Therapist competence and therapeutic alliance are important in the treatment of health anxiety (hypochondriasis)
| Autor: | Marion Jakob, Florian Weck, Julia M.B. Neng, Volkmar Höfling, Samantha Richtberg |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Psychotherapist medicine.medical_treatment Exposure therapy Treatment outcome Implosive Therapy behavioral disciplines and activities Professional Competence medicine Humans Competence (human resources) Biological Psychiatry Cognitive Behavioral Therapy Professional-Patient Relations Middle Aged Hypochondriasis Psychiatry and Mental health Treatment Outcome Alliance Structured interview Cognitive therapy Patient Compliance Anxiety Female medicine.symptom Psychology human activities Clinical psychology |
| Zdroj: | Psychiatry Research. 228:53-58 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2015.03.042 |
| Popis: | The role of treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) is rarely investigated in psychotherapeutic treatment for health anxiety. This study aimed to investigate the role of the assessment perspective for the evaluation of treatment delivery factors and their relevance for treatment outcome. Therapist adherence, therapist competence, and therapeutic alliance were evaluated by independent raters, therapists, patients, and supervisors in 68 treatments. Patients with severe health anxiety (hypochondriasis) were treated with cognitive therapy or exposure therapy. Treatment outcome was assessed with a standardized interview by independent diagnosticians. A multitrait-multimethod analysis revealed a large effect for the assessment perspective of therapist adherence, therapist competence, and therapeutic alliance. The rater perspective was the most important for the prediction of treatment outcome. Therapeutic alliance and therapist competence accounted for 6% of the variance of treatment outcome while therapist adherence was not associated with treatment outcome. Therapist competence was only indirectly associated with treatment outcome, mediated by therapeutic alliance. Both therapeutic alliance and therapist competence demonstrated to be important treatment delivery factors in psychotherapy for health anxiety. A stronger consideration of those processes during psychotherapy for health anxiety might be able to improve psychotherapy outcome. |
| Databáze: | OpenAIRE |
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