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Symtomförändring och tillfredsställelse i samband med psykoterapi: en utvärderande och undersökande studie på en utbildningspsykoterapimottagning

Lööf, Angelica LU and Rosendahl, Viveca LU (2010) PSPT01 20101
Department of Psychology
Abstract (Swedish)
Denna studie syftade till att evaluera och undersöka eventuell förändring i psykologisk symtomnivå samt klienttillfredsställelse hos klienter som behandlats med kognitiv beteendeterapi eller psykodynamisk terapi på en utbildningsmottagning för blivande psykologer. Studien syftade även till att undersöka eventuella skillnader i resultatet mellan klienter i kognitiv beteendeterapi och psykodynamisk terapi samt undersöka om det finns ett samband mellan symtomförändring och terapitillfredsställelse. Studien har en kvasiexperimentell design med för- och eftermätning, utan randomisering eller kontrollgrupp. Deltagarna bestod av 71 klienter som sökt hjälp på psykoterapimottagningen vid Lunds universitet under hösten 2008 och våren 2009. För att... (More)
Denna studie syftade till att evaluera och undersöka eventuell förändring i psykologisk symtomnivå samt klienttillfredsställelse hos klienter som behandlats med kognitiv beteendeterapi eller psykodynamisk terapi på en utbildningsmottagning för blivande psykologer. Studien syftade även till att undersöka eventuella skillnader i resultatet mellan klienter i kognitiv beteendeterapi och psykodynamisk terapi samt undersöka om det finns ett samband mellan symtomförändring och terapitillfredsställelse. Studien har en kvasiexperimentell design med för- och eftermätning, utan randomisering eller kontrollgrupp. Deltagarna bestod av 71 klienter som sökt hjälp på psykoterapimottagningen vid Lunds universitet under hösten 2008 och våren 2009. För att mäta symtomnivåer och tillfredsställelse fick deltagarna fylla i två självskattningsformulär: The Symptom Checklist 90 (SCL-90) respektive Satisfaction Questionnaire (CSQ-8). Resultaten indikerar att klienter som påbörjar psykoterapi på mottagningen har motsvarande symtomgrad som andra patientgrupper generellt. Studiens fynd tyder också på att klienter som får psykoterapi på mottagningen gör både statistiskt och kliniskt betydande förbättring. Den generella psykiska besvärsnivån (Globalt Svårighets Index) minskade signifikant från för- till eftertest (Mpre = 1.22, Mpost = 0.76, p < .01), effektstorleken var stor (d = 0.82) och 61 % av deltagarna uppvisade reliabel förbättring. Det fanns ingen signifikant skillnad mellan de klienter som fick kognitiv beteendeterapi och de som fick psykodynamisk terapi gällande betydande förändring i symtomnivå. Klienterna var generellt mycket nöjda med sin terapi. Det fanns ett signifikant samband, dock svagt (r = 0.25), mellan symtomlindring och klienttillfredsställelse. (Less)
Abstract
This study aimed to investigate and evaluate change in psychological symptom levels and client satisfaction in clients treated with cognitive behavioral therapy or psychodynamic psychotherapy at a training clinic for prospective psychologists. The study also aimed to examine possible differences in outcome between clients in cognitive-behavioral therapy and psychodynamic therapy, and to examine whether there is a relationship between symptom change and satisfaction with therapy. The study has a quasi-experimental design with pre- and post-treatment measurements, without random assignment or a control group. The participants consisted of 71 clients who sought services at the Lund University psychotherapy clinic during the autumn 2008 and... (More)
This study aimed to investigate and evaluate change in psychological symptom levels and client satisfaction in clients treated with cognitive behavioral therapy or psychodynamic psychotherapy at a training clinic for prospective psychologists. The study also aimed to examine possible differences in outcome between clients in cognitive-behavioral therapy and psychodynamic therapy, and to examine whether there is a relationship between symptom change and satisfaction with therapy. The study has a quasi-experimental design with pre- and post-treatment measurements, without random assignment or a control group. The participants consisted of 71 clients who sought services at the Lund University psychotherapy clinic during the autumn 2008 and spring 2009. To measure symptom levels and satisfaction with treatment, participants completed two self-report questionnaires: The Symptom Checklist 90 (SCL-90) and the Client Satisfaction Questionnaire (CSQ-8), respectively. Results indicate that clients who begin psychotherapy at the clinic have a degree of symptoms (in number and severity) similar to other patient groups in general. The study findings also suggest that clients receiving psychotherapy at the clinic improve both statistically and clinically. The general level of psychological symptom severity (Global Severity Index) decreased significantly from pre- to post-test (Mpre = 1.22, Mpost = 0.76, p < .01), the effect size was large (d = 0.82), and 61 % of the participants showed reliable improvement. There were no significant differences between those who received cognitive-behavioral therapy and those who received psychodynamic therapy with respect to change in symptom levels. In general, clients were very satisfied with their therapy. There was a significant association, albeit weak (r = 0.25), between symptom relief and client satisfaction. (Less)
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author
Lööf, Angelica LU and Rosendahl, Viveca LU
supervisor
organization
course
PSPT01 20101
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
symptomatic improvement, client satisfaction, psychodynamic psychotherapy, cognitive-behavioral psychotherapy, psychotherapy, outcome, clinically significant change, graduate training, naturalistic, outpatient.
language
Swedish
id
1734557
date added to LUP
2011-01-17 11:03:13
date last changed
2011-01-17 11:03:13
@misc{1734557,
  abstract     = {This study aimed to investigate and evaluate change in psychological symptom levels and client satisfaction in clients treated with cognitive behavioral therapy or psychodynamic psychotherapy at a training clinic for prospective psychologists. The study also aimed to examine possible differences in outcome between clients in cognitive-behavioral therapy and psychodynamic therapy, and to examine whether there is a relationship between symptom change and satisfaction with therapy. The study has a quasi-experimental design with pre- and post-treatment measurements, without random assignment or a control group. The participants consisted of 71 clients who sought services at the Lund University psychotherapy clinic during the autumn 2008 and spring 2009. To measure symptom levels and satisfaction with treatment, participants completed two self-report questionnaires: The Symptom Checklist 90 (SCL-90) and the Client Satisfaction Questionnaire (CSQ-8), respectively. Results indicate that clients who begin psychotherapy at the clinic have a degree of symptoms (in number and severity) similar to other patient groups in general. The study findings also suggest that clients receiving psychotherapy at the clinic improve both statistically and clinically. The general level of psychological symptom severity (Global Severity Index) decreased significantly from pre- to post-test (Mpre = 1.22, Mpost = 0.76, p < .01), the effect size was large (d = 0.82), and 61 % of the participants showed reliable improvement. There were no significant differences between those who received cognitive-behavioral therapy and those who received psychodynamic therapy with respect to change in symptom levels. In general, clients were very satisfied with their therapy. There was a significant association, albeit weak (r = 0.25), between symptom relief and client satisfaction.},
  author       = {Lööf, Angelica and Rosendahl, Viveca},
  keyword      = {symptomatic improvement,client satisfaction,psychodynamic psychotherapy,cognitive-behavioral psychotherapy,psychotherapy,outcome,clinically significant change,graduate training,naturalistic,outpatient.},
  language     = {swe},
  note         = {Student Paper},
  title        = {Symtomförändring och tillfredsställelse i samband med psykoterapi: en utvärderande och undersökande studie på en utbildningspsykoterapimottagning},
  year         = {2010},
}