Gesprächspsychotherapie: Lehrbuch (German Edition)

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Know about stores. Products of this store will be shipped directly from the US to your country. Products of this store will be shipped directly from the UK to your country. The results are visualized in Figure 3 using scatter plots with linear fit functions. The fit function suggests no symptom reduction for people who did not find the HF values realized in their clinical stay, while the treatment effect developed with the agreement to the HF values.

The distribution of the total HF value ratings is visualized in a scatter plot which on the vertical axis represents either the ISR total change a or the VEV-K total change b after versus before treatment. A linear fit function is inserted to illustrate the dependences of HF value rating and therapeutic effect. Here the fit function suggests a decline of physical and mental health parameters if people do not agree with the HF values, while the same amount of improvement would be achieved in patients who fully find the HF values applied.

As a result of this analysis we are supposing that the HF values might have a salutogenetic effect in the sense that physical and mental health improvement as well as symptom reduction is connected to the subjective experience of the realization of values.

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Due to the unknown causation and more generally speaking, we can only conclude that those patients who rated themselves as having achieved greater improvements could find the HF values more present in their own personal experience of the environment. Patients who could not or rather not find the values implemented in the clinical setting were less content and had a higher load in symptoms, however, not in depression.

The treatment effect of a salutogenetic concept can be measured through symptomatic assessments but should also include measures of general health parameters. The ISR differences between pre- and posttreatment data depict the symptom reductions during treatment. For each factor of the ISR, only those patients were included in the analysis who completed the respective items and who showed a symptomatic load already at reception on this factor.

This analysis included patients of all diagnoses. The number of patients included in each factor is listed on the right in each figure. Table 3 gives the effect sizes corresponding to the mean differences displayed in Figure 4.

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It should be noted that due to the high symptomatic load in depression 2. Symptomatic changes after treatment were assessed using the ISR self-rating questionnaire. Here the scale differences were used as a measure with standard error bars. Symptom-related treatment effects.

Effect sizes Cohen's d with respective population size are indicated for the post-pre-treatment.

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The health change questionnaires GV and VEV-K present a quite balanced picture in post-treatment changes across the various factors as can be seen in Figure 5. Most scales are in the range between slight 1 and medium 2 improvement. The ratings of calmness and life satisfaction VEV-K actually offered the highest improvements. All these factors are elements which are in the focus of the therapeutic process and environment in HF indicating a holistic therapy.

Finally, the spirituality aspect of transpersonal trust as measured by the TPV showed a medium treatment effect size of 0. Changes of general health parameters after treatment. Population sizes are indicated on the right vertical axis. The horizontal axis indicates the changes in points on the scale. The question arises how such a treatment concept can deal with the variety of different diagnoses.

This question was answered by looking at the symptom and health-related changes of patients' self-ratings who participated in different treatment paths. In Figure 6 the treatment paths are named according to the diagnosis and arranged vertically in the order of the number of patients within a path. Since many patients had several diagnoses, some patients might have changed the treatment path and thus were present in more than one path.

The mean changes in total scores of the general health factor of the VEV-K and the overall symptom changes measured by the ISR total score are displayed. The treatment effect sizes are listed in Table 4. The highest VEV-K health changes larger than 1 scale unit are visible for the addiction group, the depression group, the anxiety, and the somatoform pain disorder groups.

All differences in overall symptom ratings were between 0. In red, the corresponding standard error bars are depicted.

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Total symptom rating for each of the 13 treatment paths. Effect sizes Cohen's d with respective population size are indicated for the post-pretreatment as well as the follow-up-pretreatment comparisons. Patients with these diagnoses, however, suffer from chronic and severe psychological disorders that often have developed over more than 15 years.

Such disorders which have developed from childhood on manifest themselves as personality traits borderline, narcissistic personality disorders. Additionally, there is a high comorbidity in those symptoms that negatively affect the chances for healing.

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Therefore, besides an inpatient hospital stay additional long-term outpatient psychotherapy is required for treating those disorders. A salutogenetic treatment should additionally provide tools and abilities to a patient to retain and generate health. In this perspective a salutogenetic treatment should present a basis for long-term stability in health-related parameters. In HF, a follow-up survey has been sent out to some patients one year after treatment.

Figure 7 illustrates the long-term changes related to the health change questionnaires and compares the immediate treatment effects at discharge time with the ratings one year after treatment. In those patients who completed the follow-up assessment, changes relative to the pretreatment phase were slightly but not significantly reduced compared to the immediate evaluation at the end of the treatment.

Table 4 presents the sustainability of the effect size of the ISR symptom reduction. Those patients might additionally need an individual psychotherapy rather than group therapy only. Patients treated in the paths of psychotic disorders, suicidal thoughts, and self-harming are those with the most severe symptoms and ICD10 diagnoses.