[Psychosocial characteristics in persons who often change their psychotherapists].
This study was performed on a clinic group of patients (n = 1000, 83.9% responder) to test characteristics of persons who switched psychotherapists on three or more occasions (n = 74). Compared with the group of minor variation, these patients had higher rates of psychosomatic symptoms, lower systemic operativeness, a dissatisfying sexuality, tended towards alcohol and pharmaceutical abuse, and had significant higher exposure in infancy to violence and sexual abuse (all p < 0.01 after Bonferroni correction). Psychosocial factors including early experience in forming relationships in addition to current factors appear to play a decisive role in a person's dropout liability as well as the attitude to therapy.
Nickel
Marius
M
Klinik für Psychosomatische Medizin, Inntalklinik, Simbach/Inn, Deutschland. m.nickel@inntalklinik.de
Nickel
Cerstin
C
Leiberich
Peter
P
Mitterlehner
Ferdinand
F
Forthuber
Petra
P
Tritt
Karin
K
Rother
Wolfhardt
W
Loew
Thomas
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D015984:Causality; D002649:Child Abuse / Q000523:psychology / Q000706:statistics & numerical data* / Q000628:therapy; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D005260:Female; D005858:Germany; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D011369:Professional-Patient Relations; D011602:Psychophysiologic Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D017211:Treatment Failure