TY - JOUR A1 - Bangeow, Petjo T1 - Zur Abschaffung des Gutachterverfahrens in der Vertragspsychotherapie – ein Qualitätsverlust? JF - Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie N2 - Objectives: This article investigates whether or not the abolishment of the expertise procedure for an outpatient psychotherapy is a reliable quality feature; and whether or not the elimination of this procedure results in a reduction of quality in outpatient psychotherapy. Methods: We conducted a literature research that considered articles written between the years 2000 and 2020 dealing with the expertise procedure as a quality standard of outpatient psychotherapy. In order to discuss the different views of the cited authors, we also refer to further literature. Results: The expertise procedure is not a reliable quality feature of outpatient psychotherapy. The idea that abolishing the expertise procedure results in a reduction of quality in outpatient psychotherapy is not confirmed by the studies summarized. N2 - Zielsetzung: Der vorliegende Artikel befasst sich mit der Fragestellung, inwiefern das Gutachterverfahren in der Vertragspsychotherapie ein zuverlässiges Qualitätsinstrument darstellt und ob sich aus der geplanten Abschaffung des Gutachterverfahrens das Risiko einer Qualitätsminderung in der ambulanten Psychotherapie ergibt. Methodik: Es wurde eine Literaturrecherche durchgeführt. Arbeiten von den Jahren 2000 bis 2020 wurden berücksichtigt, welche sich mit dem Gutachterverfahren als Qualitätsmerkmal der ambulanten Psychotherapie befassen. Um die unterschiedlichen Standpunkte der zitierten Autor_innen zu diskutieren, wurde auch Bezug auf weiterführende Literatur genommen. Ergebnisse: Das Gutachterverfahren scheint empirisch nicht sicher als zuverlässiges Qualitätsmerkmal der ambulanten Psychotherapie herangezogen werden zu können. Die Annahme, dass sich durch eine gutachterbefreite Vertragspsychotherapie eine Qualitätsminderung der Psychotherapie ergibt, wird durch die hier zusammengefassten Arbeiten insgesamt nicht gestützt. T2 - The abolition of the expertise procedure for outpatient psychotherapy - A reduction of quality in the psychotherapy? KW - psychotherapy KW - guideline KW - expertise procedure KW - quality standards KW - outpatient psychotherapy KW - Psychotherapie KW - Richtlinie KW - Gutachterverfahren KW - Qualitätsstandard KW - ambulante Psychotherapie Y1 - 2021 U6 - https://doi.org/10.1024/1422-4917/a000778 SN - 1422-4917 SN - 1664-2880 VL - 49 IS - 1 SP - 64 EP - 72 PB - Hogrefe CY - Bern ER - TY - JOUR A1 - Domhardt, Matthias A1 - Gesslein, Helene A1 - von Rezori, Roman Enzio A1 - Baumeister, Harald T1 - Internet- and mobile-based interventions for anxiety disorders BT - a meta-analytic review of intervention components JF - Depreddion and anxiety N2 - BackgroundAlthough the efficacy of Internet- and mobile-based interventions (IMIs) for anxiety is established, little is known about the intervention components responsible for therapeutic change. We conducted the first comprehensive meta-analytic review of intervention components of IMIs for adult anxiety disorders. MethodsRandomized controlled trials (RCTs) comparing IMIs for anxiety disorders to active online control groups, or IMIs to dismantled variations of the same intervention ( specific components) were identified by a systematic literature search in six databases. Outcomes were validated observer-rated or self-report measures for anxiety symptom severity and treatment adherence (number of completed modules and completer rate). This meta-analytic review is registered with PROSPERO (CRD42017068268). ResultsWe extracted the data of 34 RCTs (with 3,724 participants) and rated the risk of bias independently by two reviewers. Random-effects meta-analyses were performed on 19 comparisons of intervention components (i.a., different psychotherapeutic orientations, disorder-specific vs. transdiagnostic approaches, guidance factors). IMIs had a large effect when compared to active online controls on symptom severity (standardized mean difference [SMD] of -1.67 [95% CI: -2.93, -0.42]; P=0.009). Thereby, guided IMIs were superior to unguided interventions on symptom severity (SMD of -0.39 [95% CI: -0.59, -0.18]; P=0.0002) and adherence (SMD of 0.38 [95% CI: 0.10, 0.66]; P=0.007). ConclusionsOverall, the results of this meta-analysis lend further support to the efficacy of IMIs for anxiety, pointing to their potential to augment service supplies. Still, future research is needed to determine which ingredients are essential, as this meta-analytic review found no evidence for incremental effects of several single intervention components apart from guidance. KW - active ingredient KW - change mechanism KW - common and specific factor KW - e-health KW - guidance KW - psychotherapy Y1 - 2019 U6 - https://doi.org/10.1002/da.22860 SN - 1091-4269 SN - 1520-6394 VL - 36 IS - 3 SP - 213 EP - 224 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Esser, Günter A1 - Blank, Sarah T1 - Efficacy of psychotherapy with children and adolescents JF - Praxis der Kinderpsychologie und Kinderpsychiatrie : Ergebnisse aus Psychotherapie, Beratung und Psychiatrie N2 - Efficacy of Psychotherapy with Children and Adolescents Psychotherapeutic interventions require empirical as well as scientific assessment. Specifically, the proven efficacy of psychotherapy for children and adolescents is essential. Thus, studies examining treatment efficacy and meta-analyses are necessary to compare effect sizes of individual therapeutic interventions between treatment groups and waiting control groups. Assessment of 138 primary studies from 1993-2009 documented the efficacy of psychotherapy for children and adolescents. Furthermore, behavioural therapy outperformed non-behavioural interventions, as 90 % of behavioural interventions showed larger effect sizes compared to non-behavioural psychotherapy. Analysis of moderator variables demonstrated an improved treatment efficacy for individual therapy, inclusion of the family, treatment of internalised disorders, and in clinical samples. Stability of psychotherapeutic treatment effects over time was demonstrated. KW - psychotherapy KW - efficacy KW - child and adolescent psychotherapy KW - meta-analysis Y1 - 2011 SN - 0032-7034 VL - 60 IS - 8 SP - 626 EP - 638 PB - Vandenhoeck & Ruprecht CY - Göttingen ER - TY - THES A1 - Heinze, Peter Eric T1 - An exploration of activity and therapist preferences and their predictors in German-speaking samples T1 - Exploration von Aktivitäts- und Therapeut:innenpräferenzen und deren Prädiktoren in deutschsprachigen Stichproben N2 - According to current definitions of evidence-based practice, patients’ preferences play an important role for the psychotherapeutic process and outcomes. However, whereas a significant body of research investigated preferences regarding specific treatments, research on preferred activities or therapist characteristics is rare, investigated heterogeneous aspects with inconclusive results, lacked validated assessment tools, and neglected relevant preferences, their predictors as well as the perspective of mental health professionals. Therefore, the three studies of this dissertation aimed to address the most fundamental drawbacks in current preference research by providing a validated questionnaire, focus efforts on activity and therapist preferences and add preferences of psychotherapy trainees. To this end, Paper I reports the translation and validation of the 18-item Cooper-Norcross Inventory of Preference (C-NIP) in a broad, heterogeneous sample of N = 969 laypeople, resulting in good to acceptable reliabilities and first evidence of validity. However, the original factor structure was not replicated. Paper II assesses activity preferences of psychotherapists in training using the C-NIP and compares them with the initial laypeople sample. There were significant differences between both samples, with trainees preferring a more patient-directed, emotionally intense and confrontational approach than laypeople. CBT trainees preferred a more therapist-directed, present-focused, challenging and less emotional intense approach than psychodynamic or -analytic trainees. Paper III explores therapist preferences and tests predictors for specific preference choices. For most characteristics, more than half of the participants did not have specific preferences. Results pointed towards congruency effects (i.e., preference for similar characteristics), especially for members of marginalized groups. The dissertation provides both researchers and practitioners with a validated questionnaire, shows potentially obstructive differences between patients and therapists and underlines the importance of therapist characteristics for marginalized groups, thereby laying the foundation for future applications and implementations in research and practice. N2 - Aktuelle Definitionen von evidenzbasierter Psychotherapie betonen neben Faktoren wie Therapiearten, Interventionen, Therapeut:inneneffekte, Beziehungseffekte und Patient:innenfaktoren die Relevanz von Präferenzen für den Therapieprozess und -erfolg. Während Behandlungspräferenzen bereits in vielen Studien untersucht wurden, gibt es nur wenige heterogene Ergebnisse zu Präferenzen bezüglich des psychotherapeutischen Vorgehens sowie gewünschter Eigenschaften von Psychotherapeut:innen. Zudem fehlen ein validierter Fragebogen, wichtige Präferenzen und deren Prädiktoren sowie die Perspektive der Behandler:innen. Die Dissertation greift daher die größten Lücken der Präferenzforschung im Rahmen von drei Studien zu Aktivitäts- und Therapeut:innenpräferenzen auf. Paper I stellt die Übersetzung und Validierung des Cooper-Norcross Inventory of Preferences in einer breiten Bevölkerungsstichprobe (N = 969) dar. Obwohl die Originalfaktorstruktur nicht repliziert werden konnte, erfasst die Skala vier Faktoren der Aktivitätspräferenz reliabel und valide. Paper II ergänzt eine Stichprobe von N = 466 Psychotherapeut:innen in Ausbildung (PiA) und vergleicht diese mit der ursprünglichen Bevölkerungsstichprobe. PiAs präferierten dabei einen signifikant stärkeren patientengeleiteten, emotional fordernden und konfrontativen Ansatz. PiAs der KVT präferierten im Vergleich zu PiAs der Psychoanalyse oder -dynamik einen therapeutengeleiteten, gegenwärtigen, konfrontativen und weniger emotional fordernden Ansatz. Paper III untersuchte Präferenzen hinsichtlich mehrerer Therapeut:inneneigenschaften und deren Prädiktoren. Für die meisten Eigenschaften gaben mehr als die Hälfte der Proband:innen an, keine spezifischen Präferenzen zu haben. Es zeigten sich jedoch Kongruenzeffekte, insbesondere für Personen aus marginalisierten Gruppen. Die Dissertation legt den Grundstein für künftige Anwendungen von Präferenzen für Forschende und Behandelnde, indem ein validierter Fragebogen vorgestellt, potentiell hinderliche Unterschiede zwischen Patient:innen und Therapeut:innen beschrieben und die Relevanz von Therapeut:inneneigenschaften für marginalisierte Gruppen dargestellt wird. KW - psychotherapy KW - preferences KW - preference assessment KW - psychotherapy training KW - respondent pool KW - Psychotherapie KW - Präferenzen KW - Präferenzmessung KW - Psychotherapieausbildung KW - Panelstichprobe Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-607534 ER - TY - GEN A1 - Heinze, Peter Eric A1 - Weck, Florian A1 - Kühne, Franziska T1 - Assessing Patient Preferences BT - Examination of the German Cooper-Norcross Inventory of Preferences T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - 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. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 753 KW - psychotherapy KW - preference KW - activity preference KW - preference assessment KW - validation study Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-544140 SN - 1866-8364 ER - TY - JOUR A1 - Heinze, Peter Eric A1 - Weck, Florian A1 - Kühne, Franziska T1 - Assessing patient preferences BT - examination of the german cooper-norcross inventory of preferences JF - Frontiers in psychology N2 - 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. KW - psychotherapy KW - preference KW - activity preference KW - preference assessment KW - validation study Y1 - 2022 U6 - https://doi.org/10.3389/fpsyg.2021.795776 SN - 1664-1078 VL - 12 PB - Frontiers Media CY - Lausanne ER - TY - JOUR A1 - Heinze, Peter Eric A1 - Weck, Florian A1 - Kühne, Franziska T1 - Assessing Patient Preferences BT - Examination of the German Cooper-Norcross Inventory of Preferences JF - Frontiers in Psychology N2 - 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. KW - psychotherapy KW - preference KW - activity preference KW - preference assessment KW - validation study Y1 - 2021 U6 - https://doi.org/10.3389/fpsyg.2021.795776 SN - 1664-1078 VL - 12 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Heinzel, Stephan A1 - Rapp, Michael Armin A1 - Fydrich, Thomas A1 - Ströhle, Andreas A1 - Teran, Christina A1 - Kallies, Gunnar A1 - Schwefel, Melanie A1 - Heissel, Andreas T1 - Neurobiological mechanisms of exercise and psychotherapy in depression BT - the SPeED studyRationale, design, and methodological issues JF - Clinical Trials N2 - Background/Aims: Even though cognitive behavioral therapy has become a relatively effective treatment for major depressive disorder and cognitive behavioral therapy-related changes of dysfunctional neural activations were shown in recent studies, remission rates still remain at an insufficient level. Therefore, the implementation of effective augmentation strategies is needed. In recent meta-analyses, exercise therapy (especially endurance exercise) was reported to be an effective intervention in major depressive disorder. Despite these findings, underlying mechanisms of the antidepressant effect of exercise especially in combination with cognitive behavioral therapy have rarely been studied to date and an investigation of its neural underpinnings is lacking. A better understanding of the psychological and neural mechanisms of exercise and cognitive behavioral therapy would be important for developing optimal treatment strategies in depression. The SPeED study (Sport/Exercise Therapy and Psychotherapyevaluating treatment Effects in Depressive patients) is a randomized controlled trial to investigate underlying physiological, neurobiological, and psychological mechanisms of the augmentation of cognitive behavioral therapy with endurance exercise. It is investigated if a preceding endurance exercise program will enhance the effect of a subsequent cognitive behavioral therapy. Methods: This study will include 105 patients diagnosed with a mild or moderate depressive episode according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.). The participants are randomized into one of three groups: a high-intensive or a low-intensive endurance exercise group or a waiting list control group. After the exercise program/waiting period, all patients receive an outpatient cognitive behavioral therapy treatment according to a standardized therapy manual. At four measurement points, major depressive disorder symptoms (Beck Depression Inventory, Hamilton Rating Scale for Depression), (neuro)biological measures (neural activations during working memory, monetary incentive delay task, and emotion regulation, as well as cortisol levels and brain-derived neurotrophic factor), neuropsychological test performance, and questionnaires (psychological needs, self-efficacy, and quality of life) are assessed. Results: In this article, we report the design of the SPeED study and refer to important methodological issues such as including both high- and low-intensity endurance exercise groups to allow the investigation of dose-response effects and physiological components of the therapy effects. Conclusion: The main aims of this research project are to study effects of endurance exercise and cognitive behavioral therapy on depressive symptoms and to investigate underlying physiological and neurobiological mechanisms of these effects. Results may provide important implications for the development of effective treatment strategies in major depressive disorder, specifically concerning the augmentation of cognitive behavioral therapy by endurance exercise. KW - Major depressive disorder KW - depression KW - psychotherapy KW - cognitive behavioral therapy KW - endurance exercise KW - training KW - functional magnetic resonance imaging KW - brain-derived neurotrophic factor KW - basic psychological needs KW - cortisol Y1 - 2017 U6 - https://doi.org/10.1177/1740774517729161 SN - 1740-7745 SN - 1740-7753 VL - 15 IS - 1 SP - 53 EP - 64 PB - Sage Publ. CY - London ER - TY - GEN A1 - Jeglinski-Mende, Melinda A. A1 - Schmidt, Hendrikje T1 - Psychotherapy in the Framework of Embodied Cognition BT - Does Interpersonal Synchrony Influence Therapy Success? T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Mental health problems remain among the main generators of costs within and beyond the health care system. Psychotherapy, the tool of choice in their treatment, is qualified by social interaction, and cooperation within the therapist-patient-dyad. Research into the factors influencing therapy success to date is neither exhaustive nor conclusive. Among many others, the quality of the relationship between therapist and patient stands out regardless of the followed psychotherapy school. Emerging research points to a connection between interpersonal synchronization within the sessions and therapy outcome. Consequently, it can be considered significant for the shaping of this relationship. The framework of Embodied Cognition assumes bodily and neuronal correlates of thinking. Therefore, the present paper reviews investigations on interpersonal, non-verbal synchrony in two domains: firstly, studies on interpersonal synchrony in psychotherapy are reviewed (synchronization of movement). Secondly, findings on neurological correlates of interpersonal synchrony (assessed with EEG, fMRI, fNIRS) are summarized in a narrative manner. In addition, the question is asked whether interpersonal synchrony can be achieved voluntarily on an individual level. It is concluded that there might be mechanisms which could give more insights into therapy success, but as of yet remain uninvestigated. Further, the framework of embodied cognition applies more to the current body of evidence than classical cognitivist views. Nevertheless, deeper research into interpersonal physical and neurological processes utilizing the framework of Embodied Cognition emerges as a possible route of investigation on the road to lower drop-out rates, improved and quality-controlled therapeutic interventions, thereby significantly reducing healthcare costs. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 708 KW - psychotherapy KW - embodied cognition KW - hyperscanning KW - motion energy analysis KW - neurofeedback KW - EEG KW - fMRI KW - fNIRS Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-503162 SN - 1866-8364 IS - 708 ER - TY - JOUR A1 - Jeglinski-Mende, Melinda A. A1 - Schmidt, Hendrikje T1 - Psychotherapy in the Framework of Embodied Cognition BT - Does Interpersonal Synchrony Influence Therapy Success? JF - Frontiers in Psychiatry N2 - Mental health problems remain among the main generators of costs within and beyond the health care system. Psychotherapy, the tool of choice in their treatment, is qualified by social interaction, and cooperation within the therapist-patient-dyad. Research into the factors influencing therapy success to date is neither exhaustive nor conclusive. Among many others, the quality of the relationship between therapist and patient stands out regardless of the followed psychotherapy school. Emerging research points to a connection between interpersonal synchronization within the sessions and therapy outcome. Consequently, it can be considered significant for the shaping of this relationship. The framework of Embodied Cognition assumes bodily and neuronal correlates of thinking. Therefore, the present paper reviews investigations on interpersonal, non-verbal synchrony in two domains: firstly, studies on interpersonal synchrony in psychotherapy are reviewed (synchronization of movement). Secondly, findings on neurological correlates of interpersonal synchrony (assessed with EEG, fMRI, fNIRS) are summarized in a narrative manner. In addition, the question is asked whether interpersonal synchrony can be achieved voluntarily on an individual level. It is concluded that there might be mechanisms which could give more insights into therapy success, but as of yet remain uninvestigated. Further, the framework of embodied cognition applies more to the current body of evidence than classical cognitivist views. Nevertheless, deeper research into interpersonal physical and neurological processes utilizing the framework of Embodied Cognition emerges as a possible route of investigation on the road to lower drop-out rates, improved and quality-controlled therapeutic interventions, thereby significantly reducing healthcare costs. KW - psychotherapy KW - embodied cognition KW - hyperscanning KW - motion energy analysis KW - neurofeedback KW - EEG KW - fMRI KW - fNIRS Y1 - 2021 U6 - https://doi.org/10.3389/fpsyt.2021.562490 SN - 1664-0640 VL - 12 PB - Frontiers Research Foundation CY - Lausanne ER -