[The influence of patient- and treatment-related factors on the success of inpatient psychotherapy]

Z Psychosom Med Psychother. 2013;59(3):273-89.
[Article in German]

Abstract

Objectives: This study investigates the symptomatic and interpersonal efficacy of inpatient psychodynamic psychotherapy as well as the influence of several patient- and treatment-related factors on the success of psychotherapy.

Methods: In this naturalistic study, 715 patients were assessed with the Symptom Checklist (SCL-90-R) and the Inventory of Interpersonal Problems (IIP). The influence of several patient-and treatment-related factors on the success of psychotherapy was analyzed using logistic regression.

Results: Patients improved significantly on all SCL-90-R and IIP scales. The patients' attachment style, ICD-10 diagnosis, and motivation for therapy, as well as additionally job situation for the symptomatic outcome and additionally age for the interpersonal outcome, were significant predictors of therapeutic success.

Conclusions: Patients with a secure attachment style, a diagnosis of depression, and a high motivation for therapy are more likely to experience therapeutic success than other patients. Furthermore, regular occupational activity has a positive effect on symptomatic treatment outcome, while a younger age has a positive effect on interpersonal treatment outcome.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Female
  • Germany
  • Hospitalization*
  • Hospitals, Psychiatric
  • Humans
  • Male
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Middle Aged
  • Motivation
  • Object Attachment
  • Outcome and Process Assessment, Health Care*
  • Personality Disorders / psychology
  • Personality Disorders / therapy
  • Physician-Patient Relations
  • Prognosis
  • Psychoanalytic Therapy / methods*
  • Reactive Attachment Disorder / psychology
  • Reactive Attachment Disorder / therapy
  • Somatoform Disorders / psychology
  • Somatoform Disorders / therapy
  • Surveys and Questionnaires
  • Young Adult