Mechanisms of change in multicomponent group-based treatment for patients suffering from medically unexplained physical symptoms

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14230%2F22%3A00129043" target="_blank" >RIV/00216224:14230/22:00129043 - isvavai.cz</a>

Result on the web

<a href="https://www.tandfonline.com/doi/full/10.1080/10503307.2022.2061874" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/10503307.2022.2061874</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/10503307.2022.2061874" target="_blank" >10.1080/10503307.2022.2061874</a>

Result language

angličtina

Original language name

Mechanisms of change in multicomponent group-based treatment for patients suffering from medically unexplained physical symptoms

Original language description

Objective: Understanding psychological mechanisms of change is essential to advance treatments for patients suffering from medically unexplained physical symptoms (MUPS). This study aimed to test the role of selected change mechanisms (incl. interoceptive awareness, emotional regulation skills, symptom acceptance, relational needs satisfaction, clarification of meaning, working alliance, and group cohesion) in the modification of patients’ somatic symptom intensity and well-being. Method: N = 290 patients suffering from MUPS participated in a multi-component group-based treatment at seven clinical sites. Data were collected weekly. Multi-level modeling was used to test cross-lagged relationships between the hypothesized mechanisms and outcomes in terms of Granger causality (with lags of 1, 2, and 3 weeks). Results: None of the mechanisms predicted a time-lagged change in outcomes in the expected direction. In fact, there was a consistent pattern of negative time-lagged relationships (i.e., an increase in a mechanism predicted worsening of the outcome). Findings consistent with the hypothesized role of the mechanisms were found only in concurrent relationships between mechanisms and outcomes. Conclusion: This study did not support time-lagged relationships under the condition of weekly measurement and many methodological factors remain to be considered (e.g., a finer time resolution).

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

50100 - Psychology and cognitive sciences

Project

<a href="/en/project/GA18-08512S" target="_blank" >GA18-08512S: Effectiveness of psychotherapy in patients with medically unexplained physical symptoms: A multi-site naturalistic study</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Psychotherapy Research

ISSN

1050-3307

e-ISSN

1468-4381

Volume of the periodical

32

Issue of the periodical within the volume

8

Country of publishing house

GB - UNITED KINGDOM

Number of pages

18

Pages from-to

1016-1033

UT code for WoS article

000783423000001

EID of the result in the Scopus database

2-s2.0-85129281535