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Gepubliceerd in: Cognitive Therapy and Research 3/2018

09-03-2018 | Original Article

Unwanted Events and Side Effects in Cognitive Behavior Therapy

Auteurs: Marie-Luise Schermuly-Haupt, Michael Linden, A. John Rush

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2018

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Abstract

Side effects (SEs) are negative reactions to an appropriately delivered treatment, which must be discriminated from unwanted events (UEs) or consequences of inadequate treatment. One hundred CBT therapists were interviewed for UEs and SEs in one of their current outpatients. Therapists reported 372 UEs in 98 patients and SEs in 43 patients. Most frequent were "negative wellbeing/distress" (27% of patients), "worsening of symptoms" (9%), "strains in family relations" (6%); 21% of patients suffered from severe or very severe and 5% from persistent SEs. SEs are unavoidable and frequent also in well-delivered CBT. They include both symptoms and the impairment of social life. Knowledge about the side effect profile can improve early recognition of SEs, safeguard patients, and enhance therapy outcome.
Voetnoten
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The interview is available from michael.linden@charite.de.
 
Literatuur
go back to reference Anderson, E. M., & Lambert, M. J. (2001). A survival analysis of clinically significant change in outpatient psychotherapy. Journal of Clinical Psychology, 57(7), 875–888.CrossRefPubMed Anderson, E. M., & Lambert, M. J. (2001). A survival analysis of clinically significant change in outpatient psychotherapy. Journal of Clinical Psychology, 57(7), 875–888.CrossRefPubMed
go back to reference Bergin, A. E. (1963). The effects of psychotherapy: Negative results revisited. Journal of Consulting Psychology, 10, 244–250. Bergin, A. E. (1963). The effects of psychotherapy: Negative results revisited. Journal of Consulting Psychology, 10, 244–250.
go back to reference Brainerd, C. J., & Reyna, V. F. (2005). The science of false memory. New York: Oxford University Press.CrossRef Brainerd, C. J., & Reyna, V. F. (2005). The science of false memory. New York: Oxford University Press.CrossRef
go back to reference Creed, T. A., Wolk, C. B., Feinberg, B., Evans, A. C., & Beck, A. T. (2014). Beyond the Label: Relationship Between Community Therapists’ Self-Report of a Cognitive Behavioral Therapy Orientation and Observed Skills. Administration and Policy in Mental Health and Mental Health Services Research, 43(1), 1–8. https://doi.org/10.1007/s10488-014-0618-5. Creed, T. A., Wolk, C. B., Feinberg, B., Evans, A. C., & Beck, A. T. (2014). Beyond the Label: Relationship Between Community Therapists’ Self-Report of a Cognitive Behavioral Therapy Orientation and Observed Skills. Administration and Policy in Mental Health and Mental Health Services Research, 43(1), 1–8. https://​doi.​org/​10.​1007/​s10488-014-0618-5.
go back to reference Crits-Christoph, P., Baranackie, K., Kurcias, J., Beck, A., Carroll, K., Perry, K., Luborsky, L., McLellan, A., Woody, G., Thompson, L., Gallagher, D., & Zitrin, C. (1991). Meta-analysis of therapist effects in psychotherapy outcome studies. Psychotherapy Research, 1(2), 81–91.CrossRef Crits-Christoph, P., Baranackie, K., Kurcias, J., Beck, A., Carroll, K., Perry, K., Luborsky, L., McLellan, A., Woody, G., Thompson, L., Gallagher, D., & Zitrin, C. (1991). Meta-analysis of therapist effects in psychotherapy outcome studies. Psychotherapy Research, 1(2), 81–91.CrossRef
go back to reference Dilling, H. (2011). Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F); klinisch-diagnostische Leitlinien (8., überarb. Aufl. unter Berücksichtigung der Änderungen entsprechend ICD-10-GM 2011.). Bern: Huber. Dilling, H. (2011). Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F); klinisch-diagnostische Leitlinien (8., überarb. Aufl. unter Berücksichtigung der Änderungen entsprechend ICD-10-GM 2011.). Bern: Huber.
go back to reference Fischer-Cornelssen, K. A., & Berchier, P. (1982). Validität und Reliabilität einer Symptom-Checkliste (FSCL): Anwendung in der Psychogeriatrie. Zeitschrift für Gerontologie und Geriatrie, 15, 31–37. Fischer-Cornelssen, K. A., & Berchier, P. (1982). Validität und Reliabilität einer Symptom-Checkliste (FSCL): Anwendung in der Psychogeriatrie. Zeitschrift für Gerontologie und Geriatrie, 15, 31–37.
go back to reference Fisher, P. L., & Durham, R. C. (1990). Recovery rates in generalized anxiety disorder following psychological therapy: An analysis of clinically significant change in the STAI-T across outcome studies since 1990. Psychological Medicine, 29(6), 1425–1434.CrossRef Fisher, P. L., & Durham, R. C. (1990). Recovery rates in generalized anxiety disorder following psychological therapy: An analysis of clinically significant change in the STAI-T across outcome studies since 1990. Psychological Medicine, 29(6), 1425–1434.CrossRef
go back to reference Foa, E. B., Zoellner, L. A., Feeny, N. C., Hembree, E. A., & Alvarez-Conrad, J. (2002). Does imaginal exposure exacerbate PTSD symptoms? Journal of Consulting Clinical Psychology, 70(4), 1022–1028.CrossRefPubMed Foa, E. B., Zoellner, L. A., Feeny, N. C., Hembree, E. A., & Alvarez-Conrad, J. (2002). Does imaginal exposure exacerbate PTSD symptoms? Journal of Consulting Clinical Psychology, 70(4), 1022–1028.CrossRefPubMed
go back to reference Hamilton, K. E., & Dobson, K. S. (2002). Cognitive therapy of depression: Pretreatment patient predictors of outcome. Clinical Psychology Review, 22(6), 875–893.CrossRefPubMed Hamilton, K. E., & Dobson, K. S. (2002). Cognitive therapy of depression: Pretreatment patient predictors of outcome. Clinical Psychology Review, 22(6), 875–893.CrossRefPubMed
go back to reference Hatfield, D., McCullough, L., Frantz, S. H., & Krieger, K. (2010). Do we know when our clients get worse? An investigation of therapists’ ability to detect negative client change. Clinical Psychology and Psychotherapy, 17(1), 25–32. https://doi.org/10.1002/cpp.656.PubMed Hatfield, D., McCullough, L., Frantz, S. H., & Krieger, K. (2010). Do we know when our clients get worse? An investigation of therapists’ ability to detect negative client change. Clinical Psychology and Psychotherapy, 17(1), 25–32. https://​doi.​org/​10.​1002/​cpp.​656.PubMed
go back to reference Henry, W. P., Strupp, H. H., Butler, S. F., Schacht, T. E., & Binder, J. L. (1993). Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior. Journal of consulting and clinical psychology, 61(3), 434–440.CrossRefPubMed Henry, W. P., Strupp, H. H., Butler, S. F., Schacht, T. E., & Binder, J. L. (1993). Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior. Journal of consulting and clinical psychology, 61(3), 434–440.CrossRefPubMed
go back to reference Hoffmann, S. O., Rudolf, G., & Strauß, B. (2008). Unerwünschte und schädliche Wirkungen von Psychotherapie. Der Psychotherapeut, 53, 4–16.CrossRef Hoffmann, S. O., Rudolf, G., & Strauß, B. (2008). Unerwünschte und schädliche Wirkungen von Psychotherapie. Der Psychotherapeut, 53, 4–16.CrossRef
go back to reference Lambert, M. J. (2010). Predicting negative treatment outcome: Methods and estimates of accuracy. In M. J. Lambert (Ed.), Prevention of treatment failure: The use of measuring, monitoring, and feedback in clinical practice (pp. 83–105). Washington, DC: American Psychological Association.CrossRef Lambert, M. J. (2010). Predicting negative treatment outcome: Methods and estimates of accuracy. In M. J. Lambert (Ed.), Prevention of treatment failure: The use of measuring, monitoring, and feedback in clinical practice (pp. 83–105). Washington, DC: American Psychological Association.CrossRef
go back to reference Lambert, M. J., & Ogles, B. M. (2004). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin & Garfield’s handbook of psychotherapy and behavior change (5th edn., pp. 139–193). New York: Wiley. Lambert, M. J., & Ogles, B. M. (2004). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin & Garfield’s handbook of psychotherapy and behavior change (5th edn., pp. 139–193). New York: Wiley.
go back to reference Linden, M., & Strauß, B. (2013). Risiken und Nebenwirkungen von Psychotherapie. Erfassung, Bewältigung, Risikovermeidung. Berlin: Medizinisch-Wissenschaftliche Verlagsgesellschaft. Linden, M., & Strauß, B. (2013). Risiken und Nebenwirkungen von Psychotherapie. Erfassung, Bewältigung, Risikovermeidung. Berlin: Medizinisch-Wissenschaftliche Verlagsgesellschaft.
go back to reference Milton, F., & Hafner, R. J. (1979). The outcome of behavior therapy for agoraphobia in relation to marital adjustment. Archives of General Psychiatry, 36(7), 807–811.CrossRefPubMed Milton, F., & Hafner, R. J. (1979). The outcome of behavior therapy for agoraphobia in relation to marital adjustment. Archives of General Psychiatry, 36(7), 807–811.CrossRefPubMed
go back to reference Roback, H. B. (2000). Adverse outcomes in group psychotherapy. Risk factors, prevention, and research directions. Journal of Psychotherapy Practice Research, 9(3), 113–122.PubMedPubMedCentral Roback, H. B. (2000). Adverse outcomes in group psychotherapy. Risk factors, prevention, and research directions. Journal of Psychotherapy Practice Research, 9(3), 113–122.PubMedPubMedCentral
go back to reference Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychology Bulletin, 86(2), 420–428.CrossRef Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychology Bulletin, 86(2), 420–428.CrossRef
go back to reference Smith, S. R., Hilsenroth, M. J., Baity, M. R., & Knowles, E. S. (2003). Assessment of patient and therapist perspectives of process: A revision of the Vanderbilt Psychotherapy Process Scale. American Journal of Psychotherapy, 57(2), 195–205.PubMed Smith, S. R., Hilsenroth, M. J., Baity, M. R., & Knowles, E. S. (2003). Assessment of patient and therapist perspectives of process: A revision of the Vanderbilt Psychotherapy Process Scale. American Journal of Psychotherapy, 57(2), 195–205.PubMed
go back to reference Sotsky, S. M., Glass, D. R., Shea, M. T., Pilkonis, P. A., Collins, J. F., Elkin, I., Watkins, J. T., Imber, S. D., Leber, W. R., Moyer, J., & Oliveri, M. E. (1991). Patient predictors of response to psychotherapy and pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program. American Journal of Psychiatry, 148(8), 997–1008. https://doi.org/10.1176/ajp.148.8.997.CrossRefPubMed Sotsky, S. M., Glass, D. R., Shea, M. T., Pilkonis, P. A., Collins, J. F., Elkin, I., Watkins, J. T., Imber, S. D., Leber, W. R., Moyer, J., & Oliveri, M. E. (1991). Patient predictors of response to psychotherapy and pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program. American Journal of Psychiatry, 148(8), 997–1008. https://​doi.​org/​10.​1176/​ajp.​148.​8.​997.CrossRefPubMed
go back to reference Tarrier, N., Pilgrim, H., Sommerfield, C., Faragher, B., Reynolds, M., Graham, E., & Barrowclough, C. (1999). A randomized trial of cognitive therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 67(1), 13–18.CrossRefPubMed Tarrier, N., Pilgrim, H., Sommerfield, C., Faragher, B., Reynolds, M., Graham, E., & Barrowclough, C. (1999). A randomized trial of cognitive therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 67(1), 13–18.CrossRefPubMed
go back to reference Wirtz, M. A., & Caspar, F. (2002). Beurteilerübereinstimmung und Beurteilerreliabilität: Methoden zur Bestimmung und Verbesserung der Zuverlässigkeit von Einschätzungen mittels Kategoriensystemen und Ratingskalen. Göttingen: Hogrefe. Wirtz, M. A., & Caspar, F. (2002). Beurteilerübereinstimmung und Beurteilerreliabilität: Methoden zur Bestimmung und Verbesserung der Zuverlässigkeit von Einschätzungen mittels Kategoriensystemen und Ratingskalen. Göttingen: Hogrefe.
Metagegevens
Titel
Unwanted Events and Side Effects in Cognitive Behavior Therapy
Auteurs
Marie-Luise Schermuly-Haupt
Michael Linden
A. John Rush
Publicatiedatum
09-03-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9904-y

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