Who benefits from inpatient short‐term psychotherapy in the long run? Patients' evaluations, outpatient after‐care and determinants of outcome

Beutel, Manfred E.; Höflich, Anke; Kurth, Regina A.; Reimer, Ch.

doi:10.1348/147608305x27665

Cited by 21 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Whereas some research groups found increased therapeutic benefit for patients with higher scores on the IIP dimension affiliation [21][22][23] , others observed more positive outcomes in patients with increased scores on the IIP dimension dominance [24,25] . More consistent findings were reported with regard to the IIP mean scores, indicating a correlation between a higher amount of overall interpersonal problems and less therapeutic benefit [1,17,26] . In explorative analyses we followed the idea that within different SCL symptom profile clusters patients may benefit differentially depending on their IIP characteristics.…”

Section: Introductionsupporting

confidence: 71%

“…Revealing results could enable hospitals to differentially assign patients to specific treatments or potentially help improve psychotherapeutic approaches. As with other treatments and treatment settings, consistent findings, with respect to psychodynamic group psychotherapy, show that different diagnostic groups attained similar treatment outcomes [1,2] . A more complex symptom-related differentiation of inpatients using multivariate symptom profile groups may allow for better predictions of treatment outcome and, in turn, improve differential intervention strategies and the understanding of the therapeutic processes.…”

Section: Introductionsupporting

confidence: 71%

See 1 more Smart Citation

SCL-90-R Symptom Profile Clusters among Inpatients Undergoing Psychodynamic Group Psychotherapy: Cluster Stability, Associations with Clinical Characteristics and Treatment Outcome

Kirchmann

Schreiber‐Willnow²,

Seidler³

et al. 2010

Psychopathology

View full text Add to dashboard Cite

Background/Aims: Based on pretreatment psychopathological symptoms measured with the Symptom Checklist 90 Revised (SCL-90-R), this study investigated whether stable symptom clusters exist among psychotherapy inpatients. Furthermore, it was examined whether the identified clusters would differ with respect to clinical characteristics and treatment outcome. Sampling and Methods: We collected data from a total of 3,688 psychotherapeutic inpatients involved in psychodynamic group psychotherapy from 10 hospitals. Ipsatized SCL-90-R presymptom data were used as input variables for a series of cluster analyses combining hierarchical (Ward algorithm) and non-hierarchical (k-means) procedures. Results: The cluster analyses revealed a 7-cluster solution with the following subgroups: (1) insecure-paranoid, (2) neutralizing, (3) phobic-anxious, (4) aggressive, (5) insecure-phobic, (6) somatizing, and (7) obsessive-depressive. Cross-validation with independent data sets, as well as alternative statistical procedures, confirmed the stability of the 7-cluster solution. Correlations with clinical diagnoses and interpersonal problems indicate the clinical relevance of the cluster differentiation. The cluster insecure-phobic proved to be less beneficial when used as a predictor of treatment outcome. Furthermore, we found moderator effects between cluster assignment and pretreatment interpersonal problems: the overall amount of interpersonal problems seemed to be detrimental to the patients from the clusters insecure-phobic and somatizing, whereas a relatively (ipsatized) heightened level of dominance was advantageous for improving psychopathological complaints of the patients from the cluster aggressive. Conclusions: We could identify typical and clinically meaningful symptom clusters for the population of inpatients undergoing psychodynamic group psychotherapy in Germany. This finding could help strengthen clinical research which is led by the assumption that it is relevant to characterize patients by a specific pattern of psychopathological symptoms rather than or in addition to one (or more) distinct diagnostic categories.

show abstract

Section: Introductionsupporting

confidence: 71%

Section: Introductionsupporting

confidence: 71%

SCL-90-R Symptom Profile Clusters among Inpatients Undergoing Psychodynamic Group Psychotherapy: Cluster Stability, Associations with Clinical Characteristics and Treatment Outcome

Kirchmann

Schreiber‐Willnow²,

Seidler³

et al. 2010

Psychopathology

View full text Add to dashboard Cite

show abstract

“…In the present study, patients who had already taken part in a 12-month follow-up (see Refs. [11,20]) were surveyed again 3 years after inpatient discharge.…”

Section: Long-term Outcome Of Psychodynamic Inpatient Treatmentmentioning

confidence: 99%

Long-term outcomes of short-term and long-term psychosomatic inpatient treatment and their predictors

Schaefer

Gieler²,

Kurth³

et al. 2008

Journal of Psychosomatic Research

View full text Add to dashboard Cite

“…Inpatient psychotherapy is recommended if the patient's condition is very severe, if there is substantial somatic or psychic comorbidity, in prolonged sick leave, if the patients have no motivation for outpatient psychotherapy because of somatic illness concepts or if outpatient psychotherapy does not succeed in alleviating the patient's complaints. Several studies have demonstrated that the patients may derive substantial benefit in terms of improvement in global psychological and physical stress and complaints, subjective health assessment and interpersonal problems [1,2,3,4,5,6,7,8,9,10,11]. Follow-up studies have shown that these improvements are maintained over a period of time (1-year follow-up [1,2,3,4,6,9]; 3- and 3- to 5-year follow-up [7,11]).…”

Section: Introductionmentioning

confidence: 99%

Dimensions of the Operationalized Psychodynamic Diagnosis System that Predict Long-Term Outcome after Inpatient Psychotherapy

Schneider¹,

Tiemann²,

Stumpf³

et al. 2014

Psychopathology

View full text Add to dashboard Cite

Background/Aims: To determine whether the Operationalized Psychodynamic Diagnosis (OPD) system can be useful in predicting patient outcome in the long term. Methods: OPD was assessed by the therapists prior to and after inpatient treatment. Patients completed psychometric scales at the start and completion of psychosomatic-psychotherapeutic inpatient treatment and at the follow-up. Outcome was defined by the general factor emerging from a principal component analysis of the Brief Symptom Inventory, Hospital Anxiety and Depression Scale and Inventory of Interpersonal Problems at katamnesis, representing individual differences in general distress. Results: Several dimensions of the OPD system proved to be predictors of general distress at the follow-up in 253 former inpatients. Negative predictors of long-term outcome were the high internal impediments to change, namely high secondary gains from illness and also less integrated structural abilities. Positive OPD predictors of long-term outcome were the treatment success achieved at the end of inpatient psychotherapy in changing the illness concept towards a psychological understanding of symptoms, lower levels of complaints and a higher functional level. Also the achieved level of awareness for the individual maladaptive behavioral pattern is predictive of a favorable long-term outcome. Conclusions: The results provide evidence for the clinical relevance and the predictive value of OPD.

show abstract

Who benefits from inpatient short‐term psychotherapy in the long run? Patients' evaluations, outpatient after‐care and determinants of outcome

Abstract: Attention should be given to maladaptive interpersonal relationship patterns, to vocational reintegration, and a confiding relationship as potential predictors of long-term outcome. Also, patterns of ambulatory after-care following inpatient treatment need further scrutiny.

Cited by 21 publications

References 21 publications

SCL-90-R Symptom Profile Clusters among Inpatients Undergoing Psychodynamic Group Psychotherapy: Cluster Stability, Associations with Clinical Characteristics and Treatment Outcome

SCL-90-R Symptom Profile Clusters among Inpatients Undergoing Psychodynamic Group Psychotherapy: Cluster Stability, Associations with Clinical Characteristics and Treatment Outcome

Long-term outcomes of short-term and long-term psychosomatic inpatient treatment and their predictors

Dimensions of the Operationalized Psychodynamic Diagnosis System that Predict Long-Term Outcome after Inpatient Psychotherapy

Contact Info

Product

Resources

About