Psychotherapeutic change mechanisms in patients with medically
unexplained physical symptoms: Multi-site naturalistic study

k 2021

Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study

POUROVÁ, Martina, Tomáš ŘIHÁČEK a Jan R. BOEHNKE

Základní údaje

Originální název

Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study

Název anglicky

Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study

Autoři

POUROVÁ, Martina, Tomáš ŘIHÁČEK a Jan R. BOEHNKE

Vydání

European Association of Psychosomatic Medicine conference, 2021

Další údaje

Typ výsledku

Prezentace na konferencích

Utajení

není předmětem státního či obchodního tajemství

Klíčová slova anglicky

MUPS, change mechanisms, group psychotherapy

Příznaky

Mezinárodní význam

Změněno: 12. 1. 2022 16:09, prof. Mgr. Tomáš Řiháček, Ph.D.

Anotace

V originále

Objective: Medically unexplained physical symptoms (MUPS) are difficult to treat. Although psychotherapy represents a promising approach to treatment, its efficacy remains unsatisfactory. A better understanding of how psychotherapy works in patients with MUPS is necessary. The aim of this study is to test the role of several potential mechanisms of change (i.e., somatic awareness, emotional regulation, symptom acceptance, relational needs satisfaction, clarification of meaning, working alliance, and group cohesion) in producing change in somatic symptoms and psychological well-being. Methods: Patients (N = 499) were recruited from seven psychotherapeutic clinics in the Czech Republic. The data were analyzed using multilevel modeling approach to determine the mediating effect of mechanisms on outcomes. Results: Although somatic symptoms changed during group psychotherapy, the change could not be satisfactorily explained by any of the proposed change mechanisms. However, the hypothesized mechanisms statistically significantly predicted change in psychological well-being. Conclusion: Change in somatic symptoms probably depends on other mechanisms than change in well-being. These mechanisms were discussed.

Návaznosti

GA18-08512S, projekt VaV

Název: Účinnost psychoterapie u pacientů s medicínsky nevysvětlenými tělesnými symptomy: Multicentrická naturalistická studie

Investor: Grantová agentura ČR, Účinnost psychoterapie u pacientů s medicínsky nevysvětlenými tělesnými symptomy: Multicentrická naturalistická studie

Citovat

POUROVÁ, Martina, Tomáš ŘIHÁČEK a Jan R. BOEHNKE. Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study. In European Association of Psychosomatic Medicine conference. 2021.

@proceedings{1776837,
   author = {Pourová, Martina and Řiháček, Tomáš and Boehnke, Jan R.},
   booktitle = {European Association of Psychosomatic Medicine conference},
   keywords = {MUPS, change mechanisms, group psychotherapy},
   title = {Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study},
   year = {2021}
}

TY  - CONF
ID  - 1776837
AU  - Pourová, Martina - Řiháček, Tomáš - Boehnke, Jan R.
PY  - 2021
TI  - Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study
KW  - MUPS, change mechanisms, group psychotherapy
N2  - Objective: Medically unexplained physical symptoms (MUPS) are difficult to treat. Although psychotherapy represents a promising approach to treatment, its efficacy remains unsatisfactory. A better understanding of how psychotherapy works in patients with MUPS is necessary. The aim of this study is to test the role of several potential mechanisms of change (i.e., somatic awareness, emotional regulation, symptom acceptance, relational needs satisfaction, clarification of meaning, working alliance, and group cohesion) in producing change in somatic symptoms and psychological well-being. Methods: Patients (N = 499) were recruited from seven psychotherapeutic clinics in the Czech Republic. The data were analyzed using multilevel modeling approach to determine the mediating effect of mechanisms on outcomes. Results: Although somatic symptoms changed during group psychotherapy, the change could not be satisfactorily explained by any of the proposed change mechanisms. However, the hypothesized mechanisms statistically significantly predicted change in psychological well-being. Conclusion: Change in somatic symptoms probably depends on other mechanisms than change in well-being. These mechanisms were discussed.
ER  -

POUROVÁ, Martina, Tomáš ŘIHÁČEK a Jan R. BOEHNKE. Psychotherapeutic change mechanisms in patients with medically unexplained physical symptoms: Multi-site naturalistic study. In \textit{European Association of Psychosomatic Medicine conference}. 2021.

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