Patients' perception of side effects in cognitive-behavior, psychodynamic, and psychoanalytic outpatient psychotherapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-12-30 DOI:10.1080/10503307.2023.2290029

Lutz Wittmann, Eva Blomert, Michael Linden

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Abstract

Objective: To assess and compare the frequency of psychotherapeutic side effects in different psychotherapeutic approaches.

Method: Side effects were assessed across 17 domains through structured interviews with 45 outpatients in cognitive-behavior, psychodynamic, and psychoanalytic psychotherapy.

Results: Almost every patient (95.6%) reported at least one side effect, with a mean of 4.7 affected domains. Most frequent complaints were that problems were seen as more complex (60.0-80.0%), worsening of pre-existing symptoms (46.7-60%), occurrence of new symptoms (20.0-53.3%), feeling uncomfortable in treatment (33.3-40.0%), tensions with therapist (26.7-46.7%), as well as conflicts with current family and with family of origin (both 13.3-46.7%). Differences between therapeutic orientations were mostly non-significant.

Conclusion: Psychotherapy is regularly accompanied by side effects, independent of different theoretical orientations. Psychotherapists need to be familiar with side effects in order to inform patients about treatment-associated risks and to recognize and manage side effects.

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患者对认知行为疗法、心理动力学疗法和精神分析门诊心理疗法副作用的看法。

目的：评估和比较不同心理治疗方法的副作用频率：评估并比较不同心理治疗方法中心理治疗副作用的频率：方法：通过对认知行为疗法、心理动力学疗法和精神分析疗法的 45 名门诊患者进行结构化访谈，对 17 个领域的副作用进行评估：几乎每位患者（95.6%）都报告了至少一种副作用，受影响的领域平均为 4.7 个。最常见的主诉是问题变得更加复杂（60.0%-80.0%）、原有症状恶化（46.7%-60%）、出现新症状（20.0%-53.3%）、在治疗中感到不舒服（33.3%-40.0%）、与治疗师关系紧张（26.7%-46.7%），以及与当前家庭和原生家庭发生冲突（均为 13.3%-46.7%）。不同治疗取向之间的差异大多不显著：结论：心理治疗经常伴有副作用，这与不同的理论取向无关。心理治疗师需要熟悉副作用，以便告知患者与治疗相关的风险，并识别和处理副作用。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.