The adherence of clinical management in a randomized controlled trial. Results from a psychotherapy study

Psychotherapie, Psychosomatik, medizinische Psychologie
Ingo ZobelElisabeth Schramm

Abstract

CM is increasingly used as a control condition in depression research. In the present study, the adherence of standardized CM sessions and their influence on outcome in depressed inpatients was investigated for the first time. In a randomized controlled trial, 43 inpatients with a diagnosis of Major Depression received medication treatment plus three-weekly CM sessions for 5 weeks. The 17-item version of the Hamilton Depression Rating Scale was the outcome measure. A total of 167 randomly selected audiotapes of CM sessions were evaluated using an adherence scale. The CM sessions delivered by psychiatric residents showed overall a high quality and included extensive support by the physician. The length of sessions was extended. The purity of sessions was associated with higher response rates. A diagnosis of Axis II-disorders or -traits and the clinical experience of the physician in years were predictors for less adherend treatments. However, both of them did not function as moderator variables.

Citations

Jul 29, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Florian WeckUlrich Stangier
Oct 22, 2010·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Franz Petermann, Gerhard Schüssler
Apr 1, 2015·Journal of Clinical Psychology·Florian GrikscheitUlrich Stangier
Dec 3, 2011·The Journal of Nervous and Mental Disease·Florian WeckUlrich Stangier

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