The PAP-S (Practice of Ambulant Psychotherapy-Study), Switzerland Study Design and Feasibility
A. Wyl, A. Crameri, Margrit Koemeda
2013
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Key Takeaway Key Takeaway: The Swiss Charta of Psychotherapy's PAP-S study found that 80% of patients had dysfunctional ratings on at least one outcome instrument, with 90% exhibiting a DSM-IV Axis I disorder.
Abstract
In compliance with the requirements of evidence-based medicine, psychotherapy needs to demonstrate its effectiveness no less. For this purpose, the Swiss Charta of Psychotherapy, the umbrella organization of psychotherapeutic education and training institutes in Switzerland, launched a prospective, naturalistic psychotherapy outcome study in 2004. All member institutions of the Charta were invited to participate. There is quite a number of different co- existing types and subtypes of psychotherapy in Switzerland. The study is therefore a unique opportunity to particularize whether therapists from different schools do in fact apply techniques which are markedly specific to their types of psychotherapy, or whether, for instance, there are some which are employed widely, i.e., in various therapeutic disciplines. This article focuses on presenting the study design and the descriptive data of the baseline survey. 86 therapists from nine different psychotherapeutic institutes participated. They recruited a total of 362 patients (238 women, 124 men) aged between 17 and 72. With regard to the five most important outcome instruments, 80% of the patients had a rating in the dysfunctional range on at least one of them. Ninety percent of the patients exhibited a DSM-IV Axis I disorder. Further analyses of these data will yield further outcome and process-outcome findings.