BACKGROUND:Emotion-Focused Therapy (EFT) is an effective form of psychotherapy for a range of psychological problems. While earlier research demonstrated the effect of in-session processes as being central for explaining the effects of EFT, it is unclear what the role of clients' self-reported quality of emotional processing assessed right after each therapy session is for the prediction of therapy outcome. Specifically, we are assuming that session-by-session trajectories of clients' self-assessed clarification processes and treatment outcome are moderated by their self-reported post-session feelings. METHODS:A total of N = 48 clients with a variety of psychological problems and undergoing EFT within a naturalistic context have been included in the present study. Symptom change was assessed using CORE-10 after each therapy session, in addition to pre- and post-therapy. After each session, the client self-assessed a range of session feelings and the quality of clarification experienced in the session. Longitudinal trajectory analyses with moderation effects and exploratory dynamic network analyses were conducted. RESULTS:The post-session client experience of sadness or grief and joy moderate the trajectory of clarification depth over the course of EFT. Post-session feelings influenced the trajectory of symptom levels over the course of therapy (clarification was non-significant in the model). Specific emotion-based dynamic pathways to clarification and symptom load were explored. CONCLUSIONS:The session-by-session interplay between session feelings (sadness and joy), as self-rated by the client after each session, was a moderator of self-rated clarification and symptom-level trajectories across Emotion-Focused Therapy. This study adds to the understanding of the client's self-perceived mechanisms of change in EFT as it is conducted in a naturalistic context.

Objective: Surgery is an important and iatrogenic cause of pain, and accounts for a substantial proportion of individuals suffering from chronic pain. This study assessed the effectiveness of communication strategies on chronic postsurgical pain (CPSP). Patients and Methods: We searched Medline, Embase, Cochrane Library, CINAHL, PsycINFO, and Web of Science from the inception to November 24, 2024. Included were randomized trials (RCTs) and observational studies assessing communication interventions in patients undergoing surgery on pain and/or function with ≥3 months follow-up. The primary outcome was the prevalence of CPSP. Additional outcomes were pain and pain-related disability at follow-up. We used random effects models when ≥3 studies examined the same intervention type and outcome. Results: Of 5831 records, 80 publications of 68 studies were included (60 (88.2%) RCTs and 8 (11.8%) observational studies). Studies provided limited results for the prevalence of CPSP at follow-up without differences between intervention and control groups. Nurse-led interventions (NRS standardized mean difference (SMD) -1.27 [95% CI -1.89 to -0.64, I 2 =72.2%]) and cognitive behavioral therapy (CBT) with education combined (SMD -1.02 [95%CI -1.90 to -0.14], I 2 92%) showed greater pain reduction than the control groups. Certainty of evidence was low due to small sample sizes, risk of bias, and heterogeneity. Conclusion: Nurse-led interventions and combined CBT and educational interventions may reduce pain and improve function at follow-up. However, the effects remain uncertain due to methodological limitations and heterogeneity. No impact was found for education alone, mixed interventions, telehealth interventions, and photographs. Study registration: The study protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO; CRD42021241596).

Chronic primary pain occurs without an identifiable causal disease and is marked by persistent pain, emotional distress and functional disability. The anterior insular cortex, involved in salience processing and integration of sensory, emotional and cognitive aspects of pain, has been implicated in neural processes linking pain and stress responses. This study investigates whether specific brain state dynamics, using the anterior insula as a seed region, are associated with chronic primary pain and examines their associations with pain- and stress-related measures. Resting-state functional MRI, stress biomarkers (cortisol and alpha-amylase), a pain sensitivity test, as well as subjective measures of stress and pain were collected from patients with chronic primary pain (N = 30) and healthy controls (N = 30). Co-activation pattern analysis was used to identify brain states with the anterior insula as the seed region and to assess group differences in the temporal characteristics of these brain states. Partial least squares analysis was applied to investigate multivariate associations between specific temporal brain state characteristics and pain- and stress-related measures. Three anterior insula-seeded co-activation patterns (brain states) were identified in healthy controls. In the first co-activation pattern, the anterior insula co-activated with the default mode network; in the second, with the salience-somatomotor network; and in the third, with the visual network. Chronic primary pain patients and healthy controls differed significantly in temporal brain state characteristics, namely in the relative number of entries into co-activation pattern one (p FDR = 0.002) and two (p FDR = 0.022), and the relative occurrence of co-activation patterns one (p FDR = 0.022) and two (p FDR = 0.022). Furthermore, in chronic primary pain patients, perceived stress scores and cortisol were significantly associated with these specific temporal brain state characteristics (P = 0.002), whereas no associations were found with pain-related measures. Together, these findings suggest that in chronic primary pain, reduced coupling of the anterior insula with the default mode network and increased coupling of the anterior insula with salience-related networks are associated with psychophysiological stress markers. These brain state dynamics may potentially represent a neural correlate of altered stress processing in chronic primary pain.

IntroductionMore optimistic treatment expectations are typically associated with better psychotherapy outcomes, including in depression. Meta-analytic findings suggest that this relationship is mediated by the dyadic alliance. In settings including group formats, however, patients also interact and build relationships with one another. Thus, group relationship may represent an important mediator, particularly given that depression is often accompanied by interpersonal difficulties. Therefore, we aimed to investigate the potential mediating role of group relationship above and beyond the dyadic alliance, as, to the best of our knowledge, this has not yet been examined. We hypothesized that more optimistic treatment expectations would be both, directly and indirectly associated with better outcomes through a stronger dyadic alliance and better group relationship.MethodsData were drawn from a naturalistic observational study at a local day clinic in Switzerland. Patients were assigned to one of two treatment tracks: Cognitive Behavioral Analysis System of Psychotherapy (CBASP) or Short-Term Psychodynamic Psychotherapy (STPP). Fifty adult patients with complex courses of depression were included in the analysis. Treatment expectations were assessed at baseline using the Treatment Expectation Questionnaire (TEX-Q), dyadic alliance within the first weeks using the Helping Alliance Questionnaire (HAQ), and group relationship with the subscale group cohesion of the Inpatient and Day-Clinic Experience Scale (IDES) retrospectively at treatment end. Treatment outcome was quantified as residual change scores on the revised Beck Depression Inventory (BDI-II) from baseline to treatment end. A parallel mediation analysis controlling for treatment track and duration was conducted in PROCESS using bias-corrected bootstrapping.ResultsMore optimistic treatment expectations were significantly associated with higher levels of dyadic alliance and group cohesion. However, only group cohesion was associated with outcome, but not dyadic alliance. The direct association of treatment expectations with outcome was non-significant.DiscussionThese findings provide preliminary support for an indirect association of treatment expectations with outcome through group cohesion in depression. However, the results should be interpreted with caution due to several methodological constraints. Future research should replicate these findings in larger samples, with prospective cohesion measurements, and examine temporal dynamics. Clinically, these findings highlight the potential relevance of explicitly addressing treatment expectations and group cohesion.

Objective This study aimed to map the thematic landscape of psychotherapy research and examine how this landscape changed over the past 25 years. Method Articles published between 2000 and 2025 in ten journals broadly representing psychotherapy research were identified. Author-provided keywords were extracted, preprocessed using large language models (LLM), and normalized using a manually curated dictionary, yielding approximately 46,000 keywords from 10,500 articles. The thematic structure was examined using keyword frequencies and a co-occurrence network. Temporal analyses assessed changes in keyword use over time, while thematic dispersion was quantified using Shannon entropy. Results Depression, therapeutic alliance, cognitive behavioral therapy, and psychotherapy outcome formed the most prominent thematic core. The co-occurrence network revealed two broad communities. Several themes increased or declined in relative prominence, while thematic dispersion rose substantially over time. Conclusion Psychotherapy research has diversified while retaining stable core topics. These findings may serve as the first step in a three-stage process: mapping the thematic status quo, identifying potential blind spots, and acting on these insights. Although increasing thematic dispersion does not demonstrate fragmentation itself, it may heighten this risk when research areas remain insufficiently connected. Greater terminological convergence and stronger integration across research areas may support cumulative progress.

Chronic primary pain (CPP) occurs without an identifiable causal disease and is characterized by persistent pain, emotional distress and functional impairment. Persistent pain may be accompanied by structural brain alterations linked to chronification. We investigated cortical surface morphometry and structural connectivity in CPP and explored associations with related biopsychosocial characteristics.Thirty patients with CPP and 30 matched healthy controls (HCs) underwent psychometric assessment, pain sensitivity testing, salivary sampling (cortisol, α-amylase), and MRI (T1-weighted, diffusion-weighted imaging (DWI)). Surface-based morphometry features (SBM) were estimated from T1-weighted data across multiple brain parcellations. DWI was used to reconstruct weighted structural connectomes via probabilistic tractography and to compute node-level graph-theoretical metrics. Partial least squares correlation (PLSC) assessed multivariate associations between imaging metrics and biopsychosocial characteristics.Compared with HCs, CPP patients showed focal cortical alterations dominated by folding-related features consistent across different brain parcellation schemes: increased gyrification in left prefrontal regions; reduced sulcal depth in right lateral frontal and orbitofrontal and right medial temporo-occipital regions; and reduced fractal dimension in posterior cingulate regions. Structural connectivity metrics showed only trend-level group differences that did not survive correction for multiple comparisons.PLSC revealed significant covariation between distributed SBM patterns and biopsychosocial characteristics, including perceived stress, childhood trauma, and α-amylase concentration, mainly expressed in HCs, linking stress-related features to profiles of gyrification, sulcal depth, and fractal dimension. These findings suggest that cortical surface morphology may be structurally altered in patients with CPP and encourage further longitudinal studies.

Our aim was to examine associations between determinants of functional ability as defined by the World Health Organization: intrinsic psychological domain captured by general self-efficacy and self-rated health, and social environment captured by support given and received. 286 Swiss-based older adults, recruited via multiple channels, completed a web-based survey. Older adults reported providing more support than they perceived receiving, particularly within informal networks of spouses/partners, children, friends, and neighbors. They also reported high levels of general self-efficacy and good to very good self-rated health. Out of thirteen forms of support giving and receiving, only providing support to friends/acquaintances and to fellow club/association members correlated positively with general self-efficacy. Self-rated health showed negative associations with receiving support from various sources, but was unrelated to providing support. On the basis of these results, we propose new avenues for examining associations between social support, general self-efficacy, and self-rated health.

OBJECTIVE:Social anxiety disorder (SAD) is one of the most common mental disorders, with the majority of those affected not receiving primary care or psychotherapy. Internet-based treatments may be an alternative for individuals with SAD. We hypothesize that interpersonal characteristics differ between SAD patients in face-to-face (ftf) and online treatments, and that these factors predict treatment outcomes. METHODS:The sample consisted of 539 patients with SAD from four different online treatment studies (N = 376) and one university outpatient clinic in Europe (N = 163) who received integrative CBT. Interpersonal problems were assessed at baseline and symptom severity at baseline and treatment termination. RESULTS:Results showed similar interpersonal patterns of being nonassertive and socially inhibited in both treatment groups at baseline, with patients in online treatment being more severely affected than those in ftf therapy. Interpersonal problems of communion were predictive of outcome in both treatments. Low communion reflects interpersonal coldness, distance, and difficulty forming close bonds, whereas high communion reflects excessive dependence, submissiveness, and overinvolvement with others. Patients with interpersonal problems of low communion benefited more from ftf therapy, while patients with interpersonal problems of high communion benefited more from online therapy. CONCLUSION:These findings underscore the importance of considering interpersonal problems when planning and evaluating treatment for SAD. In the future, it may be possible to predict if a particular SAD patient benefits more from online versus ftf treatment from their baseline interpersonal problems and recommend the suitable treatment.

Our aim was to identify which forms of social participation among older adults are associated with one another and how they relate to the satisfaction of basic psychological needs. Accordingly, we offer insights into the multiple roles older adults take on within their communities and how these roles relate to their wellbeing. We recruited participants for the study using a non-random, multi-pronged recruitment strategy through various channels. A sample of Swiss-based older adults (N = 286) completed an online survey containing demographic questions, measures of formal and informal social participation, and the Balanced Measure of Psychological Needs Scale by Sheldon and Hilpert (2012), validated in German by Neubauer and Voss (2016). Our results showed that older adults are active in diverse forms of social participation, highlighting a complex interconnectedness between multiple roles that they assume within their communities. However, the associations between different forms of social participation and the satisfaction of basic psychological needs were nuanced and selective. Through correlational and cluster analyses, we found that informal social participation was associated with balanced psychological needs satisfaction. Furthermore, both excessive and low engagement in certain forms of formal participation were linked to an imbalance in the satisfaction of basic psychological needs. Therefore, our findings inform practice by showing that to better support basic psychological needs satisfaction, informal participation should be prioritized, while formal participation should be personalized and monitored on how it is perceived by older adults, either as overly demanding or insufficiently challenging.

Introduction: In day clinic treatment, patients engage not only with their psychotherapists, but also with fellow patients and other members of the treatment team. Given that interpersonal difficulties are a core component in the treatment of depression, these additional relationships could be of special relevance. However, compared to alliance little is known how other relationships experienced during treatment relate to outcome. Thus, the aim of the analysis was to examine the potentially beneficial association of different types of relationships with outcome in day clinic treatment of depression. Methods: The relationships were assessed with the Inpatient and Day-Clinic Experience Scale (IDES) including the subscales bond with the psychotherapist, bond with the treatment team, and group cohesion. Treatment outcome was assessed by the Rosenberg Self-Esteem Scale (RSE), and the European Health Interview Survey - Quality of Life (EUROHIS-QOL). For both outcome measures, residual gain scores were computed, and a path analysis was conducted. Results: Whereas higher levels of group cohesion were associated with more increase in self-esteem, a stronger bond with the psychotherapist was associated with more increase in quality of life. For the bond with the treatment team no significant association with treatment outcome was observed. Discussion: The results highlight distinct associations of different types of relationships with treatment outcome in depression. Limitations such as the limited sample size, high number of male patients, and high staff turnover are discussed. Future research should further explore the association of different therapeutic relationships with outcome as well as the associated mechanisms of action.

Background: Emotion-Focused Therapy is one of the evidence-based psychotherapies for a range of psychological problems. While most evidence was gained from randomized controlled studies or process research at university settings, there is a need for more outcome research conducted within practitioner-researcher networks assessing the effectiveness of Emotion-Focused Therapy in private practice. Methods: A total of N = 70 clients with a variety of psychiatric disorders have been included in the bi-national practitioner researcher network for Emotion-focused Therapy Switzerland-Germany. Symptom change was assessed using CORE-OM, BDI-II, IIP and WSAS. Therapist adherence was assessed by the self-reported version of the PCEPS. Pre-post-follow-up analyses were conducted using paired sample t-tests and hierarchical linear modeling. Results: Pre-post-assessment shows small to medium effect sizes for all outcome measures (except for interpersonal problems which did not change). Symptom reduction is maintained for CORE, BDI and WSAS, and increased for IIP at 3 and 6 months follow-up. Therapist adherence is good to excellent in this sample. Conclusions: Emotion-Focused Therapy is effective in the real-world practice, as suggested by the small to moderate effect sizes. The smaller effects found in the current study as compared to randomized controlled trials are consistent with the literature and suggest that EFT remains moderately effective when applied in a naturalistic context.

The therapeutic alliance is a well-established predictor of psychotherapy outcome, and the ability to mentalize has been discussed as a change mechanism in psychotherapy. Low mentalization may lead to impairments in the alliance. In the present study, we assessed mentalization effects on the therapeutic alliance over the course of treatment. Thirty-seven patients diagnosed with depression or anxiety disorders received 25 +/- 3 sessions of integrative cognitive behavioral therapy (outpatient setting). Patient's mentalization was coded by external raters based on transcripts of the first, eighth, 16th, and 24th therapy sessions, and the alliance quality was assessed from both patient and therapist perspectives after each session. The effects of mentalization on the alliance were investigated both within and between patients using hierarchical linear modeling. A higher patient ability to mentalize was related to a better therapist-reported but not patient-reported alliance during treatment. Mentalization did not show significant within-patient effects on the therapeutic alliance. To conclude, therapists may perceive a stronger therapeutic alliance with patients who exhibit a greater capacity for mentalization. It might be important for therapists to pay attention to a possible positive bias when patients present with a high ability to mentalize.

Background: With the rising prevalence of major depressive disorder in the general population, understanding the mechanisms through which therapeutic interventions affect treatment outcomes is crucial. This study investigates the roles of mastery and motivational clarification as mediators of the treatment effectiveness of cognitive therapy for depression. Methods: This secondary analysis used data from a randomized controlled effectiveness trial involving 149 participants (M age = 40.7 years, SD = 11.6; 59.6% females, 40.4% males), who received a maximum of 22 sessions of either cognitive behavioral therapy (CBT) or exposure-based cognitive behavioral therapy (EBCT-R). Cross-lagged panel models were used to examine how mastery and motivational clarification mediated changes in depression severity over time. Results: The mediation paths showed a significant positive effect of therapy condition on mastery, with a larger increase for participants in the CBT condition. Mastery had a positive effect on WHO-5 well-being ratings and significantly mediated the treatment effect on well-being. Motivational clarification also had a significant positive effect on WHO-5 ratings, but did not mediate the overall treatment effect. Conclusion: Results suggest that fostering both mastery and motivational clarification within therapeutic interventions can enhance patients' well-being, with mastery specifically mediating the effects of CBT on treatment outcomes.

Background: Depression is often linked to adverse experiences across the lifespan, including traumatic childhood experiences and recent stressful life events. These experiences may further amplify the pre-existing pessimistically biased future perspective in depression, also affecting treatment expectations for psychotherapy. More pessimistic treatment expectations, in turn, are associated with less favourable treatment outcomes. However, little is known about how traumatic childhood experiences and recent stressful life events affect treatment expectations in depression.Objective: This analysis investigated the association between traumatic childhood experiences, recent stressful life events, and treatment expectations among patients with depression. We hypothesised direct associations of traumatic childhood experiences and stressful life events with more pessimistic treatment expectations, and a moderating effect of stressful life events on the association between traumatic childhood experiences and expectations.Method: Data from 55 day clinic patients with depression were analysed. At the beginning of treatment, patients completed the Childhood Trauma Questionnaire (CTQ), and an abuse score and a neglect score were computed. Furthermore, they completed the Social Readjustment Rating Scale (SRRS) to assess the burden of recent stressful life events. Treatment credibility and outcome expectations, both cognitive and affective, were assessed with the Credibility-Expectancy Questionnaire (CEQ).Results: The path analysis showed that childhood abuse was associated with lower levels of cognitive outcome expectations. In contrast, childhood neglect was associated with higher cognitive outcome expectations and higher treatment credibility. Also, a higher burden of stressful life events was linked to higher cognitive outcome expectations. For affective outcome expectations, no significant association was observed with any of the predictors.Conclusions: The findings highlight how traumatic childhood experiences and stressful life events are differentially associated with treatment expectations in depression. Thus, tailored interventions to foster positive and realistic treatment expectations are needed taking the patients' history of childhood trauma and recent stressful life events into account.

Research on teacher stress has identified classroom disruptions as a major risk factor. However, teachers perceive classroom disruptions “through the lens” of their own personalities. This observational study involving 42 teachers (28 female, Mage = 39.66, SD = 11.99) aimed to compare teacher-perceived and observed classroom disruptions and examine how neuroticism, fear of negative evaluation, and social overload influence teachers’ perception of classroom disruptions. Moreover, longitudinal associations between perceived and observed classroom disruptions and occupational problems were investigated over two years. Results show that neuroticism, fear of negative evaluation, and social overload are positively associated with more perceived classroom disruptions. In this context, neuroticism does not directly lead to more perceived classroom disruptions, but the relationship is mediated by fear of negative evaluation and social overload. Moreover, perceived classroom disruptions were associated with an increase of occupational problems over two years. Examining self-reports in combination with behavioral observation is crucial for better understanding teachers’ perception of classroom disruptions and identifying the personality traits and social stressors influencing perception for preventing teachers’ health problems. Teacher education must support teachers in dealing with fear of negative evaluation and social overload and recognize the longitudinal cumulative effects of biased perception on teacher stress. This can prevent teachers from leaving the profession early and keep burnout rates and costs low.

IntroductionThis longitudinal study investigates to what extent salivary alpha-amylase (as an index of the activation of the sympathetic nervous system, SNS), salivary cortisol (as an index of the activation of the hypothalamic-pituitary-adrenal, HPA, axis), and their ratio (reflecting asymmetry between both physiological stress systems) are valid indicators of stress in teachers. Moreover, we pose the question of whether dysregulation of the SNS and HPA axis is associated with individual risk and protective factors of teachers.MethodsSelf-report questionnaires were used to assess personality factors, coping strategies, and perceived psychological and psychosomatic strain, with the latter being reassessed two years later.ResultsThe results show that cross-sectionally, alpha-amylase is positively associated with individual risk factors and psychological strain in teachers, whereas cortisol showed no significant correlations. Longitudinally, however, the ratio of alpha-amylase over cortisol was the most consistent indicator of stress in teachers, with higher values predicting a more unfavorable stress experience and psychosomatic strain.DiscussionIn summary, an asymmetry between activity of the SNS and the HPA axis validly indicates work stress and psychosomatic strain in teachers.

Psychotherapy is a highly collaborative and individualized mental health practice developed in (post-) modern societies. The mental health outcomes of psychotherapy cover a broad range of psychological factors including the reduction of suffering/symptoms as well as the promotion of well-being, personal values, and personal strengths. There is extensive meta-analytic evidence that legitimate psychotherapy works remarkably well and robustly for most common mental disorders. In addition, there is a large body of meta-analytic evidence supporting the potential relevance of transdiagnostic relationship principles and transtheoretical psychotherapy factors. Based on this ongoing empirical evidence, we propose four relevant implications for future training and practice in transdiagnostic psychotherapy: 1) the development of a transtheoretical legal framework for psychotherapeutic treatments, 2) the formulation of evidence-based transtheoretical interpersonal skills, 3) an orientation toward transtheoretical therapeutic factors, and 4) the exploration of comprehensive psychotherapy outcomes. We conclude with some more general guidance for future directions.

The study tested a brief intervention to stimulate and help supervisors reduce work-related interruptions among their employees, both at work and during leisure time. The core of the short-term intervention was a workplace analysis of work-related interruptions, which was fed back to supervisors in combination with a work redesign stimulation explaining why and how to reduce interruptions. Two intervention sessions, as one-on-one physical meetings, that lasted 1.5 h each and were 2 wk apart. The sample consisted of 20 managers and 89 employees. The non-experimental repeated measurement design comprised three questionnaire measurements of the 89 employees (two pre-measurements and one post-measurement). Repeated measure hierarchical linear models showed that the intervention significantly predicted reduced interruptions during work and work-related interruptions of leisure time. Although the intervention effect sizes were small, the current work design intervention with supervisors as mediating actors can reasonably contribute to occupational health prevention.

BackgroundThe COVID-19 pandemic has forced many health care providers to make changes in their treatment, with telemedicine being expanded on a large scale. An earlier study investigated the acceptance of telephone calls but did not record satisfaction with treatment or patients’ preferences. This warranted a follow-up study to investigate acceptance, satisfaction, and preferences regarding telemedicine, comprising of phone consultations, among health care recipients. ObjectiveThe primary aim was to assess the acceptance and satisfaction of telemedicine during the subsequent months of 2021-2022, after the initial wave of the COVID-19 pandemic in Switzerland. Furthermore, we aimed to assess patients’ preferences and whether these differed in patients who had already experienced telemedicine in the past, as well as correlations between acceptance and satisfaction, pain intensity, general condition, perception of telemedicine, and catastrophizing. Finally, we aimed to investigate whether more governmental restrictions were correlated with higher acceptance. MethodsAn anonymous cross-sectional web-based survey was conducted between January 27, 2021, and February 4, 2022, enrolling patients undergoing outpatient pain therapy in a tertiary university clinic. We conducted a descriptive analysis of acceptance and satisfaction with telemedicine and investigated patients’ preferences. Further, we conducted a descriptive and correlational analysis of the COVID-19 stringency index. Spearman correlation analysis and a chi-square test for categorical data were used with Cramer V statistic to assess effect sizes. ResultsOur survey was completed by 60 patients. Telemedicine acceptance and satisfaction were high, with an average score of 7.6 (SD 3.3; on an 11-point Numeric Rating Scale from 0=not at all to 10=completely), and 8.8 (SD 1.8), respectively. Respondents generally preferred on-site consultations to telemedicine (n=35, 58% vs n=24, 40%). A subgroup analysis revealed that respondents who already had received phone consultation, showed a higher preference for telemedicine (n/N=21/42, 50% vs n/N=3/18, 17%; χ22 [N=60]=7.5, P=.02, Cramer V=0.354), as well as those who had been treated for more than 3 months (n/N=17/31, 55% vs n/N=7/29, 24%; χ22 [N=60]=6.5, P=.04, Cramer V=0.329). Acceptance of telemedicine showed a moderate positive correlation with satisfaction (rs{58}=0.41, P<.05), but there were no correlations between the COVID-19 stringency index and the other variables. ConclusionsDespite high acceptance of and satisfaction with telemedicine, patients preferred on-site consultations. Preference for telemedicine was markedly higher in patients who had already received phone consultations or had been treated for longer than 3 months. This highlights the need to convey knowledge of eHealth services to patients and the value of building meaningful relationships with patients at the beginning of treatment. During the COVID-19 pandemic, the modality of patient care should be discussed individually.

Zusammenfassung Psychotherapie ist eine kooperative und individualisierte Behandlung zur Förderung der psychischen Gesundheit, die sich in (post-)modernen Gesellschaften weiterentwickelt. Psychotherapieerfolg umfasst ein breites Spektrum von Kriterien, wie beispielsweise die Verringerung von symptombezogenem Leidensdruck sowie die Förderung von Wohlbefinden, persönlichen Werten, Stärken und psychosozialer Partizipation. Es liegen umfangreiche metaanalytische Belege dafür vor, dass Psychotherapie bei den häufigsten psychischen Störungen und deren Komorbidität bemerkenswert gut und stabil wirkt. Darüber hinaus gibt es eine Vielzahl metaanalytischer Belege für die potenzielle Relevanz transtheoretischer Beziehungs- und Wirkprinzipien. Ausgehend von der Darstellung des sich kontinuierlich entwickelnden evidenzbasierten Konsolidierungsprozesses werden im vorliegenden Beitrag Schlussfolgerungen für die zukünftige Aus- und Weiterbildung sowie die Praxis einer transtheoretisch orientierten Psychotherapie gezogen. Der Beitrag schließt mit allgemeineren Hinweisen auf zukünftige Ziele in transtheoretischer Psychotherapie.