Some like it specific: the difference between treatment goals of anxious and depressed patients.
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.
Grosse Holtforth
Martin
M
Friedrich-Schiller-Universität Jena, Germany. martin.grosse-holtforth@uni-jena.de
Wyss
Tamara
T
Schulte
Dietmar
D
Trachsel
Manuel
M
Michalak
Johannes
J
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