Personale Ressourcen in stationärer Fachpsychotherapie - Zusammenhänge und Entwicklung/ Personal resources in inpatient psychotherapy – Relationships and development

Abstract

Summary Personal resources in inpatient psychotherapy -Relationships and developmentObjective: We examined how personal resources develop during inpatient psychodynamic psychotherapy, their relationship to symptom development, Operationalized Psychodynamic Diagnosis (OPD-2), and sociodemographic aspects. Methods: 483 patients were examined using self-assessment questionnaires (Brief Symptom Inventory (BSI), Hospital Anxiety and Depression Scale (HADS), Inventory of Interpersonal Problems (IIP), Questionnaire of Actual Resource Realization (RES)) as well as the expert ratings Global Assessment of Functioning Scale (GAF), Impairment Score (IS), OPD-2, and the Heidelberg Structural Change Scale (HSCS), both at the beginning and the end of treatment. Results: There was a marked improvement in the realization of personal resources during inpatient psychotherapy, which showed significant correlations to the improvement of symptoms. The extent of improvement of resources correlated with the duration of psychotherapy and the assessment of the psychodynamic therapy foci on the HSCS. Conclusions:The results show that personal resources are activated when successfully working on the psychodynamic foci in psychodynamic inpatient treatment, and that this corresponds to an improvement of symptoms.

A randomized trial of group therapy for resource activation for patients with affective disorder.

“…Moreover, social isolation is a prominent symptom in patients with depression (Matthews et al, 2016). Without specific interventions, social resources only increase with a small effect size over the course of inpatient treatment (Kati et al, 2015). Therefore, it is beneficial to strengthen social relationships with the help of specific interventions.…”

“…Previous studies showed that resource realization correlated with an improvement of symptoms during inpatient treatment and with a shorter duration of psychotherapy (Flückiger & Grosse Holtforth, 2008; Flückiger et al, 2014; Kati et al, 2015). Moreover, resource realization proved to be a relevant factor for predicting treatment success in psychosomatic and alcohol-dependent patients one year after treatment (Deppe-Schmitz et al, 2009; Deubner-Böhme et al, 2011).…”

“…As such, resource activation interventions can be understand as counterbalance to problem-oriented interventions, which are the most prevalent trend within psychotherapy (Caspar, 2011;Priebe et al, 2014). Resource-oriented research points out that the interest in psychotherapy often leans too heavily on the patients' problems while disregarding their resources (Groß et al, 2012(Groß et al, , 2015Hauke, 2018;Kati et al, 2015;Liz & Stierlin, 2018). The focus on deficits and maladaptive behaviors and feelings might contribute to a lack of recognition of personal strengths (Rashid & Ostermann, 2009), a weakened sense of control, and a fostering of passivity (Maddux et al, 2004).…”

The role of resources in the face of psychopathology

“…Psychotherapeutic research and interventions mostly focus on problematic aspects of functioning and the reduction of psychopathological symptoms (Kati, Stumpf, Heuft, Burgmer, & Schneider, ; Seligman & Csikszentmihalyi, ). This view on the dysfunctional aspects of individuals with mental disorders is one‐sided because persons with mental disorders not only suffer from psychopathological symptoms but also have strengths and abilities at the same time (Meister & Haug, ; von Wachter & Hendrischke, ).…”

“…Another study found that alcohol‐dependent inpatients realized fewer resources compared to healthy control participants, but the study did not include a comparison with other diagnostic groups (Deppe‐Schmitz, Deubner‐Böhme, Lindenmeyer, & Schulz, ). Further studies showed that a person's level of resources is not a stable factor, and can be increased in psychotherapy (Deubner‐Böhme et al, ; Groß et al, ; Kati et al, ). Moreover, psychotherapy helped patients to permanently decrease the level of incongruence and to improve therapy success (Groß et al, ; Trösken & Grawe, ).…”