Universität zu Köln

Wittorf, Andreas, Jakobi-Malterre, Ute E., Beulen, Silke, Bechdolf, Andreas, Mueller, Bernhard W., Sartory, Gudrun, Wagner, Michael ORCID: 0000-0003-2589-6440, Wiedemann, Georg, Woelwer, Wolfgang, Herrlich, Jutta and Klingberg, Stefan ORCID: 0000-0001-8081-7181 (2013). Associations between therapy skills and patient experiences of change processes in cognitive behavioral therapy for psychosis. Psychiatry Res., 210 (3). S. 702 - 710. CLARE: ELSEVIER IRELAND LTD. ISSN 0165-1781

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Abstract

Despite the promising findings in relation to the efficacy of cognitive behavioral therapy for psychosis (CBTp), little attention has been paid to the therapy skills necessary to deliver CBTp.and to the influence of such skills on processes underlying therapeutic change. Our study investigated the associations between general and technical therapy skills and patient experiences of change processes in CBTp. The study sample consisted of 79 patients with psychotic disorders who had undergone CBTp. We randomly selected one tape-recorded therapy session from each of the cases. General and technical therapy skills were assessed by the Cognitive Therapy Scale for Psychosis. The Bern Post Session Report for Patients was applied to measure patient experiences of general change processes in the sense of Grawe's psychological therapy. General skills, such as feedback and understanding, explained 23% of the variance of patients' self-esteem experience, but up to 10% of the variance of mastery, clarification, and contentment experiences. The technical skill of guided discovery consistently showed negative associations with patients' alliance, contentment, and control experiences. The study points to the importance of general therapy skills for patient experiences of change processes in CBTp. Some technical skills, however, could detrimentally affect the therapeutic relationship. (c) 2013 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wittorf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakobi-Malterre, Ute E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Beulen, Silke UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Bernhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sartory, Gudrun UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Michael UNSPECIFIED orcid.org/0000-0003-2589-6440 UNSPECIFIED Wiedemann, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Woelwer, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrlich, Jutta UNSPECIFIED UNSPECIFIED UNSPECIFIED Klingberg, Stefan UNSPECIFIED orcid.org/0000-0001-8081-7181 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-469861
DOI:	10.1016/j.psychres.2013.08.011
Journal or Publication Title:	Psychiatry Res.
Volume:	210
Number:	3
Page Range:	S. 702 - 710
Date:	2013
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	0165-1781
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SCHIZOPHRENIA SPECTRUM DISORDERS; POSITIVE SYMPTOMS; RESOURCE ACTIVATION; WORKING ALLIANCE; PSYCHOTHERAPY; INTERVENTION; MECHANISMS; OUTCOMES Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/46986