Patients' self-perceived strengths increase during treatment and predict outcome in outpatient cognitive behavioral therapy.
cognitive behavioral therapy
dual-factor model
mental health
outcome research
resource activation
strengths
Journal
Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
revised:
18
01
2022
received:
28
04
2021
accepted:
10
03
2022
pubmed:
26
3
2022
medline:
19
11
2022
entrez:
25
3
2022
Statut:
ppublish
Résumé
Modern conceptualizations suggest the independence of positive and negative mental health constructs. Research of positive constructs in psychotherapy is scarce. This study analyzed the development of patients' strengths during psychotherapy and whether pre-therapy strengths incrementally predict treatment outcome. Two hundred and two patients (56.44% female, mean age = 42.49) treated by 54 therapists underwent cognitive behavioral therapy. Patients' strengths in different contexts as well as psychopathology, interpersonal problems, and self-esteem were assessed at the beginning and end of therapy. Strengths increased in the contexts of everyday life (EvdayS; d = 0.44, p < 0.001) and current problems (ProbS; d = 0.70, p < 0.001). Strengths in the context of previous crises that were managed successfully (CrisesS) did not change. However, baseline scores of CrisesS were a significant incremental predictor of all outcomes. A differentiated assessment of positive constructs is useful for outcome prediction and the implementation of strength-based interventions.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2427-2445Informations de copyright
© 2022 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC.
Références
Alden, E., Wiggins, J. S., & Pincus, A. L. (1990). Construction of circumplex scales for the Inventory of Interpersonal Problems. Journal of Personality Assessment, 55, 521-536. https://doi.org/10.1080/00223891.1990.9674088
Amati, F., Banks, C., Greenfield, G., & Green, J. (2018). Predictors of outcomes for patients with common mental health disorders receiving psychological therapies in community settings: A systematic review. Journal of Public Health, 40(3), e375-e387. https://doi.org/10.1093/pubmed/fdx18
Baldwin, S. A., & Imel, Z. W. (2013). Therapist effects: Findings and methods. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (pp. 258-297). Wiley & Sons, Inc.
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health, 13, 119. https://doi.org/10.1186/1471-2458-13-119
Bos, E. H., Snippe, E., de Jonge, P., & Jeronimus, B. F. (2016). Preserving subjective wellbeing in the face of psychopathology: buffering effects of personal strengths and resources. PLoS One, 11(3), 0150867. https://doi.org/10.1371/journal.pone.0150867
Bovier, P. A., Chamot, E., & Perneger, T. V. (2004). Perceived stress, internal resources, and social support as determinants of mental health among young adults. Quality of Life Research, 13(1), 161-170. https://doi.org/10.1023/B:QURE.0000015288.43768.e4
Carl, J. R., Fairholme, C., Gallagher, M., Thompson-Hollands, J., & Barlow, D. H. (2014). The effects of anxiety and depressive symptoms on daily positive emotion regulation. Journal of Psychopathology & Behavioral Assessment, 36(2), 224-236. https://doi.org/10.1007/s10862-013-9387-9
Carl, J. R., Soskin, D. P., Kerns, C., & Barlow, D. H. (2013). Positive emotion regulation in emotional disorders: A theoretical review. Clinical Psychology Review, 33(3), 343-360. https://doi.org/10.1016/j.cpr.2013.01.003
Cheavens, J. S., Strunk, D. R., Lazarus, S. A., & Goldstein, L. A. (2012). The compensation and capitalization models: A test of two approaches to individualizing the treatment of depression. Behaviour Research and Therapy, 50(11), 699-706. https://doi.org/10.1016/j.brat.2012.08.002
Chmitorz, A., Kunzler, A., Helmreich, I., Tüscher, O., Kalisch, R., Kubiak, T., Wessa, M., & Lieb, K. (2018). Intervention studies to foster resilience-A systematic review and proposal for a resilience framework in future intervention studies. Clinical Psychology Review, 59, 78-100. https://doi.org/10.1016/j.cpr.2017.11.002
Von Collani, G., & Herzberg, P. Y. (2003). Eine revidierte Fassung der deutschsprachigen Skala zum Selbstwertgefühl von Rosenberg. Zeitschrift Für Differentielle Und Diagnostische Psychologie, 24(1), 3-7. https://doi.org/10.1024//0170-1789.24.1.3
Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010). Resilience and mental health. Clinical Psychology Review, 30(5), 479-495. https://doi.org/10.1016/j.cpr.2010.03.003
Derogatis, L. R. (1993). Brief Symptom Inventory (BSI), administration, scoring, and procedures manual (3rd ed.). National Computer Services.
Dunlap, W. P., Cortina, J. M., Vaslow, J. B., & Burke, M. J. (1996). Meta-analysis of experiments with matched groups or repeated measures designs. Psychological Methods, 1(2), 170-177. https://doi.org/10.1037/1082-989X.1.2.170
Eskildsen, A., Hougaard, E., & Rosenberg, N. K. (2010). Pre-treatment patient variables as predictors of drop-out and treatment outcome in cognitive behavioural therapy for social phobia: A systematic review. Nordic Journal of Psychiatry, 64(2), 94-105. https://doi.org/10.3109/08039480903426929
Ferentinos, P., Yotsidi, V., Porichi, E., Douzenis, A., Papageorgiou, C., & Stalikas, A. (2019). Well-being in patients with affective disorders compared to nonclinical participants: A multi-model evaluation of the mental health continuum-short form. Journal of Clinical Psychology, 75, 1585-1612. https://doi.org/10.1002/jclp.22780
Flückiger, C. (2009). Ressourcenorientierung. Psychotherapie, Psychosomatik, Medizinische Psychologie, 59(6), 234-243. https://doi.org/10.1055/s-0028-1090270
Flückiger, C., Caspar, F., Grosse Holtforth, M., & Willutzki, U. (2009). Working with patients' strengths: A microprocess approach. Psychotherapy Research, 19(2), 213-223. https://doi.org/10.1080/10503300902755300
Franken, K., Lamers, S. M. A., Ten Klooster, P. M., Bohlmeijer, E. T., & Westerhof, G. J. (2018). Validation of the Mental Health Continuum-Short Form and the dual continua model of well-being and psychopathology in an adult mental health setting. Journal of Clinical Psychology, 74, 2187-2202. https://doi.org/10.1002/jclp.22659
Franklin, C., Zhang, A., Froerer, A., & Johnson, S. (2017). Solution focused brief therapy: a systematic review and meta-summary of process research. Journal of Marital and Family Therapy, 43(1), 16-30. https://doi.org/10.1111/jmft.12193
Furr, R. M., & Funder, D. C. (2017). Persons, situations, and person-situation interactions. In O. P. John, & R. W. Robins (Eds.), Handbook of personality Theory and research (4th ed.). Guilford.
Gassmann, D., & Grawe, K. (2006). General change mechanisms: The relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions. Clinical Psychology & Psychotherapy, 13, 1-11. https://doi.org/10.1002/cpp.442
Geisheim, C., Hahlweg, K., Fiegenbaum, W., Frank, M., Schröder, B., & von Witzleben, I. (2002). Das Brief Symptom Inventory (BSI) als Instrument zur Qualitätssicherung in der Psychotherapie. Diagnostica, 48(1), 28-36. https://doi.org/10.1026//0012-1924.48.1.28
Goldbach, N., Reif, A., Preuss, H., Röhm, M., Straus, E., Streicher, E., Windmann, S., & Oertel, V. (2019). The role of resources in the face of psychopathology. Journal of Clinical Psychology, 76, 1-17. https://doi.org/10.1002/jclp.22884
Grawe, K. (1997). Research-informed psychotherapy. Psychotherapy Research, 7(1), 1-19. https://doi.org/10.1080/10503309712331331843
Grawe, K., & Grawe-Gerber, M. (1999). Resource activation: A primary change principle in psychotherapy. Psychotherapeut, 44(2), 63-73. https://doi.org/10.1007/s002780050149
Grosse Holtforth, M., Castonguay, L. G., Boswell, J. F., Wilson, L. A., Kakouros, A. A., & Borkovex, T. D. (2007). Insight in cognitive-behavioral therapy. In C. Hill, & L. G. Castonguay (Eds.), Insight in psychotherapy (pp. 375-399). American Psychological Association.
Horowitz, L. M., Strauß, B., Thomas, A., & Kordy, H. (2016). Inventar zur Erfassung interpersonaler Probleme-Deutsche Version. Manual. Hogrefe
Johns, R. G., Barkham, M., Kellett, S., & Saxon, D. (2019). A systematic review of the therapist effects: A critical narrative update and refinement to Baldwin and Imel's (2013) review. Clin Psychol Review, 67, 78-93. https://doi.org/10.1016/j.cpr.2018.08.004
Kahn, J. H. (2011). Multilevel modeling: Overview and applications to research in counseling psychology. Journal of Counseling Psychology, 58, 257-271. https://doi.org/10.1037/a0033680
Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207-222. https://doi.org/10.2307/3090197
Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539-548. https://doi.org/10.1037/0022-006X.73.3.539
Keyes, C. L. M., Wissing, M., Potgleter, J. P., Temane, M., Kruger, A., & Van Rooy, S. (2008). Evaluation of the Mental Health Continuum-short form (MHC-SF) in Setswana speaking South Africans. Clinical Psychology & Psychotherapy, 15(3), 181-192. https://doi.org/10.1002/cpp.572
Iasiello, M., van Agteren, J., & Cochrane, E. M. (2020). Mental health and/or mental illness: A scoping review of the evidence and implications of the dual-continua model of mental health. Evidence Base, 2020(1), 1-45. https://doi.org/10.21307/eb-2020-001
Levy, K. N., Kivity, Y., Johnson, B. N., & Gooch, C. V. (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: A meta-analysis. Journal of Clinical Psychology, 74(11), 1996-2013. https://doi.org/10.1002/jclp.22685
Lukat, J., Margraf, J., Lutz, R., van der Veld, W. M., & Becker, E. S. (2016). Psychometric properties of the Positive Mental Health Scale (PMH-scale). BMC Psychology, 4(8). https://doi.org/10.1186/s40359-016-0111-x
Mander, J., Wittorf, A., Schlarb, A., Hautzinger, M., Zipfel, S., & Sammet, I. (2013). Change mechanisms in psychotherapy: Multiperspective assessment and relation to outcome. Psychotherapy Research, 23(1), 1-12. https://doi.org/10.1080/10503307.2012.744111
Mc Elroy, S., & Hevey, D. (2014). Relationship between adverse early experiences, stressors, psychosocial resources and wellbeing. Child Abuse & Neglect, 38(1), 65-75. https://doi.org/10.1016/j.chiabu.2013.07.017
Melrose, K. L., Brown, G. D. A., & Wood, A. M. (2015). When is received social support related to perceived support and well-being? When it is needed. Personality and Individual Differences, 77(4), 97-105. https://doi.org/10.1016/j.paid.2014.12.047
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Munder, T., Karcher, A., Yadikar, Ö., Szeles, T., & Gumz, A. (2019). Focusing on patients' existing resources and strengths in cognitive-behavioral therapy and psychodynamic therapy: A systematic review and meta-analysis. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 65(2), 144-161. https://doi.org/10.13109/zptm.2019.65.2.144
Nestmann, F. (1996). Psychosoziale Beratung-ein ressourcentheoretischer Entwurf. Verhaltenstherapie und Psychosoziale Praxis, 28, 359-376.
Niemeyer, H., Bieda, A., Michalak, J., Schneider, S., & Margraf, J. (2019). Education and mental health: Do psychosocial resources matter? SSM Popul Health, 7, 100392. https://doi.org/10.1016/j.ssmph.2019.100392
Padesky, C. A., & Mooney, K. A. (2012). Strengths-based cognitive-behavioural therapy: a four-step model to build resilience. Clinical Psychology & Psychotherapy, 19(4), 283-290. https://doi.org/10.1002/cpp.1795
Peterson, C., & Park, N. (2009). Classifying and measuring strengths of character. In S. J. Lopez, & C. R. Snyder (Eds.), Oxford library of psychology. Oxford Handbook of Positive Psychology (pp. 25-33). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195187243.013.0004
Peterson, C., Ruch, W., Beermann, U., Park, N., & Seligman, M. E. P. (2007). Strengths of character, orientations to happiness, and life satisfaction. The Journal of Positive Psychology, 2(3), 149-156. https://doi.org/10.1080/17439760701228938
Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. American Psychological Association, Oxford University Press.
Porter, E., & Chambless, D. L. (2015). A systematic review of predictors and moderators of improvement in cognitive-behavioral therapy for panic disorder and agoraphobia. Clinical Psychology Review, 42, 179-192. https://doi.org/10.1016/j.cpr.2015.09.004
Prati, G., & Pietrantoni, L. (2010). The relation of perceived and received social support to mental health among first responders: A meta-analytic review. Journal of Community Psychology, 38(3), 403-417. https://doi.org/10.1002/jcop.20371
Proctor, C., Maltby, J., & Linley, P. A. (2011). Strengths use as a predictor of well-being and health-related quality of life. Journal of Happiness Studies, 12, 153-169. https://doi.org/10.1007/s10902-009-9181-2
Proyer, R. T., Gander, F., Wellenzohn, S., & Ruch, W. (2015). Strengths-based positive psychology interventions: A randomized placebo-controlled online trial on long-term effects for a signature strengths- vs. a lesser strengths-intervention. Frontiers in Psychology, 6, 456. https://doi.org/10.3389/fpsyg.2015.00456
Rashid, T. (2015). Positive psychotherapy: A strengths-based approach. Journal of Positive Psychology, 10(1), 25-40. https://doi.org/10.1080/17439760.2014.920411
Rosenberg, M. (1979). Conceiving the Self. Basic Books.
Schofield, W. (1986). Psychotherapy: The purchase of friendship. Routledge.
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress-empirical validation of interventions. American Psychologist, 60(5), 410-421. https://doi.org/10.1037/0003-066X.60.5.410
Siedlecki, K. L., Salthouse, T. A., Oishi, S., & Jeswani, S. (2014). The relationship between social support and subjective well-being across age. Social Indicators Research, 117(2), 561-576. https://doi.org/10.1007/s11205-013-0361-4
Stanton, K., & Watson, D. (2014). Positive and negative affective dysfunction in psychopathology. Social and Personality Psychology Compass, 8(9), 555-567. https://doi.org/10.1111/spc3.12132
Taylor, S. E., & Broffman, J. I. (2011). Psychosocial resources: Functions, origins, and links to mental and physical health. Advances in Experimental Social Psychology, 44, 1-57. https://doi.org/10.1016/B978-0-12-385522-0.00001-9
Teismann, T., Brailovskaia, J., Siegmann, P., Nyhuis, P., Wolter, M., & Willutzki, U. (2018). Dual factor model of mental health: Co-occurrence of positive mental health and suicide ideation in inpatients and outpatients. Psychiatry Research, 260, 343-345. https://doi.org/10.1016/j.psychres.2017.11.085
Thomas, A., Brähler, E., & Strauß, B. (2011). IIP-32: Entwicklung, Validierung und Normierung einer Kurzform des Inventars zur Erfassung interpersonaler Probleme. Diagnostica, 57(2), 68-83. https://doi.org/10.1026/0012-1924/a000034
Trompetter, H. R., Lamers, S. M. A., Westerhof, G. J., Fledderus, M., & Bohlmeijer, E. T. (2017). Both positive mental health and psychopathology should be monitored in psychotherapy: Confirmation for the dual-factor model in acceptance and commitment therapy. Behaviour Research and Therapy, 91, 58-63. https://doi.org/10.1016/j.brat.2017.01.008
Vall, E., & Wade, T. D. (2015). Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis. International Journal of Eating Disorders, 48(7), 946-971. https://doi.org/10.1002/eat.22411
Victor, P. P., Schürmann, J., Muermans, M. M., Teismann, T., & Willutzki, U. (2019). Witten Resource Questionnaire (WIRF)-A multidimensional instrument for the assessment of subjective resources. Zeitschrift Für Psychiatrie, Psychologie Und Psychotherapie, 67(3), 181-191. https://doi.org/10.1024/1661-4747/a000388
Willutzki, U. (2008). Ressourcendiagnostik in der Klinischen Psychologie und Psychotherapie. Klinische Diagnostik und Evaluation, 1(2), 126-145. https://doi.org/10.1055/s-0031-1281810
Willutzki, U., & Teismann, T. (2013). Ressourcenaktivierung in der Psychotherapie. Hogrefe.
Wittchen, H.-U., Zaudig, M., & Fydrich, T. (1997). Strukturiertes Klinisches Interview für DSM-IV (SKID). Beltz-Test.
Woodward, L. E., Murrell, S. A., & Bettler Jr. R. F. (2005). Stability, reliabilty, and norms for the inventory of interpersonal problems. Psychotherapy Research, 15(3), 272-286. https://doi.org/10.1080/10503300512331334977
Xu, R. (2003). Measuring explained variation in linear mixed models. Statistics in Medicine, 22(22), 3527-3541. https://doi.org/10.1002/sim.1572