title: Changes in conflict, symptoms, and well-being during psychodynamic and cognitive-behavioral alcohol inpatient treatment.
abstract: BACKGROUND
  According to Grawe's psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment.
  
  
  METHODS
  Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach's Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires.
  
  
  RESULTS
  Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment.
  
  
  CONCLUSIONS
  In general, the findings confirmed Grawe's theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be tested.
authors.affiliation: Technische Universität, Dresden, Germany. hoyer@psy1.psych-tu-dresden.de
authors.forename: J
authors.initials: J
authors.lastname: Hoyer
authors.forename: J
authors.initials: J
authors.lastname: Fecht
authors.forename: W
authors.initials: W
authors.lastname: Lauterbach
authors.forename: R
authors.initials: R
authors.lastname: Schneider
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D003220:Conflict, Psychological; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D011575:Psychoanalytic Therapy; D016896:Treatment Outcome