Post on 09-Feb-2017
Why do we do diagnos.cs?
+pro -‐contra
à Evidence based prac.ce in psychology à Empirically supported treatments
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Diagnosis: Screenings
• DIPS= Diagnos.c Interview for mental disorders Margraf, Schneider & Suppiger, 2005
– Social Phobia (ICD-‐10 F40.1) – Dysthymia (ICD-‐10 F34.1) – Not passed Exams (ICD-‐10 Z55.2)
• SKID II (Structured clinical interview for DSM-‐IV) – No findings Fydrich et al., 1997
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
BSCL = Brief Symptom Checklist
Franke, G. H. (2015). BSCL-‐53®-‐S. Brief Symptom-‐Checklist–Standard–German Manual.
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
More ques.onnaires… • BAI = Becks Anxiety Inventory (Beck et al., 1988)
• PSQI = The PiNsburgh Sleep Quality Index (PSQI) (Riemann & Backhaus, 1996)
• CTQ = Childhood Trauma QuesRonnaire (Wingenfeld & Spitzer 2010)
• Specific ques.onnaires
– SIAS = Social interacRon anxiety quesRonnaire – SPS = Social phobia quesRonnaire
(Kupper & Denolet 2012) ...
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Protocol aTer each session
• Including: – Important events – What happened in the therapy session – Homework – Thoughts for next session
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires
Quality assessment • Self-‐report ques.onnaire • Therapy session 15, 30, 45,… last • Measured on a
1 (very unsa.sfied) to 6 (very sa.sfied) scale Sa.sfac.on with… - Registra.on - Care of therapist - Competencies of the therapist - Free choice in therapy - Result of the therapy at the current moment
Quality assessment Quality – Diagnos.cs and procedure – Background and treatment possibili.es
– Therapy process – Steps helped me to get beRer
– Most important issues were topic
– Daily life
Goalsekng
Folie 29
Single and small steps
Subgoal
Subgoal
Subgoal
Subgoal
Therapy goal
Start EVALUATION
SMART goals
S = Specific ac.ons
M = Meaningful
A = ARainable R = Resources T = Time
Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.
Measuring Goals Goal aRainmant scale (GAS)
• Pa.ent and therapist decide together about the goal
• Define SMART goals • Define how the goal might get beRer or worse
• Define .me to reach the goal
Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.
GAS
Points Percentage Wording
+2 90–100 %
most favorable outcome
+1 75–89 % greater than expected outcome
0 50–74 % expected outcome
-‐1 25–49 % less than expected outcome
-‐2 Under 25 % most unfavorable outcome
Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.
How about this goals?
«I don’t want to feel fear any more» «I want to loose 2 kg in the next 3 months» «I just want to be happy» «I want to know, who I am» «In 6 months, I want to fly to Basel to visit Alexandra» «In 1 month I would like just to wash my hands 6 .mes a day»
Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal aRainment scaling: Applica.ons, theory, and measurement. Psychology Press.
Procedure
Start of therapy End of therapy
Pre assessment: -‐Case history ques.onnarie -‐DIPS -‐Screening SKID II -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI -‐CTQ
Post assessment: -‐BSCL -‐BDI-‐II -‐BAI -‐PSQI
Quality assessment GAS = Goal aRainment
scale
+ Protocol aTer each session
+ Specific ques.onnaires
+ Specific ques.onnaires