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Florian Juen, Larissa Vierl, Susanne Hörz-Sagstetter

    Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
    |September 18, 2024
    PubMed
    Summary
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    Psychotherapie, Psychosomatik, medizinische Psychologie·2025

    Patients at psychodynamic training institutes show significant distress, with high rates of depressive and personality disorders. Many have prior psychotherapeutic treatment experience, highlighting the need for specialized care.

    Area of Science:

    • Psychology
    • Psychotherapy Research
    • Clinical Psychology

    Context:

    • Outpatient clinics at psychotherapeutic training institutions are vital for training future psychotherapists.
    • Understanding patient profiles is essential for optimizing training and treatment.

    Purpose:

    • To examine the characteristics of patients seeking treatment at psychodynamic training institutes.
    • To analyze patient symptomatology and psychodynamic dimensions.

    Summary:

    • A study of 421 patients (71% female) using online questionnaires (Sept 2020-Mar 2021) assessed sociodemographics, symptomatology (PHQ-D), relationship dynamics (IIP), personality functioning (OPD-SQS, IPO-16), and intrapsychic conflicts (OPD-KF).
    • Results indicated high prevalence of psychological distress: 74.9% met criteria for depressive disorder (34.8% for Major Depressive Disorder), and 53.1% exceeded thresholds for personality disorder diagnosis.
    Keywords:
    Patientencharakteristika - Basisdokumentation - Qualitatssicherung - Psychotherapieausbildung - Ausbildungsambulanzpatient characteristics - basic documentation - quality assurance - psychotherapy training

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  • A significant majority (65%) had prior psychotherapeutic treatment experience.

    • Impact:

    • Findings underscore that patients in these settings present with complex psychological needs, often including comorbid depressive and personality disorders.
    • This patient profile necessitates specialized training for psychotherapists to effectively manage complex cases.
    • The study provides valuable data for curriculum development and quality assurance in psychotherapeutic training programs.