Changes in conflict, symptoms, and well-being during psychodynamic and cognitive-behavioral alcohol inpatient treatment.

Abstract:

BACKGROUND:According to Grawe's psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment. METHODS:Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach's Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires. RESULTS:Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment. CONCLUSIONS:In general, the findings confirmed Grawe's theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be tested.

journal_name

Psychother Psychosom

authors

Hoyer J,Fecht J,Lauterbach W,Schneider R

doi

10.1159/000056255

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

209-15

issue

4

eissn

0033-3190

issn

1423-0348

pii

56255

journal_volume

70

pub_type

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