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[Course of symptom severity and prediction of outcome in inpatient psychotherapy]
H Schauenburg1, I Sammet, M Strack
1Klinik und Poliklinink für Psychosomatik und Psychotherapie, Georg-August-Universität, Göttingen, Germany. hschaue@gwdg.de
Objectives:
The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome.
Methods:
71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 weeks) gave weekly self-reports on symptom severity (BSI, Derogatis, 1983) and had a complete outcome evaluation. Regression parameters of the symptom curves were taken for correlational and path analytic calculations.
Results:
Initial symptom alleviation is able to predict better global outcome. However there is a relevant subgroup of patients which has a good outcome despite an initial deterioration.
Conclusions:
Initial remoralisation predicts better outcome but is not a necessary condition. The results partly call into question the group statistical "dose-response-curves". Further studies should test the influence of other process parameters (group cohesion, therapeutic alliance etc.) on the course of treatment.
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