Abstract:
:Objectives: Integrating a stronger focus on patients' existing strengths in traditional psychotherapy approaches is suggested by recent developments in psychological science, positive psychology, and psychotherapy research. However, the empirical status of treatments focusing on patients' existing strengths is unclear. The aim of this study was to conduct a systematic review (PROSPERO registration CRD42017054362) of studies on adaptations of traditional treatment approaches (e. g., cognitive-behavior therapy or psychodynamic therapy) explicitly focused on using patients' existing resources and strengths (hereafter, resource-focused treatments; RFT). Methods: Extensive systematic literature search yielded k = 11 treatment comparisons from 10 studies contrasting RFTs with either an alternative psychotherapeutic approach or wait list. Effect sizes controlling for pre-treatment differences (gPPWC) and standard Hedges's g effect sizes (gPOWC) were aggregated with random-effects methods Results: Across 8 direct comparisons, RFTs were superior to other psychotherapeutic approaches, as indicated by small to moderate (gPPWC = -0.349, 95 % CI -0.576, -0.122, p = .003, I2 = 46.50 %) and small effect sizes (gPOWC = -0.190, 95 % CI -0.355, -0.025, p = .024, I2 = 0.00 %) in favor of RFTs. Sensitivity analyses corroborated results. Many included studies were characterized by limited sample size, risk of bias or researcher allegiance. Conclusions: This meta-analysis showed preliminary evidence for the benefits of RFTs and suggests an intensification of further research efforts. The evidence was most convincing for hypnotherapeutic-systemic interventions as an add-on for cognitive-behavioral therapy. :Zusammenfassung Fokus auf Ressourcen und Stärken von Patienten in kognitiver Verhaltenstherapie und psychodynamischer Therapie: Eine systematische Übersicht und MetaanalyseFragestellung: Entwicklungen in psychologischer Grundlagenforschung, positiver Psychologie und Psychotherapieforschung sprechen für das Potential einer stärkeren Orientierung traditioneller Therapieansätze auf die bestehenden Ressourcen und Stärken von Patientinnen und Patienten. Der empirische Status einer stärkeren Orientierung auf die bestehenden Ressourcen ist jedoch ungeklärt. Das Ziel der vorliegenden Studie war eine systematische Übersicht (PROSPERO-Registrierung CRD42017054362) von Studien zu ressourcenorientierten Adaptationen traditioneller Therapieansätze (z. B. der kognitiv-verhaltenstherapeutischen oder psychodynamischen Therapie; im Folgenden: resource-focused treatments; RFT). Methode: Eine umfangreiche systematische Literaturrecherche ergab k = 11 Vergleiche aus zehn Studien, die RFTs mit einer anderen Behandlung oder mit Warteliste verglichen. Effektstärken mit Korrektur für Unterschiede zu Behandlungsbeginn (gPPWC) und klassische Hedges’ g-Effektgrößen (gPOWC) wurden mit Random-Effects-Methoden aggregiert. Ergebnisse: In acht direkten Vergleichen waren die RFTs anderen psychotherapeutischen Ansätzen überlegen. Die Überlegenheit von RFTs lag im Bereich kleiner bis mittlerer (gPPWC = –0.349, 95 % CI –0.576, –0.122, p = 0.003, I2 = 46.50 %) beziehungsweise kleiner Effektstärken (gPOWC = –0.190, 95 % CI –0.355, –0.025, p = 0.024, I2 = 0.00 %). Sensitivitätsanalysen bestätigten die Ergebnisse. Viele der eingeschlossenen Studien zeichneten sich durch kleine Stichprobengrößen, Bias-Risiko und Allegianz der Untersucherinnen und Untersucher aus. Diskussion: Insgesamt stützt das vorliegende Review den Nutzen von RFTs und legt eine Intensivierung der Forschungsbemühungen nahe. Am deutlichsten ist die aktuelle Evidenz für hypnotherapeutisch-systemische Erweiterungen der kognitiven Verhaltenstherapie.
journal_name
Z Psychosom Med Psychotherauthors
Munder T PhD,Karcher A,Yadikar Ö,Szeles T,Gumz Adoi
10.13109/zptm.2019.65.2.144subject
Has Abstractpub_date
2019-06-01 00:00:00pages
144-161issue
2eissn
1438-3608issn
2196-8349journal_volume
65pub_type
杂志文章,meta分析abstract:OBJECTIVES:The subject of this paper is a review of qualitative research in psychotherapy and psychosomatic medicine in German speaking countries. METHODS:A short systematic survey of the relevant topics is given. RESULTS:The methodology and methods are reviewed as well as subjects and results, e.g. first interview a...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2003.49.1.74
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Since March 2008 we have offered outpatient treatment for computer game and internet addiction. This article presents the assessment and clinical characterization of the first cohort of one year. METHODS:The reasons for seeking help (phone consultations, N=346) as well as sociodemographic and psychometric c...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.1.77
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:Construction of the newly developed "ICD-10 Symptom Rating" (ISR) is presented together with some statistical data. This questionnaire is founded on the well-known ICD-10, according to which symptoms are relevant for assessing psychological disorders. The ISR aims at a comprehensive evaluation of the severit...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.4.409
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:This article investigates the development of the inpatient treatment capabilities of older patients from the age of 50 onward in inpatient psychosomatic-psychotherapeutic departments over a period of 15 years. METHOD:A Germany-wide postal survey that was almost identical to two previously conducted cross-se...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract::The study presents the subjective responses of a representative sample of the German population (2050 subjects, aged 14 to 92 years) on the prevalence of somatoform complaints, using the SOMS (Screening for somatoform disorders) developed by Rief et al. (1997). The results show that somatoform disorders are widespread...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.1.38
更新日期:2002-01-01 00:00:00
abstract::Endometriosis is one of the most frequent gynecological disorders in the reproductive age. Discrepancies between clinical findings and subjective Symptoms cause the question of the determing factors for the subjective experience. In the present study an hermeneutic, sense-orientated approach was employed by using qual...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.4.372
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:This study evaluates the effectiveness of short-term dynamic psychotherapy for patients with psychosomatic and personality disorders (target groups) compared to those with neurotic disorders (anxiety and depression). METHODS:Using a naturalistic design, 25 sessions of the CMP/SASB model of short-term dynami...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.2.107
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization. METHODS:We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.1.34
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE: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 (...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2015.61.2.139
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To compare male and female patients with regard to the Operationalized Psychodynamic Diagnosis (OPD-2) system, treatment variables, and outcome after multimodal psychodynamic inpatient psychotherapy. METHODS:At the beginning and at the end of inpatient treatment in a multimodal psychodynamic setting, patient...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2018.64.3.281
更新日期:2018-09-01 00:00:00
abstract::Development of an evaluation system for online self-help groups by using the example of German-speaking cancer forumsObjectives: This paper pursues the question how the quality of forums can be evaluated. Therefor a grading system was designed and 23 German-speaking cancer forums were evaluated by content and formal c...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2019.65.3.272
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:Fear of progression is one of the most prevalent symptoms in cancer patients. The aim of this study was to validate the 12-item short version of the Fear of Progression Questionnaire (FoP-Q-SF). METHODS:A total of 1083 breast cancer patients were recruited by the Hamburg Cancer Register to fill out various ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2006.52.3.274
更新日期:2006-01-01 00:00:00
abstract::Psychometric evaluation of the German version of the Health Regulatory Focus Scale Objectives: This study examines the psychometric properties of the German version of the Health Regulatory Focus Scale (HRFS), which measures health-related promotion- and prevention-based motivation. METHODS:The study is based on data...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2018.64.4.394
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:As part of the concurrent validity, we aimed to empirically study the association between the axis IV (structure) of the Operationalized Psychodynamic Diagnostics (OPD) and corresponding constructs, which were assessed byself-report measures. METHODS:The structural level of 132 psychiatric inpatients was re...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.3.299
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:The study explores the course and outcome of inpatient psychodynamic psychotherapy (N=200) with particular regard to interpersonal experiences and behaviour. Based on the implementation of a focus conference, the multi-professional team members formulated an interpersonal treatment focus and individualised h...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We tested the hypothesis that inpatient psychosomatic treatment would improve both psychological distress and autonomic dysfunction, indexed as heart rate variability (HRV). METHODS:135 patients (mean age 47.2 years, 68.1% women) were enrolled. The most frequent diagnoses were somatoform disorders, adjustme...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2016.62.1.20
更新日期:2016-01-01 00:00:00
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 ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2001.47.4.380
更新日期:2001-01-01 00:00:00
abstract::Inpatient psychotherapy is characterized by a combination of different therapeutic approaches. Research on psychotherapeutic processes in inpatient psychotherapy uses often only a single observer's perspective, based on the assumption that there exists a unitary process underlying the total process of inpatient psycho...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2000.46.2.166
更新日期:2000-05-01 00:00:00
abstract::The psychological significance of the body changes in the course of a person's life. Using clinical cases it was examined how conversion symptoms influence these changes. Elder patients having conversion symptoms hardly perceive the aging processes of the body. Based on the assumption that the body self develops in th...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2001.47.2.167
更新日期:2001-01-01 00:00:00
abstract::In this piece of work the primary affects, as rage, fear, sadness and lacking of joy (anhedonia) are defined and discussed as specific causes for the development and outbreak of depressive states. Then conflicting primary emotions and depressive mental states are depicted to be followed by a discussion about the signi...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2000.46.4.331
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:The quality of medical care by somatically treating physicians has considerable influence on the coping process in cancer patients. In outpatient psychosocial care, information supply and doctor-patient interaction are often considered difficult by the patients. This study therefore investigates the effects ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 临床试验,杂志文章
doi:10.13109/zptm.2003.49.3.232
更新日期:2003-01-01 00:00:00
abstract::Characteristics of art therapists in rehabilitative therapy Objectives: This study examines the sociodemographic, qualification- and activity-related characteristics of art therapists working in the field of rehabilitation. METHODS:In 2013, an analysis of occupational groups was carried out in Germany, with the objec...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2017.63.3.314
更新日期:2017-09-01 00:00:00
abstract::Psychological stress caused by epidemics among health care workers and implications for coping with the corona crisis: a literature reviewObjectives: COVID-19 has significantly changed the working and living conditions within a short period. Despite the milder course of the disease in comparison to other countries, em...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2020.66.3.220
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:To obtain data and hypotheses regarding the amelioration of risk estimation and preventive psychotherapy in patients in a prodromal state of schizophrenia by using OPD. METHODS:20 participants with a prodromal condition--6 subjects far from psychosis and 14 close to psychosis--along with 10 patients with pa...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.2.150
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:The HEALTH questionnaire, which originally consisted of 79 items, aims to assess generic aspects of psychosocial health. METHODS:Based on large clinical and healthy samples (n = 1548 psychotherapy inpatients, n = 5630 primary-care patients), the questionnaire was shortened and psychometrically analyzed. RE...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2009.55.2.162
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:Police officers frequently face traumatic stressors of different origins and thus bear an increased risk of developing a post-traumatic stress disorder. The most mentally burdening situations range from shootings, death of fellow officers, dealing with dead bodies in general, the effects of shift work, time ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2007.53.1.42
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:According to psychoanalytic models self-harming patients are characterised by an unstable self-system and a disturbed regulation of self-esteem. This is presumed to be denied or dissociated to a greater degree by those who harm themselves secretly (factitious patients) as compared to those who show open self...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2003.49.2.151
更新日期:2003-01-01 00:00:00
abstract::In a quasi-experimental design, four groups were compared, (a) patients who had terminated psychoanalysis of more than two years' duration; (b) patients who had terminated individual psychotherapy of more than two years' duration; (c) patients who had terminated various kinds of low-dose psychotherapies; (d) patients ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.1.43
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:This study investigates the relationships between mindfulness, depression, and quality of life (QoL) in cancer patients. METHODS:A total of 51 cancer patients were assessed with the FreiburgMindfulness Inventory (FFA;Walach et al. 2004), the Hospital Anxiety and Depression Scale (HADS-D; Herrmann et al. 199...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2014.60.4.337
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:This study investigates body concept with respect to psychiatric diagnosis, age and gender of inpatients before and after treatment. METHODS/SAMPLE:We examined 153 inpatients with 131 complete datasets. The examination was done at the beginning and at the end of the treatment using the Frankfurt Body Concept...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.2.172
更新日期:2011-01-01 00:00:00