Resilienzförderung während der Wartezeit auf einen Therapieplatz: Evaluation eines Gruppenangebotes im Versorgungssetting

Abstract

High untreated prevalence of mental disorders and long waiting lists for psychotherapy at the same time call for innovative intervention concepts. The positive brief intervention "Personal Model of Resilience" 1 is offered as group training and evaluated for the first time in a naturalistic clinical setting. In a pre-post-design data from 84 wait-list patients are analysed via intention-to-treat (n=84) and completer analysis at 6-week-follow-up (n=54). Repeated measures ANOVAs demonstrate significant improvements in psychopathology, incongruence and self-esteem. Effect sizes range from d=0.30-0.49 at follow-up. Intention-to-treat analyses support these results with significant improvements for all evaluation instruments. The "Personal Model of Resilience" is a promising intervention module that may be offered to patients while waiting for psychotherapy.

Strengths-based CBT: Internet-Based Versus Face-to-Face Therapy in A Randomized Controlled Trial

“…The results of this study are consistent with previous findings on the PMR: As an option to bridge the waiting time for therapy, the PMR has been shown to be useful as a three-session group intervention [22]. In a study with distressed students in need for counseling, the PMR in a face-to-face setting was superior to a matched control group [23].…”

“…Unlike other effective resilience interventions that focus on establishing new coping strategies [21], the PMR uses strategies that are already available to an individual. In initial studies, the PMR has been shown to be useful while waiting for a therapy [22] or for student counseling [23] where it was administered in three sessions either as group or individual therapy. With small to large effect sizes on dimensions of psychopathology, self-esteem, optimism and well-being, it seems to have a broad outcome profile.…”

A randomized trial of group therapy for resource activation for patients with affective disorder.

“…This corresponds to the results of previous studies, which also reported no direct benefit of resource-oriented interventions on depression (Bolier et al, 2013; Teismann et al, 2011). Nevertheless, other studies have demonstrated an antidepressant effect of group therapies with and without a resource-activating focus (Dinger et al, 2020; Feng et al, 2012; Guhn et al, 2021; Huntley et al, 2012; Liwowsky et al, 2014; Okumura & Ichikura, 2014; Steinert et al, 2017; Troesken & Renneberg, 2019; Victor et al, 2016; Weiner et al, 2018). However, these studies did not always examine samples consisting exclusively of patients with affective disorders or did not include control groups.…”

“…On the one hand, it was demonstrated that interventions for resource activation had a positive effect on anxiety in Cambodian patients with posttraumatic stress disorder (Steinert et al, 2017) and in combination with cognitive-behavioral therapy in patients with generalized anxiety disorder (Fava et al, 2005). Moreover, a group intervention to build strengths which was conducted during a waiting period for outpatient psychotherapy, proved to be a promising method for patients with affective, anxiety and somatoform disorders in terms of reducing psychopathology and promoting self-esteem (Victor et al, 2016). On the other hand, resource-oriented interventions did not prove to be superior to cognitive therapy in patients with social anxiety with respect to long-term efficacy (Willutzki et al, 2012).…”

“…Many previous resource-oriented intervention studies used a naturalistic study design and dealt with outpatient and individual settings, whereas randomized, controlled trials including inpatient and group settings are lacking (Bolier et al, 2013; Groß et al, 2012; Troesken & Renneberg, 2019; Victor et al, 2016). Therefore, the aim of the present study was to conduct a randomized, controlled investigation of a newly developed group therapy for resource activation (GTRA) for patients with affective disorders.…”