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Freier Beitrag

Therapieprozesse in der Kinder- und Jugendlichenpsychotherapie

Evaluation des Patientenstundenbogens für Kinder und Jugendliche

Published Online:January 11, 2021https://doi.org/10.1026/0942-5403/a000332

Abstract

Zusammenfassung.Theoretischer Hintergrund: Die Psychotherapieforschung zu therapeutischen Wirkfaktoren bei Kindern steckt in den Kinderschuhen. Mit dem Stundenbogen für Kinder und Jugendliche Patientenversion (SBKJ-P) wurde ein entsprechendes Messinstrument entwickelt. Die erfassten Wirkfaktoren sind Problemaktualisierung, Ressourcenaktivierung, Problembewältigung, motivationale Klärung als auch Rolle der Eltern und therapeutische Allianz. Fragestellung: Untersucht werden die Faktorstruktur, interne Konsistenz und konvergente Validität. Methode: Die Stichprobe umfasst 123 Kinder und Jugendliche (62 Mädchen) im Alter zwischen 7 und 18 Jahren (MW = 13.1, SD = 3.03). Ergebnisse: Die Ergebnisse zeigen, dass der SBKJ-P ein verständliches, reliables und valides Instrument für die Prozess- und Verlaufsmessung von allgemeinen therapeutischen Wirkfaktoren darstellt. Diskussion und Schlussfolgerung: Der SBKJ-P erlaubt eine zuverlässige Einschätzung der Qualitätssicherung im psychotherapeutischen Prozess.


Therapeutic Processes in Child and Adolescent Psychotherapy: Evaluation of the Post Session Report for Children and Adolescents

Abstract.Theoretical Background: Research into common factors in child and adolescent psychotherapy is not as advanced as that into treatment outcomes. To assess the therapeutic process, age-appropriate and time-efficient measures are needed. Therefore, the Stundenbogen für Kinder und Jugendliche Patientenversion (SBKJ-P; Post Session Report for Children and Adolescents – Patient Version) was developed and adapted from the Post Session Report for Adults. In addition to the dimensions resource activation, problem actuation, motivational clarification, problem solving, also the role of the parents and global therapeutic alliance are measured. Objective: The goal of the present study was to investigate the factor structure, reliability, and validity of the SBKJ-P. Method: The patients studied were treated in cognitive-behavioral outpatient psychotherapy clinics for children and adolescents, and consisted of 123 children (62 female) between 7 and 18 years of age (M = 13.1, SD = 3.03). Regardless of diagnosis, the SBKJ-P was assessed in the second, 10th, and 18th treatment session. The most common diagnoses were attention-deficit/hyperactivity disorder (ADHD) and depressive and anxiety disorders. Diagnoses were assessed with a structured clinical interview and psychopathology with a parent report measure, and the SBKJ-P and the Therapeutic Alliance Scales for Children were used as self-report measures. Therapists completed the therapist version of the Post Session Report for Children and Adolescents, the SBKJ-T. Results: The exploratory factor analysis of the final 7-item SBKJ-P resulted in a 2-factor structure, consisting of a relationship factor and a therapeutical self-efficacy factor. The SBKJ-P demonstrated good internal consistency, test-retest reliability, and convergent and divergent validity. For convergent validity, the correlation between the SBKJ-P and the German version of the Therapeutic Alliance Scales for Children was significant. For divergent validity, the correlation between the SBKJ-P and the Child Behavior Checklist was not significant. The correlation between the SBKJ-P and the SBKJ-T was not significant. There was no significant sex or age effect. Discussion: The results of the present study provide support for the use of the SBKJ-P as a measure to assess common curative factors. The dimension problem actuation needs to be investigated in further studies.

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