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The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome

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The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome. / Hartmann, Armin; Zeeck, Almut; Herzog, Wolfgang; Wild, Beate; de Zwaan, Martina; Herpertz, Stephan; Burgmer, Markus; von Wietersheim, Joern; Tagay, Sefik; Dinkel, Andreas; Löwe, Bernd; Resmark, Gaby; Orlinsky, David; Zipfel, Stephan.

In: J CLIN PSYCHOL, Vol. 72, No. 9, 09.2016, p. 861-79.

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

Harvard

Hartmann, A, Zeeck, A, Herzog, W, Wild, B, de Zwaan, M, Herpertz, S, Burgmer, M, von Wietersheim, J, Tagay, S, Dinkel, A, Löwe, B, Resmark, G, Orlinsky, D & Zipfel, S 2016, 'The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome', J CLIN PSYCHOL, vol. 72, no. 9, pp. 861-79. https://doi.org/10.1002/jclp.22293

APA

Hartmann, A., Zeeck, A., Herzog, W., Wild, B., de Zwaan, M., Herpertz, S., Burgmer, M., von Wietersheim, J., Tagay, S., Dinkel, A., Löwe, B., Resmark, G., Orlinsky, D., & Zipfel, S. (2016). The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome. J CLIN PSYCHOL, 72(9), 861-79. https://doi.org/10.1002/jclp.22293

Vancouver

Hartmann A, Zeeck A, Herzog W, Wild B, de Zwaan M, Herpertz S et al. The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome. J CLIN PSYCHOL. 2016 Sep;72(9):861-79. https://doi.org/10.1002/jclp.22293

Bibtex

@article{6aed79be1f7341948a7b3c8a8bd47c7a,
title = "The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome",
abstract = "OBJECTIVE: The {"}inter session process{"} (ISP) is defined as therapy-related conscious thoughts, memories, and emotions that patients and therapists experience between psychotherapy sessions. It indicates how the participants process and use treatment. The main aim of this study is to describe the ISP characteristics of patients in outpatient treatment for anorexia nervosa (AN). An additional aim is to explore the relation between patients' ISP and treatment outcome.METHOD: Patients taking part in a randomized controlled trial on outpatient psychotherapy for AN (ANTOP) filled in the Intersession Experience Questionnaire before each of the 40 psychotherapy sessions. Trajectories of different aspects of the ISP were analyzed with growth curve models based on orthogonal polynomials and tested for differences between 3 outcome categories (recovery, partially recovered, full syndrome AN).RESULTS: Data from 108 cases were available for analysis. ISP facets showed diverse, mostly nonlinear, trajectories over the course of treatment. Less favorable outcomes were associated with higher levels of patients' experiencing negative emotions when recalling therapeutic dialogue, thinking about therapy during dreaming/drowsy states, and applying therapeutic learning (in the second half of treatment).CONCLUSIONS: Findings confirm an overall relation between ISP and treatment outcome. In outpatient treatment in AN, patients with a less successful course seem to be more preoccupied with therapy and therapist between sessions. For the ISP facet {"}applying therapeutic learning,{"} findings point to an optimal range dependent on treatment phase. Growth curve modeling is required to describe the nonlinear trajectories of ISP facets.",
keywords = "Journal Article",
author = "Armin Hartmann and Almut Zeeck and Wolfgang Herzog and Beate Wild and {de Zwaan}, Martina and Stephan Herpertz and Markus Burgmer and {von Wietersheim}, Joern and Sefik Tagay and Andreas Dinkel and Bernd L{\"o}we and Gaby Resmark and David Orlinsky and Stephan Zipfel",
note = "{\textcopyright} 2016 Wiley Periodicals, Inc.",
year = "2016",
month = sep,
doi = "10.1002/jclp.22293",
language = "English",
volume = "72",
pages = "861--79",
journal = "J CLIN PSYCHOL",
issn = "0021-9762",
publisher = "John Wiley and Sons Inc.",
number = "9",

}

RIS

TY - JOUR

T1 - The Intersession Process in Psychotherapy for Anorexia Nervosa: Characteristics and Relation to Outcome

AU - Hartmann, Armin

AU - Zeeck, Almut

AU - Herzog, Wolfgang

AU - Wild, Beate

AU - de Zwaan, Martina

AU - Herpertz, Stephan

AU - Burgmer, Markus

AU - von Wietersheim, Joern

AU - Tagay, Sefik

AU - Dinkel, Andreas

AU - Löwe, Bernd

AU - Resmark, Gaby

AU - Orlinsky, David

AU - Zipfel, Stephan

N1 - © 2016 Wiley Periodicals, Inc.

PY - 2016/9

Y1 - 2016/9

N2 - OBJECTIVE: The "inter session process" (ISP) is defined as therapy-related conscious thoughts, memories, and emotions that patients and therapists experience between psychotherapy sessions. It indicates how the participants process and use treatment. The main aim of this study is to describe the ISP characteristics of patients in outpatient treatment for anorexia nervosa (AN). An additional aim is to explore the relation between patients' ISP and treatment outcome.METHOD: Patients taking part in a randomized controlled trial on outpatient psychotherapy for AN (ANTOP) filled in the Intersession Experience Questionnaire before each of the 40 psychotherapy sessions. Trajectories of different aspects of the ISP were analyzed with growth curve models based on orthogonal polynomials and tested for differences between 3 outcome categories (recovery, partially recovered, full syndrome AN).RESULTS: Data from 108 cases were available for analysis. ISP facets showed diverse, mostly nonlinear, trajectories over the course of treatment. Less favorable outcomes were associated with higher levels of patients' experiencing negative emotions when recalling therapeutic dialogue, thinking about therapy during dreaming/drowsy states, and applying therapeutic learning (in the second half of treatment).CONCLUSIONS: Findings confirm an overall relation between ISP and treatment outcome. In outpatient treatment in AN, patients with a less successful course seem to be more preoccupied with therapy and therapist between sessions. For the ISP facet "applying therapeutic learning," findings point to an optimal range dependent on treatment phase. Growth curve modeling is required to describe the nonlinear trajectories of ISP facets.

AB - OBJECTIVE: The "inter session process" (ISP) is defined as therapy-related conscious thoughts, memories, and emotions that patients and therapists experience between psychotherapy sessions. It indicates how the participants process and use treatment. The main aim of this study is to describe the ISP characteristics of patients in outpatient treatment for anorexia nervosa (AN). An additional aim is to explore the relation between patients' ISP and treatment outcome.METHOD: Patients taking part in a randomized controlled trial on outpatient psychotherapy for AN (ANTOP) filled in the Intersession Experience Questionnaire before each of the 40 psychotherapy sessions. Trajectories of different aspects of the ISP were analyzed with growth curve models based on orthogonal polynomials and tested for differences between 3 outcome categories (recovery, partially recovered, full syndrome AN).RESULTS: Data from 108 cases were available for analysis. ISP facets showed diverse, mostly nonlinear, trajectories over the course of treatment. Less favorable outcomes were associated with higher levels of patients' experiencing negative emotions when recalling therapeutic dialogue, thinking about therapy during dreaming/drowsy states, and applying therapeutic learning (in the second half of treatment).CONCLUSIONS: Findings confirm an overall relation between ISP and treatment outcome. In outpatient treatment in AN, patients with a less successful course seem to be more preoccupied with therapy and therapist between sessions. For the ISP facet "applying therapeutic learning," findings point to an optimal range dependent on treatment phase. Growth curve modeling is required to describe the nonlinear trajectories of ISP facets.

KW - Journal Article

U2 - 10.1002/jclp.22293

DO - 10.1002/jclp.22293

M3 - SCORING: Journal article

C2 - 27199179

VL - 72

SP - 861

EP - 879

JO - J CLIN PSYCHOL

JF - J CLIN PSYCHOL

SN - 0021-9762

IS - 9

ER -