Thomas Munder's research while affiliated with University of Zurich and other places

Publications (56)

Article
Objective Intervention integrity is the degree to which the study intervention is delivered as intended. This article presents the RIPI-f checklist (Reporting Integrity of Psychological Interventions delivered face-to-face) and summarizes its development methods. RIPI-f proposes guidance for reporting intervention integrity in evaluative studies of...
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Introduction: Treatment as usual (TAU) is the most frequently used control group in randomized trials of psychotherapy for depression. Concerns have been raised that the heterogeneity of treatments in TAU leads to biased estimates of psychotherapy efficacy and to an unclear difference between TAU and control groups like waiting list (WL). Objecti...
Preprint
Background: Treatment as usual (TAU) is the most frequently used control group in randomised trials of psychotherapy for depression and meta-analyses that summarise these trials. Concerns have been raised over imprecise and biased efficacy estimates because of substantial variability in the treatments provided in TAU. We set out to investigate the...
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Patients’ expectations are among the most frequently studied psychological prognostic factors in total knee and hip arthroplasty (TKA/THA). So far, however, evidence on the effect of patients’ preoperative expectations on surgery outcome is inconclusive. Heterogeneity of expectation constructs and the use of psychometrically not evaluated measureme...
Article
Patients’ expectations are among the most frequently studied psychological prognostic factors in total knee and hip arthroplasty (TKA/THA). So far, however, evidence on the effect of patients’ preoperative expectations on surgery outcome is inconclusive. Heterogeneity of expectation constructs and the use of psychometrically not evaluated measureme...
Preprint
Full-text available
Patients’ expectations are among the most frequently studied psychological prognostic factors in total knee and hip arthroplasty (TKA/THA). So far, however, evidence on the effect of patients’ preoperative expectations on surgery outcome is inconclusive. Heterogeneity of expectation constructs and the use of psychometrically not evaluated measureme...
Article
Objective: This study aimed at a psychometric analysis of the Facilitative Interpersonal Skills (FIS) performance test, a test of therapist relational skills that has repeatedly been found to predict psychotherapy outcome. We investigated the reliability, unidimensionality, and convergent validity of a German language version and psychometrics rel...
Article
Objective: Background regarding a recent debate between Cuijpers et al. (2019a, b) and the authors (Munder et al. 2019) about the efficacy of psychotherapy for depression is given. Method: A main reason for the discrepancy in Cuijpers et al.'s and our conclusions is discussed. Results: In our view the discrepancy is due, among other things, to a bl...
Article
Objectives: Integrating a stronger focus on patients' existing strengths in traditional psychotherapy approaches is suggested by recent developments in psychological science, positive psychology, and psychotherapy research. However, the empirical status of treatments focusing on patients' existing strengths is unclear. The aim of this study was to...
Article
Zusammenfassung Ziele Das allianzfokussierte Training (AFT) 1 schult therapeutische Kompetenzen, die für den Umgang mit Spannungen und Krisen in der therapeutischen Beziehung hilfreich sind unter Einsatz von Videoaufzeichnungen und Rollenspielen. Ziel der von der Heigl-Stiftung geförderten Pilotstudie war es, erste klinische Erfahrungen und Ergebni...
Article
Aims The aim of this study was to reanalyse the data from Cuijpers et al. 's (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al ., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evid...
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For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the...
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Free download: https://doi.org/10.1080/10503307.2018.1430390 (copy&past) Psychotherapy researchers have had a long-standing interest in developing and applying meta-analytic methods.This Special Section aims to provide a synopsis of lasting evidence-based considerations and challenges present in psychotherapy meta-analyses and psychological interve...
Article
In der psychodynamischen Therapie ist die Konzeptualisierung des Wirkprinzips Ressourcenorientierung noch weniger weit fortgeschritten als in anderen Verfahren. Der vorliegende konzeptuell-theoretische Beitrag widmet sich deshalb der Ressourcenorientierung aus psychodynamischer Perspektive und geht der Frage nach, inwieweit ressourcenorientierte Pr...
Chapter
Dem alltäglichen Sprachgebrauch gilt eine Ressource als »natürlich vorhandener Bestand von etwas, was für einen bestimmten Zweck, besonders zur Ernährung der Menschen und zur wirtschaftlichen Produktion, (ständig) benötigt wird« sowie als »Bestand an Geldmitteln [...], auf die jemand zurückgreifen kann« (Duden Universalwörterbuch). Diese Definition...
Article
The Cochrane risk of bias tool (RoB) is a widely used measure for methodological quality of randomized controlled trials. This paper discusses RoB’s rationale and risk of bias domains, reports on its application in current psychotherapy meta-analyses, and offers comments regarding the application of RoB in the context of psychotherapy outcome resea...
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Spannungen und Krisen in der therapeutischen Beziehung sind häufig. Der gelingende Umgang mit ihnen ist sowohl Voraussetzung der erfolgreichen Therapie als auch ein zentraler Wirkmechanismus. Es fällt Therapeuten häufig schwer, eine Spannung oder Krise rechtzeitig wahrzunehmen und konstruktiv zu nutzen. Dies spricht für den Bedarf an spezifisch hie...
Article
Objective: Pharmacotherapy, cognitive-behavioral therapy (CBT), and psychodynamic therapy are most frequently applied to treat mental disorders. However, whether psychodynamic therapy is as efficacious as other empirically supported treatments is not yet clear. Thus, for the first time the equivalence of psychodynamic therapy to treatments establi...
Article
Abstract Objective: Up to 50% of psychotherapeutic treatments end without significant improvements. While there is first evidence about predictors of nonresponse in outpatient psychotherapy, there are currently no studies investigating predictors of 15 nonresponse in inpatient settings. Based upon a previous systematic literature review, we analyze...
Chapter
Spannungen und Krisen (Rupturen) in der therapeutischen Beziehung gehören zum therapeutischen Alltag. Sie können dazu führen, dass eine Therapie scheitert, aber auch Wege zu einem tieferen Verständnis problematischer Beziehungsmuster eröffnen und zu einer korrigierenden Beziehungserfahrung verhelfen. Im vorliegenden Kapitel werden empirische und th...
Article
The concept of transference interpretation is theoretically ambiguous and empirical findings regarding their clinical effects are contradictory. Therefore, a more detailed and nuanced conceptual definition is needed. This paper first proposes a typology of different understandings of transference interpretation based on a systematic review of theor...
Article
The concept of transference interpretation is theoretically ambiguous and empirical findings regarding their clinical effects are contradictory. Therefore, a more detailed and nuanced conceptual definition is needed. This paper first proposes a typology of different understandings of transference interpretation based on a systematic review of theor...
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Full-text available
Objective: Psychotherapy research needs to convince psychotherapists to contribute their time and effort to participate. The present paper describes the development and first results of the Attitudes to Psychotherapy Research Questionnaire (APRQ). Method: The APRQ and additional qualitative questions about exclusion criteria for participation we...
Article
The necessity of specific intervention components for the successful treatment of patients with posttraumatic stress disorder is the subject of controversy. To investigate the complexity of clinical problems as a moderator of relative effects between specific and nonspecific psychological interventions. We included 18 randomized controlled trials,...
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Background. To summarize the available evidence on the effectiveness of psychological interventions for patients with post-traumatic stress disorder (PTSD). Method. We searched bibliographic databases and reference lists of relevant systematic reviews and meta-analyses for randomized controlled trials that compared specific psychological interventi...
Article
IntroductionErectile dysfunction (ED) is an increasing health problem that demands effective treatment. There is evidence that phosphodiesterase-5 inhibitors (PDE5-Is) and psychological intervention (PI) are effective treatment options; however, little is known about their comparative efficacy and the efficacy of combined treatments.AimThe aim of t...
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Randomised controlled trials (RCTs) of psychotherapeutic interventions assume that specific techniques are used in treatments, which are responsible for changes in the client's symptoms. This assumption also holds true for meta-analyses, where evidence for specific interventions and techniques is compiled. However, it has also been argued that diff...
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Aim: Treatment approaches differ to a great extent in terms of basic psychological assumptions and practical procedures. This creates questions about the fitting of therapist and therapeutic approach. This paper examines the influence of therapeutic attitudes, mentalization interest and personality traits on the decision for an approach. Methods:...
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The number of scientific evaluations of early preventions programs has considerably increased since the foundation of the national center of early prevention in Germany. Early primary and secondary intervention programs are designed to address parents with little children (prenatal until three years) to improve the parent-child-relationship and par...
Article
Early primary and secondary intervention programs are designed to address parents with young children (prenatal until three years of age) to improve parent-child relationship and parental educational competencies. This is thought to enhance child development and to avoid maltreatment in terms of neglect and abuse. During a systematic review, six da...
Data
Supporting information to the manuscript. Contents:Text S1. WinBUGs model for main analysis.Text S2. Bibliography of 198 studies included in the meta-analysis.Text S3. PRISMA checklist.Table S1. Bibliography of 198 studies included in the meta-analysis.Table S2. Description of individual studies (methodological characteristics and intervention).Ta...
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Previous meta-analyses comparing the efficacy of psychotherapeutic interventions for depression were clouded by a limited number of within-study treatment comparisons. This study used network meta-analysis, a novel methodological approach that integrates direct and indirect evidence from randomised controlled studies, to re-examine the comparative...
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Sexual dysfunction is highly prevalent in the general population and associated with psychological distress and impaired sexual satisfaction. Psychological interventions are promising treatment options, as sexual dysfunction is frequently caused by and deteriorates because of psychological factors. However, research into the efficacy of psychologic...
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Many meta-analyses of comparative outcome studies found a substantial association of researcher allegiance (RA) and relative treatment effects. Therefore, RA is regarded as a biasing factor in comparative outcome research (RA bias hypothesis). However, the RA bias hypothesis has been criticized as causality might be reversed. That is, RA might be a...
Article
Mental illness in parents affects the mental health of their children. A systematic review and a meta-analysis of the effectiveness of interventions to prevent mental disorders or psychological symptoms in the offspring were performed. The Cochrane, MEDLINE, EMBASE, and PsycINFO databases were searched for randomized controlled trials of interventi...
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This meta-analysis investigated whether the association between researcher allegiance (RA) and the relative effect of two psychotherapies can be explained through the methodological weaknesses of the treatment comparisons. Seventy-nine comparisons of psychotherapies for depression or posttraumatic stress disorder (PTSD) were included. Methodologica...
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The Working Alliance Inventory-Short Revised (WAI-SR) is a recently refined measure of the therapeutic alliance that assesses three key aspects of the therapeutic alliance: (a) agreement on the tasks of therapy, (b) agreement on the goals of therapy and (c) development of an affective bond. The WAI-SR demonstrated good psychometric properties in an...
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Zusammenfassung Die therapeutische Allianz umfasst die zielgerichtete Zusammenarbeit von Patient und Therapeut. Sie ist ein zentrales Element wirksamer Psychotherapie. Es liegen bis-lang wenige empirisch geprüfte deutschsprachige Messinstrumente mit internationaler Akzeptanz vor. Ein weit verbreitetes Instrument ist das Working Alliance Inventory (...

Citations

... We believe it is more accurately classified as "treatment as usual" (TAU) because they benefitted from peer support and advice and gained a sense of belonging to a significant reference group. Psychotherapy effects decrease with increasing control group intensity (Munder et al., 2022). The reduced effect of our treatment trial is, therefore, partially accounted for by the relative intensity of our TAU comparison. ...
... Overall, effect sizes for the relation between pre-treatment expectations and treatment outcome seem to be moderate. However, effect sizes vary considerably across treatments and conditions [10], and across studies within the same treatment or condition [11], pointing towards potential issues with the operationalization of expectations. ...
... Patient expectations in the context of medical treatment have received increasing attention in research in recent years, with a growing body of literature suggesting their influence on clinical outcomes. Associations of patient expectations and treatment outcomes have been shown for a variety of medical conditions including heart disease [1], post-chemotherapy nausea in cancer [2], back pain [3][4][5] and neck pain [6], as well for different therapeutic interventions including surgery [7][8][9][10][11], psychotherapy [12], chiropractic care [5], physical therapy [6], massage [13] and acupuncture [13,14]. However, relatively few studies have investigated the predictive value of patient expectations on outcomes of acupuncture treatment, with inconsistent results [15]. ...
... We assessed all components of the CMPB, as well as psychiatric symptoms, life satisfaction, and work and social adjustment as outcome variables 1 at pre-, mid-, and posttreatment and 6-month follow-up. 2 Given substantial meta-analytic evidence supporting the efficacy of PST (e.g., Barth et al., 2016) and indications of the importance of using supportive techniques and approaches in the treatment of perfectionism (e.g., Greenspon, 2014;Halgin & Leahy, 1989), we selected it as our active comparator. The use of supportive techniques to facilitate corrective emotional experiences is the focus of supportive treatment (Book, 1998;Leibovich et al., 2018;Rockland, 1989;Zilcha-Mano et al., 2021), and these principles are theorized to be salient in effecting change in patients with perfectionism (Ashby et al., 2005;Greenspon, 2014;Halgin & Leahy, 1989). ...
... Therapists are asked to respond to challenging therapy situa tions that are presented to them either as video clips or with actor clients. Therapists' responses are filmed and later evaluated by trained judges according to a rating manual (Munder et al., 2019). In this study we intended to employ a competency test methodolo gy similarly to the FIS. ...
... Dem "sprechenden Geschehen" im Behandlungszimmer wird in der Prozessforschung seit längerer Zeit verstärkt Aufmerksamkeit gewidmet. Dazu gibt es exzellente Überblicke (Gumz et al. 2019;Marx et al. 2017). Die Autoren des vorliegenden Beitrags wollen anregen, dem in Ausbildung und Praxis weit mehr Aufmerksamkeit zu widmen. ...
... The evidence base points towards the need for distinct models, with different underlying theories, all of which are likely to benefit to some, and none will benefit to all. Research in the future should be directed towards improvements within modality, and neither towards competition between modalities nor efforts to collapse distinctions, however well intentioned these might be (Munder et al., 2019). ...
... Conversely, women with MI also have distinctive strengths that enhance their coping and resilience (Mizock & Brubaker, 2021a). A body of research on character strengths has identified these traits as protective against mental health problems (Munder et al., 2019;Schutte & Malouff, 2019). However, the strengths relating to women with MI have been overlooked in the literature to date. ...
... Auch wenn therapeutischer Misserfolg durch eine unzutreffende Therapie-Indikation, mangelnde Passung zwischen PatientIn und TherapeutIn oder PatientInnenvariable hervorgerufen wird, können PsychotherapeutInnen nicht ihrer Verantwortung enthoben werden, gemeinsam mit den PatientInnen angemessene Lösungen für diese Situationen zu erarbeiten (Reimer, 2008;Lieberei & Linden, 2008 ...
... Die jeweils subjektive Wahrnehmung wird von den inneren Vorstellungsbildern beeinflusst und selektiv auf Teilaspekte der aktuellen Wirklichkeit gerichtet. Die Reaktionen auf die Wahrnehmungen und auf unbewusste Vorannahmen zeigen sich im verbalen und im nonverbalen Verhalten und provozieren eine reziproke Antwort, die sich in einem Circulus vitiosus verstärken kann (Gumz et al. 2018). ...