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      Methodenpapier zur Koordination der Datenerhebung und -auswertung an Hochschul- und Ausbildungsambulanzen für Psychotherapie (KODAP)

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          Abstract

          Zusammenfassung. Die Forschung an psychotherapeutischen Hochschulambulanzen (HSA) leistet einen entscheidenden Beitrag zur Behandlung von Menschen mit psychischen Störungen und zur Weiterentwicklung und wissenschaftlichen Fundierung von Psychotherapie im Kindes-, Jugend- und Erwachsenenalter. Durch das im Jahr 2013 gestartete Projekt zur Koordination der Datenerhebung und -auswertung an Forschungs- und Ausbildungsambulanzen für Psychotherapie (KODAP) sollen unter der Trägerschaft des Verbundes universitärer Ausbildungsgänge für Psychotherapie unith.ev ab 2018 jährlich relevante Daten aus den teilnehmenden HSA aggregiert und gemeinsam ausgewertet werden. Im vorliegenden Beitrag beschreiben wir die mit dem Projekt im Zusammenhang stehenden rechtlichen, methodischen und durchführungstechnischen Herausforderungen sowie den derzeitigen Stand des Kooperationsprojektes, einschließlich einer für das Jahr 2017 geplanten Pilotstudie.

          Method Paper of a Project for Coordinating Research at the University Outpatient Clinics for Psychotherapy in Germany

          Abstract. University outpatient clinics are important facilitators of psychological treatments for children, adolescents, and adults with diverse mental disorders and are important contributors to psychotherapy research in Germany. Since 2013, a steering committee has initiated and realized a project aiming to coordinate research efforts in these clinics. In 2016, unith.ev, a network of university training centers for psychotherapy, took over the sponsorship of this project. The main goal of the project is to aggregate and analyze longitudinal treatment data – including patient, therapist, and treatment characteristics – across all participating outpatient clinics. The start of data assessment is planned for 2018. This paper describes legal, methodological, and technical challenges, the current state of the project, as well as a pilot study planned for 2017.

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          Most cited references19

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          Micro-Level Affect Dynamics in Psychopathology Viewed From Complex Dynamical System Theory

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            Is Open Access

            The improved Clinical Global Impression Scale (iCGI): development and validation in depression

            Background The Clinical Global Impression scale (CGI) is frequently used in medical care and clinical research because of its face validity and practicability. This study proposes to improve the reliability of the Clinical Global Impression (CGI) scale in depressive disorders by the use of a semi-standardized interview, a new response format, and a Delphi procedure. Methods Thirty patients hospitalised for a major depressive episode were filmed at T1 (first week in hospital) and at T2 (2 weeks later) during a 5' specific interview. The Hamilton Depressive Rating Scale and the Symptom Check List were also rated. Eleven psychiatrists rated these videos using either the usual CGI response format or an improved response format, with or without a Delphi procedure. Results The new response format slightly improved (but not significantly) the interrater agreement, the Delphi procedure did not. The best results were obtained when ratings by 4 independent raters were averaged. In this situation, intraclass correlation coefficients were about 0.9. Conclusion The Clinical Global Impression is a useful approach in psychiatry since it apprehends patients in their entirety. This study shows that it is possible to quantify such impressions with a high level of interrater agreement.
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              Psychological treatment for panic disorder with agoraphobia: a randomized controlled trial to examine the role of therapist-guided exposure in situ in CBT.

              Cognitive-behavioral therapy (CBT) is a first-line treatment for panic disorder with agoraphobia (PD/AG). Nevertheless, an understanding of its mechanisms and particularly the role of therapist-guided exposure is lacking. This study was aimed to evaluate whether therapist-guided exposure in situ is associated with more pervasive and long-lasting effects than therapist-prescribed exposure in situ. A multicenter randomized controlled trial, in which 369 PD/AG patients were treated and followed up for 6 months. Patients were randomized to 2 manual-based variants of CBT (T+/T-) or a wait-list control group (WL; n = 68) and were treated twice weekly for 12 sessions. CBT variants were identical in content, structure, and length, except for implementation of exposure in situ: In the T+ variant (n = 163), therapists planned and supervised exposure in situ exercises outside the therapy room; in the T- group (n = 138), therapists planned and discussed patients' in situ exposure exercises but did not accompany them. Primary outcome measures were (a) Hamilton Anxiety Scale, (b) Clinical Global Impression, (c) number of panic attacks, and (d) agoraphobic avoidance (Mobility Inventory). For T+ and T- compared with WL, all outcome measures improved significantly with large effect sizes from baseline to post (range = -0.5 to -2.5) and from post to follow-up (range = -0.02 to -1.0). T+ improved more than T- on the Clinical Global Impression and Mobility Inventory at post and follow-up and had greater reduction in panic attacks during the follow-up period. Reduction in agoraphobic avoidance accelerated after exposure was introduced. A dose-response relation was found for Time × Frequency of Exposure and reduction in agoraphobic avoidance. Therapist-guided exposure is more effective for agoraphobic avoidance, overall functioning, and panic attacks in the follow-up period than is CBT without therapist-guided exposure. Therapist-guided exposure promotes additional therapeutic improvement--possibly mediated by increased physical engagement in feared situations--beyond the effects of a CBT treatment in which exposure is simply instructed. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
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                Author and article information

                Contributors
                Journal
                zkp
                Zeitschrift für Klinische Psychologie und Psychotherapie
                Forschung und Praxis
                Hogrefe Verlag, Göttingen
                1616-3443
                2190-6297
                2017
                : 46
                : 3
                : 169-175
                Affiliations
                [ 1 ]Ruhr-Universität Bochum, Klinische Psychologie und Psychotherapie
                [ 2 ]Universität Kassel, Klinische Psychologie und Psychotherapie
                [ 3 ]Friedrich-Alexander-Universität Erlangen-Nürnberg, Klinische Psychologie und Psychotherapie
                [ 4 ]Universität Koblenz-Landau, Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters
                [ 5 ]Universität Hamburg, Klinische Psychologie und Psychotherapie
                [ 6 ]Universität Trier, Klinische Psychologie und Psychotherapie
                [ 7 ]Universität Bielefeld, Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters
                [ 8 ]Universität Osnabrück, Klinische Psychologie und Psychotherapie
                [ 9 ]Universität Witten / Herdecke, Klinische Psychologie und Psychotherapie
                [ 10 ]Technische Universität Dresden, Klinische Psychologie und Psychotherapie
                Author notes
                Dr. Julia Velten, Ruhr-Universität Bochum, Forschungs- und Behandlungszentrum für psychische Gesundheit, Massenbergstraße 9 – 13, 44787 Bochum, E-Mail julia.velten@ 123456rub.de
                Article
                zkp_46_3_169
                10.1026/1616-3443/a000431
                ed54e2f8-0744-46fb-a583-d1c1453abd81
                Copyright @ 2017
                History
                Categories
                Originalarbeit

                Psychology,Clinical Psychology & Psychiatry
                psychotherapy research,health-care research,outpatient clinics for psychological therapy,assessment of mental disorders,Psychotherapieforschung,Versorgungsforschung,Hochschulambulanzen,klinisch-psychologische Diagnostik

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