[Course of symptom severity and prediction of outcome in inpatient psychotherapy].

Abstract:

OBJECTIVES:The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome. METHODS:71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 weeks) gave weekly self-reports on symptom severity (BSI, Derogatis, 1983) and had a complete outcome evaluation. Regression parameters of the symptom curves were taken for correlational and path analytic calculations. RESULTS:Initial symptom alleviation is able to predict better global outcome. However there is a relevant subgroup of patients which has a good outcome despite an initial deterioration. CONCLUSIONS:Initial remoralisation predicts better outcome but is not a necessary condition. The results partly call into question the group statistical "dose-response-curves". Further studies should test the influence of other process parameters (group cohesion, therapeutic alliance etc.) on the course of treatment.

authors

Schauenburg H,Sammet I,Strack M

doi

10.13109/zptm.2001.47.4.380

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

380-95

issue

4

eissn

1438-3608

issn

2196-8349

journal_volume

47

pub_type

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