Personalized High-Frequency Monitoring of a Process-Oriented Psychotherapeutic Approach to Seizure Disorders: Treatment Utilization and Participants' Feedback

Michaelis, Rosa; Edelhaeuser, Friedrich; Hülsner, Yvonne; Trinka, Eugen und Schiepek, Günter (2022): Personalized High-Frequency Monitoring of a Process-Oriented Psychotherapeutic Approach to Seizure Disorders: Treatment Utilization and Participants' Feedback. In: Psychotherapy, Bd. 59, Nr. 4: S. 629-640

Abstract

Clinical Impact Statement Questions : This study investigated if participants in process-oriented and personalized psychotherapy for patients with seizures find the daily completion of personalized questionnaires user-friendly and useful. Findings : Participants reported a high overall satisfaction with the user-friendliness and usefulness of the high-frequency treatment monitoring and particularly appreciated insights into connections between self-care behaviors and symptom alleviation. Meaning : High-frequency monitoring of personalized psychological variables seems to be feasible to monitor and manage psychotherapeutic treatment in patients with seizures and psychiatric comorbidities. Next Steps : Future analyses of the correlation of time series data with pre- and post-intervention outcome measures may deepen our understanding of precursors of non-responsiveness to psychotherapy and efficient resource allocation within psychotherapeutic treatment. High-frequency monitoring of psychological variables has been recommended to monitor and manage psychotherapeutic processes. However, high-frequency monitoring might be regarded as burdensome for participating patients. This feasibility study applied the concept of high-frequency treatment monitoring in patients with seizures and psychiatric comorbidities in an outpatient neurology service. The treatment monitoring entailed the development of a personalized process questionnaire, daily online monitoring, and regular reflection of the current time series graphs. Participants' feedback on user-friendliness and usefulness of this treatment monitoring was evaluated quantitatively and qualitatively. Participants' compliance rates (CRs) of daily self-assessments after 6 months were correlated with their quantitative feedback on user-friendliness and usefulness and the number of scheduled treatment sessions during this time period. Twenty patients, 15 women/5 men, median age 48 years (range: 23-73 years), were recruited. The median number of scheduled sessions was 11 sessions (range: 6-22). Participants reported a high overall satisfaction with the user-friendliness and usefulness of treatment monitoring. No notable correlations could be found between CRs and quantitative feedback nor between CRs and the number of scheduled treatment sessions. Personalized high-frequency monitoring of psychological variables seems to be feasible to monitor and manage process-oriented psychotherapeutic care in patients with seizures and psychiatric comorbidities. The results support the user-friendliness and usefulness of high-frequency monitoring and suggest that high-frequency monitoring may be suitable for monitoring of low-frequent treatment sessions and patients with attendance issues.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Psychologie und Pädagogik > Department Psychologie
• Themengebiete: 100 Philosophie und Psychologie > 150 Psychologie
• ISSN: 0033-3204
• Sprache: Englisch