[The use of OPD-based focused interventions in inpatient psychotherapy: effects on outcome and course of treatment].
OBJECTIVE
The study explores the course and outcome of inpatient psychodynamic psychotherapy (N=200) with particular regard to interpersonal experiences and behaviour. Based on the implementation of a focus conference, the multi-professional team members formulated an interpersonal treatment focus and individualised helpful interpersonal attitude towards the patient (so-called therapeutic tuning). This focus formulation follows the systematic procedure provided by the Operationalised Psychodynamic Diagnostics System (OPD-2).


METHODS
The study was initiated to evaluate the effectiveness of the so-called "tuning-treatment" compared to inpatient "treatment as usual".


RESULTS
Compared to "treatment as usual", the tuning condition showed greater improvement (p>.001) in interpersonal functioning (GARF). Interpersonal problems (IIP) and symptoms (SCL-90-R) were slightly more improved than in the "treatment as usual" cases (p=.13 and. p=.09).


CONCLUSIONS
An interpersonal treatment focus followed by focus-oriented interventions is a promising approach for inpatient psychodynamic psychotherapy. Generalisation of the empirical results is, however, limited due to problems of internal validity.
Stasch
Michael
M
Institut für Psychosomatische Kooperationsforschung und Familientherapie am Universitätsklinikum Heidelberg. michael_stasch@med.uni-heidelberg.de
Schmal
Helmut
H
Hillenbrand
Erwin
E
Cierpka
Manfred
M
D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care; D010555:Personality Inventory; D011369:Professional-Patient Relations; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D020377:Self Efficacy; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D014167:Transference, Psychology