[Parent satisfaction with a child and family-centered treatment program for primary headache in childhood and adolescence]

Patient satisfaction represents a significant outcome criterion in the context of systemic psychotherapeutic therapy research. This study investigated parent satisfaction with a psychosocial treatment program (comprising three components: child group therapy, parents' evenings, systemic family sessions) for pediatric primary headache (diagnosed according to IHS criteria). 10 weeks after the end of the treatment program, the parents were sent a questionnaire containing open questions and ten-point numerical rating scales. The sample comprised n=48 families. The return rate was 89%. The qualitative content analysis showed a hierarchical category system consisting of 3 major categories, 7 main groups and 69 sub-categories. The parents stated that they were satisfied with (1.) the effects of the treatment program, (2.) the specific treatment techniques and the medical and psychosocial headache-related information provided, and (3.) the therapeutic relationship. The mean satisfaction for all three therapy components on the ten-point numerical rating scale was 8.1 with a standard deviation of 2.0 (child headache group: 8.5; parents' evenings: 8.2; family sessions: 7.5). The results are discussed with reference to methodological aspects: avoidance of ceiling effects and social desirability in measuring customer satisfaction, order effects of items, weighting of the significance of satisfaction levels as an outcome criterion

Van ROM naar gepersonaliseerde proces monitoring: een nieuwe kijk op meten in de praktijk

In dit artikel bespreken we twee onderzoeken naar casusbeschrijvingen met idiografische systeem modellen (ISMs) en gepersonaliseerde proces monitoring op basis van deze casusbeschrijvingen. Als geïntegreerd onderdeel van hun behandeling maakten meer dan 400 cliënten samen met hun behandelaren een persoonlijke casusbeschrijving in de vorm van een netwerk (het ISM) en vulden tijdens hun behandeling dagelijks een vragenlijst in die gebaseerd was op hun ISM. We onderzochten de inhoud van de ISMs met thematische analyse en vonden dat de ISMs sterk geïndividualiseerd waren en een breed scala aan thema’s bevatten. In het onderzoek van de dagelijkse vragenlijst data vonden we dat, alhoewel bij iedere cliënt diens eigen veranderproces gemeten werd, we toch algemene veranderprofielen konden classificeren (bijv. plotselinge of juist geleidelijke verandering) die ook relateerden aan behandeluitkomst. We eindigen het artikel met een reflectie op hoe gepersonaliseerde proces monitoring gebruikt kan worden in behandeling en om inzicht over persoonlijke verandering te verkrijgen. _____________________________________________________________________________________________English Summary In this article, we discuss two studies on case formulations with idiographic system models (ISMs) and personalized process monitoring based on these case formulations. As an integrated part of their treatment, more than 400 clients created a personalized case formulation in the form of a network together with their therapists (the ISM) and completed a questionnaire based on their ISM daily during their treatment. We examined the content of the ISMs with thematic analysis and found that the ISMs were highly individualized and contained a wide range of themes. When examining the daily questionnaire data, we found that although for each client their own individual change process was measured, we could still classify general change profiles (e.g., sudden or gradual change) that also related to treatment outcome. We end the article with a reflection on how personalized process monitoring can be used in treatment and to gain insights in personal change

The Content of Personalised Network-Based Case Formulations

Case formulation is at the heart of personalised care in psychotherapy. Scientific research into case formulations can provide new insights in the heterogeneity of psychopathology which are relevant for advances in personalised psychopathology research and practice. This mixed-methods study examined the content of 483 fully personalised network-based case formulations in psychotherapy in terms of uniqueness (i.e., frequencies of concepts) and commonality (i.e., the presence of common themes over the different case formulations). In a real-world clinical care setting, patients co-created network-based case formulations with their therapist as part of their routine diagnostic process. These case formulations feature concepts that are relevant to individual patients and their current situation. We assessed how often concepts were used by different patients to quantify uniqueness. We applied a bottom-up thematic analysis to identify patient-relevant themes from the concepts. The case formulations of 483 patients diagnosed with mood and/or anxiety disorders contained a total of 4908 interpretable concepts of which 4272 (87%) were completely unique. Through thematic analysis, we identified seven overarching themes in the concepts: autonomy, connectedness, emotions, self-care, identity, self-efficacy, and bodily sensations. Case formulations were highly unique, thereby illustrating the importance of personalised diagnostics. The unique concepts could be grouped under seven overarching themes which seem to encompass basic human needs. Current advancements in personalised diagnostics and assessment should have a broader scope than symptoms alone, and could use the themes identified here as part of a topic list in the generation of (network-based) case formulations

The best of both worlds?:General principles of psychopathology in personalized assessment

A complex systems approach to psychopathology proposes that general principles lie in the dynamic patterns of psychopathology, which are not restricted to specific psychological processes like symptoms or affect. Hence, it must be possible to find general change profiles in time series data of fully personalized questionnaires. In the current study, we examined general change profiles in personalized self-ratings and related these to four measures of treatment outcome (International Symptom Rating, 21-item Depression Anxiety and Stress Scale, daily symptom severity, and self-reflective capacity). We analyzed data of 404 patients with mood and/or anxiety disorders who completed daily self-ratings on personalized questionnaires during psychotherapy. For each patient, a principal component analysis was applied to the multivariate time series in order to retrieve an univariate person-specific time series. Then, using classification and regression methods, we examined these time series for the presence of general change profiles. The change profile classification yielded the following distribution of patients: no-shift (n = 55; 14%), gradual-change (n = 52; 13%), one-shift (n = 233; 58%), reversed-shift (n = 39; 10%) and multiple-shifts (n = 25; 6%). The multiple-shift group had better treatment outcome than the no-shift group on all outcome measures. The one-shift and gradual-change groups had better treatment outcome than the no-shift group on two and three outcome measures, respectively. Overall, this study illustrates that person-specific (idiographic) and general (nomothetic) aspects of psychopathology can be integrated in a complex systems approach to psychopathology, which may combine "the best of both worlds." (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p