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Patient-Therapist Congruence Regarding Therapy Progress Perceptions in Psychotherapy for Persistent Somatic Symptoms.

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Title: Patient-Therapist Congruence Regarding Therapy Progress Perceptions in Psychotherapy for Persistent Somatic Symptoms.
Authors: Daehler, Sarah (AUTHOR), Lutz, Wolfgang (AUTHOR), Probst, Thomas (AUTHOR), Rief, Winfried (AUTHOR), Rubel, Julian (AUTHOR), Schwartz, Sarah (AUTHOR), Kleinstaeuber, Maria (AUTHOR)
Source: Cognitive Therapy & Research. Aug2025, Vol. 49 Issue 4, p728-741. 14p.
Subjects: Psychotherapy, Cognitive therapy, Symptom burden, Somatoform disorders, Therapeutic alliance, Treatment effectiveness
Abstract: Background: This study expands the understanding of congruence, or the level of agreement, between therapists and patients regarding therapy progress perception during psychotherapy for distressing persistent somatic symptoms (PSS). Method: We completed a Grid Sequence Analysis of 174 patient-therapist dyads completing cognitive behavior therapy (CBT) to explore congruence patterns regarding therapy progress perceptions, assess baseline characteristic associations with congruence patterns, and investigate whether these patterns are associated with treatment outcomes. Results: A notable majority of dyads (91.4%) were able to reach strong positive congruence by the end of treatment. No baseline characteristics were associated with congruence patterns, except for baseline depression, which was related to a congruence pattern in which the patient underestimated therapeutic progress relative to their therapist. Strong positive congruence was associated with decreased symptom severity at the end of treatment, but no association with disability was found. Conclusion: Overall, it appears that congruence is an important factor in the treatment of PSS. Our results demonstrate that patients can develop strong positive congruence with their therapists regardless of what baseline characteristics they present with. Thus, therapists should aim to develop positive congruence with their patients early in treatment. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Patient-Therapist Congruence Regarding Therapy Progress Perceptions in Psychotherapy for Persistent Somatic Symptoms.
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  Data: <searchLink fieldCode="JN" term="%22Cognitive+Therapy+%26+Research%22">Cognitive Therapy & Research</searchLink>. Aug2025, Vol. 49 Issue 4, p728-741. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Symptom+burden%22">Symptom burden</searchLink><br /><searchLink fieldCode="DE" term="%22Somatoform+disorders%22">Somatoform disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink>
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  Data: Background: This study expands the understanding of congruence, or the level of agreement, between therapists and patients regarding therapy progress perception during psychotherapy for distressing persistent somatic symptoms (PSS). Method: We completed a Grid Sequence Analysis of 174 patient-therapist dyads completing cognitive behavior therapy (CBT) to explore congruence patterns regarding therapy progress perceptions, assess baseline characteristic associations with congruence patterns, and investigate whether these patterns are associated with treatment outcomes. Results: A notable majority of dyads (91.4%) were able to reach strong positive congruence by the end of treatment. No baseline characteristics were associated with congruence patterns, except for baseline depression, which was related to a congruence pattern in which the patient underestimated therapeutic progress relative to their therapist. Strong positive congruence was associated with decreased symptom severity at the end of treatment, but no association with disability was found. Conclusion: Overall, it appears that congruence is an important factor in the treatment of PSS. Our results demonstrate that patients can develop strong positive congruence with their therapists regardless of what baseline characteristics they present with. Thus, therapists should aim to develop positive congruence with their patients early in treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Aug2025
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