title: Some like it specific: the difference between treatment goals of anxious and depressed patients.
abstract: OBJECTIVE
  While clinical diagnoses are the primary criteria for differential indication in psychotherapy, treatment-goal themes may provide additional information on diagnosis-specific and extra-diagnostic aspects of treatment motivation. It is hypothesized that the goals of anxiety patients focus on symptom relief, while the goals of depression patients are thematically more heterogeneous. Additionally, it is hypothesized that patients with various specific anxiety disorders can be differentiated on their treatment-goal themes.
  
  
  METHODS
  To obtain a sufficiently large number of diagnostically non-comorbid patients, a sample of 328 patients with non-comorbid anxiety and depression patients was merged from two subsamples: 255 outpatients from a university-based clinic in Germany and 73 outpatients from a comparable clinic in German-speaking Switzerland.
  
  
  METHODS
  The treatment-goal themes of the 328 outpatients were coded using the Bern inventory of treatment goals.
  
  
  RESULTS
  Patients with non-comorbid diagnoses of depression or anxiety differed as hypothesized. Anxiety patients' treatment goals predominantly focused on symptom relief, while depression patients' treatment goals were thematically more heterogeneous. In addition, patients with various specific anxiety disorders differed in their treatment-goal themes.
  
  
  CONCLUSIONS
  Implications for clinical assessment and treatment planning are discussed.
authors.affiliation: Friedrich-Schiller-Universität Jena, Germany. martin.grosse-holtforth@uni-jena.de
authors.forename: Martin
authors.initials: M
authors.lastname: Grosse Holtforth
authors.forename: Tamara
authors.initials: T
authors.lastname: Wyss
authors.forename: Dietmar
authors.initials: D
authors.lastname: Schulte
authors.forename: Manuel
authors.initials: M
authors.lastname: Trachsel
authors.forename: Johannes
authors.initials: J
authors.lastname: Michalak
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D005858:Germany; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011613:Psychotherapy / Q000379:methods*; D013557:Switzerland; D055815:Young Adult