Abstract
Zusammenfassung. Beschrieben wird die Entwicklung eines Fragebogens für Psychotherapie-Patienten zur Beurteilung ihrer Therapie. Solche Einschätzungen sind in der Effektivitätsforschung zur Beurteilung der Glaubwürdigkeit von Kontrollgruppen eingesetzt worden, erhoben allerdings lediglich durch Einzelitems. Der auf der Basis von zwei Forschungsfragebögen zusammengestellte PATHEV hat drei Subskalen (Hauptkomponentenanalyse mit schiefwinkliger Rotation, N = 581 Patienten): Hoffnung auf Besserung, Furcht vor Veränderung und Passung. Die Testgüte der Skalen ist gut. In drei Untersuchungen zur Konstruktvalidität erweisen sich die Skalen als theoriekonform; sie erlauben eine Prognose von 13% bzw. 16% der Varianz des Therapieerfolgs.
Abstract. This study describes the development of a questionnaire for psychotherapy patients to evaluate their therapy. Such evaluations, normally assessed only by single items, are used to judge the credibility of control groups. The PATHEV, constructed on the basis of two research questionnaires, consists of three subscales (principal component analysis, oblique rotation, N = 581 patients): Hope of Improvement, Fear of Change, and Suitability. The reliability of the scales is good to sufficient. The construct validity of the scales has been demonstrated in three studies. Up to 13% to 16% of the treatment outcome, depending on its operationalization, can be predicted by the scores assessed after the fourth session.
Literatur
(2000). A closer lool at the treatment rationale and homework compliance in cognitive-behavioral therapy for depression. Cognitive Therapy and Research , 24, 313–326.
(1988). Psychological treatment versus nonspecific factors: A meta-analysis of conditions that engender comparable expectations for improvement. Clinical Psychology Review , 8, 579–594.
(1980). Direkte versus indirekte Veränderungsdiagnostik. Zeitschrift für Differentielle und Diagnostische Psychologie , 1, 201–216.
(1987). Gaps between expactations and perceived reality of therapists and clients. Journal of Clinical Psychology , 43, 231–236.
(1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimantal Psychiatry , 3, 257–260.
(1988). Prediction of outcome following in vivo exposure treatment of agoraphobia. In I. Hand & U. Wittchen (Eds.), Treatments of panic and phobias (pp. 209-220). Berlin: Springer.
(1999). Brief cognitive therapy for panic disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology , 67, 583–589.
(1993). Client’s responses to dissatisfaction in psychotherapy: A test of Rusbult’s exit-voice-loyalty-neglect model. Journal of Social and Clinical Psychology , 12, 307–318.
(1986). Symptom-Check-Liste (SCL-90-R). In Collegium Internationale Psychiatriae Scalarum (Ed.), Internationale Skalen für die Psychiatrie (3 ed.). Weinheim: Beltz.
(2000). Psychometric properties of the credibility expectancey questionnaire. Journal of Behavior Therapy and Experimental Psychiatry , 31, 73–86.
(1997). On predicting improvement and relapse in generalized anxiety disorder following psychotherapy. British Journal of Clinical Psychology , 36, 101–119.
(1975). Effects of historically portrayed modeling and group treatment on self-observation: A comparison with agoraphobics. Behaviour Research and Therapy , 13, 135–139.
(1975). Flooding in imagination vs flooding in vivo: A comparison with agoraphobics. Behaviour Research and Therapy , 13, 7–16.
(1987). Cognitive therapy for depression: Individual differences and the process of change. Cognitive Therapy and Research , 11, 253–271.
(1995). SCL-90-R. Die Symptom-Checkliste von Derogatis - Deutsche Version - Manual [The symptom checklist by Derogatis - Germany version - manual]. Göttingen: Beltz.
(1996). Correcting faulty appraisals of obsessional thougths. Behavior Research and Therapy , 34, 433–446.
(1998). Psychologische Psychotherapie. Göttingen: Hogrefe.
(1990). Where are the commonalities among the therapeutic common factors. Professional Psychology: Research and Practice , 21, 372–378.
(1989). Identification of the latent dimensions of instruments that measure perceptions of and expectations about counseling. Journal of Counseling Psychology , 36, 492–500.
(1990). Reaction to treatment questionnaire: Measuring treatment credibility and outcome expectations. Behavior Therapist , 13, 213–214.
(1979). Therapy outcome questions requiring control of credibility and treatmentgenerated expectancies. Behavor Therapy , 10, 81–93.
(1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal , 4, 443–453.
(1990). Changing expectations. A key to effective psychotherapy. Pacific Grove, Ca.: Brooks/Cole.
(1983). The role of expectancy in fear reduction. Behavior Therapy , 14, 520–533.
(2001). Kurzinstrumente für die Prozessevaluation und adaptive Indikation in der Allgemeinen und Differentiellen Psychotherapie und Beratung. Stundenbogen für die Einzel-Psychotherapie und -Beratung (STEP). Diagnostica , 47, 43–49.
(2000). Efficacy of a cognitive- behavioral treatment for generalized anxiety disorder: Evaluation in a controlled clinical trial. Journal of Consulting and Clinical Psychology , 68, 957–964.
(1993). The importance of alcohol expectancies and drinking refusal self-efficacy in the quantity and frequency of alcohol consumption. Journal of Substance Abuse , 5, 379–390.
(1989). Alliance and outcome in late-life depression. The Journal of Nervous and Mental Disease , 177, 464–472.
(2002). Zur Validität der Beurteilung des Therapieerfolgs durch Therapeuten. Zeitschrift für Klinische Psychologie und Psychotherapie , 31, 53–61.
(2003). Messung des Therapieerfolgs: Veränderungsmaße oder retrospektive Erfolgsbeurteilung. Zeitschrift für Klinische Psychologie und Psychotherapie , 32(2),94–103.
(1987). Expectancy and outcome in prescriptive vs. exploratory psychotherapy. British Journal of Clinical Psychology , 26, 59–60.
(2000). Commitment to treatment goals in prediction of group cognitive-behavioral therapy treatment outcome for women with bulimia nervosa. Journal of Consulting and Clinical Psychology , 68, 432–437.
(2002). Positive outcome expectancies and smoking behavior: The role of expectancy accessibility. Cognitive Therapy and Research , 26, 317–333.
(1983). Expectations of improvement and attitudes to treatment processes in relation to outcome with four treatment methods for phobic disorders. Acta Psychiatrica Scandinavia , 68, 484–493.
(1993). Ist die Bewertung einer stationären Behandlung durch depressive Patienten für den Verlauf bedeutsam?. Verhaltenstherapie , 3, 208–212.
(1995). The importance of the first three days: Predictors of treatment outcome in depressed in-patients. British Journal of Clinical Psychology , 34, 229–236.
(1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107-121). San Diego: Academic Press.
(1997). Clients’ expectancies and their relationsship to pretreatment symptomatology and outcome of cognitive-behavioral group treatment for social phobia. Journal of Consulting and Clinical Psychology , 65, 694–698.
(1997). Hypnotic enhancement of a cognitive behavioral treatment for public speaking anxiety. Behavior Therapy , 28, 127–140.
(1996). Therapieplanung. Göttingen: Hogrefe.
Patients’ treatment expectancies and treatment outcome. .
(submitted)(2002). What to do when Manuals Fail? The Dual Model of Psychotherapy. Clinical Psychology: Science and Practice , 9, 312–328.
(1996). Psychologie des Gesundheitsverhaltens (2 ed.). Göttingen: Hogrefe.
(1988). The role of expectancy in exposure-generated fear reduction in agoraphobia. Behavior Research and Therapy , 26, 113–120.
(1993). Hypnotic suggestion and placebo for the treatment of chronic headache in a university volunteer sample. Cognitive Therapy and Research , 17, 191–205.
(2000). A meta-analysis of common factor and specific treatment effects across the outcome domains of the phase model of psychotherapy. Clinical Psychology: Science and Practice , 7, 273–290.
(2000). Eine Revision des Veränderungsfragebogens des Erlebens und Verhaltens (VEV) [A revision of the Change Inventory of Cognition and Behavior]. Paper presented at the Kongreß für Klinische Psychologie und Psychotherapie der Deutschen Gesellschaft für Verhaltenstherapie, Berlin.
(1977). Goal attainment scaling: Planning and outcome. Canadian Journal of Behavioral Science , 9, 1–11.
(1997). SKID-I. Strukturiertes Klinisches Interview für DSM-IV [SKID-I. Structured clinical interview for DSM-IV]. Göttingen: Hogrefe.
(1978). Veränderungsfragebogen des Erlebens und Verhaltens (VEV) [Change inventory of cognition and behavior]. Weinheim: Beltz.