Universität zu Köln

Tschuschke, Volker, Crameri, Aureliano, Koehler, Miriam, Berglar, Jessica, Muth, Katharina, Staczan, Pia, von Wyl, Agnes, Schulthess, Peter and Koemeda-Lutz, Margit (2015). The role of therapists' treatment adherence, professional experience, therapeutic alliance, and clients' severity of psychological problems: Prediction of treatment outcome in eight different psychotherapy approaches. Preliminary results of a naturalistic study. Psychother. Res., 25 (4). S. 420 - 435. ABINGDON: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. ISSN 1468-4381

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Abstract

In this naturalistic study, 262 audiotaped psychotherapy sessions-randomly drawn from 81 individual therapies from eight different psychotherapy approaches-were rated completely on treatment adherence using a newly developed rating manual. In the therapy sessions, a relatively low percentage of treatment specific interventions (ranging from 4.2% to 27.8%) was found for all eight approaches, 50% to 73% of the interventions were nonspecific or common, and approximately 18% to 27% were intervention techniques from other approaches. Different types of psychotherapy differed highly significantly in levels of treatment adherence. There was no statistically significant association between the type of psychotherapy and its outcome, or between the degree of therapists' treatment fidelity and the treatment outcome. However, there were significant associations between therapists' degree of professional experience, clients' initial psychological burden, and treatment response. Clients' severity of psychological problems prior to treatment predicted quality of therapeutic alliance while therapists' treatment adherence was predicted by therapists' professional experience and by the quality of the therapeutic alliance. We discuss the seemingly indirect importance of treatment adherence for psychotherapy outcome that we found in this study in relation to findings from other studies and in the context of the role of schools within psychotherapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Tschuschke, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Crameri, Aureliano UNSPECIFIED UNSPECIFIED UNSPECIFIED Koehler, Miriam UNSPECIFIED UNSPECIFIED UNSPECIFIED Berglar, Jessica UNSPECIFIED UNSPECIFIED UNSPECIFIED Muth, Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Staczan, Pia UNSPECIFIED UNSPECIFIED UNSPECIFIED von Wyl, Agnes UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulthess, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Koemeda-Lutz, Margit UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-398994
DOI:	10.1080/10503307.2014.896055
Journal or Publication Title:	Psychother. Res.
Volume:	25
Number:	4
Page Range:	S. 420 - 435
Date:	2015
Publisher:	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1468-4381
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RELIABILITY; COMPETENCE; QUESTIONNAIRE; VALIDITY; SYSTEM Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39899