@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{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} } @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.
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} }