Client-therapist dyads and therapy outcome: Does sex matching matters? A cross-sectional study

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Ileana Schmalbach
Cornelia Albani
Katja Petrowski
Elmar Brähler
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[1] University Medical Center of the Johannes-Gutenberg University Mainz,Department of Medical Psychology and Medical Sociology
[2] Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden,Abteilung Für Innere Medizin III
[3] University Hospital Leipzig,Department of Psychotherapy and Psychosomatic Medicine
[4] Universitätsmedizin Leipzig,Integrated Research and Treatment Center (IFB) Adiposity Diseases
[5] University Medicine Center Mainz,Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy
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Matching clients and therapist based on demographic variables might enhance therapeutic outcomes. Even so, research in this field is still inconclusive and not much is known about same-gender client therapist dyads in the context of cognitive behavioral (CBT) and psychodynamic methods. For this purpose, we studied the therapy outcomes of N = 1.212 participants that had received therapy (3 months–6 years) in Germany. The results showed a trend for same-gender client therapist dyads in terms of symptom reduction and quality of life specific to psychodynamic approaches. The latter applied specifically to female client-therapist dyads. On the other hand, this trend was not fully evident for CBT-based therapies. In conclusion, despite the robust sample and observed trends, it is not clear whether matching same gender dyads is advantageous with regards to symptom reduction and quality of life. Regardless, these results are preliminary and further studies are needed in order to find out whether same gender client-therapist dyads enhance therapy outcomes or not.
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