Abstract
Zusammenfassung.Theoretischer Hintergrund: Die systematische Rückmeldung des Therapieverlaufs an den Therapeuten erwies sich in mehreren Studien an ambulant behandelten, überwiegend gering beeinträchtigten Patienten als effektives Mittel, um die Wirksamkeit psychotherapeutischer Behandlungen für potenziell problematische Patienten zu steigern. Fragestellung: Lassen sich diese Befunde auch in einem stationär-verhaltenstherapeutischen Setting replizieren und inwieweit sind sie wirklich auf misserfolgsgefährdete Patienten beschränkt? Methode: In einem randomisierten Gruppenvergleich (N = 118) erhielt die Hälfte der Therapeuten ein systematisches Feedback über den Therapieverlauf. Ergebnisse: Die Patienten in der Feedback-Bedingung verbesserten sich bei allen untersuchten Therapieerfolgsmaßen stärker als die Patienten der Kontrollgruppe. Schlussfolgerung: Ein systematisches Feedback des Therapieverlaufs an den Therapeuten führt zu einer Verbesserung der Effektivität stationär-verhaltenstherapeutischer Behandlungen. Zukünftige Forschung sollte nach Wegen suchen, die monetären und psychologischen Kosten von Feedbacksystemen zu reduzieren, um deren Einsatz in Settings der Routineversorgung zu erleichtern.
Abstract.Background: Systematic feedback to therapists on their patients’ progress has been shown to enhance outcome in at-risk patients in studies with predominantly moderately disturbed outpatients. Objective: Is it possible to replicate these findings in a CBT-oriented inpatient setting and are positive effects confined to at-risk patients? Methods: In a randomized controlled trial (N = 118) half of the therapists were provided with systematic feedback on their patients’ progress. Results: Patients in the feedback group improved more than patients in the control group on all outcome measures. Conclusions: Systematic feedback to therapists on their patients’ progress enhances outcome in inpatient CBT treatment. Future research should identify ways to reduce the monetary and psychological costs of feedback-providing systems, in order to facilitate their application in routine care settings.
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