Department of Psychology and Psychotherapy, Universität Witten/Herdecke, Witten, Germany.
Mental Health Research and Treatment Center, Ruhr-Universität, Bochum, Germany.
J Clin Psychol. 2022 Dec;78(12):2427-2445. doi: 10.1002/jclp.23352. Epub 2022 Mar 25.
Modern conceptualizations suggest the independence of positive and negative mental health constructs. Research of positive constructs in psychotherapy is scarce. This study analyzed the development of patients' strengths during psychotherapy and whether pre-therapy strengths incrementally predict treatment outcome.
Two hundred and two patients (56.44% female, mean age = 42.49) treated by 54 therapists underwent cognitive behavioral therapy. Patients' strengths in different contexts as well as psychopathology, interpersonal problems, and self-esteem were assessed at the beginning and end of therapy.
Strengths increased in the contexts of everyday life (EvdayS; d = 0.44, p < 0.001) and current problems (ProbS; d = 0.70, p < 0.001). Strengths in the context of previous crises that were managed successfully (CrisesS) did not change. However, baseline scores of CrisesS were a significant incremental predictor of all outcomes.
A differentiated assessment of positive constructs is useful for outcome prediction and the implementation of strength-based interventions.
现代概念表明积极和消极心理健康结构的独立性。心理治疗中对积极结构的研究很少。本研究分析了患者在心理治疗过程中优势的发展，以及治疗前的优势是否可以逐步预测治疗结果。
202 名患者（56.44%为女性，平均年龄 42.49 岁）接受了 54 名治疗师的认知行为治疗。在治疗开始和结束时，评估了患者在不同背景下的优势，以及心理病理学、人际关系问题和自尊。
日常生活背景下的优势（EvdayS；d=0.44，p<0.001）和当前问题背景下的优势（ProbS；d=0.70，p<0.001）有所增加。成功应对以前危机的背景下的优势（CrisesS）没有变化。然而，CrisesS 的基线分数是所有结果的显著增量预测因子。
对积极结构的差异化评估对于预测结果和实施基于优势的干预措施是有用的。
