Efficacy of a cognitive-behavioral, interaction-focused intervention (Kiesler Circle training) on treatment outcome within an integrated psychodynamic treatment concept compared with a primarily intrapsychically focused cognitive-behavioral intervention (problem-solving training according to D'Zurilla and Goldfried)

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00040743

Enrollment

Registered

2026-07-27

Start date

2026-07-27

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The entire spectrum of disorders treated in a general psychiatric day clinic

Interventions

Group 1: Intervention group: standard treatment (psychodynamic therapy in a day clinic setting) + weekly Kiesler Circle training (KCT) for 8 weeks Group 2: Control group: standard treatment (psychodyn

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: - Adequate German language skills, both spoken and written - Capacity to give informed consent

Exclusion criteria

Exclusion criteria: - Acute psychosis or acute suicidality - Severe cognitive impairment - Pronounced language barriers - Lack of capacity to give informed consent

Design outcomes

Primary

Measure	Time frame
Change in psychological distress from pre- (T1, week 1) to post-measurement (T4, week 8) as measured by the BSI	—

Secondary

Measure	Time frame
- Difficulties in emotion regulation (Difficulties in Emotion Regulation Scale, DERS) T1, T4, FU1 (week 17) - Negative effects or adverse events of psychotherapy (Inventar zur Erfassung negativer Effekte von Psychotherapie [Inventory for Assessing Negative Effects of Psychotherapy], INEP) T4 - Therapeutic working alliance from the patient's perspective (Working Alliance Inventory – Short Revised, patient version, WAI-SR-P) T2 (week 2), T4 - Perceived group cohesion from the patients' perspective, measured via the "connectedness" subscale (Group Questionnaire – German version, GQD) T2, T3 (week 4), T4 - Adult attachment style (Relationship Scales Questionnaire, RSQ) T1, T4 - General treatment outcome/symptom burden and level of functioning (Outcome Questionnaire-30, OQ-30) T1, T4, FU1 Treatment outcome with respect to interpersonal and intrapsychic changes (General Change Mechanisms Questionnaire, GCMQ-25-CL) T1, T4 - Personality pathology or personality disorders according to DSM-IV (Assessment of DSM-IV Personality Disorders, ADP-IV) T1 - Interpersonal problems (Inventory of Interpersonal Problems – German version, IIP-D) T1, T3, T4, FU1 - Health-related quality of life (WHO Quality of Life questionnaire, WHOQOL-BREF) T1, T4, FU1	—

Measure

Time frame

- Difficulties in emotion regulation (Difficulties in Emotion Regulation Scale, DERS) T1, T4, FU1 (week 17) - Negative effects or adverse events of psychotherapy (Inventar zur Erfassung negativer Effekte von Psychotherapie [Inventory for Assessing Negative Effects of Psychotherapy], INEP) T4 - Therapeutic working alliance from the patient's perspective (Working Alliance Inventory – Short Revised, patient version, WAI-SR-P) T2 (week 2), T4 - Perceived group cohesion from the patients' perspective, measured via the "connectedness" subscale (Group Questionnaire – German version, GQD) T2, T3 (week 4), T4 - Adult attachment style (Relationship Scales Questionnaire, RSQ) T1, T4 - General treatment outcome/symptom burden and level of functioning (Outcome Questionnaire-30, OQ-30) T1, T4, FU1 Treatment outcome with respect to interpersonal and intrapsychic changes (General Change Mechanisms Questionnaire, GCMQ-25-CL) T1, T4 - Personality pathology or personality disorders according to DSM-IV (Assessment of DSM-IV Personality Disorders, ADP-IV) T1 - Interpersonal problems (Inventory of Interpersonal Problems – German version, IIP-D) T1, T3, T4, FU1 - Health-related quality of life (WHO Quality of Life questionnaire, WHOQOL-BREF) T1, T4, FU1

—

Countries

Germany

Contacts

Public ContactChristian Heine

Alexianer St. Joseph Berlin-Weißensee GmbH

christian.heine@alexianer.de+49 30 31988130

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Aug 10, 2026