Psychotherapy readiness domains as predictors of psychotherapy outcome in trauma-affected refugees
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Psychotherapy readiness domains as predictors of psychotherapy outcome in trauma-affected refugees. / Bernardsdóttir, Berglind; Sandahl, Hinuga; Carlsson, Jessica; Mortensen, Erik Lykke; Palic, Sabina.
In: Journal of Affective Disorders, Vol. 325, 2023, p. 248-255.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Psychotherapy readiness domains as predictors of psychotherapy outcome in trauma-affected refugees
AU - Bernardsdóttir, Berglind
AU - Sandahl, Hinuga
AU - Carlsson, Jessica
AU - Mortensen, Erik Lykke
AU - Palic, Sabina
N1 - Publisher Copyright: © 2022
PY - 2023
Y1 - 2023
N2 - Introduction: Little is known about predictors of psychotherapy outcome in trauma-affected refugees. Knowledge on outcome predictors can help clinicians identify patients prior to treatment who are not likely to benefit from standardized psychotherapy and take additional measures to adjust treatment to the individual patient. Given the dynamic nature of psychotherapy readiness domains, they represent potential targets to be worked with in therapy in order to improve outcomes. Methods: Psychotherapy readiness domains (locus of control, cognitive functioning, motivation for therapy, and personality functioning) were examined as potential predictors of psychotherapy outcome in trauma-affected refugees. Secondary analyses were conducted on data from a pragmatic randomized controlled trial. Study participants (N = 190) were refugees with PTSD who received flexible manual-based Cognitive Behavioral Therapy (CBT) at a psychiatric outpatient clinic in Denmark. Psychotherapy readiness domains were assessed via semi-structured interviews at the beginning of psychotherapy. Outcome variables were pre-post change in PTSD symptomology and global level of functioning. Results: Multiple regression analyses revealed that higher motivation for psychotherapy predicted improvement in PTSD symptomology and global level of functioning. Moreover, higher cognitive functioning predicted improvement in global level of functioning. Limitations: The predictor rating scales need further psychometric evaluations in cross-cultural contexts. Conclusions: These findings highlight the importance of considering motivation in psychotherapy offered to trauma-affected refugees. Further research is needed to identify potential barriers to motivation in this diverse patient population and to determine whether motivational interventions can lead to improved treatment outcomes.
AB - Introduction: Little is known about predictors of psychotherapy outcome in trauma-affected refugees. Knowledge on outcome predictors can help clinicians identify patients prior to treatment who are not likely to benefit from standardized psychotherapy and take additional measures to adjust treatment to the individual patient. Given the dynamic nature of psychotherapy readiness domains, they represent potential targets to be worked with in therapy in order to improve outcomes. Methods: Psychotherapy readiness domains (locus of control, cognitive functioning, motivation for therapy, and personality functioning) were examined as potential predictors of psychotherapy outcome in trauma-affected refugees. Secondary analyses were conducted on data from a pragmatic randomized controlled trial. Study participants (N = 190) were refugees with PTSD who received flexible manual-based Cognitive Behavioral Therapy (CBT) at a psychiatric outpatient clinic in Denmark. Psychotherapy readiness domains were assessed via semi-structured interviews at the beginning of psychotherapy. Outcome variables were pre-post change in PTSD symptomology and global level of functioning. Results: Multiple regression analyses revealed that higher motivation for psychotherapy predicted improvement in PTSD symptomology and global level of functioning. Moreover, higher cognitive functioning predicted improvement in global level of functioning. Limitations: The predictor rating scales need further psychometric evaluations in cross-cultural contexts. Conclusions: These findings highlight the importance of considering motivation in psychotherapy offered to trauma-affected refugees. Further research is needed to identify potential barriers to motivation in this diverse patient population and to determine whether motivational interventions can lead to improved treatment outcomes.
KW - Motivation
KW - Psychotherapy readiness
KW - PTSD
KW - Refugees
U2 - 10.1016/j.jad.2022.12.130
DO - 10.1016/j.jad.2022.12.130
M3 - Journal article
C2 - 36586606
AN - SCOPUS:85146190507
VL - 325
SP - 248
EP - 255
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -
ID: 337653124