Erfahrungsorientiertes Lernen in der Psychotherapie


Folgestudie veröffentlicht 2010 / 2011 (engl.)

Exposures to a high-ropes course are introduced as an adjunct intervention in the therapy of psychotherapy patients. A controlled study was conducted to investigate the effectiveness of high-ropes exposures as an add-on to inpatient treatment in a naturalistic setting. In a sample of 247 patients, depressive symptoms, trait anxiety, locus of control and self-efficacy were assessed at admission and discharge of treatment and at 24-month follow-up. Follow-up data were available for 104 patients who attended the ropes courses and 53 control patients who underwent an inpatient treatment programme as usual. At the end of treatment, more high-rope participants showed clinically significant change on trait anxiety than controls but not regarding depressive symptoms. High-rope participants showed better follow-up outcomes than controls in trait anxiety and self-efficacy but not in depressive symptoms and external locus of control. Moreover, during follow-up, in the high-rope group, more patients showed reliable improvements and fewer patients showed reliable deteriorations in trait anxiety as compared with controls. The study gives a preliminary indication that the high-rope interventions are a feasible and valuable add-on to inpatient psychotherapy. The study design, sample composition and loss to follow-up are discussed as potential limitations of the study.

Experiential learning in psychotherapy:
ropes course exposures as an adjunct to inpatient treatment
Markus Wolf, Kilian Mehl
Article first published online: 27 MAY 2010
John Wiley & Sons, Ltd.

Clinical Psychology & Psychotherapy
Volume 18, Issue 1, pages 60-74, January/February 2011

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