Critical fluctuations as an early-warning signal for sudden gains and losses in patients receiving psychotherapy for mood disorders

M Olthof, F Hasselman, G Strunk… - Clinical …, 2020 - journals.sagepub.com
Whereas sudden gains and losses (large shifts in symptom severity) in patients receiving
psychotherapy appear abrupt and hence may seem unexpected, hypotheses from complex …

Can we predict the direction of sudden shifts in symptoms? Transdiagnostic implications from a complex systems perspective on psychopathology

M Wichers, MJ Schreuder, R Goekoop… - Psychological …, 2019 - cambridge.org
Recently, there has been renewed interest in the application of assumptions from complex
systems theory in the field of psychopathology. One assumption, with high clinical relevance …

Destabilization in self-ratings of the psychotherapeutic process is associated with better treatment outcome in patients with mood disorders

M Olthof, F Hasselman, G Strunk, B Aas… - Psychotherapy …, 2020 - Taylor & Francis
Objective: While destabilization periods characterized by high variability and turbulence in a
patient's psychological state might seem obstructive for psychotherapy, a complex systems …

[HTML][HTML] A complex systems approach to the study of change in psychotherapy

AM Hayes, LA Andrews - BMC medicine, 2020 - Springer
Background A growing body of research highlights the limitations of traditional methods for
studying the process of change in psychotherapy. The science of complex systems offers a …

[HTML][HTML] Critical slowing down as a personalized early warning signal for depression

M Wichers, PC Groot, ESM Psychosystems… - Psychotherapy and …, 2016 - karger.com
The etiology of mental disorders such as major depression (MD) involves continuously
ongoing gene-environment interactions that act in highly person-specific ways. This …

[HTML][HTML] Measuring resilience prospectively as the speed of affect recovery in daily life: a complex systems perspective on mental health

A Kuranova, SH Booij, C Menne-Lothmann, J Decoster… - BMC medicine, 2020 - Springer
Introduction There is growing evidence that mental disorders behave like complex dynamic
systems. Complex dynamic systems theory states that a slower recovery from small …

Sudden gains in day-to-day change: Revealing nonlinear patterns of individual improvement in depression.

MA Helmich, M Wichers, M Olthof, G Strunk… - Journal of Consulting …, 2020 - psycnet.apa.org
Objective: We examined individual overall trajectories of change and the occurrence of
sudden gains in daily self-rated problem severity and the relation of these patterns to …

[HTML][HTML] Real-time monitoring of psychotherapeutic processes: concept and compliance

G Schiepek, W Aichhorn, M Gruber, G Strunk… - Frontiers in …, 2016 - frontiersin.org
Objective: The feasibility of a high-frequency real-time monitoring approach to
psychotherapy is outlined and tested for patients' compliance to evaluate its integration to …

[HTML][HTML] Early warning signals and critical transitions in psychopathology: Challenges and recommendations

MA Helmich, M Olthof, AJ Oldehinkel, M Wichers… - Current Opinion in …, 2021 - Elsevier
Empirical evidence is mounting that monitoring momentary experiences for the presence of
early warning signals (EWS) may allow for personalized predictions of meaningful symptom …

[HTML][HTML] Affect dynamics as predictors of symptom severity and treatment response in mood and anxiety disorders: Evidence for specificity

HG Bosley, PD Soyster, AJ Fisher - Journal for Person-Oriented …, 2019 - ncbi.nlm.nih.gov
Studies of affect dynamics in psychopathology often focus on the prediction of broad
constructs like subjective well-being and psychological health. Less is known about how …