{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:11:45Z","timestamp":1719533505429},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2022,9]]},"abstract":"Zusammenfassung<\/jats:title>\n Hintergrund\u2002Patienten mit einer narzisstischen\n Pers\u00f6nlichkeitsst\u00f6rung (NPS) gelten im Rahmen der\n therapeutischen Arbeit als besonders herausfordernd. Allerdings liegen gut\n kontrollierte Studien zur Effektivit\u00e4t von Psychotherapie bei\n NPS-Patienten bislang nicht vor, sodass viele Interventionsprozesse auf\n theoretischen Konstrukten basieren. Die Kl\u00e4rungsorientierte\n Psychotherapie (KOP) ist ein psychotherapeutisches\n Verfahren, welches sich aus Konzepten der Kognitiven Verhaltenstherapie,\n der Klientenzentrierten Psychotherapie und verschiedenen\n prozessorientierten Verfahren entwickelt hat. Die\n vorliegende Untersuchung versucht eine Quantifizierung der\n Effektivit\u00e4t einer psychotherapeutischen Behandlung der NPS\n per KOP.<\/jats:p>\n Methode und Ergebnisse\u2002Retrospektive Kohorten-Studie. Die pr\u00e4-post\n per-Protokoll-Analyse von 173 behandlungssuchenden NPS-Patienten1 zeigte nach Abschluss der Behandlung\n (58,6\u00b110,5 Sitzungen) signifikante Verbesserungen von zentralen\n st\u00f6rungsrelevanten Parametern (mit gr\u00f6\u00dftenteils\n mittleren Effektst\u00e4rken). Insbesondere das prim\u00e4re Zielkriterium\n (d.h. der ehrgeizige\/narzisstische Pers\u00f6nlichkeitsziel im\n \u201ePers\u00f6nlichkeits-Stil- und St\u00f6rungs-Inventar\u201c\n (PSSI) zeigte eine positive Ver\u00e4nderung (mittlere Effektst\u00e4rke:\n d=\u22120,49 [\u22120,67; \u22120,31], p<0,001).\n In Bezug auf die Verbesserung depressiver \u201estates\u201c und\n \u201etraits\u201c, Neurotizismus sowie der Selbstakzeptanz konnte sogar\n ein gro\u00dfer Effekt gefunden werden. Die niedrigsten Effektst\u00e4rken\n fanden sich bei der St\u00e4rkung der Selbstregulation (d=0,2 [0,03;\n 0,36], p=0,02).<\/jats:p>\n Diskussion\u2002Da keine intention-to-treat-Analyse durchgef\u00fchrt wurde,\n kann eine \u00dcbersch\u00e4tzung der Effektst\u00e4rken der Behandlung\n nicht ausgeschlossen werden. Die Ergebnisse deuten an, dass der KOP eine\n bevorzugte Position bei der Behandlung der narzisstischen\n Pers\u00f6nlichkeitsst\u00f6rung einger\u00e4umt werden kann. Aus Sicht\n der evidenzbasierten Medizin unterst\u00fctzen die Ergebnisse dieser bisher\n umfangreichsten Studie zur Psychotherapie der NPS eine Anhebung des\n Evidenzlevels der Wirksamkeit der KOP bei der Behandlung dieser St\u00f6rung\n von Stufe IV auf Stufe III.<\/jats:p>","DOI":"10.1055\/a-1771-6165","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T22:35:16Z","timestamp":1649716516000},"page":"396-405","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation der Wirksamkeit der kl\u00e4rungsorientierten\n Psychotherapie bei Personen mit einer narzisstischen\n Pers\u00f6nlichkeitsst\u00f6rung nach DSM-IV \u2013 eine\n naturalistische L\u00e4ngsschnittstudie mit pr\u00e4-post\n Design"],"prefix":"10.1055","volume":"90","author":[{"given":"Gregor","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologische Psychotherapie (IPP), Bochum,\n Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Sachse","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologische Psychotherapie (IPP), Bochum,\n Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Langer","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum, Faculty of Psychology, Department of Cognitive\n Psychology, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt Bernd","family":"Claus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udo","family":"Bonnet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1177\/00030651020500021201","article-title":"Psychoanalytic patients in the U.S., Canada, and Australia: I. 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