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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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).

Název v anglickém jazyce

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

Popis výsledku anglicky

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).

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

50100 - Psychology and cognitive sciences

Projekt

<a href="/cs/project/GA18-08512S" target="_blank" >GA18-08512S: Účinnost psychoterapie u pacientů s medicínsky nevysvětlenými tělesnými symptomy: Multicentrická naturalistická studie</a><br>

Návaznosti

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

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Psychotherapy Research

ISSN

1050-3307

e-ISSN

1468-4381

Svazek periodika

32

Číslo periodika v rámci svazku

8

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

18

Strana od-do

1016-1033

Kód UT WoS článku

000783423000001

EID výsledku v databázi Scopus

2-s2.0-85129281535