Alexithymia moderates effects of psychotherapeutic treatment expectations on depression outcome in interdisciplinary chronic pain treatment
Previous research has shown that patient's treatment expectations predict outcome in the multimodal therapy for chronic pain. Alexithymia, defined as the difficulty to identify, describe and express one's own feelings, may moderate treatment expectations and thereby effect treatment outcom...
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| Veröffentlicht in: | Journal of psychosomatic research 2019-07, Vol.122, p.69-72 |
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| container_title | Journal of psychosomatic research |
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| creator | Blaettler, Larissa T. Stewart, Julian A. Gubler, Danièle A. Egloff, Niklaus von Känel, Roland grosse Holtforth, Martin |
| description | Previous research has shown that patient's treatment expectations predict outcome in the multimodal therapy for chronic pain. Alexithymia, defined as the difficulty to identify, describe and express one's own feelings, may moderate treatment expectations and thereby effect treatment outcome. Accordingly, the aim of the current study is to examine the moderating role of alexithymia on the association of psychotherapeutic treatment expectation on depression outcome.
213 chronic pain inpatients completed a set of standardized self-report questionnaires, assessing alexithymia, psychotherapeutic treatment motivation and depression. A hierarchical linear regression model tested the moderating effect of alexithymia on the relationship of psychotherapeutic treatment expectations with depression as outcome variable.
Both, alexithymia and psychotherapeutic treatment expectations predicted treatment outcome independently, and alexithymia moderated the effect of psychotherapeutic treatment expectations on outcome, above and beyond the effects of control variables.
This study supports the beneficial role of positive psychotherapeutic treatment expectations in an interdisciplinary chronic pain treatment, and suggest to consider difficulties in identifying and describing feelings (alexithymia) in clinical decisions.
•Alexithymia predicts depression outcome.•Psychotherapeutic treatment expectations predict depression outcome.•Alexithymia moderates the outcome prediction by expectations.•Patients with high levels of alexithymia and low expectations show poorest outcomes. |
| doi_str_mv | 10.1016/j.jpsychores.2019.04.010 |
| format | Article |
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213 chronic pain inpatients completed a set of standardized self-report questionnaires, assessing alexithymia, psychotherapeutic treatment motivation and depression. A hierarchical linear regression model tested the moderating effect of alexithymia on the relationship of psychotherapeutic treatment expectations with depression as outcome variable.
Both, alexithymia and psychotherapeutic treatment expectations predicted treatment outcome independently, and alexithymia moderated the effect of psychotherapeutic treatment expectations on outcome, above and beyond the effects of control variables.
This study supports the beneficial role of positive psychotherapeutic treatment expectations in an interdisciplinary chronic pain treatment, and suggest to consider difficulties in identifying and describing feelings (alexithymia) in clinical decisions.
•Alexithymia predicts depression outcome.•Psychotherapeutic treatment expectations predict depression outcome.•Alexithymia moderates the outcome prediction by expectations.•Patients with high levels of alexithymia and low expectations show poorest outcomes.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2019.04.010</identifier><identifier>PMID: 31010581</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Affective Symptoms - psychology ; Aged ; Aged, 80 and over ; Alexithymia ; Chronic pain ; Chronic Pain - psychology ; Chronic Pain - therapy ; Depression - psychology ; Emotions ; Expectation ; Female ; Humans ; Inpatient care ; Interdisciplinary aspects ; Interdisciplinary treatment ; Male ; Mental depression ; Middle Aged ; Moderator ; Motivation ; Multimodal therapy ; Pain ; Psychotherapy ; Questionnaires ; Self report ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of psychosomatic research, 2019-07, Vol.122, p.69-72</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-67d66048d67fb4da6cf2b5c1151a5da6f06d643b1ccc1c56b80bf47b3dc897e3</citedby><cites>FETCH-LOGICAL-c402t-67d66048d67fb4da6cf2b5c1151a5da6f06d643b1ccc1c56b80bf47b3dc897e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2019.04.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31010581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blaettler, Larissa T.</creatorcontrib><creatorcontrib>Stewart, Julian A.</creatorcontrib><creatorcontrib>Gubler, Danièle A.</creatorcontrib><creatorcontrib>Egloff, Niklaus</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><creatorcontrib>grosse Holtforth, Martin</creatorcontrib><title>Alexithymia moderates effects of psychotherapeutic treatment expectations on depression outcome in interdisciplinary chronic pain treatment</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Previous research has shown that patient's treatment expectations predict outcome in the multimodal therapy for chronic pain. Alexithymia, defined as the difficulty to identify, describe and express one's own feelings, may moderate treatment expectations and thereby effect treatment outcome. Accordingly, the aim of the current study is to examine the moderating role of alexithymia on the association of psychotherapeutic treatment expectation on depression outcome.
213 chronic pain inpatients completed a set of standardized self-report questionnaires, assessing alexithymia, psychotherapeutic treatment motivation and depression. A hierarchical linear regression model tested the moderating effect of alexithymia on the relationship of psychotherapeutic treatment expectations with depression as outcome variable.
Both, alexithymia and psychotherapeutic treatment expectations predicted treatment outcome independently, and alexithymia moderated the effect of psychotherapeutic treatment expectations on outcome, above and beyond the effects of control variables.
This study supports the beneficial role of positive psychotherapeutic treatment expectations in an interdisciplinary chronic pain treatment, and suggest to consider difficulties in identifying and describing feelings (alexithymia) in clinical decisions.
•Alexithymia predicts depression outcome.•Psychotherapeutic treatment expectations predict depression outcome.•Alexithymia moderates the outcome prediction by expectations.•Patients with high levels of alexithymia and low expectations show poorest outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Affective Symptoms - psychology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alexithymia</subject><subject>Chronic pain</subject><subject>Chronic Pain - psychology</subject><subject>Chronic Pain - therapy</subject><subject>Depression - psychology</subject><subject>Emotions</subject><subject>Expectation</subject><subject>Female</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Interdisciplinary aspects</subject><subject>Interdisciplinary treatment</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Moderator</subject><subject>Motivation</subject><subject>Multimodal therapy</subject><subject>Pain</subject><subject>Psychotherapy</subject><subject>Questionnaires</subject><subject>Self report</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkV2L1TAQhoMo7tnVvyABb7xpnfQjbS_XRV1hwZu9D2ky5aS0SU1S2fMb_NPOctYVvBECYZhn3vl4GeMCSgFCfpzLeUsncwwRU1mBGEpoShDwgh1E3w2FqCW8ZAeAqirqYRgu2GVKMwDIoWpfs4uaVKDtxYH9ul7wweXjaXWar8Fi1BkTx2lCkxMPEz83ykfKbLhnZ3iOqPOKPnN82AjT2QVPrOcWN5ooUcjDnk1YkTtPL2O0Lhm3Lc7reOLmGIMnpU1T-lnuDXs16SXh26f_it1_-Xx_c1vcff_67eb6rjANVLmQnZUSmt7Kbhobq6WZqrE1QrRCtxROIK1s6lEYY4Rp5djDODXdWFvTDx3WV-zDWXaL4ceOKauVZsNl0R7DnlRViVq0NUBL6Pt_0Dns0dNwRDUgGiGgIqo_UyaGlCJOaotupT2VAPXol5rVX7_Uo18KGkUWUOm7pwb7uKJ9LvxjEAGfzgDSQX46jIrOiN6gdZFOr2xw_-_yG7htsOs</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Blaettler, Larissa T.</creator><creator>Stewart, Julian A.</creator><creator>Gubler, Danièle A.</creator><creator>Egloff, Niklaus</creator><creator>von Känel, Roland</creator><creator>grosse Holtforth, Martin</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201907</creationdate><title>Alexithymia moderates effects of psychotherapeutic treatment expectations on depression outcome in interdisciplinary chronic pain treatment</title><author>Blaettler, Larissa T. ; Stewart, Julian A. ; Gubler, Danièle A. ; Egloff, Niklaus ; von Känel, Roland ; grosse Holtforth, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-67d66048d67fb4da6cf2b5c1151a5da6f06d643b1ccc1c56b80bf47b3dc897e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Affective Symptoms - psychology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alexithymia</topic><topic>Chronic pain</topic><topic>Chronic Pain - psychology</topic><topic>Chronic Pain - therapy</topic><topic>Depression - psychology</topic><topic>Emotions</topic><topic>Expectation</topic><topic>Female</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Interdisciplinary aspects</topic><topic>Interdisciplinary treatment</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Moderator</topic><topic>Motivation</topic><topic>Multimodal therapy</topic><topic>Pain</topic><topic>Psychotherapy</topic><topic>Questionnaires</topic><topic>Self report</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blaettler, Larissa T.</creatorcontrib><creatorcontrib>Stewart, Julian A.</creatorcontrib><creatorcontrib>Gubler, Danièle A.</creatorcontrib><creatorcontrib>Egloff, Niklaus</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><creatorcontrib>grosse Holtforth, Martin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blaettler, Larissa T.</au><au>Stewart, Julian A.</au><au>Gubler, Danièle A.</au><au>Egloff, Niklaus</au><au>von Känel, Roland</au><au>grosse Holtforth, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alexithymia moderates effects of psychotherapeutic treatment expectations on depression outcome in interdisciplinary chronic pain treatment</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2019-07</date><risdate>2019</risdate><volume>122</volume><spage>69</spage><epage>72</epage><pages>69-72</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Previous research has shown that patient's treatment expectations predict outcome in the multimodal therapy for chronic pain. Alexithymia, defined as the difficulty to identify, describe and express one's own feelings, may moderate treatment expectations and thereby effect treatment outcome. Accordingly, the aim of the current study is to examine the moderating role of alexithymia on the association of psychotherapeutic treatment expectation on depression outcome.
213 chronic pain inpatients completed a set of standardized self-report questionnaires, assessing alexithymia, psychotherapeutic treatment motivation and depression. A hierarchical linear regression model tested the moderating effect of alexithymia on the relationship of psychotherapeutic treatment expectations with depression as outcome variable.
Both, alexithymia and psychotherapeutic treatment expectations predicted treatment outcome independently, and alexithymia moderated the effect of psychotherapeutic treatment expectations on outcome, above and beyond the effects of control variables.
This study supports the beneficial role of positive psychotherapeutic treatment expectations in an interdisciplinary chronic pain treatment, and suggest to consider difficulties in identifying and describing feelings (alexithymia) in clinical decisions.
•Alexithymia predicts depression outcome.•Psychotherapeutic treatment expectations predict depression outcome.•Alexithymia moderates the outcome prediction by expectations.•Patients with high levels of alexithymia and low expectations show poorest outcomes.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>31010581</pmid><doi>10.1016/j.jpsychores.2019.04.010</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Affective Symptoms - psychology Aged Aged, 80 and over Alexithymia Chronic pain Chronic Pain - psychology Chronic Pain - therapy Depression - psychology Emotions Expectation Female Humans Inpatient care Interdisciplinary aspects Interdisciplinary treatment Male Mental depression Middle Aged Moderator Motivation Multimodal therapy Pain Psychotherapy Questionnaires Self report Treatment Outcome Young Adult |
| title | Alexithymia moderates effects of psychotherapeutic treatment expectations on depression outcome in interdisciplinary chronic pain treatment |
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