Sage mir Deine Diagnose, und ich sage Dir, was Du willst: Inwieweit sind Therapiezielinhalte störungsspezifisch? = Tell me your diagnosis, and I will tell you what you want: To what extent are therapeutic goals disorder specific?

Background: In order to enhance patients' active participation in increasingly standardized therapies, treatment goals of disorder-specific manuals need to be aligned with the goals of the targeted patients. Objective: To clarify whether different psychopathological disorders differ 1. with respect to typical treatment goals, 2. in the proportion of goals that focus explicitly on symptoms that are essential for the diagnoses and 3. in the strength of the association between pursuing these core-symptom-related treatment goals and subsequent improvement on the primary diagnose. Method: Primary treatment goals of 1253 inpatients undergoing cognitive behavioral therapy were compared according to presenting disorder. Treatment goals were assessed as they were formulated by the patient and classified according to the categories of the Bern Inventory of Treatment Goals (BIT-T, Grosse Holtforth & Grawe 2001, 2002). Results: Treatment goals of patients with affective disorders are significantly more heterogeneous than those of patients suffering from anxiety disorders; whose goals are more heterogeneous than those of patients suffering from chronic pain syndrome. The proportion of treatment goals that refer explicitly to depressive behavior, anxiety or chronic pain, respectively, increases constantly over these three groups. Focusing on these core-symptom related goals was significantly associated with higher therapist ratings of the improvement on the primary diagnoses for patients with anxiety disorders only. Conclusions: First, depending on the presenting disorder, standardized treatments should allow for a more or less flexible setting of treatment goals, and second for a more or less strict focus on disorder-specific core-symptoms. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

Accession Number: 2004-20698-002. Translated Title: Tell me your diagnosis, and I will tell you what you want: To what extent are therapeutic goals disorder specific? Other Journal Title: Jahrbuch für Psychologie und Psychotherapie; Jahrbuch für Psychologie, Psychotherapie und Medizinische Anthropologie; Zeitschrift für Klinische Psychologie und Psychotherapie; Zeitschrift für Klinische Psychologie, Psychopathologie und Psychotherapie; Zeitschrift für Psychiatrie, Psychologie und Psychotherapie. Partial author list: First Author & Affiliation: Berking, Matthias; Abteilung für Klinische Psychologie und Psychotherapie, Universität Göttingen, Göttingen, Germany. Other Publishers: Verlag Hans Huber. Release Date: 20050314. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Print. Document Type: Journal Article. Language: German. Major Descriptor: Client Participation; Diagnosis; Goals; Psychopathology; Treatment Compliance. Minor Descriptor: Cognitive Behavior Therapy; Mental Disorders; Symptoms. Classification: Psychological Disorders (3210); Psychotherapy & Psychotherapeutic Counseling (3310). Population: Human (10); Inpatient (50). Tests & Measures: Bern Inventory of Treatment Goals. Methodology: Empirical Study; Quantitative Study. References Available: Y. Page Count: 14. Issue Publication Date: 2004.