Effects of psychotherapy supervision on therapy process and outcome in patients with Anorexia nervosa

51 Patientinnen mit Anorexia nervosa wurden in einer Vergleichsstudie mit einem strukturierten Therapieprogramm mit und ohne Supervision behandelt. Supervision führte zu besserem Therapieergebnis in der Begleitsymptomatik (Depressivität)51 patients with Anorexia nervosa were treated with a structured psychotherapy program, with or without psychotherapy supervision. Supervision resulted in a decreased extent of accompanying symptoms (Depression

Innovation in Psychotherapy, Challenges, and Opportunities: An Opinion Paper

Psychotherapy as a field tends toward conservativism, and the rate of innovation and development of new evidence-based effective treatments has been slow. The paper explores important barriers to innovation like the dodo bird verdict and the habit of starting the development of therapeutic methods from techniques. The paper looks at the opportunities for translating basic science in psychology into psychotherapeutic techniques. Metacognitive therapy stands out from other psychotherapies by its development from basic science. The paper describes the development of the techniques detached mindfulness and attention training, how they were derived from basic science and tested for their suitability in the therapy of patients with anxiety disorders. By this process, metacognitive therapy may be an important model for the innovation process in psychotherapy

Chronic depression: development and evaluation of the luebeck questionnaire for recording preoperational thinking (LQPT)

<p>Abstract</p> <p>Background</p> <p>A standardized instrument for recording the specific cognitive psychopathology of chronically depressed patients has not yet been developed. Up until now, preoperational thinking of chronically depressed patients has only been described in case studies, or through the external observations of therapists. The aim of this study was to develop and evaluate a standardized self-assessment instrument for measuring preoperational thinking that sufficiently conforms to the quality criteria for test theory.</p> <p>Methods</p> <p>The "Luebeck Questionnaire for Recording Preoperational Thinking (LQPT)" was developed and evaluated using a german sample consisting of 30 episodically depressed, 30 chronically depressed and 30 healthy volunteers. As an initial step the questionnaire was subjected to an item analysis and a final test form was compiled. In a second step, reliability and validity tests were performed.</p> <p>Results</p> <p>Overall, the results of this study showed that the LQPT is a useful, reliable and valid instrument. The reliability (split-half reliability 0.885; internal consistency 0.901) and the correlations with other instruments for measuring related constructs (control beliefs, interpersonal problems, stress management) proved to be satisfactory. Chronically depressed patients, episodically depressed patients and healthy volunteers could be distinguished from one another in a statistically significant manner (p < 0.001).</p> <p>Conclusion</p> <p>The questionnaire fulfilled the classical test quality criteria. With the LQPT there is an opportunity to test the theory underlying the CBASP model.</p

Das Kognitive Inventar für Borderline-Persönlichkeitsstörung (KIB). Eine Untersuchung zur Reliabilität und Validität

Theoretischer Hintergrund: Das Kognitive Inventar der Borderline-Persönlichkeitsstörung (KIB) wurde zur Messung von störungstypischen Überzeugungen sowie assoziierten behavioralen und emotionalen Symptomen entwickelt. Fragestellung: Die psychometrischen Kennwerte des KIB wurden untersucht und ergänzen die Erkenntnisse einer Pilotstudie. Methode: Die Reliabilität, die faktorielle, konvergente, divergente und differenzielle Validität sowie die Änderungssensitivität wurden anhand von zwei klinischen (Borderline-Persönlichkeitsstörung und Achse I-Störungen; n = 150) und einer nicht-klinischen Stichprobe (n = 70) untersucht. Ergebnisse: Die Ergebnisse zeigen eine hohe Reliabilität, eine hohe konvergente Validität und eine zufriedenstellende divergente Validität. Die differenzielle Validität ist als gut und die Änderungssensitivität als zufriedenstellend zu bewerten. Schlussfolgerungen: Das KIB ermöglicht eine reliable und valide Erfassung störungstypischer Regeln und Einstellungen bei BPS. Seine Besonderheit liegt in der Berücksichtigung subjektiver Funktionen selbstschädigender Verhaltensweisen