The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy

Mander J, Schlarb A, Teufel M, Keller F, Hautzinger M, Zipfel S, Wittorf A, Sammet I (2014)
Clinical Psychology & Psychotherapy 22(4): 328-345.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
Download
Es wurden keine Dateien hochgeladen. Nur Publikationsnachweis!
DOI
Autor*in
Mander, J.; Schlarb, AngelikaUniBi; Teufel, M.; Keller, F.; Hautzinger, M.; Zipfel, S.; Wittorf, A.; Sammet, I.
Einrichtung
Fakultät für Psychologie und Sportwissenschaft > Abteilung für Psychologie > Arbeitseinheit 07 - Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters
Abstract / Bemerkung
There is a dearth of measures specifically designed to assess empirically validated mechanisms of therapeutic change. To fill in this research gap, the aim of the current study was to develop a measure that covers a large variety of empirically validated mechanisms of change with corresponding versions for the patient and therapist. To develop an instrument that is based on several important change process frameworks, we combined two established change mechanisms instruments: the Scale for the Multiperspective Assessment of General Change Mechanisms in Psychotherapy (SACiP) and the Scale of the Therapeutic Alliance—Revised (STA-R). In our study, 457 psychosomatic inpatients completed the SACiP and the STA-R and diverse outcome measures in early, middle and late stages of psychotherapy. Data analyses were conducted using factor analyses and multilevel modelling. The psychometric properties of the resulting Individual Therapy Process Questionnaire were generally good to excellent, as demonstrated by (a) exploratory factor analyses on both patient and therapist ratings, (b) CFA on later measuring times, (c) high internal consistencies and (d) significant outcome predictive effects. The parallel forms of the ITPQ deliver opportunities to compare the patient and therapist perspectives for a broader range of facets of change mechanisms than was hitherto possible. Consequently, the measure can be applied in future research to more specifically analyse different change mechanism profiles in session-to-session development and outcome prediction. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Message This article describes the development of an instrument that measures general mechanisms of change in psychotherapy from both the patient and therapist perspectives. Post-session item ratings from both the patient and therapist can be used as feedback to optimize therapeutic processes. We provide a detailed discussion of measures developed to evaluate therapeutic change mechanisms.
Stichworte
Psychotherapy Research; Change Mechanisms; Instrument Development; Therapeutic Processes
Erscheinungsjahr
2014
Zeitschriftentitel
Clinical Psychology & Psychotherapy
Band
22
Ausgabe
4
Seite(n)
328-345
ISSN
1063-3995
Page URI
https://pub.uni-bielefeld.de/record/2708497

Zitieren

Mander J, Schlarb A, Teufel M, et al. The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy. Clinical Psychology & Psychotherapy. 2014;22(4):328-345.
Mander, J., Schlarb, A., Teufel, M., Keller, F., Hautzinger, M., Zipfel, S., Wittorf, A., et al. (2014). The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy. Clinical Psychology & Psychotherapy, 22(4), 328-345. doi:10.1002/cpp.1892
Mander, J., Schlarb, Angelika, Teufel, M., Keller, F., Hautzinger, M., Zipfel, S., Wittorf, A., and Sammet, I. 2014. “The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy”. Clinical Psychology & Psychotherapy 22 (4): 328-345.
Mander, J., Schlarb, A., Teufel, M., Keller, F., Hautzinger, M., Zipfel, S., Wittorf, A., and Sammet, I. (2014). The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy. Clinical Psychology & Psychotherapy 22, 328-345.
Mander, J., et al., 2014. The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy. Clinical Psychology & Psychotherapy, 22(4), p 328-345.
J. Mander, et al., “The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy”, Clinical Psychology & Psychotherapy, vol. 22, 2014, pp. 328-345.
Mander, J., Schlarb, A., Teufel, M., Keller, F., Hautzinger, M., Zipfel, S., Wittorf, A., Sammet, I.: The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy. Clinical Psychology & Psychotherapy. 22, 328-345 (2014).
Mander, J., Schlarb, Angelika, Teufel, M., Keller, F., Hautzinger, M., Zipfel, S., Wittorf, A., and Sammet, I. “The Individual Therapy Process Questionnaire (ITPQ): Development and validation of a revised measure to evaluate general change mechanisms in psychotherapy”. Clinical Psychology & Psychotherapy 22.4 (2014): 328-345.

11 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Psychotherapist trainees' professional self-doubt and negative personal reaction: Changes during cognitive behavioral therapy and association with patient progress.
Odyniec P, Probst T, Margraf J, Willutzki U., Psychother Res 29(1), 2019
PMID: 28443477
Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy. A randomized controlled trial.
Probst T, Jakob M, Kaufmann YM, Müller-Neng JMB, Bohus M, Weck F., J Clin Psychol 74(4), 2018
PMID: 29064556
A therapist version of the Alliance Negotiation Scale.
Doran JM, Gómez-Penedo JM, Safran JD, Roussos A., Clin Psychol Psychother 25(6), 2018
PMID: 29722105
Assessment of dynamic change in psychotherapy with asdolescents.
Ness E, Dahl HJ, Tallberg P, Amlo S, Høglend P, Thorén A, Egeland J, Ulberg R., Child Adolesc Psychiatry Ment Health 12(), 2018
PMID: 30069230
Early trajectory features and the course of psychotherapy.
Koffmann A., Psychother Res (), 2018
PMID: 30092152
Enhancing Social Interaction in Depression (SIDE study): protocol of a randomised controlled trial on the effects of a Cognitively Based Compassion Training (CBCT) for couples.
Aguilar-Raab C, Jarczok MN, Warth M, Stoffel M, Winter F, Tieck M, Berg J, Negi LT, Harrison T, Pace TWW, Ditzen B., BMJ Open 8(9), 2018
PMID: 30287601
The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders.
Mander J, Neubauer AB, Schlarb A, Teufel M, Bents H, Hautzinger M, Zipfel S, Wittorf A, Sammet I., Psychol Psychother 90(4), 2017
PMID: 28497909
Moderating Effects of Alexithymia on Associations between the Therapeutic Alliance and the Outcome of Brief Psychodynamic-Interpersonal Psychotherapy for Multisomatoform Disorder.
Probst T, Sattel H, Gündel H, Henningsen P, Kruse J, Schneider G, Lahmann C., Front Psychiatry 8(), 2017
PMID: 29255429
The working alliance: Where have we been, where are we going?
Doran JM., Psychother Res 26(2), 2016
PMID: 25204369
Comparing systemic therapy and cognitive behavioral therapy for social anxiety disorders: study protocol for a randomized controlled pilot trial.
Hunger C, Hilzinger R, Koch T, Mander J, Sander A, Bents H, Schweitzer J., Trials 17(), 2016
PMID: 27029546
Extreme deviations from expected recovery curves and their associations with therapeutic alliance, social support, motivation, and life events in psychosomatic in-patient therapy.
Probst T, Lambert MJ, Loew TH, Dahlbender RW, Tritt K., Psychother Res 25(6), 2015
PMID: 25410009

64 References

Daten bereitgestellt von Europe PubMed Central.


Alexander, 1986
The generalizability of the psychoanalytic concept of the working alliance
Bordin, Psychotherapy: Theory, Research & Practice 16(3), 1979
Zur Validierung des Inventars zur Erfassung Interpersonaler Probleme (IIP)-Ergebnisse einer Repräsentativbefragung in Ost- und Westdeutschland [Validation of the inventory of interpersonal problems-results of a representative investigation in East- and West-Germany]
Brähler, Psychotherapie Psychosomatik Medizinische Psychologie 49(11), 1999

Brockmann, 2011

Bühner, 2010
How general is Grawe's “general psychotherapy”
Caspar, IFP - Newsletter 10(1), 2010

Caspar, 2010
A new scale of social desirability independent of psychopathology.
CROWNE DP, MARLOWE D., J Consult Psychol 24(), 1960
PMID: 13813058

Derogatis, 1994
Measuring the impact of sessions in process-experiential therapy of depression: The Session Impacts Scale
Elliott, Journal of Counseling Psychology 41(2), 1994
The conceptualization and measurement of therapeutic alliance: an empirical review.
Elvins R, Green J., Clin Psychol Rev 28(7), 2008
PMID: 18538907

Field, 2009
Measuring social desirability: short forms of the Marlowe-Crowne Social Desirability Scale
Fischer, Educational and Psychological Measurement 53(2), 1993
Validierung des ‘Perceived Stress Questionnaire’ (PSQ) an einer deutschen Stichprobe
Fliege, Diagnostica 47(3), 2001
Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy.
Fluckiger C, Grosse Holtforth M, Znoj HJ, Caspar F, Wampold BE., Psychother Res 23(1), 2012
PMID: 22708616
Der Berner Patienten- und Therapeutenstundenbogen 2000: Ein Instrument zur Erfassung von Therapieprozessen [The Bern Post Session Report for patients and for therapists 2000: An instrument to measure therapy processes]
Flückiger, Zeitschrift für Klinische Psychologie und Psychotherapie: Forschung und Praxis 39(2), 2010

Franke, 2002
General change mechanisms: The relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions
Gassmann, Clinical Psychology & Psychotherapy 13(1), 2006
Reliability and criterion-related validity of the California Psychotherapy Alliance Scales-patient version
Gaston, Psychological Assessment: A Journal of Consulting and Clinical Psychology 3(1), 1991
Grundriss einer Allgemeinen Psychotherapie [Outline of a “general psychotherapy”]
Grawe, Psychotherapeut 40(), 1995
Psychodynamic psychotherapy for cancer patients.
Straker N., J Psychother Pract Res 7(1), 1997
PMID: 9407471
Gründe und Vorschlaege für eine Allgemeine Psychotherapie [Reasons and purposes for a general psychotherapy]
Grawe, Psychotherapeut 44(6), 1999

Grawe, 2004

Grawe, 1994
Patients' view of the alliance of psychotherapy: exploratory factor analysis of three alliance measures.
Hatcher RL, Barends AW., J Consult Clin Psychol 64(6), 1996
PMID: 8991319

AUTHOR UNKNOWN, 0

Heck, 2010
The study of interpersonal problems: a Leary legacy.
Horowitz LM., J Pers Assess 66(2), 1996
PMID: 8869572
Inventory of interpersonal problems: psychometric properties and clinical applications.
Horowitz LM, Rosenberg SE, Baer BA, Ureno G, Villasenor VS., J Consult Clin Psychol 56(6), 1988
PMID: 3204198

Horvath, 1986

Hox, 2010
Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives
Hu, Structural Equation Modeling 6(1), 1999
Factor structure and validity of the Therapeutic Factors Inventory-Short Form
Joyce, Group Dynamics: Theory, Research, and Practice 15(3), 2011
Readiness to adopt a self-management approach to chronic pain: The Pain Stages of Change Questionnaire (PSOCQ)
Kerns, Pain 72(1-2), 1999

Kline, 1993

Kline, 1994

Lambert, 2013
Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research.
Levenstein S, Prantera C, Varvo V, Scribano ML, Berto E, Luzi C, Andreoli A., J Psychosom Res 37(1), 1993
PMID: 8421257

Lutz, 2003
The ups and downs of psychotherapy: sudden gains and sudden losses identified with session reports.
Lutz W, Ehrlich T, Rubel J, Hallwachs N, Rottger MA, Jorasz C, Mocanu S, Vocks S, Schulte D, Tschitsaz-Stucki A., Psychother Res 23(1), 2012
PMID: 22708586
Change mechanisms in psychotherapy: multiperspective assessment and relation to outcome.
Mander JV, Wittorf A, Schlarb A, Hautzinger M, Zipfel S, Sammet I., Psychother Res 23(1), 2012
PMID: 23194587
Short forms of subjective quality of life assessments from cross-cultural studies for use in surveys with different populations.
Muhlan H, Bullinger M, Power M, Schmidt S., Clin Psychol Psychother 15(3), 2008
PMID: 19115435
Psychotherapists' self-reports of their interpersonal functioning and difficulties in practice as predictors of patient outcome.
Nissen-Lie HA, Monsen JT, Ulleberg P, Ronnestad MH., Psychother Res 23(1), 2012
PMID: 23136986
Psychotherapy relationships that work II.
Norcross JC, Lambert MJ., Psychotherapy (Chic) 48(1), 2011
PMID: 21401268
The “Generic Model of Psychotherapy” after 25 years: Evolution of a research-based metatheory
Orlinsky, Journal of Psychotherapy Integration 19(4), 2009
The good therapy hour. Experiential correlates of patients' and therapists' evaluations of therapy sessions.
Orlinsky DE, Howard KI., Arch. Gen. Psychiatry 16(5), 1967
PMID: 6023951

Orlinsky, 1994

Orlinsky, 2004

Prochaska, 2010

Prochaska, 2010
SEB - Ein Fragebogen zur Erfassung des Verlaufs stationärer Psychotherapie. [SEB-A questionnaire for the assessment of therapeutic processes in inpatient psychotherapy]
Schauenburg, Psychotherapie Psychosomatik Medizinische Psychologie 49(12), 1999
[Real-time monitoring of psychotherapeutic change processes].
Schiepek G, Aichhorn W., Psychother Psychosom Med Psychol 63(1), 2013
PMID: 23341113
[Therapy Process Questionnaire (TPQ) - a combined explorative and confirmatory factor analysis and psychometric properties].
Schiepek G, Aichhorn W, Strunk G., Z Psychosom Med Psychother 58(3), 2012
PMID: 22987492
Which therapeutic mechanisms work when? A step towards the formulation of empirically validated guidelines for therapists' session-to-session decisions
Smith, Clinical Psychology & Psychotherapy 12(2), 2005
Assessment of patient and therapist perspectives of process: a revision of the Vanderbilt Psychotherapy Process Scale.
Smith SR, Hilsenroth MJ, Baity MR, Knowles ES., Am J Psychother 57(2), 2003
PMID: 12817550
Common factors of cognitive therapy and interpersonal psychotherapy in the treatment of social phobia.
Stangier U, Von Consbruch K, Schramm E, Heidenreich T., Anxiety Stress Coping 23(3), 2010
PMID: 19662551
Measurement of the impact of psychotherapy sessions.
Stiles WB., J Consult Clin Psychol 48(2), 1980
PMID: 7365056
Evaluation and description of psychotherapy sessions by clients using the Session Evaluation Questionnaire and the Session Impacts Scale
Stiles, Journal of Counseling Psychology 41(2), 1994
The Vanderbilt Psychotherapy Process Scale (VPPS)
Suh, Journal of Cognitive Psychotherapy 3(2), 1989
A meta-analytic examination of client-therapist perspectives of the working alliance
Tryon, Psychotherapy Research 17(6), 2007
Humanism as a common factor in psychotherapy.
Wampold BE., Psychotherapy (Chic) 49(4), 2012
PMID: 23205827

Wittchen, 1997
Does the cognitive dispute of psychotic symptoms do harm to the therapeutic alliance?
Wittorf A, Jakobi UE, Bannert KK, Bechdolf A, Muller BW, Sartory G, Wagner M, Wiedemann G, Wolwer W, Herrlich J, Buchkremer G, Klingberg S., J. Nerv. Ment. Dis. 198(7), 2010
PMID: 20611050
The influence of baseline symptoms and insight on the therapeutic alliance early in the treatment of schizophrenia.
Wittorf A, Jakobi U, Bechdolf A, Muller B, Sartory G, Wagner M, Wiedemann G, Wolwer W, Herrlich J, Buchkremer G, Klingberg S., Eur. Psychiatry 24(4), 2009
PMID: 19200695
Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®
Quellen

PMID: 24604874
PubMed | Europe PMC

Suchen in

Google Scholar