TY  - JOUR
A1  - Ay-Bryson, Destina Sevde
A1  - Weck, Florian
A1  - Kühne, Franziska
T1  - Can simulated patient encounters appear authentic?
BT  - development and pilot results of a rating instrument based on the portrayal of depressive patients
JF  - Training and education in professional psychology
N2  - 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.
KW  - authenticity
KW  - evidence-based training
KW  - standardized patients
KW  - role-play
KW  - mental disorders
Y1  - 2022
U6  - https://doi.org/10.1037/tep0000349
SN  - 1931-3918
SN  - 1931-3926
VL  - 16
IS  - 1
SP  - 20
EP  - 27
PB  - American Psychological Association
CY  - Washington
ER  - 
TY  - JOUR
A1  - Maaß, Ulrike
A1  - Kühne, Franziska
A1  - Poltz, Nadine
A1  - Lorenz, Anna
A1  - Ay-Bryson, Destina Sevde
A1  - Weck, Florian
T1  - Live supervision in psychotherapy training
BT  - a systematic review
JF  - Training and education in professional psychology
N2  - 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.
KW  - psychotherapy
KW  - feedback
KW  - bug-in-the-eye
KW  - training
KW  - therapist competence
Y1  - 2022
U6  - https://doi.org/10.1037/tep0000390
SN  - 1931-3918
SN  - 1931-3926
VL  - 16
IS  - 2
SP  - 130
EP  - 142
PB  - American Psychological Association
CY  - Washington
ER  - 
TY  - GEN
A1  - Maaß, Ulrike
A1  - Kühne, Franziska
A1  - Heinze, Peter Eric
A1  - Ay-Bryson, Destina Sevde
A1  - Weck, Florian
T1  - The concise measurement of clinical communication skills
BT  - Validation of a short scale
T2  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - 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.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 820 
KW  - standardized patient
KW  - treatment integrity
KW  - measurement
KW  - therapist competence
KW  - role-play
KW  - psychotherapy process
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-582642
SN  - 1866-8364
IS  - 820
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  - Maaß, Ulrike
A1  - Kühne, Franziska
A1  - Heinze, Peter Eric
A1  - Ay-Bryson, Destina Sevde
A1  - Weck, Florian
T1  - The concise measurement of clinical communication skills
BT  - Validation of a short scale
JF  - Frontiers in Psychiatry
N2  - 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.
KW  - standardized patient
KW  - treatment integrity
KW  - measurement
KW  - therapist competence
KW  - role-play
KW  - psychotherapy process
Y1  - 2022
U6  - https://doi.org/10.3389/fpsyt.2022.977324
SN  - 1664-0640
VL  - 13
PB  - Frontiers
CY  - Lausanne, Schweiz
ER  - 
TY  - JOUR
A1  - Heinze, Peter Eric
A1  - Weck, Florian
A1  - Hahn, Daniela
A1  - Kühne, Franziska
T1  - Differences in psychotherapy preferences between psychotherapy trainees and laypeople
JF  - Psychotherapy research : the official journal of the Society for Psychotherapy Research
N2  - 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.
KW  - psychotherapy process
KW  - psychotherapy training
KW  - activity preference;
KW  - C-NIP
KW  - assessment
Y1  - 2022
U6  - https://doi.org/10.1080/10503307.2022.2098076
SN  - 1050-3307
SN  - 1468-4381
VL  - 33
IS  - 3
SP  - 374
EP  - 386
PB  - Routledge, Taylor & Francis Group
CY  - Abingdon
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  - Hahn, Daniela
A1  - Weck, Florian
A1  - Witthöft, Michael
A1  - Maiwald, Lisa Marie
A1  - Foral, Annika
A1  - Kühne, Franziska
T1  - Wie erleben Psychotherapeut_innen in Ausbildung ihre Selbsterfahrung?
BT  - eine qualitative Untersuchung
BT  - a qualitative analysis
JF  - Zeitschrift für Klinische Psychologie und Psychotherapie
N2  - 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.
N2  - Theoretischer Hintergrund: 
Selbsterfahrung ist zentraler Bestandteil der Psychotherapieausbildung. Gleichzeitig wurde Selbsterfahrung selten empirisch untersucht. 

Fragestellung: 
Ziel unserer Studie war es, Bedingungen und Effekte hilfreicher Selbsterfahrung zu explorieren. 

Methode: 
Vierzehn verhaltenstherapeutische Ausbildungskandidat_innen wurden anhand halbstrukturierter Leitfadeninterviews befragt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring (2015). 

Ergebnisse: 
Verschiedene Bedingungen wurden mit hilfreich erlebter Selbsterfahrung in Zusammenhang gebracht: Merkmale der Selbsterfahrungsleitung (u. a. Durchführungskompetenz), der Organisation, der Teilnehmer_innen (Lernbereitschaft), die behandelten Themen und die eingesetzten Techniken, sowie eine tragfähige Arbeitsbeziehung. Berichtete positive Effekte waren u. a. die Förderung interpersoneller Kompetenzen. Zudem wurden Nebenwirkungen und negative Effekte formuliert (u. a. Erschöpfung). 

Schlussfolgerungen: 
Bedingungen zur Durchführung von als hilfreich erlebter Selbsterfahrung und Effekte von Selbsterfahrung wurden aus Sicht der Teilnehmer_innen extrahiert.
T2  - How do psychotherapists in training experience their own self-experiential work?
KW  - personal practice
KW  - psychotherapy training
KW  - qualitative content analysis
KW  - Selbsterfahrung
KW  - Psychotherapeutische Ausbildung
KW  - Qualitative Inhaltsanalyse
Y1  - 2022
U6  - https://doi.org/10.1026/1616-3443/a000626
SN  - 1616-3443
SN  - 2190-6297
VL  - 50
IS  - 2
SP  - 78
EP  - 89
PB  - Hogrefe
CY  - Göttingen
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Paunov, Tatjana
A1  - Weck, Florian
T1  - Recognizing obsessive-compulsive disorder
BT  - How suitable is the German Zohar-Fineberg obsessive-compulsive screen?
JF  - BMC psychiatry
N2  - 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.
KW  - Obsessive-compulsive disorder
KW  - Psychodiagnostics
KW  - Psychometric properties
KW  - Screening
Y1  - 2021
U6  - https://doi.org/10.1186/s12888-021-03458-x
SN  - 1471-244X
VL  - 21
PB  - Springer Nature
CY  - London
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Fauth, Henriette
A1  - Destina Sevde, Ay-Bryson
A1  - Visser, Leonie N.C.
A1  - Weck, Florian
T1  - Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes
JF  - Cancer Medicine
N2  - 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.
KW  - consultation
KW  - mental health
KW  - oncology
KW  - psycho-oncology
KW  - skills
Y1  - 2021
U6  - https://doi.org/10.1002/cam4.4396
SN  - 2045-7634
VL  - 10
SP  - 9012
EP  - 9021
PB  - Wiley
CY  - Hoboken, New Jersey, USA
ET  - 24
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Maaß, Ulrike
A1  - Weck, Florian
T1  - Einsatz standardisierter Patienten im Psychologiestudium
BT  - von der Forschung in die Praxis
JF  - Verhaltenstherapie : Praxis, Forschung, Perspektiven
N2  - 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.
N2  - Background: Within the pending reformation of the German law of psychotherapy training, education in clinical psychology and the examination of psychotherapeutic competencies are established as more practice oriented. Students will acquire and demonstrate therapeutic skills through interactions with standardized patients (SPs). The aim of the current paper is to enhance evidence-based implementation of these new methods of education and examination by presenting the current evidence regarding the use of SPs and by pointing out areas for further research. Results: Results of recent studies demonstrate that SPs are able to present mental disorders authentically. Prerequisites are, among others, the selection of suitable SPs, detailed role scripts, specific training, feedback, and corrective training. Although some research questions, including the comparative effectiveness of SPs, remain unanswered, practice implications for using SPs in education, examination, and research can be drawn. These implications are illustrated schematically. Conclusions: The use of SPs has large potential for education in clinical psychology and for research on psychotherapy training. With a view to encouraging the widespread use of SPs, we provide exemplary materials (e.g., role script) within the online supplements (see www.­karger.com/doi/10.1159/000509249 [Titel anhand dieser DOI in Citavi-Projekt übernehmen] for all online suppl. material).
T2  - Standardized patients in clinical psychology: from research to practice
KW  - Training
KW  - Ausbildung
KW  - Psychotherapie
KW  - Evidenzbasierte Versorgung
KW  - training
KW  - education
KW  - psychotherapy
KW  - evidence-based care
Y1  - 2021
U6  - https://doi.org/10.1159/000509249
SN  - 1016-6262
SN  - 1423-0402
VL  - 31
IS  - 2
SP  - 152
EP  - 160
PB  - Karger
CY  - Basel
ER  - 
TY  - JOUR
A1  - Weck, Florian
T1  - Ein praxisnaher Leitfaden zur kognitiv-verhaltenstherapeutischen Behandlung von Auftrittsängsten bei Musikerinnen und Musikern
BT  - Rezension zu: Mumm, Jennifer ; Plag, Jens ; Fehm, Lydia ; Witzleben  Ines von ; Fernholz, Isabel; Schmidt, Alexander; Stöhle, Andreas: Auftrittsängste bei Musikerinnen und Musikern : ein kognitiv-verhaltenstherapeutischer Behandlungsleitfaden. - Göttingen: Hogrefe, 2020. - 231 S. - ISBN 978-3-8017-2988-2
JF  - Zeitschrift für Klinische Psychologie und Psychotherapie
Y1  - 2021
SN  - 978-3-8017-2988-2
U6  - https://doi.org/10.1026/1616-3443/a000615
SN  - 1616-3443
SN  - 2190-6297
VL  - 50
IS  - 1
SP  - 46
EP  - 47
PB  - Hogrefe
CY  - Göttingen
ER  - 
TY  - JOUR
A1  - Weck, Florian
T1  - Ein hilfreicher Leitfaden zur Verfassung des Berichts an den Gutachterim Rahmen der Verhaltenstherapie
BT  - Rezension zu: Surall, Daniel; Kunz, Oliver: Leitfaden für den VT-Bericht. Psychotherapie-Anträge erfolgreich stellen. - Göttingen: Hogrefe, 2019. - 205 S. - ISBN 978-3-8017-2947-9
JF  - Zeitschrift für Klinische Psychologie und Psychotherapie
N2  - Seit dem 01. 04. 2017 erfolgte eine umfangreiche Reform der Psychotherapie-Richtlinie. Neben der Einführung neuer Leistungen (z. B. Akutbehandlung, psychotherapeutische Sprechstunde) wurden auch Änderungen im Ablauf und der Beantragung von Psychotherapie beschlossen. Beispielsweise ist der Bericht an den Gutachter bzw. die Gutachterin seltener eine notwendige Voraussetzung zur Durchführung einer psychotherapeutischen Behandlung, als dass zuvor der Fall war. Im Zuge der Reform wurde auch der Leitfaden für die Gestaltung des Berichts an den Gutachter bzw. die Gutachterin überarbeitet.

Vor dem Hintergrund der Psychotherapie-Richtlinien-Reform ist das Werk „Leitfaden für 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 ausführlich auf den reformierten Bericht an den Gutachter bzw. an die Gutachterin eingehen. In den ersten beiden Kapiteln fassen die Autoren die Änderungen 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 erläutern. Auch die übersichtliche 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 ausführlicher das Thema Umwandlungs- und Fortführungsanträge aufgegriffen. Dies ist insbesondere sinnvoll, da nach der neuen Psychotherapie-Richtlinie für Kurzzeitanträge in der Regel keine Berichtspflicht besteht und Umwandlungs- und Fortführungsanträge in der Praxis häufiger als zuvor von Relevanz sein dürften. Im zehnten Kapitel wird in knapper Weise darauf eingegangen, wie bei Ablehnung oder Kürzung von beantragten Leistungen vorgegangen werden kann.

Das Buch umfasst einen umfangreichen Anhang (67 Seiten), in dem Beispiele für Berichte an den Gutachter / die Gutachterin und Behandlungspläne für verschiedene psychische Störungen zu finden sind. Auch hierbei werden sowohl Berichte für Erwachsene als auch für Kinder und Jugendliche präsentiert. Zudem beinhaltet der Anhang des Buches das Berner Inventar für Therapieziele, Auszüge 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 Gegenüberstellung des alten und des neuen Leitfadens für den Bericht an die Gutachter_innen.

Bei dem von Surall und Kunz vorgelegten Buch handelt es sich um einen äußerst hilfreichen Leitfaden, der Therapeut:innen bei der Abfassung des Berichts an den Gutachter / die Gutachterin im Rahmen der Verhaltenstherapie unterstützen kann. Hierbei kann der Leitfaden Psychotherapeut_innen in Ausbildung bei der Abfassung ihrer ersten Anträge unterstützen. Aber auch erfahrenen Kolleg_innen können bei dem Übergang in die neuen Antragsformalitäten, die mit der Reform der Psychotherapie-Richtlinie einhergingen, unterstützen werden. Hierbei ist insbesondere die Im Anhang befindliche Gegenüberstellung des alten und des neuen Leitfadens für den Bericht an den Gutachter / die Gutachterin hilfreich, um sich einen schnellen Überblick über die Änderungen zu verschaffen. Insgesamt werden die einzelnen Abschnitte des Berichts an den Gutachter / die Gutachterin sehr gut strukturiert und verständlich erläutert. Die vielen Beispiele und die ausführlichen Materialien im Anhang ergänzen zudem die Erläuterungen und erleichtern das Verständnis. Zu Beginn des Buches wäre zudem noch eine Abbildung hilfreich gewesen, die den Ablauf der Beantragung von Psychotherapie schematisch darstellt, um einen genaueren Überblick über die Beantragung von Psychotherapie nach der neuen Psychotherapie-Richtlinie zu erhalten. Auch ein Stichwortverzeichnis würde 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 Beispielanträge bringt das Buch alle Voraussetzungen mit, um sich als Standartwerk zu etablieren, dass Therapeut_innen bei der Beantragung von Verhaltenstherapie in äußerst hilfreicher Weise unterstützt.
Y1  - 2021
U6  - https://doi.org/10.1026/1616-3443/a000553
SN  - 1616-3443
SN  - 2190-6297
VL  - 49
IS  - 3
SP  - 193
EP  - 194
PB  - Hogrefe
CY  - Göttingen
ER  - 
TY  - GEN
A1  - Kühne, Franziska
A1  - Paunov, Tatjana
A1  - Weck, Florian
T1  - Recognizing obsessive-compulsive disorder
BT  - How suitable is the German Zohar-Fineberg obsessive-compulsive screen?
T2  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - 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.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 771 
KW  - Obsessive-compulsive disorder
KW  - Psychodiagnostics
KW  - Psychometric properties
KW  - Screening
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-554473
SN  - 1866-8364
IS  - 771
ER  - 
TY  - GEN
A1  - Kühne, Franziska
A1  - Fauth, Henriette
A1  - Destina Sevde, Ay-Bryson
A1  - Visser, Leonie N.C.
A1  - Weck, Florian
T1  - Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes
T2  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - 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.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 817 
KW  - consultation
KW  - mental health
KW  - oncology
KW  - psycho-oncology
KW  - skills
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-582286
SN  - 1866-8364
IS  - 817
SP  - 9012
EP  - 9021
ER  - 
TY  - JOUR
A1  - Hahn, Daniela
A1  - Weck, Florian
A1  - Witthöft, Michael
A1  - Kühne, Franziska
T1  - Assessment of counseling self-efficacy
BT  - validation of the German Counselor Activity self-efficacy scales-revised
JF  - Frontiers in psychology / Frontiers Research Foundation
N2  - 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.
KW  - counselor activity self-efficacy scales
KW  - counseling self-efficacy
KW  - psychotherapy training
KW  - assessment
KW  - factor structure
KW  - validation
Y1  - 2021
U6  - https://doi.org/10.3389/fpsyg.2021.780088
SN  - 1664-1078
VL  - 12
PB  - Frontiers Research Foundation
CY  - Lausanne
ER  - 
TY  - JOUR
A1  - Roth-Rawald, Julia
A1  - Weck, Florian
T1  - Krankheitsängste bei Psychotherapeut_innen
BT  - eine explorative Studie zu Ängsten vor psychischen Störungen
JF  - Zeitschrift für klinische Psychologie und Psychotherapie
N2  - Hintergrund: Krankheitsängste beziehen sich meist auf die Angst vor dem Leiden an somatischen Erkrankungen. In Einzelfallberichten wurden auch Ängste vor psychischen Störungen berichtet, jedoch bisher nicht systematisch untersucht. Psychotherapeut_innen sind ständig mit psychischen Erkrankungen konfrontiert. Fragestellung: Diese Studie untersucht, wie stark Krankheitsängste bei Psychotherapeut_innen ausgeprägt 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: Krankheitsängste bei Psychotherapeut_innen waren geringer ausgeprägt als in der Allgemeinbevölkerung und bei Psychologiestudierenden. Faktoren wie die allgemeine psychische Belastung und das Vorhandensein tatsächlicher Diagnosen gingen mit erhöhten Krankheitsängsten einher. Schlussfolgerungen: Krankheitsängste können sich nicht nur auf somatische Erkrankungen beziehen, sondern auch psychische Störungen betreffen. Eine stärkere Berücksichtigung psychischer Krankheitsängste und deren weitere systematische Erfassung erscheinen daher wünschenswert.
N2  - Background: Illness anxiety is the fear of suffering from severe physical illnesses. Psychotherapists are constantly confronted with mental disorders. In individual case reports. anxiety related to suffering from mental disorders has also been documented but to date has not been systematically examined. Objectives: This study examines the strength of illness anxieties in psychotherapists and their influencing factors. Methods: We examined 239 psychotherapists using the Illness Attitude Scales and the Mini-Symptom-Checklist. Results: Illness anxieties in psychotherapists were significantly lower than those in the general population and psychology students. Variables like general mental stress and the presence of actual diagnoses correlated with higher illness anxieties. Conclusions: Illness anxiety is also present for mental disorders. Therefore, it is desirable to consider mental illness anxiety and its systematic detection.
T2  - Illness anxiety in psychotherapists
KW  - illness anxiety
KW  - mental disorders
KW  - psychotherapists
KW  - psychology students
KW  - Krankheitsangst
KW  - psychische Störungen
KW  - Psychotherapeut_innen
KW  - Psychologiestudierende
Y1  - 2021
U6  - https://doi.org/10.1026/1616-3443/a000624
SN  - 1616-3443
SN  - 2190-6297
VL  - 50
IS  - 2
SP  - 57
EP  - 67
PB  - Hogrefe
CY  - Göttingen
ER  - 
TY  - JOUR
A1  - Weck, Florian
A1  - Junga, Yvonne Marie
A1  - Kliegl, Reinhold
A1  - Hahn, Daniela
A1  - Brucker, Katharina
A1  - Witthöft, Michael
T1  - Effects of competence feedback on therapist competence and patient outcome
BT  - a randomized controlled trial
JF  - Journal of consulting and clinical psychology
N2  - 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.
KW  - feedback
KW  - outcome
KW  - major depression
KW  - therapeutic alliance
KW  - therapeutic
KW  - competencies
Y1  - 2021
U6  - https://doi.org/10.1037/ccp0000686
SN  - 0022-006X
SN  - 1939-2117
VL  - 89
IS  - 11
SP  - 885
EP  - 897
PB  - American Psychological Association
CY  - Washington
ER  - 
TY  - JOUR
A1  - Maaß, Ulrike
A1  - Kühne, Franziska
A1  - Maas, Jana
A1  - Unverdross, Maria
A1  - Weck, Florian
T1  - Psychological interventions for health anxiety and somatic symptoms
BT  - a systematic review and meta-analysis
JF  - Zeitschrift für Psychologie = Journal of psychology
N2  - 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.
KW  - health anxiety
KW  - hypochondriasis
KW  - systematic review
KW  - meta-analysis
KW  - psychotherapy
Y1  - 2020
U6  - https://doi.org/10.1027/2151-2604/a000400
SN  - 2190-8370
SN  - 2151-2604
VL  - 228
IS  - 2
SP  - 68
EP  - 80
PB  - Hogrefe
CY  - Göttingen
ER  -