generalized anxiety disorder; psychotherapy research; resource activation
Flückiger C., Forrer L., Schnider B., Bättig I., Bodenmann G., Zinbarg R.E. (2016), A Single-blinded, Randomized Clinical Trial of How to Implement an Evidence-based Treatment for Generalized Anxiety Disorder [IMPLEMENT] - Effects of Three Different Strategies of Implementation, in
EBioMedicine, 3, 163-171.
Visla A., Flückiger C., Grosse Holtforth M., David D. (2016), Irrational Beliefs and Psychological Distress: A Meta-Analysis, in
Psychotherapy and Psychosomatics, 85(1), 8-15.
Christoph Flückiger (2015), The Process-Outcome Mindfulness Effects in Trainees (PrOMET) study: protocol of a pragmatic randomized controlled trial., in
BMC Psychology, 1.
Flückiger Christoph, Del Re A. C., Wampold B. E. (2015), The sleeper effect: Artifact or phenomenon – A brief comment on are the parts as good as the whole? A meta-analysis of component treatment studies (Bell, Marcus & Goodlad, 2013)., in
Journal of Consulting and Clinical Psychology, 83, 438-442.
Christoph Flückiger (2015), The sleeper effect: Artifact or phenomenon-A brief comment on Bell et al. (2013)., in
Journal of Consulting and Clinical Psychology, 438.
Flückiger Christoph, Horvath Adam O., Del Re A.C., Symonds Dianne, Holzer Corinne (2015), Wie wichtig ist die Arbeitsallianz? Eine meta analytische Übersicht, in
Psychotherapeut, 1.
Flückiger Christoph, Del Re A. C., Munder Thomas, Heer Sara S., Wampold Bruce E. (2014), Enduring effects of evidence-based psychotherapies in acute depression and anxiety versus treatment as usual at follow-up – A longitudinal meta-analysis, in
Clinical Psychology Review, 34, 367-375.
Flückiger Christoph, Grosse Holtforth Martin, Del Re A. C., Lutz Wolfgang (2014), Exploration von Resilienzen und Ressourcen bei Veränderungssprüngen – Eine Praxis-Anleitung, in
Persönlichkeitsstörungen: Theorie und Therapie, 18(4), 235-243.
Flückiger Christoph (2014), Mouches volantes: Kognitiv-Verhaltenstherapeutische Perspektive, in
PiD - Psychotherapie Im Dialog, 15(3), 106-109.
Kegel Alexander, Flückiger Christoph (2014), Predicting psychotherapy dropouts: A multilevel approach., in
Clinical Psychology & Psychotherapy, advanced online publication, 1.
Flückiger Christoph, Wüsten Günther (2014),
Ressourcenaktivierung, Huber, Bern.
Flückiger Christoph (2014), The adherence/resource priming paradigm – a randomised clinical trial conducting a bonafide psychotherapy protocol for generalised anxiety disorder (study protocol)., in
BMC Psychiatry, 14, 49-58.
Kramer U., Flückiger C., Kolly C., Caspar F., Marquet P., Despaland J.- N., de Roten Y. (2014), Unpacking the effects of therapist responsiveness in borderline personality disorder: motive-oriented therapeutic relationship, patient in-session experience and the therapeutic alliance., in
Psychotherapy and Psychosomatics, 83, 386-387.
Von Consbruch Katrin, Flückiger Christoph, Stangier Ulrich, Beutel Manfred E., Herpertz Stephan, Hoyer Jürgen R., Leibing Erik, Leichsenring Falk, Salzer Simone, Strauß Bernhard Michael, Wiltink Jörg (2013), Assessing common factors in psychotherapy: Psychometric properties of a new time-economic instrument (WIFA-k) | WIFA-k: Ein neues Messinstrument zur zeitökonomischen Erfassung allgemeiner Wirkfaktoren nach Grawe, in
PPmP Psychotherapie Psychosomatik Medizinische Psychologie, 63(7), 286-289.
Flückiger Christoph (2013), Die Bedeutung der Ressourcenaktivierung für die therapeutische Veränderung - weiterführende praktische Implikationen, in Schaller J. (ed.), Deutsche Gesellschaft für Verhaltenstherapie (DGVT), Tübingen, 179.
Del Re A. C., Spielmans Glen I., Flueckiger Christoph, Wampold Bruce E. (2013), Efficacy of New Generation Antidepressants: Differences Seem Illusory, in
PLOS ONE, 8(6), e63509.
Grosse Holtforth Martin, Altenstein David, Krieger Tobias, Flückiger Christoph, Wright Aidan G C, Caspar Franz (2013), Interpersonal differentiation within depression diagnosis: Relating interpersonal subgroups to symptom load and the quality of the early therapeutic alliance, in
Psychotherapy Research, 1.
Flückiger C., Zinbarg R. E., Znoj H. J., Ackert M. (2013), Resource activation in generalized anxiety disorder: An observer-based microprocess analysis of in-session outcomes, in
Psychotherapy, 1.
Flückiger Christoph, Wüsten G. (2013), Ressourcenorientierte Gesprächsführung - Advanced Practitioner, in Schaller J. (ed.), Deutsche Gesellschaft für Verhaltenstherapie (DGVT), Tübingen, 235.
Flueckiger Christoph, Del Re Aaron C., Horvath Adam O., Symonds Dianne, Ackert Michael, Wampold Bruce E. (2013), Substance Use Disorders and Racial/Ethnic Minorities Matter: A Meta-Analytic Examination of the Relation Between Alliance and Outcome, in
JOURNAL OF COUNSELING PSYCHOLOGY, 60(4), 610-616.
Flückiger Christoph, Grosse Holtforth Martin, Del Re A C, Lutz Wolfgang (2013), Working along sudden gains - responsiveness on small and subtle early changes and exceptions., in
Psychotherapy, 50(3), 292-297.
Fluckger C. (2012),
Expanding research designs to the contextual model of psychotherapy. Umbrella document, kumulative Habilitation, Universität Bern.
Flückiger Christoph, Del Re A C, Wampold Bruce E, Symonds Dianne, Horvath Adam O (2012), How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis., in
Journal of counseling psychology, 59(1), 10-7.
Munder T., Fluckiger C., Gerger H., Wampold B. E., Barth J. (2012), Is the allegiance effect an epiphenomenon of true efficacy differences between treatments? A meta-analysis., in
Journal of Counseling Psychology, 1-7.
Flückiger Christoph, Grosse Holtforth Martin, Znoj Hansjörg Jörg, Caspar Franz, Wampold Bruce E. (2012), Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy, in
Psychotherapy Research, 23(1), 1-13.
Fluckiger C., Grosse Holtforth M., Znoj H.J., Caspar F., Wampold B. E. (2012), Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy., in
Psychotherapy Research, 1-13.
Lakatos-Witt Angelika, Flückiger Christoph, Weisensee Lisa, Reinecker Hans S. (2012), Learning resource activation | Ressourcenaktivierung lernen, in
Verhaltenstherapie und Verhaltensmedizin, 33(2), 126-138.
Del Re Aaron C., Flückiger Christoph, Goldberg Simon Benjamin, Hoyt William T. (2012), Monitoring mindfulness practice quality: An important consideration in mindfulness practice, in
Psychotherapy Research, 23(1), 54-66.
Schär M., Fluckiger C., Grosse Holtforth M. (2012), Ressourcen- und Stärkenorientierte Psychotherapie, in Steinebach C. (ed.), Beltz, Weinheim, 129-137.
Lakatos A., Fluckiger C., Weisensee L., Reinecker H. (2012), Ressourcenaktivierung lernen und lehren, in
Psychotherapie & Verhaltensmedizin, 33(2), 133-149.
Del Re A. C., Fluckiger C., Horvath A., Symonds D. (2012), Therapist effects in the therapeutic alliance-outcome relationship: A restricted-maximum likelihood meta-analysis., in
Clinical Psychology Review, 32, 642-649.
Grosse Holtforth M., Fluckiger C. (2012), Two kinds of corrective experiences in action: Big Bang vs. Constant Dripping., in Castonguay L. G. (ed.), APA Books, Washington, DC, 1-15.
Flückiger Christoph, Del Re Ac, Wampold Bruce E, Znoj Hansjörg, Caspar Franz, Jörg Urs (2012), Valuing clients' perspective and the effects on the therapeutic alliance: A randomized controlled study of an adjunctive instruction., in
Journal of counseling psychology, 59(1), 18-26.
Wampold Bruce E., Budge Stephanie L., Laska Kevin M., Del Re A. C., Baardseth Timothy P., Fluckiger Christoph, Minami Takuya, Kivlighan D. Martin II, Gunn Wade (2011), Evidence-based treatments for depression and anxiety versus treatment-as-usual: A meta-analysis of direct comparisons, in
CLINICAL PSYCHOLOGY REVIEW, 31(8), 1304-1312.
Wampold BE, Budge SL, Laska KM, Del Re AC, Baardseth TP, Fluckiger C, Minami T, Kivlighan DM, Gunn W (2011), Evidence-based treatments for depression and anxiety versus treatment-as-usual: A meta-analysis of direct comparisons, in
CLINICAL PSYCHOLOGY REVIEW, 31(8), 1304-1312.
Flückiger Christoph, Meyer Andrea, Wampold Bruce E, Gassmann Daniel, Messerli-Bürgy Nadine, Munsch Simone (2011), Predicting premature termination within a randomized controlled trial for binge-eating patients., in
Behavior therapy, 42(4), 716-25.
Flückiger Christoph, Generalisierte Angststörung erkennen und verstehen: Aktuelle Störungsmodelle für die Psychotherapie, in
Psychotherapie im Dialog, 2015(2), 32-38.
Del Re A. C., Flückiger Christoph, Meta analysis, in Norcross J. C. (ed.), American Psychological Association, Washington, DC, 1.
State of research: This research project’s thematic core is the study of the psychotherapy process and outcome of cognitive behavioral treatments with patients who suffer from general anxiety disorder (GAD). There is still little knowledge about why psychotherapy patients in general (and GAD patient in specific) improve or worsen during psychotherapy (e. g., Borkovec & Ruscio, 2001; Hoyer & Goster, 2009; Newman, Castonguay, Borkovec, Fisher, & Nordberg, 2008; Zinbarg, Mashal, Black, & Flückiger, 2010). Instead of creating more and more new overall treatment-packets in a medical meta-model (Wampold, 2001), the most powerful approach may be to understand and ameliorate already effective psychotherapies (Grawe, 1997; Wampold, 2001, 2007). Treatment rationales and manuals allow a relatively high degree of freedom of therapist behavior on how to implement such manuals. One possibility of variation depends upon the quality of therapists’ application of resource-oriented microinterventions during the therapy sessions (Flückiger, Caspar, Grosse Holtforth, & Willutzki, 2009; Flückiger & Grosse Holtforth, 2008a/b) and how they capitalize on partners and significant relationships (Bodenmann, 2004; 2010; Bodenmann et al., 2008; Hahlweg, Grawe-Gerber, Baucom, & Donald, 2010), especially in couples affected by GAD (Durham, Allan, & Hackett, 1997; Zinbarg, Lee, & Yoon, 2007).Main research question: Can a well-introduced cognitive behavioral treatment for patients with GAD be ameliorated by systematized resource-oriented microinterventions on patients and their partners?Study design: In this 3-year-SNF Ambizione-proposal, three ways of conducting a disorder-specific treatment (Zinbarg, Craske, & Barlow, 2006) are contrasted using randomized controlled study design: (a) Resource priming based on a resource-oriented case formulation; (b) resource-oriented couple support; and (c) Problem priming based on a disorder-oriented case formulation. A 3 x 4 design is used with one between-subject factor (resource priming vs. resource-oriented couple support vs. problem priming) and one within-subject factor (time: pre, mid, post, follow-up; respectively sess-by-sess assessment analysed by longitudinal hierarchical linear models). Study population: A total of 78 patients (26 participants in each of the three conditions) with a primary DSM-IV GAD diagnosis will be recruited by means of advertisements in local newspapers and through Internet forums. The therapies will be conducted by advanced cognitive-behavioral therapy trainees at the psychotherapy outpatient clinic in the Department of Psychology at the University of Zurich. The therapists will be trained and supervised by Dr. Zinbarg, Dr. Flückiger, and cognitive-behavioral supervisors that specialize in couples’ therapy. Advanced Master’s students from the Universities of Bern and Zurich will conduct observer-based video ratings.Assessments: The therapies are accompanied by a comprehensive process and outcome assessment. Disorder-specific diagnostics and questionnaires as well as aspects of general functioning will be assessed at pre, 6-week mid and 12-week post assessments, and 6-months follow-up. The therapeutic process will be assessed by post-session reports and by comprehensive minute-by-minute video ratings at session 2, 5 and 8. Intervention: Resource priming and resource-oriented couple support mainly uses the following two/three strategies to foster resource-oriented microinterventions (Flückiger & Wüsten, 2008): (a) Assessment: Individual strengths of the patient are systematically documented by an individual case formulation in individuals and in couples at pre and (b) Priming: Immediately before sessions 1 to 5, therapists have a systematic five-minute preparation about how to implement resource-oriented microinterventions in the forthcoming session. (c) Integrating the partners within the resource-oriented couple support condition. Data Analysis: In order to handle the longitudinal hierarchical data structures (sessions nested within patients; patients nested within therapists) hierarchical linear models will be used for data analysis (Bryk & Raudenbush, 1992).