*General Three-Component Structural-Dynamic Theory of Psychotherapy and Its… DOI: http://dx.doi.org/10.5772/intechopen.104225*

The Mindful Attention Awareness Scale (MAAS) [60] was adapted to Russian-speaking population by the authors. MMPI (clinical scales) and Resourcefulness for recovery inventory (RRI) [83] were used in the study of predictors of psychotherapy efficacy. The differentiation of the groups of full recovery and partial recovery was carried out using the author's scale of systemic qualitative-quantitative assessment of the psychotherapy effectiveness [49, 86, 88], highlighting four gradations of the improvement degree: (1) significant improvement (full recovery), (2) improvement (partial recovery), (3) slight improvement, (4) lack of improvement. Grades are determined according to the following criteria: (1) the degree of reduction of clinical symptoms, (2) the degree of the patient's conscious control of the current state, (3) the degree of activity in overcoming the disorder, (4) the dynamics of the patient's dependence on the psychotherapist, (5) the stability of psychotherapeutic contact, (6) the patient's own assessment of the degree of improvement.

The results of our controlled study of the effectiveness of PDP were described in the book "Hypnotherapy and Hypnosis" [87]. Therefore, in this chapter, we presented



*1 p < 0.0001 (comparing with the baseline figures).*

*2 <sup>p</sup>*≤ *0.0001 (comparing with therapy group). <sup>3</sup>*

*p < 0.001 (comparing with therapy group).*

*4 p < 0.002 (comparing with therapy group).*

*SCL-90 DEP, ANX, GSI—depression, anxiety and global severity index of symptom checklist 90; STAI-S—Spielberger anxiety inventory, state anxiety; STAI-T—Spielberger anxiety inventory, trait anxiety; BDI—Beck depression inventory; ShARS—Sheehan Clinical Anxiety Rating Scale; FFMQ-SF—Five-factor mindfulness questionnaire, short version, total score; MAAS—Mindfulness attention awareness scale. MPT group—monopsychotherapy group. PT + PPT group psychotherapy + psychopharmacotherapy group with later pscyhopharmacotherapy withdrawal.*

#### **Table 4.**

*Treatment effect.*

only the final data (**Table 4**) and the results of the comparison of the obtained results with the results of CBT methods based on mindfulness meditation (**Table 5**).

The obtained results allow us to make a number of significant conclusions: (1) PDP is clinically effective for the treatment of PD and GAD, comparing with the wait list control group; (2) According to our data, PDP efficiency is comparable to the efficiency of Mindfulness-based Cognitive Therapy, Mindfulness-based Stress Reduction; (3) Moreover, UH produces a distinct mindfulness effect comparable to that for mindfulness-based CBT techniques.

Data from a controlled study allowed us to search for predictors of PDP efficacy [88]. According to the results of therapy and the systemic criteria of psychotherapy effectiveness, the sample was divided into groups of significant improvement (full recovery) and improvement (partial recovery). Differences in baseline indicators were found in selected groups for the "Health promoting factors" scales of the RRI (the greatest differences in scales: Positive Relationship with HCP- p < 0.0001, d = 1.24; Self-Responsibility- p = 0.0002, d = 1.19; Acceptance–p = 0.001, d = 1.13; Integration–p < 0.0001, d = 1.51; Minimizes loss–p = 0.0002, d = 1.17) and scales of the MMPI method (the greatest differences for the masculinity /femininity scale p = 0.0002, d = 1.1). Predictors of the effectiveness of psychotherapy have been identified with the help of the discriminant analysis, which appeared to be indicators of the Integration and Positive values of the RRI and the Masculinity/Femininity of the MMPI. Our findings verify actuality of a positive approach in psychotherapy and interrelation between resourcefulness concept and PSPA through the psychotherapy effectiveness systemic criteria.

#### **3.4 Conclusion of the PDP section**

The data obtained in a controlled trial indicate a high clinical efficacy of the PDP method, revealing its distinct mindfulness effect. Additionally, a pure final delineation of full recovery and partial recovery groups made it possible to establish their initial difference in a number of psychometric indicators of RRI and MMPI, not only substantiating the concepts of PSPA, resourcefulness, and a positive


 *The comparison of PDP (UH) MBCT, MBSR efficiency, and mindfulness effect in therapy of anxiety disorders.*

*General Three-Component Structural-Dynamic Theory of Psychotherapy and Its… DOI: http://dx.doi.org/10.5772/intechopen.104225*

psychotherapeutic approach in general, but also localizing the basic mechanisms of psychotherapy in structures and therapeutic dynamics of Self.
