PDF herunterladen
Psychother Psychosom Med Psychol 2019; 69(07): 301-302
DOI: 10.1055/a-0867-2329
Fragen aus der Forschungspraxis
© Georg Thieme Verlag KG Stuttgart · New York

Behandlungsintegrität in der Psychotherapieforschung

Weitere Informationen

Publikationsverlauf

Publikationsdatum:
09. Juli 2019 (online)

Auch verfügbar auf
    Lizenzen und Reprints
Was wird erklärt?

Die Behandlungsintegrität bezeichnet das Ausmaß zu dem eine Psychotherapie wie vorgesehen umgesetzt wurde [1]. Sie umfasst 2 Komponenten: die Adhärenz und die Kompetenz [2]. Die Adhärenz bezeichnet die Auswahl von Interventionen anhand eines Behandlungsprotokolls (und die Vermeidung von Interventionen, die nicht im Behandlungsprotokoll enthalten sind). Die Kompetenz wird als die fachgerechte Anwendung der Interventionen im zwischenmenschlichen Kontext der Psychotherapie definiert [2].

 

  • Literatur

  • 1 Yeaton WH. Sechrest L. Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness. Journal of Consulting and Clinical Psychology 1981; 49: 156-167
    CrossrefPubMedGoogle Scholar
  • 2 Waltz J, Addis ME, Koerner K. et al. Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence. Journal of Consulting and Clinical Psychology 1993; 61: 620-630
    CrossrefPubMedGoogle Scholar
  • 3 Perepletchikova F, Treat TA, Kazdin AE. Treatment integrity in psychotherapy research: analysis of the studies and examination of the associated factors. Journal of Consulting and Clinical Psychology 2007; 75: 829-841
    CrossrefPubMedGoogle Scholar
  • 4 Perepletchikova F, Hilt LM, Chereji E. et al. Barriers to implementing treatment integrity procedures: Survey of treatment outcome researchers. Journal of Consulting and Clinical Psychology 2009; 77: 212-218
    CrossrefPubMedGoogle Scholar
  • 5 Perepletchikova F, Kazdin AE. Treatment integrity and therapeutic change: Issues and research recommendations. Clinical Psychology: Science and Practice 2005; 12: 365-383
    CrossrefPubMedGoogle Scholar
  • 6 McLeod BD, Southam-Gerow MA, Tully CB. et al. Making a Case for Treatment Integrity as a Psychosocial Treatment Quality Indicator for Youth Mental Health Care. Clinical Psychology: Science and Practice 2013; 20: 14-32
    CrossrefPubMedGoogle Scholar
  • 7 Barber JP, Sharpless BA, Klostermann S. et al. Assessing intervention competence and its relation to therapy outcome: A selected review derived from the outcome literature. Professional Psychology: Research and Practice 2007; 38: 493-500
    CrossrefPubMedGoogle Scholar
  • 8 Webb CA, DeRubeis RJ, Barber JP. Therapist adherence / competence and treatment outcome: A meta-analytic review. Journal of Consulting and Clinical Psychology 2010; 78: 200-211
    CrossrefPubMedGoogle Scholar
  • 9 Muse K, McManus F. A systematic review of methods for assessing competence in cognitive-behavioural therapy. Clinical Psychology Review 2013; 33: 484-499
    CrossrefPubMedGoogle Scholar
  • 10 Dennhag I, Gibbons MBC, Barber JP. et al. How many treatment sessions and patients are needed to create a stable score of adherence and competence in the treatment of cocaine dependence?. Psychotherapy Research: Journal of the Society for Psychotherapy Research 2012; 22: 475-488
    CrossrefPubMedGoogle Scholar
  • 11 Perepletchikova F. On the topic of treatment integrity. Clinical Psychology: Science and Practice 2011; 18: 148-153
    CrossrefPubMedGoogle Scholar
  • 12 Kendall PC, Beidas RS. Smoothing the trail for dissemination of evidence-based practices for youth: Flexibility within fidelity. Professional Psychology: Research and Practice 2007; 38: 13-20
    CrossrefPubMedGoogle Scholar
  • 13 Owen J, Hilsenroth MJ. Treatment adherence: the importance of therapist flexibility in relation to therapy outcomes. Journal of Counseling Psychology 2014; 61: 280-288
    CrossrefPubMedGoogle Scholar
  • 14 Castonguay LG, Eubanks CF, Goldfried MR. et al. Research on psychotherapy integration: Building on the past, looking to the future. Psychotherapy Research 2015; 25: 365-382
    CrossrefPubMedGoogle Scholar
  • 15 Lutz W, Grawe K. Psychotherapieforschung: Grundlagen, Konzepte und neue Trends. In: Strauss B, Caspar F, Hohagen F. (Hrsg) Lehrbuch der Psychotherapie. Göttingen: Hogrefe; 2007: 727-768
    Google Scholar
  • 16 Lutz W, Neu R, Rubel J. Evaluation und Effekterfassung in der Psychotherapie. Göttingen: Hogrefe; 2019
    PubMed
  • 17 Boyle K, Deisenhofer AK, Rubel JA et al. Assessing treatment integrity in personalized CBT: The Inventory of Therapeutic Interventions and Skills. Cognitive Behavior Therapy (in print)
    PubMed