{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:42:36Z","timestamp":1771922556843,"version":"3.50.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background and aim<\/jats:title>\n                    <jats:p>The Systemic Therapy Inventory of Change (STIC) is designed to measure changes in family, couple, and individual therapy from a multisystemic and multidimensional perspective. The aim of the present study was to translate the English version of the STIC into German and to evaluate the psychometric properties of the German version in a clinical sample of 309 patients starting outpatient psychotherapy covered by the German Statutory Health Insurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were recruited between July 2023 and November 2024 at Heidelberg Institute for Psychotherapy (HIP) of the University Hospital Heidelberg. In addition to the STIC, several other questionnaires were completed by the participants, including the Patient Health Questionnaire (PHQ-9), Childhood Trauma Questionnaire (CTQ), Experience in Close Relationships (ECR-RD-8), and the Systemic Clinical Outcome and Routine Evaluation (SCORE-15). Pearson correlation coefficients were calculated between the STIC subscales and the corresponding criterion measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant correlations with various outcome measures between 0.26 and 0.81 demonstrated the construct validity of the German version of the STIC. Multiple linear regression analyses showed that higher scores on the subscale IPS (Individual Problems and Strengths) and RWP (Relationship with Partner) were significantly associated with higher quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The questionnaire could be used in psychotherapy settings for routine outcome monitoring and psychotherapy research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1686468","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:28:30Z","timestamp":1768886910000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation and validation of the German version of the Systemic Inventory of Change"],"prefix":"10.3389","volume":"16","author":[{"given":"Annina","family":"Brendel","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital","place":["Heidelberg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mechthild","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital","place":["Heidelberg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus W.","family":"Haun","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital","place":["Heidelberg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William M.","family":"Pinsof","sequence":"additional","affiliation":[{"name":"Pinsof Family Systems","place":["Chicago, IL, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beate","family":"Wild","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital","place":["Heidelberg, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"B1","volume-title":"Bergin and Garfield\u2019s handbook of psychotherapy and behavior change","author":"Lambert","year":"2013"},{"key":"B2","doi-asserted-by":"crossref","DOI":"10.4324\/9780203893340","volume-title":"The great psychotherapy debate: Models, methods, and findings","author":"Wampold","year":"2013"},{"key":"B3","volume-title":"Beck depression inventory\u2013II","author":"Beck","year":"1996"},{"key":"B4","article-title":"SCL-90: Administration, scoring & procedures manual for the R(evised) version and other instruments of the psychopathology rating scale series","author":"Derogatis","year":"1977","journal-title":"Clin Psychometric Res"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737","article-title":"Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study","volume":"282","author":"Spitzer","year":"1999","journal-title":"JAMA"},{"key":"B6","volume-title":"The handbook of systemic family therapy: A contextual approach","author":"Carr","year":"2014"},{"key":"B7","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1093\/med:psych\/9780195165791.003.0018","article-title":"Integrative problem-centered therapy","volume-title":"Handbook of psychotherapy integration","author":"Pinsof","year":"2005"},{"key":"B8","volume-title":"Common factors in couple and family therapy: The overlooked foundation for effective practice","author":"Sprenkle","year":"2009"},{"key":"B9","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1111\/1467-6427.12082","article-title":"Selecting self-report outcome measures for use in family and systemic therapy","volume":"39","author":"Moran","year":"2017","journal-title":"J Family Ther"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6427.2010.00507.x","article-title":"Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: The SCORE","volume":"32","author":"Stratton","year":"2010","journal-title":"J Family Ther"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1080\/10503300802669973","article-title":"Laying the foundation for progress research in family, couple, and individual therapy: The development and psychometric features of the initial Systemic Therapy Inventory of Change","volume":"19","author":"Pinsof","year":"2009","journal-title":"Psychother Res"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2017.1325022","article-title":"Testing the convergent and discriminant validity of the Systemic Therapy Inventory of Change initial scales","volume":"28","author":"Zinbarg","year":"2018","journal-title":"Psychother Res"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000729","article-title":"The Systemic Therapy Inventory of Change (STIC) initial scales: Are they sensitive to change","volume":"31","author":"He","year":"2019","journal-title":"psychol Assess"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2283523","article-title":"Does the STIC measurement and feedback system improve multisystemic outcomes in individual, couple and family therapy? A randomized clinical trial","volume":"34","author":"Pinsof","year":"2024","journal-title":"Psychother Res"},{"key":"B15","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1111\/famp.12485","article-title":"Feedback in couple and family therapy: A randomized clinical trial","volume":"59","author":"Tilden","year":"2020","journal-title":"Family Proc"},{"key":"B16","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/1467-6427.12022","article-title":"Detecting therapeutic improvement early in therapy: Validation of the SCORE-15 index of family functioning and change","volume":"36","author":"Stratton","year":"2014","journal-title":"J Family Ther"},{"key":"B17","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1186\/s40359-021-00637-z","article-title":"Evaluation of a short version of the Experiences in Close Relationships-Revised questionnaire (ECR-RD8): Results from a representative German sample","volume":"9","author":"Ehrenthal","year":"2021","journal-title":"BMC Psychol"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Internal Med"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity","volume":"34","author":"Ware","year":"1996","journal-title":"Med Care"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2015.61.3.262","article-title":"Entwicklung einer Zw\u00f6lf-Item-Version des OPD-Strukturfragebogens (OPD-SFK)\/Development of a 12-item version of the OPD-Structure Questionnaire (OPD-SQS)","volume":"61","author":"Ehrenthal","year":"2015","journal-title":"Z f\u00fcr Psychosomatische Med und Psychotherapie"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(02)00541-0","article-title":"Development and validation of a brief screening version of the Childhood Trauma Questionnaire","volume":"27","author":"Bernstein","year":"2003","journal-title":"Child Abuse Negl"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1997.tb01545.x","article-title":"The Strengths and Difficulties Questionnaire: A research note","volume":"38","author":"Goodman","year":"1997","journal-title":"J Child Psychol Psychiatry"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12159","article-title":"Confirming, validating, and norming the factor structure of Systemic Therapy Inventory of Change initial and intersession","volume":"54","author":"Pinsof","year":"2015","journal-title":"Family Proc"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1686468\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T07:37:45Z","timestamp":1771918665000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1686468\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,20]]},"references-count":23,"alternative-id":["10.3389\/fpsyt.2025.1686468"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2025.1686468","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,20]]},"article-number":"1686468"}}