Abstract

Background/Objective: The manifestation of functional impairment in patients daily lives and interference with things they value is poorly understood. If values are compromised in patients, as theory suggests, social contexts (and the lack thereof) are especially important - though this is currently unexplored. We therefore examined whether daily values-consistent behavior was associated with the importance of a value and whether it involved social or non-social activity. Method: Using Event Sampling Methodology, we examined daily values-consistent behavior in 57 transdiagnostic inpatients and 43 transdiagnostic outpatients at the beginning of treatment. Patients values-consistent behavior, its importance, and (social vs non-social) context was sampled six times per day during a one-week intensive longitudinal examination. Results: Across both groups, the probability of subsequent values-consistent behavior increased if (1) it was judged as more important by the patient or (2) if it was embedded in a social context. The probability of reporting values-consistent behavior was higher for outpatients than inpatients. Conclusions: Clinicians are encouraged to examine the values of their patients more closely and to especially monitor important and/or social values. Incorporating these into clinical work might increase patients values-consistent behavior, which can play a role in reducing suffering.

Alternate abstract:

Antecedentes/Objetivo: La interferencia funcional en la experiencia cotidiana y los valores personales de pacientes est insuficientemente estudiada. Si sus valores son perturbados, los contextos sociales -y su carencia- son especialmente importantes, pero esto permanece inexplorado. Examinamos si los comportamientos coherentes con los valores estn asociados a la importancia acordada e implicacin en actividades sociales/no sociales. Mtodo: Se emple metodologa de muestreo de eventos para examinar la coherencia del comportamiento diario con los valores de 57 pacientes en clnica hospitalaria y 43 en clnica ambulatoria al comienzo de un tratamiento transdiagnstico. A travs de una investigacin longitudinal intensiva durante siete das, el comportamiento coherente con los valores, su importancia y el contexto de la actividad en curso (social/no social) fueron muestreados seis veces por da. Resultados: En ambos grupos, la probabilidad de comportamiento coherente con los valores aument cuando (1) este era considerado como ms importante y (2) cuando este se produjo en un contexto social. La probabilidad de tal comportamiento fue mayor para los pacientes en tratamiento ambulatorio que para aquellos en tratamiento clnico. Conclusiones: Se recomida explorar los valores de los pacientes, particularmente aquellos juzgados como ms importantes y/o sociales. Su incorporacin en la prctica clnica podra promover la coherencia entre valores y comportamientos subsecuentes.

Details

Title
The everyday lives of in- and outpatients when beginning therapy: The importance of values-consistent behavior
Author
Villanueva, Jeanette 1 ; Meyer, Andrea H 1 ; Rinner, Marcia T B 1 ; Block, Victoria J 1 ; Benoy, Charles 2 ; Brogli, Sandra; Karekla, Maria; Walter, Marc; Gloster, Andrew T

 Department of Psychology, University of Basel, Basel, Switzerland 
 Center for Psychosomatics and Psychotherapy, Psychiatric Hospital of the University of Basel, Basel, Switzerland 
Pages
91-99
Section
ORIGINAL ARTICLE
Publication year
2020
Publication date
2020
Publisher
Elsevier Limited
ISSN
16972600
e-ISSN
21740852
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2414854372
Copyright
© 2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.