Drüge, Marie; Staeck, Robert; Haller, Elisa; Seiler, Cara; Rohner, Valentin; Watzke, Birgit (2023). Innovative moments in low-intensity, telephone-based cognitive-behavioral therapy for depression. Frontiers in psychology, 14, p. 1165899. Frontiers 10.3389/fpsyg.2023.1165899
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BACKGROUND
Innovative moments (IMs), defined as moments in psychotherapy when patients' problematic patterns change toward more elaborated and adaptive patterns, have been shown to be associated with a clinical change in patients with depression. Thus, far IMs have been studied in face-to-face settings but not in telephone-based cognitive-behavioral therapy (t-CBT). This study investigates whether IMs occur in t-CBT and examines the association between IMs and symptom improvement, and reconceptualization and symptom improvement.
METHODS
The therapy transcripts of n = 10 patients with mild to moderate depression (range: 7-11 sessions, in total 94 sessions) undergoing t-CBT were qualitatively and quantitatively analyzed. Symptom severity (Patient Health Questionnaire-9) and IMs (levels and proportions) were assessed for each therapy session. Hierarchical linear models were used to test the prediction models.
RESULTS
The rating of IMs was shown to be feasible and reliable using the Innovative Moments Coding System (IMCS) (84.04% agreement in words coded), which is indicative of the applicability of the concept of IMs in t-CBT. Only reconceptualization IMs were shown to have a predictive value for treatment success (R2 = 0.05, p = 0.01).
DISCUSSION
The results should be interpreted with caution due to the exploratory nature of this study. Due to the telephone setting, it was necessary to adapt the IMCS. Nonetheless, the extent of IMs identified in the low-intensity t-CBT investigated was comparable to IMs in face-to-face therapy. Further studies are needed to clarify the association between IMs and treatment success as a change process, especially for low-intensity treatments.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
Graduate School: |
Graduate School for Health Sciences (GHS) |
UniBE Contributor: |
Staeck, Robert |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1664-1078 |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
14 Aug 2023 15:53 |
Last Modified: |
17 Aug 2023 16:35 |
Publisher DOI: |
10.3389/fpsyg.2023.1165899 |
PubMed ID: |
37564304 |
Uncontrolled Keywords: |
change process depression digital psychotherapy innovative moments reconceptualization telephone-based cognitive-behavioral therapy |
BORIS DOI: |
10.48350/185401 |
URI: |
https://boris.unibe.ch/id/eprint/185401 |
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