Abstract

Despite the positive effects of including patients’ preferences into therapy on psychotherapy outcomes, there are still few thoroughly validated assessment tools at hand. We translated the 18-item Cooper-Norcross Inventory of Preferences (C-NIP) into German and aimed at replicating its factor structure. Further, we investigated the reliability of the questionnaire and its convergence with trait measures. A heterogeneous sample of N = 969 participants took part in our online survey. Performing ESEM models, we found acceptable model fit for a four-factor structure similar to the original factor structure. Furthermore, we propose an alternative model following the adjustment of single items. The German C-NIP showed acceptable to good reliability, as well as small correlations with Big-Five personality traits, trait and attachment anxiety, locus of control, and temporal focus. However, we recommend further replication of the factor structure and further validation of the C-NIP.

Highlights

  • Psychotherapy is generally effective in the treatment of mental disorders (McAleavey et al, 2019), premature treatment termination is still common, with percentages ranging from 20 to 70% (Swift and Greenberg, 2012)

  • Given that treatment dropout rates decrease when patients receive the psychotherapy they consider appropriate (Swift et al, 2018), it is likely that dissatisfied clients were not receiving a therapy that was tailored to their preferences

  • Even though the APA Task Force on Evidence-Based Practice highlighted that psychotherapeutic preferences should be considered to pursue better therapeutic outcomes (American Psychological Association, 2006), much is still to be desired in the assessment and implementation of patient preferences

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Summary

Introduction

Psychotherapy is generally effective in the treatment of mental disorders (McAleavey et al, 2019), premature treatment termination is still common, with percentages ranging from 20 to 70% (Swift and Greenberg, 2012). Given that treatment dropout rates decrease when patients receive the psychotherapy they consider appropriate (Swift et al, 2018), it is likely that dissatisfied clients were not receiving a therapy that was tailored to their preferences. Even though the APA Task Force on Evidence-Based Practice highlighted that psychotherapeutic preferences should be considered to pursue better therapeutic outcomes (American Psychological Association, 2006), much is still to be desired in the assessment and implementation of patient preferences. Recent instruments to capture preferences are solely available in English, with some questionnaires not being validated thoroughly. Our aim of the study is to provide practitioners and researchers alike with a German tool to capture psychotherapeutic preferences, the German Cooper-Norcross Inventory of Preferences. We validate the questionnaire to investigate the hitherto neglected influence of personality traits and demographics on activity preference choices

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