},
  abstract  = {The illness-related evaluation of bodily symptoms is considered to be an important maintaining factor in somatoform disorders. However, little is known about context variables that could influence this evaluation process. In the current study, participants completed three versions of the Health Norms Sorting Task (HNST) and evaluated bodily symptoms in different contexts (i.e., different evaluation perspectives and time frames of evaluation). Additionally, the three HNST versions were presented in different orders. Bodily symptoms were evaluated more often as a sign of illness when a specific time frame (i.e., one week) was given. However, this context effect was only large when participants had previously evaluated symptoms existing without a concrete duration. Thus, previously completed symptom evaluations appear to represent an important frame of reference in terms of a cue that makes specific context variables salient. The results further suggested that these cueing effects might be less relevant for participants with elevated somatic symptom reports.},
  language  = {en}
}
@misc{KuehneMaasWiesenthaletal.2017,
  author    = {K{\"u}hne, Franziska and Maas, Jana and Wiesenthal, Sophia and Weck, Florian},
  title     = {Supervision in der Verhaltenstherapie},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  volume    = {46},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000414},
  pages     = {73 -- 82},
  year      = {2017},
  abstract  = {Theoretischer Hintergrund:Supervision spielt eine zentrale Rolle zum Wissens- und Kompetenzerwerb sowie in der Qualit{\"a}tssicherung. Fragestellung:Ziel war es, den aktuellen Forschungsstand zur Supervision im Rahmen der kognitiven Verhaltenstherapie abzubilden, um daraus Schlussfolgerungen f{\"u}r die zuk{\"u}nftige Forschung abzuleiten. Methode:Zur Evidenzsynthese wurde ein Scoping Review durchgef{\"u}hrt, das die Darstellung zentraler Konzepte, aktueller Evidenz und m{\"o}glicher Forschungsbedarfe erm{\"o}glichte. Neben einer systematischen Literaturrecherche wurden Vorw{\"a}rts- und R{\"u}ckw{\"a}rtssuchstrategien eingesetzt. Ergebnisse:Eingeschlossen wurden zw{\"o}lf Publikationen basierend auf zehn empirischen Studien. Alle Studien beschrieben Ausbildungssettings, aber nur wenige untersuchten {\"u}bende Interventionen (z. B. Rollenspiele). H{\"a}ufig wurden Effekte subjektiv erfasst, die methodische Qualit{\"a}t der Begleitstudien variierte. Schlussfolgerungen:Notwendig sind weitere methodisch hochwertige Studien, experimentell orientiert oder in der klinischen Praxis, die die Supervisionsforschung bereichern k{\"o}nnen.},
  language  = {de}
}
@misc{KuehneLesserPetrietal.2018,
  author    = {K{\"u}hne, Franziska and Lesser, Hannah and Petri, Franziska and Weck, Florian},
  title     = {Do mental health patients learn what their cognitive-behaviour therapists think they do?},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {490},
  issn      = {1866-8364},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-420607},
  pages     = {7},
  year      = {2018},
  abstract  = {Purpose: The acquisition of skills is essential to the conceptualization of cognitive-behavioural therapy. Yet, what experiences are encountered and what skills actually learned during therapy, and whether patients and therapists have concurrent views hereof, remains poorly understood. Method: An explorative pilot study with semi-structured, corresponding interview guides was conducted. Pilot data from our outpatient unit were transcribed and content-analyzed following current guidelines. Results: The responses of 18 participants (patients and their psychotherapists) were assigned to six main categories. Educational and cognitive aspects were mentioned most frequently and consistently by both groups. Having learned Behavioural alternatives attained the second highest agreement between perspectives. Conclusions: Patients and therapists valued CBT as an opportunity to learn new skills, which is an important prerequisite also for the maintenance of therapeutic change. We discuss limitations to generalizability but also theoretical and therapy implications.},
  language  = {en}
}
@misc{KuehneAyOtterbecketal.2018,
  author    = {K{\"u}hne, Franziska and Ay, Destina Sevde and Otterbeck, Mara Jasmin and Weck, Florian},
  title     = {Standardized Patients in Clinical Psychology and Psychotherapy},
  series = {Academic psychiatry},
  volume    = {42},
  journal   = {Academic psychiatry},
  number    = {6},
  publisher = {Springer},
  address   = {New York},
  issn      = {1042-9670},
  doi       = {10.1007/s40596-018-0886-6},
  pages     = {773 -- 781},
  year      = {2018},
  abstract  = {ObjectivesThe use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy.MethodsFollowing current guidelines, a scoping review was conducted. The literature search focused on the MEDLINE, PsycINFO and Web of Science databases, including Dissertation Abstracts International. After screening for titles and abstracts, full texts were screened independently and in duplicate according to our inclusion criteria. For data extraction, a pre-defined form was piloted and used. Units of meaning with respect to barriers and facilitators were extracted and categorized inductively using content-analysis techniques. From the results, a matrix of interconnections and a network graph were compiled.ResultsThe 41 included publications were mainly in the fields of psychiatry and mental health nursing, as well as in training and education. The detailed category system contrasts four supercategories, i.e., which organizational and economic aspects to consider, which persons to include as eligible SPs, how to develop adequate scenarios, and how to authentically and consistently portray mental health patients.ConclusionsPublications focused especially on the interrelation between authenticity and consistency of portrayals, on how to evoke empathy in learners, and on economic and training aspects. A variety of recommendations for implementing SP programs, from planning to training, monitoring, and debriefing, is provided, for example, ethical screening of and ongoing support for SPs.},
  language  = {en}
}
@article{KaufmannMaiwaldSchindleretal.2017,
  author    = {Kaufmann, Yvonne Marie and Maiwald, Lisa Marie and Schindler, Svenja and Weck, Florian},
  title     = {Wie wirkt sich mehrmaliges Kompetenz-Feedback auf psychotherapeutische Behandlungen aus?},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  volume    = {46},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000412},
  pages     = {96 -- 106},
  year      = {2017},
  abstract  = {Theoretischer Hintergrund: Einfl{\"u}sse von therapeutenorientiertem Kompetenz-Feedback in der Psychotherapieausbildung wurden bislang wenig untersucht. Fragestellung: Wie gehen Ausbildungstherapeuten mit Feedback um? Welchen Einfluss hat ein regelm{\"a}ßiges Kompetenz-Feedback auf die Qualit{\"a}t psychotherapeutischer Behandlungen (insbesondere Therapiesitzungen, therapeutische Beziehung, Person des Therapeuten, Supervision)? Methode: Elf Therapeuten wurden mithilfe eines halbstrukturierten Interviewleitfadens befragt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring (2015). Ergebnisse: Das auf Basis der Interviews erstellte Kategoriensystem umfasste die Kategorien „Erwartungen an das Feedback", „Wahrnehmung des Feedbacks", „Verarbeitung von und Umgang mit Feedback", „Folgen, Auswirkungen und Ver{\"a}nderungen durch Feedback" sowie „Verbesserungsw{\"u}nsche". Schlussfolgerungen: Therapeuten streben eine Umsetzung des Feedbacks an, welches sich auf die Behandlung, die Supervision, die eigene Person und die therapeutische Beziehung auswirkt.},
  language  = {de}
}
@misc{KaufmannMaiwaldSchindleretal.2017,
  author    = {Kaufmann, Yvonne M. and Maiwald, Lisa and Schindler, Svenja and Weck, Florian},
  title     = {Wie wirkt sich mehrmaliges Kompetenz-Feedback auf psychotherapeutische Behandlungen aus?},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {614},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-43406},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-434066},
  pages     = {96 -- 106},
  year      = {2017},
  abstract  = {Theoretischer Hintergrund: Einfl{\"u}sse von therapeutenorientiertem Kompetenz-Feedback in der Psychotherapieausbildung wurden bislang wenig untersucht. Fragestellung: Wie gehen Ausbildungstherapeuten mit Feedback um? Welchen Einfluss hat ein regelm{\"a}ßiges Kompetenz-Feedback auf die Qualit{\"a}t psychotherapeutischer Behandlungen (insbesondere Therapiesitzungen, therapeutische Beziehung, Person des Therapeuten, Supervision)? Methode: Elf Therapeuten wurden mithilfe eines halbstrukturierten Interviewleitfadens befragt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring (2015). Ergebnisse: Das auf Basis der Interviews erstellte Kategoriensystem umfasste die Kategorien „Erwartungen an das Feedback", „Wahrnehmung des Feedbacks", „Verarbeitung von und Umgang mit Feedback", „Folgen, Auswirkungen und Ver{\"a}nderungen durch Feedback" sowie „Verbesserungsw{\"u}nsche". Schlussfolgerungen: Therapeuten streben eine Umsetzung des Feedbacks an, welches sich auf die Behandlung, die Supervision, die eigene Person und die therapeutische Beziehung auswirkt.},
  language  = {de}
}
@misc{Weck2021,
  author    = {Weck, Florian},
  title     = {Ein hilfreicher Leitfaden zur Verfassung des Berichts an den Gutachterim Rahmen der Verhaltenstherapie},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {3},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000553},
  pages     = {193 -- 194},
  year      = {2021},
  abstract  = {Seit dem 01. 04. 2017 erfolgte eine umfangreiche Reform der Psychotherapie-Richtlinie. Neben der Einf{\"u}hrung neuer Leistungen (z. B. Akutbehandlung, psychotherapeutische Sprechstunde) wurden auch {\"A}nderungen im Ablauf und der Beantragung von Psychotherapie beschlossen. Beispielsweise ist der Bericht an den Gutachter bzw. die Gutachterin seltener eine notwendige Voraussetzung zur Durchf{\"u}hrung einer psychotherapeutischen Behandlung, als dass zuvor der Fall war. Im Zuge der Reform wurde auch der Leitfaden f{\"u}r die Gestaltung des Berichts an den Gutachter bzw. die Gutachterin {\"u}berarbeitet. Vor dem Hintergrund der Psychotherapie-Richtlinien-Reform ist das Werk „Leitfaden f{\"u}r den VT-Bericht an den Gutachter" von Daniel Surall und Oliver Kunz sehr willkommen. Das Buch gliedert sich insgesamt in zehn Kapitel, in denen die Autoren ausf{\"u}hrlich auf den reformierten Bericht an den Gutachter bzw. an die Gutachterin eingehen. In den ersten beiden Kapiteln fassen die Autoren die {\"A}nderungen zur Psychotherapie-Richtlinie und im Bericht an den Gutachter / die Gutachterin zusammen. In den folgenden sechs Kapiteln wird auf die einzelnen Abschnitte des neuen Berichts an den Gutachter/die Gutachterin eingegangen. Sehr hilfreich ist hierbei, dass die Autoren zahlreiche Fallbeispiele nutzen, um die einzelnen Abschnitte des Berichts an den Gutachter/die Gutachterin zu erl{\"a}utern. Auch die {\"u}bersichtliche Darstellungsform in Form von Tabellen (z. B. zur Darstellung der Verhaltensanalyse) erleichtert den Leser_innen die Nachvollziehbarkeit der Inhalte. Erfreulich ist auch, dass die Autoren hinsichtlich der Antragstellung auch immer auf Unterschiede zwischen erwachsenen Patient_innen und Kindern und Jugendlichen eingehen. Im neunten Kapitel des Leitfadens wird ausf{\"u}hrlicher das Thema Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge aufgegriffen. Dies ist insbesondere sinnvoll, da nach der neuen Psychotherapie-Richtlinie f{\"u}r Kurzzeitantr{\"a}ge in der Regel keine Berichtspflicht besteht und Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge in der Praxis h{\"a}ufiger als zuvor von Relevanz sein d{\"u}rften. Im zehnten Kapitel wird in knapper Weise darauf eingegangen, wie bei Ablehnung oder K{\"u}rzung von beantragten Leistungen vorgegangen werden kann. Das Buch umfasst einen umfangreichen Anhang (67 Seiten), in dem Beispiele f{\"u}r Berichte an den Gutachter / die Gutachterin und Behandlungspl{\"a}ne f{\"u}r verschiedene psychische St{\"o}rungen zu finden sind. Auch hierbei werden sowohl Berichte f{\"u}r Erwachsene als auch f{\"u}r Kinder und Jugendliche pr{\"a}sentiert. Zudem beinhaltet der Anhang des Buches das Berner Inventar f{\"u}r Therapieziele, Ausz{\"u}ge aus dem AMDP-Befundbogen (Arbeitsgemeinschaft Methodik und Dokumentation in der Psychiatrie, 2018)<\litr>, den Leitfaden zum Erstellen des Berichts an die Gutachter_innen (PTV 3) sowie einer Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an die Gutachter_innen. Bei dem von Surall und Kunz vorgelegten Buch handelt es sich um einen {\"a}ußerst hilfreichen Leitfaden, der Therapeut:innen bei der Abfassung des Berichts an den Gutachter / die Gutachterin im Rahmen der Verhaltenstherapie unterst{\"u}tzen kann. Hierbei kann der Leitfaden Psychotherapeut_innen in Ausbildung bei der Abfassung ihrer ersten Antr{\"a}ge unterst{\"u}tzen. Aber auch erfahrenen Kolleg_innen k{\"o}nnen bei dem {\"U}bergang in die neuen Antragsformalit{\"a}ten, die mit der Reform der Psychotherapie-Richtlinie einhergingen, unterst{\"u}tzen werden. Hierbei ist insbesondere die Im Anhang befindliche Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an den Gutachter / die Gutachterin hilfreich, um sich einen schnellen {\"U}berblick {\"u}ber die {\"A}nderungen zu verschaffen. Insgesamt werden die einzelnen Abschnitte des Berichts an den Gutachter / die Gutachterin sehr gut strukturiert und verst{\"a}ndlich erl{\"a}utert. Die vielen Beispiele und die ausf{\"u}hrlichen Materialien im Anhang erg{\"a}nzen zudem die Erl{\"a}uterungen und erleichtern das Verst{\"a}ndnis. Zu Beginn des Buches w{\"a}re zudem noch eine Abbildung hilfreich gewesen, die den Ablauf der Beantragung von Psychotherapie schematisch darstellt, um einen genaueren {\"U}berblick {\"u}ber die Beantragung von Psychotherapie nach der neuen Psychotherapie-Richtlinie zu erhalten. Auch ein Stichwortverzeichnis w{\"u}rde die Suche nach bestimmten Inhalten erleichtern. Zusammenfassend kann festgehalten werden, dass es sich bei dem Werk von Surall und Kunz um einen sehr empfehlenswerten Leitfaden handelt, der im Rahmen der Antragstellung von Verhaltenstherapie genutzt werden kann. Aufgrund der klaren Struktur und Anschaulichkeit durch viele Beispielantr{\"a}ge bringt das Buch alle Voraussetzungen mit, um sich als Standartwerk zu etablieren, dass Therapeut_innen bei der Beantragung von Verhaltenstherapie in {\"a}ußerst hilfreicher Weise unterst{\"u}tzt.},
  language  = {de}
}
@article{KuehneAyBrysonMarschneretal.2020,
  author    = {K{\"u}hne, Franziska and Ay-Bryson, Destina Sevde and Marschner, Linda and Weck, Florian},
  title     = {The heterogeneous course of OCD},
  series = {Psychiatry research : the official publication of the International Society for Neuroimaging in Psychiatry},
  volume    = {285},
  journal   = {Psychiatry research : the official publication of the International Society for Neuroimaging in Psychiatry},
  publisher = {Elsevier},
  address   = {Clare},
  issn      = {0165-1781},
  doi       = {10.1016/j.psychres.2020.112821},
  pages     = {7},
  year      = {2020},
  abstract  = {Although effective treatments exist, obsessive-compulsive disorder (OCD) is, according to the views of patients and experts, still associated with chronicity, a term with no clear and consistent definition. To improve patient care and to foster research, a clear distinction between the various concepts of chronicity cited in the literature is crucial. The aim was thus to explicate central concepts related to courses and trajectories in OCD based on an explorative, scoping search of the existing literature. Our review revealed a considerable lack in content validity, as the concepts were operationalized inconsistently. Concepts related to symptom improvement were (complete) recovery, partial/full remission and partial/full response. Terms used in relation with symptom stability or worsening were chronic/continuous, intermittent and episodic course, waxing and waning, relapse, recurrence, deterioration and treatment-refractoriness. All concepts are explained and visualized as a result of the review. Further, based on authors' remarks, we present recommendations on how to enhance care for chronic OCD patients, namely training psychotherapists to apply CBT as intended, managing patient beliefs about disease and treatment, and adapting psychotherapy to OCD subtypes. Finally, we then propose a literature-based definition of treatment-refractory OCD.},
  language  = {en}
}
@article{MaassKuehnePoltzetal.2022,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Poltz, Nadine and Lorenz, Anna and Ay-Bryson, Destina Sevde and Weck, Florian},
  title     = {Live supervision in psychotherapy training},
  series = {Training and education in professional psychology},
  volume    = {16},
  journal   = {Training and education in professional psychology},
  number    = {2},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {1931-3918},
  doi       = {10.1037/tep0000390},
  pages     = {130 -- 142},
  year      = {2022},
  abstract  = {There is increasing interest in improving psychotherapy training using evidence-based supervision. One approach is live supervision (LS), in which the supervisor offers immediate feedback to the trainee (e.g., via microphone, text messages) during the session. This review summarizes the research on LS and its main results. The databases Web of Science Core Collection, PsycArticles, PsycBooks, PsycInfo, PSYNDEX, Psychology and Behavioral Sciences Collection, and PubMed were searched from inception to January 23, 2020 (including a backward search) and updated November 15, 2020. The inclusion criteria (i.e., main focus on LS, immediate feedback from a present supervisor, psychological setting) were met by k = 138 publications, including k = 8 randomized controlled trials (RCTs; N = 339). Two reviewers independently evaluated the RCTs' risk of bias using the revised Cochrane Risk-of-Bias Tool. Most publications had a family therapy background (59\%), were categorized as nonempirical (55\%), aimed primarily at describing or comparing specific LS methods (35\%), and displayed positive views on LS (87\%). Based on the RCTs, LS was superior to no-supervision in 78\% of all comparisons, but only in 13\% of the cases compared to a delayed supervision (DS) condition (i.e., regarding trainee skills, patient outcomes, or other variables). These results somewhat contradict the overall favorable views in the literature. However, the generalizability is limited due to a lack of high-quality studies and substantial heterogeneity in terms of LS methods, concepts, outcomes, and measurements. Ideas for more systematic research on LS regarding objectives and methods are proposed. <br /> Public Significance Statement This review summarizes research on live supervision (LS). LS is a form of supervision in psychotherapy training in which the supervisor observes the trainee's therapy session and provides immediate feedback. The review concludes that LS is probably as effective as delayed supervision (DS), although more high-quality research is needed.},
  language  = {en}
}
@misc{KuehneMaasWiesenthaletal.2019,
  author    = {K{\"u}hne, Franziska and Maas, Jana and Wiesenthal, Sophia and Weck, Florian},
  title     = {Empirical research in clinical supervision},
  series = {Postprints der Universit{\"a}t Potsdam Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam Humanwissenschaftliche Reihe},
  number    = {580},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-43872},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-438721},
  pages     = {11},
  year      = {2019},
  abstract  = {Background: Although clinical supervision is considered to be a major component of the development and maintenance of psychotherapeutic competencies, and despite an increase in supervision research, the empirical evidence on the topic remains sparse. Methods: Because most previous reviews lack methodological rigor, we aimed to review the status and quality of the empirical literature on clinical supervision, and to provide suggestions for future research. MEDLINE, PsycInfo and the Web of Science Core Collection were searched and the review was conducted according to current guidelines. From the review results, we derived suggestions for future research on clinical supervision. Results: The systematic literature search identified 19 publications from 15 empirical studies. Taking into account the review results, the following suggestions for further research emerged: Supervision research would benefit from proper descriptions of how studies are conducted according to current guidelines, more methodologically rigorous empirical studies, the investigation of active supervision interventions, from taking diverse outcome domains into account, and from investigating supervision from a meta-theoretical perspective. Conclusions: In all, the systematic review supported the notion that supervision research often lags behind psychotherapy research in general. Still, the results offer detailed starting points for further supervision research.},
  language  = {en}
}
@article{MeissnerWeckKuehne2020,
  author    = {Meissner, Claudia and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Screening dysfunktionaler {\"U}berzeugungen bei Zwangsst{\"o}rungen},
  series = {Psychotherapeut},
  volume    = {65},
  journal   = {Psychotherapeut},
  number    = {3},
  publisher = {Springer},
  address   = {New York},
  issn      = {0935-6185},
  doi       = {10.1007/s00278-020-00410-4},
  pages     = {181 -- 189},
  year      = {2020},
  abstract  = {Background Dysfunctional beliefs and assumptions of obsessive thoughts are decisive for the etiology and maintenance of obsessive compulsive disorders (OCD). The reliable and valid assessment of these beliefs using screening procedures is relevant for the cognitive behavioral therapy. Objective Based on the domains suggested by the Obsessive Compulsive Cognitions Working Group (OCCWG), the aim of the current study was a scoping review of recent screening instruments on those domains relevant to OCD. The psychometric properties were systematically evaluated and their features were compared. Material and methods The literature search was conducted in the Web of Science Core Collection, Google Scholar und PubMed. English and German screening instruments for adults (>= 18 years) were included. Results A total of 56 studies on testing of psychometric characteristics of 16 screening instruments were included. The questionnaires included all domains of dysfunctional beliefs. In addition, four of them assessed multiple domains and nine were in the German language. The majority of screening procedures showed adequate to good psychometric properties. The methodological quality of the studies was heterogeneous, statistical and methodological procedures became more complex over the years. Conclusion Further research is necessary on disorder-related specificity and sensitivity to change for screening measures in different clinical samples.},
  language  = {de}
}
@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}
}
@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}
}
@article{KuehneLesserPetrietal.2018,
  author    = {K{\"u}hne, Franziska and Lesser, Hannah and Petri, Franziska and Weck, Florian},
  title     = {Do mental health patients learn what their cognitive-behaviour therapists think they do?},
  series = {International Journal of Qualitative Studies on Health and Well-being},
  volume    = {13},
  journal   = {International Journal of Qualitative Studies on Health and Well-being},
  number    = {1},
  publisher = {Taylor \& Francis Group},
  address   = {London},
  issn      = {1748-2631},
  doi       = {10.1080/17482631.2018.1527598},
  pages     = {6},
  year      = {2018},
  abstract  = {Purpose: The acquisition of skills is essential to the conceptualization of cognitive-behavioural therapy. Yet, what experiences are encountered and what skills actually learned during therapy, and whether patients and therapists have concurrent views hereof, remains poorly understood. Method: An explorative pilot study with semi-structured, corresponding interview guides was conducted. Pilot data from our outpatient unit were transcribed and content-analyzed following current guidelines. Results: The responses of 18 participants (patients and their psychotherapists) were assigned to six main categories. Educational and cognitive aspects were mentioned most frequently and consistently by both groups. Having learned Behavioural alternatives attained the second highest agreement between perspectives. Conclusions: Patients and therapists valued CBT as an opportunity to learn new skills, which is an important prerequisite also for the maintenance of therapeutic change. We discuss limitations to generalizability but also theoretical and therapy implications.},
  language  = {en}
}
@article{KuehneMaasWiesenthaletal.2019,
  author    = {K{\"u}hne, Franziska and Maas, Jana and Wiesenthal, Sophia and Weck, Florian},
  title     = {Empirical research in clinical supervision},
  series = {BMC Psychology},
  volume    = {7},
  journal   = {BMC Psychology},
  publisher = {BioMed Central},
  address   = {London},
  issn      = {2050-7283},
  doi       = {10.1186/s40359-019-0327-7},
  pages     = {11},
  year      = {2019},
  abstract  = {Background: Although clinical supervision is considered to be a major component of the development and maintenance of psychotherapeutic competencies, and despite an increase in supervision research, the empirical evidence on the topic remains sparse. Methods: Because most previous reviews lack methodological rigor, we aimed to review the status and quality of the empirical literature on clinical supervision, and to provide suggestions for future research. MEDLINE, PsycInfo and the Web of Science Core Collection were searched and the review was conducted according to current guidelines. From the review results, we derived suggestions for future research on clinical supervision. Results: The systematic literature search identified 19 publications from 15 empirical studies. Taking into account the review results, the following suggestions for further research emerged: Supervision research would benefit from proper descriptions of how studies are conducted according to current guidelines, more methodologically rigorous empirical studies, the investigation of active supervision interventions, from taking diverse outcome domains into account, and from investigating supervision from a meta-theoretical perspective. Conclusions: In all, the systematic review supported the notion that supervision research often lags behind psychotherapy research in general. Still, the results offer detailed starting points for further supervision research.},
  language  = {en}
}
@article{WeckNagelHoeflingetal.2017,
  author    = {Weck, Florian and Nagel, Laura Carlotta and Hoefling, Volkmar and Neng, Julia M. B.},
  title     = {Cognitive Therapy and Exposure Therapy for Hypochondriasis (Health Anxiety): A 3-Year Naturalistic Follow-Up},
  series = {Journal of consulting and clinical psychology},
  volume    = {85},
  journal   = {Journal of consulting and clinical psychology},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {0022-006X},
  doi       = {10.1037/ccp0000239},
  pages     = {1012 -- 1017},
  year      = {2017},
  abstract  = {Objective: Cognitive-behavioral therapy (CBT) has been shown to be effective in treating hypochondriasis. However, there are doubts regarding the long-term effectiveness of CBT for hypochondriasis, in particular for follow-up periods longer than 1 year. The aim of the present study was to evaluate the long-term effectiveness of cognitive therapy (CT) and exposure therapy (ET) for the treatment of hypochondriasis. Method: Seventy-five patients with a diagnosis of hypochondriasis who were previously treated with CT or ET were contacted 3 years after treatment. Fifty (67\%) patients participated and were interviewed by an independent and blinded diagnostician using standardized interviews. Results: We found further improvements after therapy in primary outcome measures (d = .37), general functioning (d = .38), and reduced doctor visits (d = .30) during the naturalistic follow-up period. At the 3-year follow-up, 72\% of the patients no longer fulfilled the diagnosis of hypochondriasis. Based on the main outcome measure, we found response rates of 76\% and remission rates of 68\%. At follow-up, only 4\% of patients were taking antidepressant medication. Additional psychological treatment was utilized by 18\% of the patients during the follow-up period (only 8\% because of health anxiety). We found no overall differences between CT and ET. Only a trend for a greater deterioration rate in CT (13\%) in comparison to ET (0\%) was found. Conclusions: Our results suggest that 2/3 of the patients with hypochondriasis were remitted in the long term. Thus, remission rates after CBT were twice as high as in untreated samples.},
  language  = {en}
}
@article{KuehneMeisterMaassetal.2019,
  author    = {K{\"u}hne, Franziska and Meister, Ramona and Maass, Ulrike and Paunov, Tatjana and Weck, Florian},
  title     = {How reliable are therapeutic competence ratings?},
  series = {Cognitive therapy and research},
  volume    = {44},
  journal   = {Cognitive therapy and research},
  number    = {2},
  publisher = {Springer},
  address   = {New York},
  issn      = {0147-5916},
  doi       = {10.1007/s10608-019-10056-5},
  pages     = {241 -- 257},
  year      = {2019},
  abstract  = {Assessments of psychotherapeutic competencies play a crucial role in research and training. However, research on the reliability and validity of such assessments is sparse. This study aimed to provide an overview of the current evidence and to provide an average interrater reliability (IRR) of psychotherapeutic competence ratings. A systematic review was conducted, and 20 studies reported in 32 publications were collected. These 20 studies were included in a narrative synthesis, and 20 coefficients were entered into the meta-analysis. Most primary studies referred to cognitive-behavioral therapies and the treatment of depression, used the Cognitive Therapy Scale, based ratings on videos, and trained the raters. Our meta-analysis revealed a pooled ICC of 0.82, but at the same time severe heterogeneity. The evidence map highlighted a variety of variables related to competence assessments. Further aspects influencing the reliability of competence ratings and regarding the considerable heterogeneity are discussed in detail throughout the manuscript.},
  language  = {en}
}
@misc{KuehnePaunovWeck2021,
  author    = {K{\"u}hne, Franziska and Paunov, Tatjana and Weck, Florian},
  title     = {Recognizing obsessive-compulsive disorder},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {771},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-55447},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-554473},
  pages     = {9},
  year      = {2021},
  abstract  = {Background Despite the prevalence of obsessive-compulsive disorder (OCD), its precise identification remains challenging. With the Zohar-Fineberg Obsessive-Compulsive Screen (ZF-OCS; 5 or 6 items), a brief instrument is widely available mainly in English. As there is a lack of empirical studies on the ZF-OCS, the aim of the present study was to translate the items into German and investigate the instrument in a nonclinical sample. Methods In two consecutive online surveys, n = 304 and n = 51 students participated. Besides the ZF-OCS, they answered established measures on OCD, depression, health anxiety, general anxiety and health-related well-being. Results Whereas internal consistency was low (α = .53-.72; ω = .55-.69), retest reliability (rt1,t2 = .89) at two weeks was high. As expected, we found high correlations with other OCD instruments (r > .61; convergent validity), and significantly weaker correlations with measures of depression (r = .39), health anxiety (r = .29), and health-related well-being (r = -.28, divergent validity). Nonetheless, the correlations with general anxiety were somewhere in between (r = .52). Conclusions Due to heterogeneous OCD subtypes, the ZF-OCS asks diverse questions which probably resulted in the present internal consistency. Nevertheless, the results on retest reliability and validity were promising. As for other OCD instruments, divergent validity regarding general anxiety seems problematic to establish. Even so, the ZF-OCS seems valuable for screening purposes, as it is short and easy to administer, and may facilitate initiating subsequent clinical assessment. Further studies should determine the instrument's diagnostic accuracy.},
  language  = {en}
}
@misc{KuehneFauthDestinaSevdeetal.2021,
  author    = {K{\"u}hne, Franziska and Fauth, Henriette and Destina Sevde, Ay-Bryson and Visser, Leonie N.C. and Weck, Florian},
  title     = {Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {817},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-58228},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-582286},
  pages     = {9012 -- 9021},
  year      = {2021},
  abstract  = {Background Communicating a diagnosis is highly important, yet complex, especially in the context of cancer and mental disorders. The aim was to explore the communication style of an oncologist vs. psychotherapist in an online study. Methods Patients (N = 136: 65 cancer, 71 depression) were randomly assigned to watch a standardized video vignette with one of two communication styles (empathic vs. unempathic). Outcome measures of affectivity, information recall, communication skills, empathy and trust were applied. Results Regardless of diagnosis, empathic communication was associated with the perception of a significantly more empathic (p < 0.001, η2partial = 0.08) and trustworthy practitioner (p = 0.014, η2partial = 0.04) with better communication skills (p = 0.013, η2partial = 0.05). Cancer patients reported a larger decrease in positive affect (p < 0.001, η2partial = 0.15) and a larger increase in negative affect (p < 0.001, η2partial = 0.14) from pre- to post-video than depressive patients. Highly relevant information was recalled better in both groups (p < 0.001, d = 0.61-1.06). Conclusions The results highlight the importance of empathy while communicating both a diagnosis of cancer and a mental disorder. Further research should focus on the communication of a mental disorder in association with cancer.},
  language  = {en}
}
@article{WeckJungaKliegletal.2021,
  author    = {Weck, Florian and Junga, Yvonne Marie and Kliegl, Reinhold and Hahn, Daniela and Brucker, Katharina and Witth{\"o}ft, Michael},
  title     = {Effects of competence feedback on therapist competence and patient outcome},
  series = {Journal of consulting and clinical psychology},
  volume    = {89},
  journal   = {Journal of consulting and clinical psychology},
  number    = {11},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {0022-006X},
  doi       = {10.1037/ccp0000686},
  pages     = {885 -- 897},
  year      = {2021},
  abstract  = {Objective: Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. Method: Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. Results: (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. Conclusion: Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. What is the public health significance of this article? This study suggests the substantial value of systematic competence feedback for improving therapist competence in the psychotherapy of depression. No significant effect of competence feedback on the reduction of reported depressive symptoms was found.},
  language  = {en}
}
@misc{MaassKuehneHeinzeetal.2022,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Heinze, Peter Eric and Ay-Bryson, Destina Sevde and Weck, Florian},
  title     = {The concise measurement of clinical communication skills},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {820},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-58264},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-582642},
  pages     = {10},
  year      = {2022},
  abstract  = {Objective: There is a lack of brief rating scales for the reliable assessment of psychotherapeutic skills, which do not require intensive rater training and/or a high level of expertise. Thus, the objective is to validate a 14-item version of the Clinical Communication Skills Scale (CCSS-S). Methods: Using a sample of N = 690 video-based ratings of role-plays with simulated patients, we calculated a confirmatory factor analysis and an exploratory structural equation modeling (ESEM), assessed convergent validities, determined inter-rater reliabilities and compared these with those who were either psychology students, advanced psychotherapy trainees, or experts. Results: Correlations with other competence rating scales were high (rs > 0.86-0.89). The intraclass correlations ranged between moderate and good [ICC(2,2) = 0.65-0.80], with student raters yielding the lowest scores. The one-factor model only marginally replicated the data, but the internal consistencies were excellent (α = 0.91-95). The ESEM yielded a two-factor solution (Collaboration and Structuring and Exploration Skills). Conclusion: The CCSS-S is a brief and valid rating scale that reliably assesses basic communication skills, which is particularly useful for psychotherapy training using standardized role-plays. To ensure good inter-rater reliabilities, it is still advisable to employ raters with at least some clinical experience. Future studies should further investigate the one- or two-factor structure of the instrument.},
  language  = {en}
}
@misc{HeinzeWeckKuehne2022,
  author    = {Heinze, Peter Eric and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Assessing Patient Preferences},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-54414},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-544140},
  pages     = {12},
  year      = {2022},
  abstract  = {Despite the positive effects of including patients' preferences into therapy on psychotherapy outcomes, there are still few thoroughly validated assessment tools at hand. We translated the 18-item Cooper-Norcross Inventory of Preferences (C-NIP) into German and aimed at replicating its factor structure. Further, we investigated the reliability of the questionnaire and its convergence with trait measures. A heterogeneous sample of N = 969 participants took part in our online survey. Performing ESEM models, we found acceptable model fit for a four-factor structure similar to the original factor structure. Furthermore, we propose an alternative model following the adjustment of single items. The German C-NIP showed acceptable to good reliability, as well as small correlations with Big-Five personality traits, trait and attachment anxiety, locus of control, and temporal focus. However, we recommend further replication of the factor structure and further validation of the C-NIP.},
  language  = {en}
}
@misc{KuehneHeinzeWeck2020,
  author    = {K{\"u}hne, Franziska and Heinze, Peter Eric and Weck, Florian},
  title     = {Standardized patients in psychotherapy training and clinical supervision},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {628},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-46929},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-469295},
  pages     = {9},
  year      = {2020},
  abstract  = {Background Psychotherapy is highly effective and widely acknowledged for treating various mental disorders. Nevertheless, in terms of methods for teaching effective psychotherapeutic approaches and competencies, there has been a lack of investigation. Training and supervision are the main strategies for teaching therapist competencies, and standardized role-plays with simulated patients (i.e., trained individuals playing someone with a mental disorder) seem useful for evaluating training approaches. In medical education, this procedure is now internationally established. However, so far, little use has been made of standardized role-playing to evaluate training and supervision in the area of clinical psychology and psychotherapy. Methods In this study, standardized role-plays are used to evaluate methods for training and supervision. Central cognitive behavioral approaches for treating depression are taught in the training. The first experiment compares an active training approach (i.e., model learning) with a passive one (i.e., reading manual-based instructions). The second experiment compares a direct supervision technique (i.e., supervision based on video analysis) with an indirect one (i.e., supervision based on verbal reporting). In each experiment, 68 bachelor's and master's students of psychology will be randomly assigned to the experimental and control groups. Each student takes part in three role-plays (baseline, post and 3-month follow-up), which are all videotaped. Two independent raters assess therapist competencies in each role-play on the basis of a standardized competence scale. Discussion The research project aims to contribute to the development of specific training and supervision methods in order to improve psychotherapy training and patient care.},
  language  = {en}
}
@article{MaassKuehneHeinzeetal.2022,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Heinze, Peter Eric and Ay-Bryson, Destina Sevde and Weck, Florian},
  title     = {The concise measurement of clinical communication skills},
  series = {Frontiers in Psychiatry},
  volume    = {13},
  journal   = {Frontiers in Psychiatry},
  publisher = {Frontiers},
  address   = {Lausanne, Schweiz},
  issn      = {1664-0640},
  doi       = {10.3389/fpsyt.2022.977324},
  pages     = {10},
  year      = {2022},
  abstract  = {Objective: There is a lack of brief rating scales for the reliable assessment of psychotherapeutic skills, which do not require intensive rater training and/or a high level of expertise. Thus, the objective is to validate a 14-item version of the Clinical Communication Skills Scale (CCSS-S). Methods: Using a sample of N = 690 video-based ratings of role-plays with simulated patients, we calculated a confirmatory factor analysis and an exploratory structural equation modeling (ESEM), assessed convergent validities, determined inter-rater reliabilities and compared these with those who were either psychology students, advanced psychotherapy trainees, or experts. Results: Correlations with other competence rating scales were high (rs > 0.86-0.89). The intraclass correlations ranged between moderate and good [ICC(2,2) = 0.65-0.80], with student raters yielding the lowest scores. The one-factor model only marginally replicated the data, but the internal consistencies were excellent (α = 0.91-95). The ESEM yielded a two-factor solution (Collaboration and Structuring and Exploration Skills). Conclusion: The CCSS-S is a brief and valid rating scale that reliably assesses basic communication skills, which is particularly useful for psychotherapy training using standardized role-plays. To ensure good inter-rater reliabilities, it is still advisable to employ raters with at least some clinical experience. Future studies should further investigate the one- or two-factor structure of the instrument.},
  language  = {en}
}
@article{HeinzeWeckHahnetal.2022,
  author    = {Heinze, Peter Eric and Weck, Florian and Hahn, Daniela and K{\"u}hne, Franziska},
  title     = {Differences in psychotherapy preferences between psychotherapy trainees and laypeople},
  series = {Psychotherapy research : the official journal of the Society for Psychotherapy Research},
  volume    = {33},
  journal   = {Psychotherapy research : the official journal of the Society for Psychotherapy Research},
  number    = {3},
  publisher = {Routledge, Taylor \& Francis Group},
  address   = {Abingdon},
  issn      = {1050-3307},
  doi       = {10.1080/10503307.2022.2098076},
  pages     = {374 -- 386},
  year      = {2022},
  abstract  = {Objective: Despite increasing research on psychotherapy preferences, the preferences of psychotherapy trainees are largely unknown. Moreover, differences in preferences between trainees and their patients could (a) hinder symptom improvement and therapy success for patients and (b) represent significant obstacles in the early career and development of future therapists. Method: We compared the preferences of n = 466 psychotherapy trainees to those of n = 969 laypersons using the Cooper-Norcross Inventory of Preferences. Moreover, we compared preferences between trainees in cognitive-behavioural therapy (CBT) and psychodynamic trainees. Results: We found significant differences between both samples in 13 of 18 items, and three of four subscales. Psychotherapy trainees preferred less therapist directiveness (d = 0.58), more emotional intensity (d = 0.74), as well as more focused challenge (d = 0.35) than laypeople. CBT trainees preferred more therapist directiveness (d = 2.00), less emotional intensity (d = 0.51), more present orientation (d = 0.76) and more focused challenge (d = 0.33) than trainees in psychodynamic/psychoanalytic therapy. Conclusion: Overall, the results underline the importance of implementing preference assessment and discussion during psychotherapy training. Moreover, therapists of different orientations seem to cover a large range of preferences for patients, in order to choose the right fit.},
  language  = {en}
}
@article{HeinzeWeckKuehne2022,
  author    = {Heinze, Peter Eric and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Assessing patient preferences},
  series = {Frontiers in psychology},
  volume    = {12},
  journal   = {Frontiers in psychology},
  publisher = {Frontiers Media},
  address   = {Lausanne},
  issn      = {1664-1078},
  doi       = {10.3389/fpsyg.2021.795776},
  pages     = {10},
  year      = {2022},
  abstract  = {Despite the positive effects of including patients' preferences into therapy on psychotherapy outcomes, there are still few thoroughly validated assessment tools at hand. We translated the 18-item Cooper-Norcross Inventory of Preferences (C-NIP) into German and aimed at replicating its factor structure. Further, we investigated the reliability of the questionnaire and its convergence with trait measures. A heterogeneous sample of N = 969 participants took part in our online survey. Performing ESEM models, we found acceptable model fit for a four-factor structure similar to the original factor structure. Furthermore, we propose an alternative model following the adjustment of single items. The German C-NIP showed acceptable to good reliability, as well as small correlations with Big-Five personality traits, trait and attachment anxiety, locus of control, and temporal focus. However, we recommend further replication of the factor structure and further validation of the C-NIP.},
  language  = {en}
}
@article{AyBrysonWeckHeinzeetal.2020,
  author    = {Ay-Bryson, Destina Sevde and Weck, Florian and Heinze, Peter Eric and Lang, Thomas and K{\"u}hne, Franziska},
  title     = {Can psychotherapy trainees distinguish standardized patients from real patients?},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {3},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000594},
  pages     = {182 -- 190},
  year      = {2020},
  abstract  = {Background: Under the new psychotherapy law in Germany, standardized patients (SPs) are to become a standard component inpsychotherapy training, even though little is known about their authenticity.Objective:The present pilot study explored whether, followingan exhaustive two-day SP training, psychotherapy trainees can distinguish SPs from real patients. Methods: Twenty-eight psychotherapytrainees (M= 28.54 years of age,SD= 3.19) participated as blind raters. They evaluated six video-recorded therapy segments of trained SPsand real patients using the Authenticity of Patient Demonstrations Scale. Results: The authenticity scores of real patients and SPs did notdiffer (p= .43). The descriptive results indicated that the highest score of authenticity was given to an SP. Further, the real patients did notdiffer significantly from the SPs concerning perceived impairment (p= .33) and the likelihood of being a real patient (p= .52). Conclusions: The current results suggest that psychotherapy trainees were unable to distinguish the SPs from real patients. We therefore stronglyrecommend incorporating training SPs before application. Limitations and future research directions are discussed.},
  language  = {en}
}
@article{HeinzeWeckKuehne2022,
  author    = {Heinze, Peter Eric and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Assessing Patient Preferences},
  series = {Frontiers in Psychology},
  volume    = {12},
  journal   = {Frontiers in Psychology},
  publisher = {Frontiers Research Foundation},
  address   = {Lausanne},
  issn      = {1664-1078},
  doi       = {10.3389/fpsyg.2021.795776},
  pages     = {10},
  year      = {2022},
  abstract  = {Despite the positive effects of including patients' preferences into therapy on psychotherapy outcomes, there are still few thoroughly validated assessment tools at hand. We translated the 18-item Cooper-Norcross Inventory of Preferences (C-NIP) into German and aimed at replicating its factor structure. Further, we investigated the reliability of the questionnaire and its convergence with trait measures. A heterogeneous sample of N = 969 participants took part in our online survey. Performing ESEM models, we found acceptable model fit for a four-factor structure similar to the original factor structure. Furthermore, we propose an alternative model following the adjustment of single items. The German C-NIP showed acceptable to good reliability, as well as small correlations with Big-Five personality traits, trait and attachment anxiety, locus of control, and temporal focus. However, we recommend further replication of the factor structure and further validation of the C-NIP.},
  language  = {en}
}
@article{HahnWeckWitthoeftetal.2021,
  author    = {Hahn, Daniela and Weck, Florian and Witth{\"o}ft, Michael and K{\"u}hne, Franziska},
  title     = {Assessment of counseling self-efficacy},
  series = {Frontiers in psychology / Frontiers Research Foundation},
  volume    = {12},
  journal   = {Frontiers in psychology / Frontiers Research Foundation},
  publisher = {Frontiers Research Foundation},
  address   = {Lausanne},
  issn      = {1664-1078},
  doi       = {10.3389/fpsyg.2021.780088},
  pages     = {10},
  year      = {2021},
  abstract  = {Background: Many authors regard counseling self-efficacy (CSE) as important in therapist development and training. The purpose of this study was to examine the factor structure, reliability, and validity of the German version of the Counselor Activity Self-Efficacy Scales-Revised (CASES-R). Method: The sample consisted of 670 German psychotherapy trainees, who completed an online survey. We examined the factor structure by applying exploratory and confirmatory factor analysis to the instrument as a whole. Results: A bifactor-exploratory structural equation modeling model with one general and five specific factors provided the best fit to the data. Omega hierarchical coefficients indicated optimal reliability for the general factor, acceptable reliability for the Action Skills-Revised (AS-R) factor, and insufficient estimates for the remaining factors. The CASES-R scales yielded significant correlations with related measures, but also with therapeutic orientations. Conclusion: We found support for the reliability and validity of the German CASES-R. However, the subdomains (except AS-R) should be interpreted with caution, and we do not recommend the CASES-R for comparisons between psychotherapeutic orientations.},
  language  = {en}
}
@article{KuehneHeinzeWeck2020,
  author    = {K{\"u}hne, Franziska and Heinze, Peter Eric and Weck, Florian},
  title     = {Standardized patients in psychotherapy training and clinical supervision},
  series = {Trials},
  volume    = {21},
  journal   = {Trials},
  publisher = {BioMed Central},
  address   = {London},
  issn      = {1745-6215},
  doi       = {10.1186/s13063-020-4172-z},
  pages     = {7},
  year      = {2020},
  abstract  = {Background Psychotherapy is highly effective and widely acknowledged for treating various mental disorders. Nevertheless, in terms of methods for teaching effective psychotherapeutic approaches and competencies, there has been a lack of investigation. Training and supervision are the main strategies for teaching therapist competencies, and standardized role-plays with simulated patients (i.e., trained individuals playing someone with a mental disorder) seem useful for evaluating training approaches. In medical education, this procedure is now internationally established. However, so far, little use has been made of standardized role-playing to evaluate training and supervision in the area of clinical psychology and psychotherapy. Methods In this study, standardized role-plays are used to evaluate methods for training and supervision. Central cognitive behavioral approaches for treating depression are taught in the training. The first experiment compares an active training approach (i.e., model learning) with a passive one (i.e., reading manual-based instructions). The second experiment compares a direct supervision technique (i.e., supervision based on video analysis) with an indirect one (i.e., supervision based on verbal reporting). In each experiment, 68 bachelor's and master's students of psychology will be randomly assigned to the experimental and control groups. Each student takes part in three role-plays (baseline, post and 3-month follow-up), which are all videotaped. Two independent raters assess therapist competencies in each role-play on the basis of a standardized competence scale. Discussion The research project aims to contribute to the development of specific training and supervision methods in order to improve psychotherapy training and patient care.},
  language  = {en}
}
@misc{KuehneAyOtterbecketal.2018,
  author    = {K{\"u}hne, Franziska and Ay, Destina Sevde Ay and Otterbeck, Mara Jasmin and Weck, Florian},
  title     = {Standardized Patients in Clinical Psychology and Psychotherapy},
  series = {Postprints der Universit{\"a}t Potsdam: Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam: Humanwissenschaftliche Reihe},
  number    = {541},
  doi       = {10.25932/publishup-42696},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-426965},
  pages     = {9},
  year      = {2018},
  abstract  = {Objectives: The use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy. Methods: Following current guidelines, a scoping review was conducted. The literature search focused on the MEDLINE,PsycINFO and Web of Science databases, including Dissertation Abstracts International. After screening for titles and abstracts,full texts were screened independently and in duplicate according to our inclusion criteria. For data extraction, a pre-defined form was piloted and used. Units of meaning with respect to barriers and facilitators were extracted and categorized inductively using content-analysis techniques. From the results, a matrix of interconnections and a network graph were compiled. Results: The 41 included publications were mainly in the fields of psychiatry and mental health nursing, as well as in training and education. The detailed category system contrasts four supercategories, i.e., which organizational and economic aspects to consider, which persons to include as eligible SPs, how to develop adequate scenarios, and how to authentically and consistently portray mental health patients.Conclusions: Publications focused especially on the interrelation between authenticity and consistency of portrayals, on how to evoke empathy in learners, and on economic and training aspects. A variety of recommendations for implementing SP programs,from planning to training, monitoring, and debriefing, is provided, for example, ethical screening of and ongoing support for SPs.},
  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{SamaanSauerMuelleretal.2020,
  author    = {Samaan, Mareike and Sauer, Elena and M{\"u}ller, Marie and Fydrich, Thomas and Diefenbacher, Albert and Burian, Ronald and Schade, Christoph and Weck, Florian},
  title     = {Entwicklung und Validierung von Skalen zur Erfassung der Adh{\"a}renz im transdiagnostischen Gruppensetting f{\"u}r ACT und KVT},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  number    = {1},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000566},
  pages     = {63 -- 71},
  year      = {2020},
  abstract  = {Zusammenfassung Theoretischer Hintergrund: Therapeutische Adh{\"a}renz ist eine zentrale Voraussetzung zur Sicherung der Validit{\"a}t von Psychotherapiestudien. Bisher existieren im deutschsprachigen Raum keine Skalen zur Erfassung der Adh{\"a}renz im Bereich der Akzeptanz- und Commitmenttherapie (ACT). Fragestellung: Ziel war es, Skalen zur Erfassung der Adh{\"a}renz von Therapeut_innen f{\"u}r ACT und der Kognitiven Verhaltenstherapie (KVT) zu entwickeln und deren G{\"u}tekriterien zu {\"u}berpr{\"u}fen. Methode Die Validierung der Adh{\"a}renzskalen basierte auf n=38 ACT- und n=31 KVT-Gruppentherapiesitzungen zur Behandlung von depressiven und gemischten St{\"o}rungsbildern. Die Adh{\"a}renz wurde durch zwei Rater_innen anhand von Audioaufzeichnungen bewertet. Ergebnisse: Sowohl f{\"u}r die ACT-Adh{\"a}renzskala (ICC=.96) als auch f{\"u}r die KVT-Adh{\"a}renzskala (ICC=.98) konnten hohe Interraterreliabilit{\"a}ten erreicht werden. Die konvergente Validit{\"a}t konnte anhand einer negativen Korrelation zwischen den beiden Skalen sichergestellt werden (r=-.95). Schlussfolgerungen Beide Adh{\"a}renzskalen bieten eine erste M{\"o}glichkeit, um manualgetreues Therapeut_innenverhalten in ACT- und KVT-Gruppentherapien f{\"u}r Patient_innen mit gemischten St{\"o}rungsbildern zu erfassen. Zudem geben die Ergebnisse einen Hinweis darauf, dass sich die beiden Methoden voneinander differenzieren lassen.},
  language  = {de}
}
@article{HahnWeckWitthoeftetal.2022,
  author    = {Hahn, Daniela and Weck, Florian and Witth{\"o}ft, Michael and Maiwald, Lisa Marie and Foral, Annika and K{\"u}hne, Franziska},
  title     = {Wie erleben Psychotherapeut_innen in Ausbildung ihre Selbsterfahrung?},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {50},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000626},
  pages     = {78 -- 89},
  year      = {2022},
  abstract  = {Background: Self-experiential work is a central component of psychotherapy training. However, research on this matter has not received a lot of attention. Objective: This study explores the conditions and effects of helpful self-experiential work. Method: We interviewed 14 psychotherapists in training using a semistructured interview guide and applied qualitative content analysis according to Mayring (2015). Results: Different characteristics were associated with helpful self-experiential work: characteristics of the instructor (e. g., implementation skills), organization, willingness of the trainees to learn, topics and methods applied, and a sustainable working atmosphere. Among the positive effects reported was the promotion of the trainees' interpersonal competencies. Furthermore, we found some side effects and negative impact (e. g.. exhaustion). Conclusions: We were able to extract conditions that can guide the execution of helpful self-experiential work and the effects of self-experiential work from the perspective of the trainees.},
  language  = {de}
}
@article{RothRawaldWeck2021,
  author    = {Roth-Rawald, Julia and Weck, Florian},
  title     = {Krankheits{\"a}ngste bei Psychotherapeut_innen},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie},
  volume    = {50},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000624},
  pages     = {57 -- 67},
  year      = {2021},
  abstract  = {Hintergrund: Krankheits{\"a}ngste beziehen sich meist auf die Angst vor dem Leiden an somatischen Erkrankungen. In Einzelfallberichten wurden auch {\"A}ngste vor psychischen St{\"o}rungen berichtet, jedoch bisher nicht systematisch untersucht. Psychotherapeut_innen sind st{\"a}ndig mit psychischen Erkrankungen konfrontiert. Fragestellung: Diese Studie untersucht, wie stark Krankheits{\"a}ngste bei Psychotherapeut_innen ausgepr{\"a}gt sind und welche Faktoren diese beeinflussen. Methoden: Insgesamt 239 Psychotherapeut_innen wurden per anonymer Onlinebefragung mit den Illness Attitude Scales und der Mini-Symptom-Checklist untersucht. Ergebnisse: Krankheits{\"a}ngste bei Psychotherapeut_innen waren geringer ausgepr{\"a}gt als in der Allgemeinbev{\"o}lkerung und bei Psychologiestudierenden. Faktoren wie die allgemeine psychische Belastung und das Vorhandensein tats{\"a}chlicher Diagnosen gingen mit erh{\"o}hten Krankheits{\"a}ngsten einher. Schlussfolgerungen: Krankheits{\"a}ngste k{\"o}nnen sich nicht nur auf somatische Erkrankungen beziehen, sondern auch psychische St{\"o}rungen betreffen. Eine st{\"a}rkere Ber{\"u}cksichtigung psychischer Krankheits{\"a}ngste und deren weitere systematische Erfassung erscheinen daher w{\"u}nschenswert.},
  language  = {de}
}
@misc{KuehneHeinzeWeck2020,
  author    = {K{\"u}hne, Franziska and Heinze, Peter Eric and Weck, Florian},
  title     = {What do laypersons believe characterises a competent psychotherapist?},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {3},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-54430},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-544304},
  pages     = {14},
  year      = {2020},
  abstract  = {Aim Although research and clinical definitions of psychotherapeutic competence have been proposed, less is known about the layperson perspective. The aim was to explore the views of individuals with different levels of psychotherapy experience regarding what-in their views-constitutes a competent therapist. Method In an online survey, 375 persons (64\% female, mean age 33.24 years) with no experience, with professional experience, or with personal pre-experience with psychotherapy participated. To provide low-threshold questions, we first presented two qualitative items (i.e. "In your opinion, what makes a good/competent psychotherapist?"; "How do you recognize that a psychotherapist is not competent?") and analysed them using inductive content analysis techniques (Mayring, 2014). Then, we gave participants a 16-item questionnaire including items from previous surveys and from the literature and analysed them descriptively. Results Work-relatedprinciples, professionalism, personalitycharacteristics, caringcommunication, empathy and understandingwere important categories of competence. Concerning the quantitative questions, most participants agreed with items indicating that a therapist should be open, listen well, show empathy and behave responsibly. Conclusion Investigating layperson perspectives suggested that effective and professional interpersonal behaviour of therapists plays a central role in the public's perception of psychotherapy.},
  language  = {en}
}
@article{KuehneHeinzeWeck2020,
  author    = {K{\"u}hne, Franziska and Heinze, Peter Eric and Weck, Florian},
  title     = {What do laypersons believe characterises a competent psychotherapist?},
  series = {Counselling and psychotherapy research},
  volume    = {21},
  journal   = {Counselling and psychotherapy research},
  number    = {3},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {1473-3145},
  doi       = {10.1002/capr.12343},
  pages     = {660 -- 671},
  year      = {2020},
  abstract  = {Aim Although research and clinical definitions of psychotherapeutic competence have been proposed, less is known about the layperson perspective. The aim was to explore the views of individuals with different levels of psychotherapy experience regarding what-in their views-constitutes a competent therapist. Method In an online survey, 375 persons (64\% female, mean age 33.24 years) with no experience, with professional experience, or with personal pre-experience with psychotherapy participated. To provide low-threshold questions, we first presented two qualitative items (i.e. "In your opinion, what makes a good/competent psychotherapist?"; "How do you recognize that a psychotherapist is not competent?") and analysed them using inductive content analysis techniques (Mayring, 2014). Then, we gave participants a 16-item questionnaire including items from previous surveys and from the literature and analysed them descriptively. Results Work-relatedprinciples, professionalism, personalitycharacteristics, caringcommunication, empathy and understandingwere important categories of competence. Concerning the quantitative questions, most participants agreed with items indicating that a therapist should be open, listen well, show empathy and behave responsibly. Conclusion Investigating layperson perspectives suggested that effective and professional interpersonal behaviour of therapists plays a central role in the public's perception of psychotherapy.},
  language  = {en}
}
@article{RothRawaldKuehneLazaridesetal.2020,
  author    = {Roth-Rawald, Julia and K{\"u}hne, Franziska and Lazarides, Rebecca and Weck, Florian},
  title     = {Krankheits{\"a}ngste bei Psychologiestudierenden},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000578},
  pages     = {103 -- 112},
  year      = {2020},
  abstract  = {Theoretischer Hintergrund: Als Medical Students' Disease wird die Angst von Medizinstudierenden bezeichnet, unter Krankheiten zu leiden, mit denen sie sich im Studium auseinandersetzen. Fragestellung: Es wurde untersucht, ob {\"a}hnliche Ph{\"a}nomene vor{\"u}bergehender Krankheits{\"a}ngste auch bei Psychologiestudierenden existieren. Methode: Mittels etablierter Illness-Attitude-Scales (IAS) und einer eigens entwickelten Erg{\"a}nzung wurden {\"A}ngste vor somatischen und psychischen Erkrankungen erhoben. Ergebnisse: Krankheits{\"a}ngste bei Psychologiestudierenden waren nicht st{\"a}rker ausgepr{\"a}gt als bei Studierenden anderer Fachrichtungen. {\"A}ngste vor k{\"o}rperlichen Erkrankungen waren h{\"a}ufiger als {\"A}ngste vor psychischen St{\"o}rungen, die keiner signifikanten zeitlichen Ver{\"a}nderung unterlagen. Schlussfolgerung: Die Besch{\"a}ftigung mit psychischen St{\"o}rungen geht nicht zwangsl{\"a}ufig mit einem Anstieg von {\"A}ngsten vor psychischen Erkrankungen unter Psychologiestudierenden einher. Erh{\"o}hte Belastungswerte bei allen Studierenden legen nahe, dass das Studium selbst eine Herausforderung darstellt, f{\"u}r deren Bew{\"a}ltigung Unterst{\"u}tzung angeboten werden kann. the same level of fear regarding health anxiety as students of other disciplines. Their anxiety about suffering from physical illnesses was also greater than their anxiety about suffering from mental disorders. Conclusion: Studying mental disorders does not necessarily result in an increase of related health anxiety. However, university studies seem to be a burdensome period of life in their own right, for which coping support can be provided.},
  language  = {de}
}