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Originalia

Die Evaluation von Therapiesitzungen durch Patienten und Therapeuten

Faktorstruktur und Interpretation des SEQ-D

Published Online:January 15, 2013https://doi.org/10.1026/0012-1924/a000078

Abstract

Das Session Evaluation Questionnaire (SEQ) wurde ins Deutsche übersetzt. Es erfasst die unmittelbaren Auswirkungen einer Therapiesitzung in je eigener Version für Patienten und Therapeuten. Primäres Ziel der Untersuchung war die Replikation der Faktorstruktur, sekundäres Ziel die Bestimmung der Übereinstimmung der Patienten- und Therapeutensicht. Die Stichprobe umfasst 1164 Therapiesitzungen aus 98 Therapien (26 Therapeuten) zu denen aus Patienten- und Therapeutensicht das SEQ erhoben wurde. Für beide Perspektiven wurde mittels Konfirmatorischer Mehrebenen Faktoranalyse die Anpassungsgüte der amerikanischen Faktorlösung überprüft. Die Faktoren Tiefe, Fluss & Positivität des SEQ lassen sich in der deutschen Version replizieren. Der vierte Faktor „Aufregung” erweist sich für die deutsche Version des SEQ als nicht reliabel. Patienten- und Therapeutensicht einer Stunde sind wenig konvergent. Der SEQ-D steht als deutschsprachiges, international vergleichbares und therapie-schulenübergreifendes Instrument für Psychotherapieprozessforschungsfragen zur Verfügung.


The evaluation of therapy sessions by patients and therapists: Factor structure and meaning of the SEQ-D

The Session Evaluation Questionnaire (SEQ) was translated into German. It measures the impact of a therapy session from the perspectives of patients and therapists. The primary aim of this investigation was the replication of the factor structure of the English language version of the SEQ. Secondary was to assess the correspondence between therapist an patient perspectives. The sample comprised 1,164 sessions from 98 therapies performed by 26 therapists. A multi-level confirmatory factor analysis of the instrument was performed to explore the research questions. The first three factors of the SEQ (depth, smoothness, and positivity) were replicated with good reliabilities. The fourth factor “arousal” was not reliable in the German version. Patients’ and Therapists’ views of a session converged only weakly. The German SEQ-D is now available as an instrument for psychotherapy process research.

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