Braun-Koch Kristina, Rief Winfried
Department of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Front Psychiatry. 2022 Apr 4;13:836227. doi: 10.3389/fpsyt.2022.836227. eCollection 2022.
Therapy expectations contribute substantially to the outcome of psychotherapy. In contrast, psychotherapy expectations are rarely addressed and systematically optimised in studies on psychotherapy.
A total of 142 mostly healthy participants with critical attitudes towards psychotherapy were randomised into two groups: (1) a control group that watched a video with patients who gave information about their symptoms or (2) an experimental group that watched an expectation-optimised video with the same patients giving additional information about their mostly positive therapy outcomes. The primary outcome was the Milwaukee Psychotherapy Expectation Questionnaire (MPEQ), which was filled in before and after watching the video.
Both groups showed a significant improvement of their process expectations and attitudes towards psychotherapy after watching the video. Participants in the experimental group changed their therapy outcome expectation while there was no change in the control group [(1,140) = 9.72, = 0.002, η2 = 0.065].
A video intervention with patients presenting their positive therapy experiences improves therapy expectations in persons with critical attitudes. Expectation-optimised videos could be used for prevention programmes and when starting therapy.
Trial was registered at clinicaltrials.gov (NCT03594903) on November 2018.
治疗期望对心理治疗的结果有很大影响。相比之下，在心理治疗研究中，治疗期望很少得到探讨和系统优化。
共有142名对心理治疗持批判态度的大多健康参与者被随机分为两组：（1）对照组，观看一段有患者讲述自身症状的视频；（2）实验组，观看一段期望优化视频，视频中同样的患者还讲述了他们大多积极的治疗结果。主要结局指标是密尔沃基心理治疗期望问卷（MPEQ），在观看视频前后填写。
两组在观看视频后，其对治疗过程的期望和对心理治疗的态度均有显著改善。实验组参与者改变了他们对治疗结果的期望，而对照组则没有变化[（1,140）= 9.72，P = 0.002，η2 = 0.065]。
让患者展示其积极治疗经历的视频干预可改善持批判态度者的治疗期望。期望优化视频可用于预防项目以及治疗开始时。
该试验于2018年11月在clinicaltrials.gov（NCT03594903）注册。
