Search results for "Psychotherapy"

P-491 - Sensitivity to changes during antidepressant treatment: a comparison of unidimensional depression rating scales in patients with minor depres…

2012

In the efficacy evaluation of antidepressant treatments the total score of the Hamilton Depression Rating Scale (HAMD) is still regarded as the’gold standard’. Studies suggest that unidimensional subscales of the HAMD, which capture the core depressive symptoms, outperform the full HAMD regarding the detection of antidepressant treatment effects. The present study compared several unidimensional subscales of the HAMD and the Inventory of Depressive Symptomatology (IDS) regarding their sensitivity to changes in depression symptoms in a sample of patients with minor depression (MIND). Biweekly IDS-C28 and HAMD17 data from 287 patients of a 10-week randomised, placebo-controlled trial comparin…

Passo a passo lungo le tappe fondamentali: esercizio di clinica n. 1

2010

In questo scritto provo a raccontare della mia prima paziente e dei “primi passi” che, in assoluto, muovo all’interno di una relazione clinica. Vacillando. Non a caso ho scelto d’intitolare il lavoro: “Passo a passo lungo le tappe fondamentali”. Come se ogni passo - ogni riflessione, ogni momento - avesse bisogno del suo particolare assestamento. Così, a partire dal primo colloquio e dall’analisi della domanda, riferirò alcuni frammenti delle conversazioni con gli altri curanti (il neurologo e lo psichiatra); mi soffermerò in una riflessione sul linguaggio diagnostico; proverò ad accennare alcune considerazioni sulle dinamiche co-transferali tra me e la sig.ra Noto ed, infine, parlerò di un…

Evaluation and Research in Group Psychotherapy. An Italian Contribution

2011

This paper presents some key findings in group therapy research and evaluation, and future directions of research in this field. Interest has been focused on the understanding of the clinical therapeutic process and on the possibility of studying it from a scientific point of view. The perspective is to increase the clinical relapse of empirical research on psychotherapy, promoting close integration between the work of clinicians, engaged in the real experience of treating patients, and researchers, interested in providing useful and scientifically based tools for the understanding of the therapeutic work. We present the essential lines of the work produced by the research group of the Depa…

Psychosocial aspects and psychotherapy in chronic patients

2011

Subjectivity in a therapeutic process as a predictor of psychotherapeutic success

2014

Reflections on the uniquely human dimensions of behavior over the last few decades have become a meeting space connecting different sciences. The holistic health model emphasizes the subjectivity of man. Humans are open and active, and remain in relationships with others; they relate to the world they live in and seek meaning. Subjectivity in the psychological perspective can be described in three ways: subjectivity as identity, individuality, specific experience of self; subjectivity as the ability to initiate, regulate, direct, and realize goal-oriented and autonomous activity; subjectivity as the application of one’s own system of values. Subjectivity or causality (core features agency) …

The alliance-outcome association in group interventions: A multilevel meta-analysis.

2022

Objective: The therapeutic alliance has been studied in group interventions, but its relationship to patient outcome is still controversial. This study systematically reviewed the association of both the member-leader and member-group alliance with patient outcomes, and assessed the effects of several theoretically informed moderators. Method: A three-level meta-analysis was conducted on 57 studies to disentangle within- and between-study variability in the alliance-outcome association. Results: The overall effect size of the unconditional model was r = -.259 (95% CI: -.302, -.214; p < .001), whereas the correlation between alliance and outcome based on the three-level meta-analytic mode…

Current Issues on Group Psychotherapy Research: An Overview

2014

Recent efforts to improve group psychotherapy have focused on codifying both evidence-based treatments and therapeutic relationships. This chapter reviews the numerous advances in empirical research on group psychotherapy and highlights therapeutic practices ensuing from the evidence. The authors synthesize some of the most crucial development in group psychotherapy research, such as the effectiveness of group treatments, the mechanisms of change of group therapies, the components of group relationship, and issues regarding methodological problems associated with the analysis of group data.

Early and Later Predictors of Outcome in Brief Therapy: The Role of Real Relationship

2012

Objectives The study examined whether clients who continued longer in brief therapy reported stronger associations of real relationship and working alliance with therapy outcome than clients who received very brief treatment. It also examined whether real relationship and working alliance assessed early in treatment predicted outcome differently from that assessed later in therapy. Method Fifty clients (32 women; Mage = 22.3 years) were recruited from a university counseling center. Thirty-two clients (very brief therapy) completed the post-third session assessment of real relationship and working alliance, and 18 (brief therapy) had both the third and eighth assessment. Results The real re…

Integrated treatment of first episode psychosis with online training (e-learning): study protocol for a randomised controlled trial

2014

Background: The integrated treatment of first episode psychosis has been shown to improve functionality and negative symptoms in previous studies. In this paper, we describe a study of integrated treatment (individual psychoeducation complementary to pharmacotherapy) versus treatment as usual, comparing results at baseline with those at 6-month re-assessment (at the end of the study) for these patients, and online training of professionals to provide this complementary treatment, with the following objectives: 1) to compare the efficacy of individual psychoeducation as add-on treatment versus treatment as usual in improving psychotic and mood symptoms; 2) to compare adherence to medication,…

A multicentre randomized controlled trial on trans-generational attention deficit/hyperactivity disorder (ADHD) in mothers and children (AIMAC): an e…

2018

Abstract. Objective: We examined predictors and moderators of treatment outcome in mothers and children diagnosed with ADHD in a large multicentre RCT. Method: In total, 144 mother-child dyads with ADHD were randomly assigned to either a maternal ADHD treatment (group psychotherapy and open methylphenidate medication, TG) or to a control treatment (individual counselling without psycho- or pharmacotherapy, CG). After maternal ADHD treatment, parent-child training (PCT) for all mother-child dyads was added. The final analysis set was based on 123 dyads with completed primary outcome assessments (TG: n = 67, CG: n = 56). The primary outcome was the change in each child’s externalizing sympto…