Comprehensive Psychiatry
Volume 51, Issue 5 , Pages 492-496, September 2010

Psychological mindedness and symptom reduction after psychotherapy in a heterogeneous psychiatric sample

  • Ivan Nyklíček

      Affiliations

    • Center of Research on Psychology in Somatic disease (CoRPS), Department of Medical Psychology, Tilburg University, Postbox 90153, 5000 LE Tilburg, Netherlands
    • Corresponding Author InformationCorresponding author. Department of Medical Psychology, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands. Tel.: +31 13 4662391; fax: +31 13 4662370.
    • ,
  • Daphne Majoor

      Affiliations

    • Center of Research on Psychology in Somatic disease (CoRPS), Department of Medical Psychology, Tilburg University, Postbox 90153, 5000 LE Tilburg, Netherlands
    • ,
  • Pierre A.A.M. Schalken

      Affiliations

    • Center for Psychological Recovery, Berlicumseweg 8, 5248 NT Rosmalen, Netherlands

published online 19 March 2010.

Abstract 

Background

Psychological mindedness (PM) has been claimed to be beneficial for outcome of various forms of psychotherapy. The purpose of this study was to investigate the influence of PM on the therapy results of a psychiatric patient sample with heterogeneous psychological symptoms.

Methods

Participants were 110 patients with different diagnoses who were hospitalized at the Center for Psychological Recovery (Rosmalen, Netherlands). Before and after treatment, they were asked to complete the Balanced Index of Psychological Mindedness and the Symptom Checklist-90.

Results

Baseline PM was not associated with a decrease in symptom scores (F8,73 < 1.0; P > .20; partial η2 < 0.10). However, PM increased over the course of the intervention (F2,84 = 43.54; P < .001; η2 = 0.51) and larger increases in the insight component of PM were associated with larger decreases on 6 of 8 symptom scores (F8,70 = 3.55; P < .005; partial η2 = 0.29).

Conclusions

These results suggest that although a high PM is not a prerequisite for successful cognitive behavioral therapy, an increase in insight is associated with better outcome.

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PII: S0010-440X(10)00007-6

doi:10.1016/j.comppsych.2010.02.004

Comprehensive Psychiatry
Volume 51, Issue 5 , Pages 492-496, September 2010

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