The purpose of this study is to investigate the efficacy of system constellations in a monocentric, single-masked randomized controlled trial. The method of system constellations refers to an approach which integrates ideas from family systems therapy with elements from psychodrama. The constellations are conducted in a group based seminar-setting, each seminar lasting three days. Based on the model of a general psychotherapy and the consistency theory, the effects of system constellations on psychological functioning are explored. It is predicted that participation in a system constellation seminar changes the level of psychological functioning at 4 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
216
individual-centered intervention in a group setting, duration 3 days
individual-centered intervention in a group setting, duration 3 days
Institute of Medical Psychology, University Hospital Heidelberg
Heidelberg, Baden-Wurttemberg, Germany
Change from Baseline in psychological well-being at 2 weeks and four months
Psychological well-being will be assessed using the 'Outcome Questionnaire' in its German version (EB-45). The EB-45 is a brief 45-item self report outcome/tracking instrument designed for repeated measurement of client progress through the course of psychotherapy and following termination. The scales of the EB-45 measure symptom distress, interpersonal functioning, and social role.
Time frame: Baseline, day of treatment, 2 weeks after treatment, 4 months after treatment
Change from Baseline in Psychological distress after 2 weeks and 4 months
The FEP-2, 40-item self report questionnaire, measures psychological distress according to the phase model of therapeutic change as well as the interpersonal model of psychological distress.
Time frame: Baseline, day of treatment, 2 weeks after treatment, 4 months after treatment
Change from Baseline in Incongruence at 2 weeks and 4 months
Motivational incongruence is defined as the unsatisfactory realization of motivational goals and is based on the concept of General Psychotherapy by Klaus Grawe. The Incongruence Questionnaire (INK) is an instrument that assesses motivational incongruence, defined as the discrepancy between a person's motivational goals and his/her perception of reality. The short version of this questionnaire that will be used in our study (K-INK) comprises 23 items.
Time frame: Baseline, day of treatment, 2 weeks after treatment, 4 months after treatment
Goal achievement at 2 weeks and 4 months
Goal achievement will be assessed using Goal Attainment Scaling as a method for the assimilation of achievement in a number of individually set goals into a single aggregated 'goal attainment score', providing a person-centred outcome, focused on that individual's priorities. Goal attainment scaling is operationalized by an open-ended question, in which study participants descriobe their individual goals. In a second step these goals will be coded according to the Bern inventory of psychotherapy goals (BIT-C).
Time frame: day of treatment, 2 weeks after treatment, 4 months after treatment
Change from Baseline in 'Experiences in family and organisational systems' at 2 weeks and 4 months
The subjective quality of family and organizational systems will be assessed by the HFES (Heidelberger Fragebogen zum Erleben in Systemen: Heidelberg Questionnaire on experiences in systems), a self-constructed questionnaire comprising 24 items.
Time frame: day of treatment, 2 weeks after treatment, 4 months after treatment
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