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Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance

Objective: The feasibility of a high-frequency real-time monitoring approach to psychotherapy is outlined and tested for patients' compliance to evaluate its integration to everyday practice. Criteria concern the ecological momentary assessment, the assessment of therapy-related cognitions and...

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Autores principales: Schiepek, Günter, Aichhorn, Wolfgang, Gruber, Martin, Strunk, Guido, Bachler, Egon, Aas, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853656/
https://www.ncbi.nlm.nih.gov/pubmed/27199837
http://dx.doi.org/10.3389/fpsyg.2016.00604
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author Schiepek, Günter
Aichhorn, Wolfgang
Gruber, Martin
Strunk, Guido
Bachler, Egon
Aas, Benjamin
author_facet Schiepek, Günter
Aichhorn, Wolfgang
Gruber, Martin
Strunk, Guido
Bachler, Egon
Aas, Benjamin
author_sort Schiepek, Günter
collection PubMed
description Objective: The feasibility of a high-frequency real-time monitoring approach to psychotherapy is outlined and tested for patients' compliance to evaluate its integration to everyday practice. Criteria concern the ecological momentary assessment, the assessment of therapy-related cognitions and emotions, equidistant time sampling, real-time nonlinear time series analysis, continuous participative process control by client and therapist, and the application of idiographic (person-specific) surveys. Methods: The process-outcome monitoring is technically realized by an internet-based device for data collection and data analysis, the Synergetic Navigation System. Its feasibility is documented by a compliance study on 151 clients treated in an inpatient and a day-treatment clinic. Results: We found high compliance rates (mean: 78.3%, median: 89.4%) amongst the respondents, independent of the severity of symptoms or the degree of impairment. Compared to other diagnoses, the compliance rate was lower in the group diagnosed with personality disorders. Conclusion: The results support the feasibility of high-frequency monitoring in routine psychotherapy settings. Daily collection of psychological surveys allows for the assessment of highly resolved, equidistant time series data which gives insight into the nonlinear qualities of therapeutic change processes (e.g., pattern transitions, critical instabilities).
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spelling pubmed-48536562016-05-19 Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance Schiepek, Günter Aichhorn, Wolfgang Gruber, Martin Strunk, Guido Bachler, Egon Aas, Benjamin Front Psychol Psychology Objective: The feasibility of a high-frequency real-time monitoring approach to psychotherapy is outlined and tested for patients' compliance to evaluate its integration to everyday practice. Criteria concern the ecological momentary assessment, the assessment of therapy-related cognitions and emotions, equidistant time sampling, real-time nonlinear time series analysis, continuous participative process control by client and therapist, and the application of idiographic (person-specific) surveys. Methods: The process-outcome monitoring is technically realized by an internet-based device for data collection and data analysis, the Synergetic Navigation System. Its feasibility is documented by a compliance study on 151 clients treated in an inpatient and a day-treatment clinic. Results: We found high compliance rates (mean: 78.3%, median: 89.4%) amongst the respondents, independent of the severity of symptoms or the degree of impairment. Compared to other diagnoses, the compliance rate was lower in the group diagnosed with personality disorders. Conclusion: The results support the feasibility of high-frequency monitoring in routine psychotherapy settings. Daily collection of psychological surveys allows for the assessment of highly resolved, equidistant time series data which gives insight into the nonlinear qualities of therapeutic change processes (e.g., pattern transitions, critical instabilities). Frontiers Media S.A. 2016-05-03 /pmc/articles/PMC4853656/ /pubmed/27199837 http://dx.doi.org/10.3389/fpsyg.2016.00604 Text en Copyright © 2016 Schiepek, Aichhorn, Gruber, Strunk, Bachler and Aas. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Schiepek, Günter
Aichhorn, Wolfgang
Gruber, Martin
Strunk, Guido
Bachler, Egon
Aas, Benjamin
Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title_full Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title_fullStr Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title_full_unstemmed Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title_short Real-Time Monitoring of Psychotherapeutic Processes: Concept and Compliance
title_sort real-time monitoring of psychotherapeutic processes: concept and compliance
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853656/
https://www.ncbi.nlm.nih.gov/pubmed/27199837
http://dx.doi.org/10.3389/fpsyg.2016.00604
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