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@article{1847877,
author = {Řiháček, Tomáš and Čevelíček, Michal and Boehnke, Jan R. and Pourová, Martina and Roubal, Jan},
article_location = {Abingdon},
article_number = {8},
doi = {http://dx.doi.org/10.1080/10503307.2022.2061874},
keywords = {medically unexplained physical symptoms; multicomponent treatment; group psychotherapy; change mechanisms},
language = {eng},
issn = {1050-3307},
journal = {Psychotherapy Research},
title = {Mechanisms of change in multicomponent group-based treatment for patients suffering from medically unexplained physical symptoms},
url = {https://www.tandfonline.com/doi/full/10.1080/10503307.2022.2061874},
volume = {32},
year = {2022}
}
TY - JOUR
ID - 1847877
AU - Řiháček, Tomáš - Čevelíček, Michal - Boehnke, Jan R. - Pourová, Martina - Roubal, Jan
PY - 2022
TI - Mechanisms of change in multicomponent group-based treatment for patients suffering from medically unexplained physical symptoms
JF - Psychotherapy Research
VL - 32
IS - 8
SP - 1016-1033
EP - 1016-1033
PB - Routledge Journals, Taylor & Francis
SN - 10503307
KW - medically unexplained physical symptoms
KW - multicomponent treatment
KW - group psychotherapy
KW - change mechanisms
UR - https://www.tandfonline.com/doi/full/10.1080/10503307.2022.2061874
N2 - 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).
ER -
ŘIHÁČEK, Tomáš, Michal ČEVELÍČEK, Jan R. BOEHNKE, Martina POUROVÁ a Jan ROUBAL. Mechanisms of change in multicomponent group-based treatment for patients suffering from medically unexplained physical symptoms. \textit{Psychotherapy Research}. Abingdon: Routledge Journals, Taylor \&{} Francis, 2022, roč.~32, č.~8, s.~1016-1033. ISSN~1050-3307. Dostupné z: https://dx.doi.org/10.1080/10503307.2022.2061874.
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