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Background <p>While therapy expectations of adult patients have been confirmed as relevant factors for treatment success, there is insufficient research in the field of child and adolescent psychiatry. It remains unclear how therapy expectations are associated to symptom severity, previous experiences, and patient characteristics.</p> Method <p>Between 01.01.2023 und 31.12.2023, all patients who presented at KJPP Hinterbrühl were surveyed using standardized intake questionnaires regarding their therapy expectations, trauma history, and current symptom severity. The final sample <i>N</i> = 206 largely consisted of adolescent (<i>M</i> = 14.0, <i>SD</i> = 2.29) and female patients (63.6%). Data was analysed using linear regression models to predict positive and negative therapy expectations.</p> Results <p>In the first regression model predicting, “fear of change,” (<i>p</i> &lt; 0.001, adjusted&#xa0;R<sup>2</sup> = 0.276) the presence of anxiety symptoms (<i>β</i> = 0.31, <i>p</i> &lt; 0.01), emerged as the only significant predictor, after including all relevant third variables (age, gender, trauma history, psychopathology). In the second regression model predicting, “hope for improvement,” (<i>p</i> &lt; 0.001, adjusted&#xa0;<i>R</i><sup><i>2</i></sup> = 0.119) externalizing (<i>β</i> = −0.190, <i>p</i> &lt; 0.05) and depressive symptoms (<i>β</i> = −0.268, <i>p</i> &lt; 0.05) were identified as significant predictors after including all third variables.</p> Discussion <p>Positive and negative therapy expectations are corresponding with specific psychological disorders in children and adolescents. Lower anxiety symptoms were associated with less fear of change, while lower depressive and externalizing symptoms were associated with greater hope for improvement, and vice versa. This highlights the need to systematically incorporate therapy expectations into treatment planning for children and adolescents and to address specific expectations depending on the present disorder.</p>

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  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月2日

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  • Bruno Amanshauser,
  • Dana Ipolt,
  • Alexander Haselgruber,
  • Sandra Schröter,
  • Anna Maletzky,
  • Judith Noske,
  • Karin Zajec,
  • Dina Weindl-Wagner

摘要

Background

While therapy expectations of adult patients have been confirmed as relevant factors for treatment success, there is insufficient research in the field of child and adolescent psychiatry. It remains unclear how therapy expectations are associated to symptom severity, previous experiences, and patient characteristics.

Method

Between 01.01.2023 und 31.12.2023, all patients who presented at KJPP Hinterbrühl were surveyed using standardized intake questionnaires regarding their therapy expectations, trauma history, and current symptom severity. The final sample N = 206 largely consisted of adolescent (M = 14.0, SD = 2.29) and female patients (63.6%). Data was analysed using linear regression models to predict positive and negative therapy expectations.

Results

In the first regression model predicting, “fear of change,” (p < 0.001, adjusted R2 = 0.276) the presence of anxiety symptoms (β = 0.31, p < 0.01), emerged as the only significant predictor, after including all relevant third variables (age, gender, trauma history, psychopathology). In the second regression model predicting, “hope for improvement,” (p < 0.001, adjusted R2 = 0.119) externalizing (β = −0.190, p < 0.05) and depressive symptoms (β = −0.268, p < 0.05) were identified as significant predictors after including all third variables.

Discussion

Positive and negative therapy expectations are corresponding with specific psychological disorders in children and adolescents. Lower anxiety symptoms were associated with less fear of change, while lower depressive and externalizing symptoms were associated with greater hope for improvement, and vice versa. This highlights the need to systematically incorporate therapy expectations into treatment planning for children and adolescents and to address specific expectations depending on the present disorder.