Research ExplorerPublicationsCognitive Behaviour Therapy Complemented with Emotion Regula...

Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial

Standard

Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial. / Kleinstäuber, Maria; Allwang, Christine; Bailer, Josef; Berking, Matthias; Brünahl, Christian; Erkic, Maja; Gitzen, Harald; Gollwitzer, Mario; Gottschalk, Japhia-Marie; Heider, Jens; Hermann, Andrea; Lahmann, Claas; Löwe, Bernd; Martin, Alexandra; Rau, Jörn; Schröder, Annette; Schwabe, Johannes; Schwarz, Jeanine; Stark, Rudolf; Weiss, Frauke Dorothee; Rief, Winfried.

In: PSYCHOTHER PSYCHOSOM, Vol. 88, No. 5, 2019, p. 287-299.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kleinstäuber, M, Allwang, C, Bailer, J, Berking, M, Brünahl, C, Erkic, M, Gitzen, H, Gollwitzer, M, Gottschalk, J-M, Heider, J, Hermann, A, Lahmann, C, Löwe, B, Martin, A, Rau, J, Schröder, A, Schwabe, J, Schwarz, J, Stark, R, Weiss, FD & Rief, W 2019, 'Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial', PSYCHOTHER PSYCHOSOM, vol. 88, no. 5, pp. 287-299. https://doi.org/10.1159/000501621

APA

Kleinstäuber, M., Allwang, C., Bailer, J., Berking, M., Brünahl, C., Erkic, M., Gitzen, H., Gollwitzer, M., Gottschalk, J-M., Heider, J., Hermann, A., Lahmann, C., Löwe, B., Martin, A., Rau, J., Schröder, A., Schwabe, J., Schwarz, J., Stark, R., ... Rief, W. (2019). Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial. PSYCHOTHER PSYCHOSOM, 88(5), 287-299. https://doi.org/10.1159/000501621

Vancouver

Kleinstäuber M, Allwang C, Bailer J, Berking M, Brünahl C, Erkic M et al. Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial. PSYCHOTHER PSYCHOSOM. 2019;88(5):287-299. https://doi.org/10.1159/000501621

Bibtex

@article{37ac50e45ae54bf0adc2b913f445df50,
title = "Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial",
abstract = "INTRODUCTION: Persistent medically unexplained symptoms (MUS) are a major burden for health care. Cognitive behaviour therapy (CBT) is efficacious for patients with MUS, with small to medium effects. The current study investigates whether therapy outcomes of a CBT for MUS patients can be improved by complementing it with emotion regulation training.METHODS: In a multicentre trial 255 patients with at least three persisting MUS were randomised to 20 sessions of either conventional CBT (n = 128) or CBT complemented with emotion regulation training (ENCERT; n = 127). Somatic symptom severity and secondary outcomes were assessed at pre-treatment, therapy session 8, end of therapy, and 6-month follow-up.RESULTS: Linear mixed-effect models revealed medium to large effects in both study arms for almost all outcomes at the end of therapy and 6-month follow-up. ENCERT and CBT did not differ in their effect on the primary outcome (d = 0.20, 95% CI: -0.04 to 0.44). Significant time × group cross-level interactions suggested ENCERT to be of more benefit than conventional CBT for a few secondary outcomes. Moderator analyses revealed higher effects of ENCERT in patients with co-morbid mental disorders.DISCUSSION/CONCLUSIONS: Current findings are based on a representative sample. Results demonstrate that both CBT and ENCERT can achieve strong effects on primary and secondary outcomes in MUS patients. Our results do not indicate that adding a training in emotion regulation skills generally improves the effect of CBT across all patients with MUS. Large effect sizes of both treatments and potential specific benefits of ENCERT for patients with co-morbid mental disorders are discussed.",
author = "Maria Kleinst{\"a}uber and Christine Allwang and Josef Bailer and Matthias Berking and Christian Br{\"u}nahl and Maja Erkic and Harald Gitzen and Mario Gollwitzer and Japhia-Marie Gottschalk and Jens Heider and Andrea Hermann and Claas Lahmann and Bernd L{\"o}we and Alexandra Martin and J{\"o}rn Rau and Annette Schr{\"o}der and Johannes Schwabe and Jeanine Schwarz and Rudolf Stark and Weiss, {Frauke Dorothee} and Winfried Rief",
note = "{\textcopyright} 2019 S. Karger AG, Basel.",
year = "2019",
doi = "10.1159/000501621",
language = "English",
volume = "88",
pages = "287--299",
journal = "PSYCHOTHER PSYCHOSOM",
issn = "0033-3190",
publisher = "S. Karger AG",
number = "5",

}

RIS

TY - JOUR

T1 - Cognitive Behaviour Therapy Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A Randomised Clinical Trial

AU - Kleinstäuber, Maria

AU - Allwang, Christine

AU - Bailer, Josef

AU - Berking, Matthias

AU - Brünahl, Christian

AU - Erkic, Maja

AU - Gitzen, Harald

AU - Gollwitzer, Mario

AU - Gottschalk, Japhia-Marie

AU - Heider, Jens

AU - Hermann, Andrea

AU - Lahmann, Claas

AU - Löwe, Bernd

AU - Martin, Alexandra

AU - Rau, Jörn

AU - Schröder, Annette

AU - Schwabe, Johannes

AU - Schwarz, Jeanine

AU - Stark, Rudolf

AU - Weiss, Frauke Dorothee

AU - Rief, Winfried

N1 - © 2019 S. Karger AG, Basel.

PY - 2019

Y1 - 2019

N2 - INTRODUCTION: Persistent medically unexplained symptoms (MUS) are a major burden for health care. Cognitive behaviour therapy (CBT) is efficacious for patients with MUS, with small to medium effects. The current study investigates whether therapy outcomes of a CBT for MUS patients can be improved by complementing it with emotion regulation training.METHODS: In a multicentre trial 255 patients with at least three persisting MUS were randomised to 20 sessions of either conventional CBT (n = 128) or CBT complemented with emotion regulation training (ENCERT; n = 127). Somatic symptom severity and secondary outcomes were assessed at pre-treatment, therapy session 8, end of therapy, and 6-month follow-up.RESULTS: Linear mixed-effect models revealed medium to large effects in both study arms for almost all outcomes at the end of therapy and 6-month follow-up. ENCERT and CBT did not differ in their effect on the primary outcome (d = 0.20, 95% CI: -0.04 to 0.44). Significant time × group cross-level interactions suggested ENCERT to be of more benefit than conventional CBT for a few secondary outcomes. Moderator analyses revealed higher effects of ENCERT in patients with co-morbid mental disorders.DISCUSSION/CONCLUSIONS: Current findings are based on a representative sample. Results demonstrate that both CBT and ENCERT can achieve strong effects on primary and secondary outcomes in MUS patients. Our results do not indicate that adding a training in emotion regulation skills generally improves the effect of CBT across all patients with MUS. Large effect sizes of both treatments and potential specific benefits of ENCERT for patients with co-morbid mental disorders are discussed.

AB - INTRODUCTION: Persistent medically unexplained symptoms (MUS) are a major burden for health care. Cognitive behaviour therapy (CBT) is efficacious for patients with MUS, with small to medium effects. The current study investigates whether therapy outcomes of a CBT for MUS patients can be improved by complementing it with emotion regulation training.METHODS: In a multicentre trial 255 patients with at least three persisting MUS were randomised to 20 sessions of either conventional CBT (n = 128) or CBT complemented with emotion regulation training (ENCERT; n = 127). Somatic symptom severity and secondary outcomes were assessed at pre-treatment, therapy session 8, end of therapy, and 6-month follow-up.RESULTS: Linear mixed-effect models revealed medium to large effects in both study arms for almost all outcomes at the end of therapy and 6-month follow-up. ENCERT and CBT did not differ in their effect on the primary outcome (d = 0.20, 95% CI: -0.04 to 0.44). Significant time × group cross-level interactions suggested ENCERT to be of more benefit than conventional CBT for a few secondary outcomes. Moderator analyses revealed higher effects of ENCERT in patients with co-morbid mental disorders.DISCUSSION/CONCLUSIONS: Current findings are based on a representative sample. Results demonstrate that both CBT and ENCERT can achieve strong effects on primary and secondary outcomes in MUS patients. Our results do not indicate that adding a training in emotion regulation skills generally improves the effect of CBT across all patients with MUS. Large effect sizes of both treatments and potential specific benefits of ENCERT for patients with co-morbid mental disorders are discussed.

U2 - 10.1159/000501621

DO - 10.1159/000501621

M3 - SCORING: Journal article

C2 - 31430755

VL - 88

SP - 287

EP - 299

JO - PSYCHOTHER PSYCHOSOM

JF - PSYCHOTHER PSYCHOSOM

SN - 0033-3190

IS - 5

ER -