Kurz- und Langzeitbehandlung in der Verhaltenstherapie

• Verfasst von: Mander, Johannes [VerfasserIn]
• Verfasst von: Blanck, Paul [VerfasserIn]
• Verfasst von: Bents, Hinrich [VerfasserIn]
• Titel: Kurz- und Langzeitbehandlung in der Verhaltenstherapie
• Titelzusatz: Befunde aus empirischer Forschung und Versorgungspraxis
• Verf.angabe: Johannes Mander, Paul Blanck, Hinrich Bents
• Umfang: 7 S.
• Fussnoten: Gesehen am 24.05.2017
• Titel Quelle: Enthalten in: Psychotherapeut
• Jahr Quelle: 2016
• Band/Heft Quelle: 61(2016), 6, S. 434-440
• ISSN Quelle: 1432-2080
• DOI: doi:10.1007/s00278-016-0133-0
• Datenträger: Online-Ressource
• Sprache: ger
• K10plus-PPN: 1558948546

Abstract

In Germany, short and long-term psychotherapy are the two established forms for providing basic outpatient cognitive behavior therapy. The goal of the current study is to describe and discuss empirical evidence for these two structural forms; therefore, results from randomized controlled trials are presented and their implications related to the optimal number of therapy sessions are described. Furthermore, important results of naturalistic process outcome research are outlined. Additionally, the individual needs of patients for specific numbers of sessions are described based on data from the Association of Statutory Health Insurance Physicians. The results of randomized controlled trials generally showed strong empirical evidence for the efficacy of short-term cognitive behavior therapy of 7-20 sessions in patients with simple diagnoses; however, there is less empirical evidence in relation to the general efficacy and differential indications for long-term behavior therapy.These study results are supported by data from 200,000 patients receiving outpatient treatment in the German healthcare system. In two thirds of these patients, less than 25 sessions were sufficient to achieve subjectively adequate clinical improvement; however, approximately 10 % of the patients needed more than 60 therapy sessions. Empirical evidence concerning outcomes of long-term therapy with such a high number of sessions is scarce. Future research should address this research gap in order to identify empirically-based individual adaptation rules concerning the optimal number of treatment sessions in long-term therapy.