What makes inpatient treatment for PTSD effective?

Autor(en)

Leonhard Kratzer, Guenter Schiepek, Peter Heinz, Helmut Schoeller, Matthias Knefel, Alexander Haselgruber, Thanos Karatzias

Abstrakt

Objective Therapeutic process factors including alliance and motivation are considered to play a key role in the treatment of post-traumatic stress disorder (PTSD). Yet, our understanding of change processes in therapy is mostly based on theoretical considerations with limited empirical evidence. In order to identify process characteristics of successful inpatient treatments of PTSD, we investigated the intraindividual, interindividual, and temporal associations of daily assessments of therapy process factors like motivation, alliance, and insight.

Method Therapy process questionnaire (TPQ) assessments were collected from 101 inpatients with PTSD over 50 days, resulting in 5050 assessments. Multilevel vector autoregressive (mlVAR) modelling was applied to investigate the networks of the TPQ factors in a subgroup with good outcome regarding PTSD symptomatology and a subgroup with less favourable outcome.

Results The two subgroups differed markedly in their network models, suggesting that therapy processes might be different for those with good and those with poor treatment outcomes.

Conclusions Our results suggest that good treatment outcome is linked to a specific therapy process dynamic where mindfulness and insight lead to the kind of temporary well-being required to effectively engage with problems and negative emotions, while motivation to change ensures the continuity of confronting negative emotions and problems.

Organisation(en)

Institut für Klinische und Gesundheitspsychologie

Externe Organisation(en)

Klinik St. Irmingard - Fachklinik für Onkologie, Kardiologie, Psychosomatik und Psychotraumatologie, Paracelsus Medizinische Privatuniversität (PMU), Ludwig-Maximilians-Universität München, Napier University, NHS National Services Scotland

Journal

Psychotherapy Research

Band

32

Seiten

847-859

Anzahl der Seiten

13

ISSN

1050-3307

DOI

https://doi.org/10.1080/10503307.2022.2050830

Publikationsdatum

2022

Peer-reviewed

Ja

ÖFOS 2012

501010 Klinische Psychologie, 501019 Psychotherapie

Schlagwörter

ASJC Scopus Sachgebiete

Clinical Psychology

Sustainable Development Goals

SDG 3 – Gesundheit und Wohlergehen

Link zum Portal

https://ucrisportal.univie.ac.at/de/publications/7f5d5d70-f9bd-4b0f-a091-f19c3303b380