TY  - JOUR
A1  - Schwind, Julia
A1  - Neng, Julia M. B.
A1  - Weck, Florian
T1  - Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy
JF  - Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies
KW  - Attribution
KW  - hypochondriasis
KW  - free association
KW  - cognitive-behavioural therapy
Y1  - 2016
U6  - https://doi.org/10.1017/S1352465816000163
SN  - 1352-4658
SN  - 1469-1833
VL  - 44
SP  - 601
EP  - 614
PB  - Cambridge Univ. Press
CY  - New York
ER  - 
TY  - JOUR
A1  - Weck, Florian
A1  - Grikscheit, Florian
A1  - Höfling, Volkmar
A1  - Kordt, Anne
A1  - Hamm, Alfons O.
A1  - Gerlach, Alexander L.
A1  - Alpers, Georg W.
A1  - Arolt, Volker
A1  - Kircher, Tilo
A1  - Pauli, Paul
A1  - Rief, Winfried
A1  - Lang, Thomas
T1  - The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia
JF  - Journal of anxiety disorders
N2  - 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.
KW  - Interpersonal behavior
KW  - Panic disorder with agoraphobia
KW  - Therapeutic alliance
KW  - Therapist adherence
KW  - Therapist competence
Y1  - 2016
U6  - https://doi.org/10.1016/j.janxdis.2016.05.007
SN  - 0887-6185
SN  - 1873-7897
VL  - 42
SP  - 10
EP  - 18
PB  - Elsevier
CY  - Oxford
ER  - 
TY  - GEN
A1  - Schwind, Julia
A1  - Neng, Julia M. B.
A1  - Weck, Florian
T1  - Changes in free symptom attributions in hypochondriasis after cognitive therapy and exposure therapy
T2  - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - 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.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 457 
KW  - attribution
KW  - hypochondriasis
KW  - free association
KW  - cognitive-behavioural therapy
Y1  - 2018
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-414169
IS  - 457
ER  -