Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-7351
Authors: | Wiltink, Jörg Hoyer, Jürgen Beutel, Manfred E. Ruckes, Christian Herpertz, Stephan Joraschky, Peter Koranyi, Susan Michal, Matthias Nolting, Björn Pöhlmann, Karin Salzer, Simone Strauss, Bernhard Leibing, Eric Leichsenring, Falk |
Title: | Do patient characteristics predict outcome of psychodynamic psychotheraphie for social anxiety disorder? |
Online publication date: | 11-Jul-2022 |
Year of first publication: | 2016 |
Language: | english |
Abstract: | Objectives Little is known about patient characteristics as predictors for outcome in manualized short term psychodynamic psychotherapy (PDT). No study has addressed which patient variables predict outcome of PDT for social anxiety disorder. Research Design and Methods In the largest multicenter trial on psychotherapy of social anxiety (SA) to date comparing cognitive therapy, PDT and wait list condition N = 230 patients were assigned to receive PDT, of which N = 166 completed treatment. Treatment outcome was assessed based on diverse parameters such as endstate functioning, remission, response, and drop-out. The relationship between patient characteristics (demographic variables, mental co-morbidity, personality, interpersonal problems) and outcome was analysed using logistic and linear regressions. Results Pre-treatment SA predicted up to 39 percent of variance of outcome. Only few additional baseline characteristics predicted better treatment outcome (namely, lower comorbidity and interpersonal problems) with a limited proportion of incremental variance (5.5 to 10 percent), while, e.g., shame, self-esteem or harm avoidance did not. Conclusions We argue that the central importance of pre-treatment symptom severity for predicting outcomes should advocate alternative treatment strategies (e.g. longer treatments, combination of psychotherapy and medication) in those who are most disturbed. Given the relatively small amount of variance explained by the other patient characteristics, process variables and patient-therapist interaction should additionally be taken into account in future research. |
DDC: | 610 Medizin 610 Medical sciences |
Institution: | Johannes Gutenberg-Universität Mainz |
Department: | FB 04 Medizin |
Place: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-7351 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
License: | CC BY |
Information on rights of use: | https://creativecommons.org/licenses/by/4.0/ |
Journal: | PLoS one 11 1 |
Pages or article number: | e0147165 |
Publisher: | PLoS |
Publisher place: | Lawrence, Kan. |
Issue date: | 2016 |
ISSN: | 1932-6203 |
Publisher URL: | http://dx.doi.org/10.1371/journal.pone.0147165 |
Publisher DOI: | 10.1371/journal.pone.0147165 |
Appears in collections: | DFG-OA-Publizieren (2012 - 2017) |
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File | Description | Size | Format | ||
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do_patient_characteristics_pr-20220710210913422.pdf | 406.11 kB | Adobe PDF | View/Open |