Journal articles: 'Psychotherapy – Outcome assessment'

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VandenBos, Gary R. "Outcome assessment of psychotherapy." American Psychologist 51, no. 10 (October 1996): 1005–6. http://dx.doi.org/10.1037/0003-066x.51.10.1005.

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Tillett, Richard. "Assessment and outcome in psychotherapy." Current Opinion in Psychiatry 6, no. 3 (June 1993): 353–57. http://dx.doi.org/10.1097/00001504-199306000-00006.

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Krupnick, Janice L., and Janice L. Krupnick. "Brief Psychotherapy with Vulnerable Patients: An Outcome Assessment." Psychiatry 48, no. 3 (August 1985): 223–33. http://dx.doi.org/10.1080/00332747.1985.11024283.

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Krawitz, Roy. "A Prospective Psychotherapy Outcome Study." Australian & New Zealand Journal of Psychiatry 31, no. 4 (August 1997): 465–73. http://dx.doi.org/10.3109/00048679709065066.

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Objective: To assess the outcome of 31 patients treated in a day and semi-residential psychotherapy setting. Method: Patients had moderate to severe personality difficulties and were referred when current therapy was insufficient or because of the severity of their problems. Eighty-one percent had a Cluster C and 19% a Cluster B (Borderline) Personality Disorder diagnosis (DSM-III-R). Therapy was psychodynamically and feminist-informed and included a sociopolitical dimension. Rating scales used were the Symptom Checklist 90, Goal Attainment Scale, Global Assessment Scale and measures of health resource usage, which were completed pre-treatment, post-treatment and at 4-, 12- and 24-month follow-up. Results: Mean duration of therapy was 4 months (68 therapy days). All clinical rating scales demonstrated marked improvements following treatment (p < 0.0001) which were sustained at 2-year follow-up. There were also improvements of health resource usage. Conclusions: The results document the clinical efficacy of psychotherapy in this setting, provide support for the philosophy of practice, and suggest that psychotherapy outcome can be evaluated at reasonable financial cost in many settings.

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d’Ardenne, Patricia, Leticia Cestari, and Stefan Priebe. "The challenge of regular outcome assessment: Why do we fail?" Clinical Psychology Forum 1, no. 173 (May 2007): 7–12. http://dx.doi.org/10.53841/bpscpf.2007.1.173.7.

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Is it practical or ethical to collect clinical follow-up data from psychotherapy patients? We describe our heavy data loss between 2001 and 2005 in an NHS specialist clinic and how we are trying to fix it.

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Mander, Johannes Volker, Andreas Wittorf, Angelika Schlarb, Martin Hautzinger, Stephan Zipfel, and Isa Sammet. "Change mechanisms in psychotherapy: Multiperspective assessment and relation to outcome." Psychotherapy Research 23, no. 1 (January 2013): 105–16. http://dx.doi.org/10.1080/10503307.2012.744111.

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McCredie, Morgan N., John E. Kurtz, and Leanne Valentine. "Prediction of psychotherapy process and outcome with the Personality Assessment Inventory." Psychiatry Research 269 (November 2018): 455–61. http://dx.doi.org/10.1016/j.psychres.2018.08.110.

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Evans, Joanne, Jenny Hartman, and Stephen Gladwell. "Diagnostic survey in a regional psychotherapy unit." Psychiatric Bulletin 19, no. 11 (November 1995): 673–75. http://dx.doi.org/10.1192/pb.19.11.673.

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Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case in the general psychiatric services. Within the National Health Service there are close links between the two services. A common frame of reference regarding the definition of the patient groups using the services could Improve communication, the planning and evaluation of specific treatment programmes, and outcome studies. A retrospective case-note study was carried out at a regional psychotherapy unit in order to define the population referred between 1991 and 1992 according to ICD–10 (WHO, 1992).

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Propst, Arthur, Joel Paris, and Zeev Rosberger. "Do Therapist Experience, Diagnosis and Functional Level Predict Outcome in Short Term Psychotherapy?" Canadian Journal of Psychiatry 39, no. 3 (April 1994): 168–76. http://dx.doi.org/10.1177/070674379403900309.

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The purpose of this study was to investigate the effects of clinical diagnosis, functional level and therapist experience on the outcome of brief psychotherapy. Patients (N = 123) were clinically diagnosed and assigned to either a psychiatrist, psychiatry resident, family practice resident or medical student. Global Assessment of Functioning (GAF) scores and the Global Severity Index (GSI) of the SCL-90 were rated at baseline, at the end of therapy and at six month follow-up. The Client Satisfaction Questionnaire was also scored after therapy. All groups of patients improved significantly. Neither therapist type and diagnostic category nor their interaction were related to outcome GAF or to GSI. Patients improved irrespective of their baseline symptom severity. Satisfaction with therapy was highly related to increased functioning and decreased symptom severity. The number of therapy sessions attended by patients was modestly related to outcome and patient satisfaction. The results suggest that many diagnostic groups benefit from brief psychotherapy administered by therapists of varying experience. Furthermore, the results support the practice of having medical students conduct psychotherapy under supervision during their training.

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Wormgoor, Marjon E. A., Aage Indahl, and Jens Egeland. "The impact of comorbid spinal pain in depression on work participation and clinical remission following brief or short psychotherapy. Secondary analysis of a randomized controlled trial with two-year follow-up." PLOS ONE 17, no. 8 (August 22, 2022): e0273216. http://dx.doi.org/10.1371/journal.pone.0273216.

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Objectives This explorative study analyses the influence of baseline comorbid long-lasting spinal pain (CSP) on improvement of long term work participation and clinical remission of mental health illness following either brief coping-focussed or short-term psychotherapy for depression. Whether type of treatment modifies outcome with or without CSP is also analysed. Design A secondary post hoc subgroup analysis of a pragmatic randomised controlled trial. Interventions Brief or standard short psychotherapy. Methods Based on baseline assessment, the sample was subdivided into a subgroup with and a subgroup without CSP. Work participation and clinical remission of depression and anxiety were assessed as treatment outcome at two-year follow-up. Simple and multivariate logistic regression analyses, across the intervention arms, were applied to evaluate the impact of CSP on treatment outcome. Selected baseline variables were considered as potential confounders and included as variates if relevant. The modifying effect of CSP on treatment outcome was evaluated by including intervention modality as an interaction term. Main results Among the 236 participants with depressive symptoms, 83 participants (35%) were identified with CSP. In simple logistic regression analysis, CSP reduced improvements on both work participation and clinical remission rate. In the multivariate analysis however, the impact of CSP on work participation and on clinical remission were not significant after adjusting for confounding variables. Reduction of work participation was mainly explained by the higher age of the CSP participants and the reduced clinical remission by the additional co-occurrence of anxiety symptoms at baseline. The occurrence of CSP at baseline did not modify long term outcome of brief compared to short psychotherapy. Conclusions CSP at baseline reduced work participation and worsened remission of mental health symptoms two-year following psychotherapy. Older age and more severe baseline anxiety are associated to reduced effectiveness. Type of psychotherapy received did not contribute to differences.

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Beutel, Manfred E., Vera Scheurich, Achim Knebel, Matthias Michal, Jörg Wiltink, Mechthild Graf-Morgenstern, Regine Tschan, Barbara Milrod, Stefan Wellek, and Claudia Subic-Wrana. "Implementing Panic-Focused Psychodynamic Psychotherapy into Clinical Practice." Canadian Journal of Psychiatry 58, no. 6 (June 2013): 326–34. http://dx.doi.org/10.1177/070674371305800604.

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Objective: To determine the effectiveness of manualized panic-focused psychodynamic psychotherapy (PFPP) in routine care in Germany. Method: German psychoanalysts were trained according to the PFPP manual. Fifty-four consecutive outpatients with panic disorder (with or without agoraphobia) were randomly assigned in a 2:1 ratio to PFPP or cognitive-behavioural therapy (CBT) plus exposure therapy. Subjects (female 57.4%; mean age 36.2 years) had high rates of psychiatric (68.5%) and somatic (64.8%) comorbidity, and previous psychiatric treatments (57.4%). Assessments were performed pre- and posttreatment and at 6-month follow-up. The primary outcome measure was the Panic Disorder Severity Scale. Results: Both treatments were highly effective. In patients randomized to PFPP, remission was achieved in 44.4% at termination and by 50% at follow-up (CBT 61.1 % and 55.6%, respectively). No significant differences were found. Emotional awareness, a posited moderator of good outcome in psychotherapies, was significantly higher in the CBT group at baseline. It was found to be a strong moderator of treatment effectiveness in both treatments. After adjusting for initial Levels of Emotional Awareness Scale (LEAS) scores, effect sizes (ESs) for the primary outcome were Cohen d = 1.28, from pre- to posttreatment, and d = 1.03, from pretreatment to follow-up, for PFPP, and d = 1.81 and 1.28 for CBT, respectively. Conclusions: PFPP was implemented effectively into clinical practice by psychoanalysts in the community in a sample with severe mental illness with large ESs. Assessment of LEAS may facilitate the identification of patients suitable for short-term psychotherapy. (Clinical Trial Registration Number: German Clinical Trials Register, DRKS00000245; Universal Trial Number, U1111-1112-4245)

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Mours, James M., Clark D. Campbell, Kathleen A. Gathercoal, and Mary Peterson. "Training in the use of psychotherapy outcome assessment measures at psychology internship sites." Training and Education in Professional Psychology 3, no. 3 (August 2009): 169–76. http://dx.doi.org/10.1037/a0016135.

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Hilsenroth, Mark J. "A programmatic study of short-term psychodynamic psychotherapy: Assessment, process, outcome, and training." Psychotherapy Research 17, no. 1 (January 2007): 31–45. http://dx.doi.org/10.1080/10503300600953504.

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Skelly, Allan, and Hannah Burman. "Forty-four worthwhile interventions: Clinician-rated attachment style and outcome of psychodynamic psychotherapy for people with intellectual disabilities." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 13, no. 1 (April 2015): 20–31. http://dx.doi.org/10.53841/bpsfpid.2015.13.1.20.

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An individual’s internal model of attachment security or insecurity can be judged by clinicians during assessment. When clinicians judge clients’ style to be characterised by security, there may be lower case severity (Skelly & Reay, 2013).This study is an examination of the relationship of clinicians’ attachment classification to outcome of psychodynamic psychotherapy in people with intellectual disabilities, measured through change in HoNOS-LD scores over time. We examined 44 cases of psychodynamic psychotherapy provided within two specialist community psychology services in the Tyne area over a two-year period.Results suggest that preoccupied or unresolved attachment was indicative of high case severity at assessment, but also predicted greater gain during therapy. A dose effect was observed, with more sessions given to clients rated as preoccupied or unresolved. Although some clients required more than 20 sessions, the average session number was markedly lower than that. There was no effect of age or gender, but higher IQ was associated with more change on one of the HoNOS-LD Factor Scores (Loss of Adaptive Functioning).This study provides preliminary evidence that psychodynamic psychotherapy for distress and personality conditions may be differentially effective for people with secure and insecure attachment ratings. Preoccupied or unresolved attachment styles may have resource implications in requiring longer psychological interventions, at least with this therapy orientation.

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Lorentzen, Steinar, Torleif Ruud, Anette Fjeldstad, and Per H⊘glend. "Comparison of short- and long-term dynamic group psychotherapy: randomised clinical trial." British Journal of Psychiatry 203, no. 4 (October 2013): 280–87. http://dx.doi.org/10.1192/bjp.bp.112.113688.

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BackgroundThere are no randomised clinical trials comparing the outcomes of short- with long-term psychodynamic group psychotherapy.AimsTo compare differences in outcome during and after short-and long-term group psychotherapy.MethodIn total, 167 out-patients with mood, anxiety and personality disorders were randomised to short- or long-term group therapy (20 or 80 weekly, 90 min sessions). Outcome measures were: symptoms (Symptom Checklist 90 – Revised), interpersonal problems (Inventory of Interpersonal Problems – Circumplex) and psychosocial functioning (Global Assessment of Functioning (GAF) split version: GAF-Symptom and GAF-Function). Change over the 3-year study period was assessed using linear mixed models. The study was registered in clinicalTrials.gov as NCT00521417.ResultsPatients in both groups made significant gains. A significantly larger symptomatic change over time was found for long-term compared with short-term therapy, but no significant differences were detected for the three remaining outcome variables. There was a higher number of premature terminations in the long-term (33.3%) compared with the short-term group (8.6%).ConclusionsShort- and long-term therapy seem equally effective for typical out-patients seeking group psychotherapy, except for symptomatic distress.

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Trabsa, A., L. Vargas, A. Llimona, F. Casanovas, M. Martín, A. Valiente, A. Moreno, B. Amann, and V. Pérez-Solà. "¿Do immigrant psychotic patients receive less psychotherapy assessment compared to non-immigrant psychotic patients?" European Psychiatry 64, S1 (April 2021): S686. http://dx.doi.org/10.1192/j.eurpsy.2021.1817.

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IntroductionMigration is a highly defining life event which can lead to mental distress. It constitutes an overall risk factor for psychiatric disorders. However, psychotherapeutic treatment in immigrant patients is considered to be more complex, and the outcome appears to be less favorable than in patients without a migration background.ObjectivesThe aim of this study is to compare psychotherapy assessment between immigrant and non-immigrant psychotic patients in Barcelona.MethodsPatients who have presented, according DSM-V criteria, one or more non-affective psychotic episodes, were recruited in Acute and Chronic inpatients units at Hospital del Mar (Barcelona), leading to a total sample of 77 patients. Demographic characteristics of patients, clinical data and main pharmacological treatment were recorded through a questionnaire. Database information was completed with electronic medical records. Comparative analysis was performed with IBM SPSS using Chi-Square and t-Student testResults From a total of 77 patients, 43 were immigrants and 34 were non-immigrants. From the total immigrants only 30,2% received psychotherapy compared to 79,4% from the non-immigrants. The most prevalent therapy received in both groups was cognitive behavioural therapy. From the immigrants group only 2,3% received psychoeducation compared to 11,8% from the non-immigrant group.ConclusionsAccording to our results, there are important and significant differences in psychotherapy assessment in migrant psychotic patients. In order to improve the mental health treatment of immigrant patients, the reasons for this poor outcome need to be investigated. These results should be considered by clinicians in order to design assessment program for this population.DisclosureNo significant relationships.

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Maluenda-Gatica, Roberto, Matthias Schwannauer, and Angus MacBeth. "The Use of Synchronous Videoconference in Bipolar Patients." Social Science Protocols 5, no. 1 (February 6, 2022): 1–16. http://dx.doi.org/10.7565/ssp.v5.6714.

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Background: A considerable literature has developed around demonstrating the clinical relevance of mentalizing as a construct. However, much of the emphasis has been on patients’ deficits rather than therapist’s abilities. Although it may be the case that therapist’s mentalization capacity can facilitate better outcomes in psychotherapy, there is a dearth of empirical evidence concerning the impact mentalization has on therapist competencies in psychotherapy and the implications of this in clinical practice dyads. Methods/Design: A pilot study will use an integrated design. A longitudinal case series alongside a qualitative grounded theory approach will be utilized to develop a context-specific, grounded micro theory model of therapeutic alliance rupture and resolution during online psychotherapy with patients with bipolar disorder. 10 dyads of therapists and patients will be assessed by pre-and post-session outcome ratings, as well as baseline and post-therapy performance ratings during the four-month intervention period. In addition, semi-structured grounded theory interviews will be conducted with participants to gain a deeper understanding of their experiences during the therapeutic process. Discussion: New research findings on videoconferencing-enabled clinical interventions have been needed since the COVID-19 pandemic began. According to an assessment of the available evidence, little is known about psychotherapy, and significant gaps remain. This paper describes a protocol of a pilot aimed to capture the explicit and implicit knowledge that emerge from therapists and patients during the therapeutic process in order to investigate the complex process of therapeutic interaction beyond “outcome effects”.

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Maluenda-Gatica, Roberto, Matthias Schwannauer, and Angus MacBeth. "The Use of Synchronous Videoconference in Bipolar Patients." Social Science Protocols 5, no. 1 (February 6, 2022): 1–16. http://dx.doi.org/10.7565/ssp.v5.6714.

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Background: A considerable literature has developed around demonstrating the clinical relevance of mentalizing as a construct. However, much of the emphasis has been on patients’ deficits rather than therapist’s abilities. Although it may be the case that therapist’s mentalization capacity can facilitate better outcomes in psychotherapy, there is a dearth of empirical evidence concerning the impact mentalization has on therapist competencies in psychotherapy and the implications of this in clinical practice dyads. Methods/Design: A pilot study will use an integrated design. A longitudinal case series alongside a qualitative grounded theory approach will be utilized to develop a context-specific, grounded micro theory model of therapeutic alliance rupture and resolution during online psychotherapy with patients with bipolar disorder. 10 dyads of therapists and patients will be assessed by pre-and post-session outcome ratings, as well as baseline and post-therapy performance ratings during the four-month intervention period. In addition, semi-structured grounded theory interviews will be conducted with participants to gain a deeper understanding of their experiences during the therapeutic process. Discussion: New research findings on videoconferencing-enabled clinical interventions have been needed since the COVID-19 pandemic began. According to an assessment of the available evidence, little is known about psychotherapy, and significant gaps remain. This paper describes a protocol of a pilot aimed to capture the explicit and implicit knowledge that emerge from therapists and patients during the therapeutic process in order to investigate the complex process of therapeutic interaction beyond “outcome effects”.

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Maluenda-Gatica, Roberto, Matthias Schwannauer, and Angus MacBeth. "The Use of Synchronous Videoconference in Bipolar Patients." Social Science Protocols 5, no. 1 (February 6, 2022): 1–16. http://dx.doi.org/10.7565/ssp.v5.6714.

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Background: A considerable literature has developed around demonstrating the clinical relevance of mentalizing as a construct. However, much of the emphasis has been on patients’ deficits rather than therapist’s abilities. Although it may be the case that therapist’s mentalization capacity can facilitate better outcomes in psychotherapy, there is a dearth of empirical evidence concerning the impact mentalization has on therapist competencies in psychotherapy and the implications of this in clinical practice dyads. Methods/Design: A pilot study will use an integrated design. A longitudinal case series alongside a qualitative grounded theory approach will be utilized to develop a context-specific, grounded micro theory model of therapeutic alliance rupture and resolution during online psychotherapy with patients with bipolar disorder. 10 dyads of therapists and patients will be assessed by pre-and post-session outcome ratings, as well as baseline and post-therapy performance ratings during the four-month intervention period. In addition, semi-structured grounded theory interviews will be conducted with participants to gain a deeper understanding of their experiences during the therapeutic process. Discussion: New research findings on videoconferencing-enabled clinical interventions have been needed since the COVID-19 pandemic began. According to an assessment of the available evidence, little is known about psychotherapy, and significant gaps remain. This paper describes a protocol of a pilot aimed to capture the explicit and implicit knowledge that emerge from therapists and patients during the therapeutic process in order to investigate the complex process of therapeutic interaction beyond “outcome effects”.

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Viftrup, Dorte Toudal, Niels Christian Hvidt, and Niels Buus. "Spiritually and Religiously Integrated Group Psychotherapy: A Systematic Literature Review." Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–12. http://dx.doi.org/10.1155/2013/274625.

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We systematically reviewed the research literature on spiritually and religiously integrated group psychotherapy to answer the following three questions: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from other types of group psychotherapies, was not fully conceptualized or understood either. However, clear and delimited conceptualization of spiritual and religious factors is crucial in order to be able to conclude the direct influences of spiritual or religious factors on outcomes. Implications for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded.

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Kenny, Dianna T., Stephen Arthey, and Allan Abbass. "Intensive Short-Term Dynamic Psychotherapy for Severe Music Performance Anxiety: Assessment, Process, and Outcome of Psychotherapy with a Professional Orchestral Musician." Medical Problems of Performing Artists 29, no. 1 (March 1, 2014): 3–7. http://dx.doi.org/10.21091/mppa.2014.1002.

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This paper reports on the process and outcome of therapy using intensive short-term dynamic psychotherapy (ISTDP) with a professional musician who had suffered severe music performance anxiety over the course of his entire 30-year career. In this paper, we describe the nature of the therapy, the case history of the musician, the first assessment and trial therapy session, and the course and successful outcome of therapy. The patient underwent 10 sessions of ISTDP over a period of 4 months. This paper reports on the first 6 sessions, which were most relevant to the understanding and treatment of the patient’s severe music performance anxiety. This case study is the first reported application of ISTDP to a professional musician. We believe that this case study provides initial support that moderate to severe performance anxiety, in at least some cases, has its origins in unresolved complex emotions and defences arising from ruptures to early attachment relationships.

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Audin, Kerry, Frank R. Margison, John Mellor Clark, and Michael Barkham. "Value of HoNOS in assessing patient change in NHS psychotherapy and psychological treatment services." British Journal of Psychiatry 178, no. 6 (June 2001): 561–66. http://dx.doi.org/10.1192/bjp.178.6.561.

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BackgroundLittle research on the value of Health of the Nation Outcome Scales (HoNOS) has occurred in out-patient settings, particularly psychotherapy services.AimsTo determine whether HoNOS provides an adequate assessment for psychotherapy services which is sensitive to change.MethodsHoNOS ratings from 1688 patients from eight out-patient psychotherapy services were collected. Of these, 362 also had ratings post-treatment. Mean scores, pre- to post-treatment differences, and reliable and clinically significant change criteria were calculated for HoNOS items and for total scores.ResultsThe mean total HoNOS rating was 8.93, which is comparable to psychiatric out-patients. Only three items showed sufficient variability to use in assessing pre- to post-treatment change.ConclusionsSignificant limitations were found in rating items that commonly present to psychotherapists. The lack of variability in most items limits HoNOS's usefulness in this population.

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Itzhar-Nabarro, Zohar, George Silberschatz, and John T. Curtis. "The Adjective Check List as an outcome measure: Assessment of personality change in psychotherapy." Psychotherapy Research 19, no. 6 (November 2009): 707–17. http://dx.doi.org/10.1080/10503300902988760.

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Penas, P., I. Iraurgi, S. Gorbeña, B. Matellanes, and M. Montero. "Outcomes Assessment: Psychometric Properties of the Spanish Adaptation of the Outcome Questionnaire (OQ-45)." European Psychiatry 41, S1 (April 2017): s781. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1486.

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IntroductionThe outcome questionnaire (OQ-45) has been one of the most frequently used instrument to measure clinical outcomes in psychotherapy. Probably due to its subscale structure, its applicability for a variety of disorders and life struggles, its sensitivity to change by repeated measurements and its predictive ability. Given its popularity, OQ-45 has been translated into several languages.ObjectiveAs the Spanish version has not been published, through this poster it is going to show the reliability and the dimensional structure of the OQ-45.MethodOne hundred and thirty-nine patients in clinical settings have completed the Spanish version. Three different confirmatory factor analysis have been calculated to analyze the construct validity.ResultsThe Cronbach Alpha of the instrument was adequate .92, but also, in the three dimensions: symptoms distress (.90), interpersonal relations (.78) and social role (.66). Through the CFA was proved that the Four-factor bi-level model structure [χ2(900) = 3930.47, P < .001, AGF = .86, CFI = .91, RMSEA = .061(.049 to .073)]suited appropriately, in fact, more properly than the three-factor correlated or the three-factor with a second order factor models.DiscussionThe three-factor bi-level model structure of the OQ-45 is confirmed indicating an empirically and clinically relevant measure of client functioning. In this model each item loaded on one of the three subscales originally created. Besides, each item also captures common variance represented by the general factor of overall maladjustment, where this factor may indicate the degree to which respondents are functionally impaired. Thus, OQ-45 is an instrument that could be used for monitoring treatment efficacy and for making informed decisions about clinically significant changes.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Normandin, Lina, Alan Weiner, and Karin Ensink. "Transference-Focused Psychotherapy for Adolescents With Personality Disorders." Psychodynamic Psychiatry 49, no. 2 (June 2021): 215–43. http://dx.doi.org/10.1521/pdps.2021.49.2.215.

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This article presents a conceptualization of personality disorders in adolescence and the adaptation of transference-focused psychotherapy (TFP) for personality disordered adolescents (TFP-A). The model of assessment and treatment presented is based on contemporary psychoanalytic object relations theory developed by Otto F. Kernberg and supported by findings from current evidence-based outcome research. We present a method of assessing personality disorders in adolescents that addresses the variability of personality disorder symptoms and traits among adolescents and their instability over time. We then present the goal of TFP-A and its major phases of implementation. A major focus is therapist interventions.

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Rocco, Diego, Rachele Mariani, and Diego Zanelli. "The Role of Non-Verbal Interaction in a Short-Term Psychotherapy: Preliminary Analysis and Assessment of Paralinguistic Aspects." Research in Psychotherapy: Psychopathology, Process and Outcome 16, no. 1 (November 2, 2013): 54–64. http://dx.doi.org/10.4081/ripppo.2013.102.

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Analysis at a paralinguistic level of communication, already conceptualized within the multiple code theory, would appear to be very important in order to fully describe the quality of the patient-therapist relationship. In this study the therapeutic process and microprocess are analyzed taking into consideration a specific paraverbal aspect (speech rate) present in patient and therapist's communication. More specifically, in this paper we aim to investigate the relationship between the speech rate of both patient and therapist with the linguistic aspects of their referential process as obtained by the IDAAP dictionaries, relating to three sessions belonging to different phases of the psychotherapy. The results show that there are many significant correlations between the considered values. These findings are interpreted as an expression of the alignment between patient and therapist which can be linked to the outcome of the psychotherapy.

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Erhan, Hulya, Elizabeth Ochoa, Joan Borod, and Todd Feinberg. "Consequences of Right Cerebrovascular Accident on Emotional Functioning: Diagnostic and Treatment Implications." CNS Spectrums 5, no. 3 (March 2000): 25–38. http://dx.doi.org/10.1017/s1092852900012943.

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AbstractThe relationship between lesion location and neuropsychiatric sequelae in stroke patients has been extensively studied. Emotional disorders associated with right hemisphere stroke include depression, anxiety, anger, and/or mania. Pharmacotherapy, electroconvulsive therapy, and/or psychotherapy are common treatments for these disorders. This article reviews the clinical presentations of seven right hemisphere stroke patients. The treatment rationale and course of treatment are described for two of these patients. The aims of this paper are to explore the appropriateness of various assessment tools and treatment modalities for stroke patients as well as to demonstrate the techniques of psychotherapy as applied to the two cases featured in this article. Specific factors that may significantly influence treatment outcome, such as lesion location and degree of cognitive impairment, are considered.

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Freeman, A., and C. Nigro. "The Use of the CNS-vital Signs Assessment to Enhance Cognitive Therapy (Mini-workshop)." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70951-4.

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Complete assessment is a key to the conceptualization process in Cognitive Psychotherapy. Given the data-orientation of the model and the need for outcome measures, the assessment of neuropsychological functioning plays a large part in the process. Using a computer-based program, several scales measuring neurocognitive functioning can be assessed rather quickly. The obtaimned scores then become baseline for the evaluating the reults of the therapy. The required reading level is approximately fourth grade, and the norm population includes children, adolescents and adults. Available in 58 languages, the CNS-VS can be demonstrated to be a powerful tool in the psychotherapeutic process.

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Manchanda, M., and P. Mclaren. "Cognitive behaviour therapy via interactive video." Journal of Telemedicine and Telecare 4, no. 1_suppl (March 1998): 53–55. http://dx.doi.org/10.1258/1357633981931452.

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Interactive video has been identified as a potential delivery medium for psychotherapy. Interactive video may restrict the range of both verbal and non-verbal communication and consequently impede the development of a therapeutic relationship, thus influencing the process and outcome of therapy. A single case study explored the feasibility of the provision of cognitive behaviour therapy using interactive video with a client diagnosed a shaving mixed anxiety and depressive disorder. A range of outcome measures were included together with an independent psychiatric assessment prior to, and on completion of, therapy. Different levels of outcome were also examined: clinical, social, user views and administration. Outcome measures indicated a reduction in psychopathology and some modification of dysfunctional attitudes, with no apparent impairment of the working alliance.

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Mithoefer, M. "Can ecstasy treat the agony of PTSD?" European Psychiatry 33, S1 (March 2016): S10. http://dx.doi.org/10.1016/j.eurpsy.2016.01.798.

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IntroductionTwo serotonin reuptake inhibitors (SSRIs) have received FDA indication for treatment of PTSD, however the effectiveness of pharmacotherapy for PTSD is limited. Psychotherapy, including several well established evidence based methods, is the mainstay of PTSD treatment. Despite advances in this area, a significant percentage of PTSD patients are refractory to existing treatments. Recent research has explored the possibility that certain drugs could increase the effectiveness of psychotherapy when administered intermittently in conjunction with psychotherapy sessions. The most robust published. Results to date using this approach have been in early clinical trials of ± 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy. These studies primarily involved civilians with treatment-resistant, crime-related PTSD. A more recent phase 2 trial, completed in 2015 yielded equally promising. Results in a cohort of military veterans, police officers and firefighters, mostly veterans from the wars in Iraq and Afghanistan.MethodologyIn these double blind controlled trials subjects with PTSD refractory to prior treatment are randomized to an active dose of MDMA or an active or inactive placebo administered to each individual on only two or three occasions during eight-hour psychotherapy sessions one month apart, in conjunction with preparatory and follow-up psychotherapy sessions. Outcome measures are repeated one or two months after the second MDMA-assisted session before the blind is broken. Subjects who were randomized to full dose MDMA are then eligible for one additional, open label, MDMA-assisted session. Those randomized to placebo or a lower dose of MDMA are eligible for three open-label full dose sessions. Outcome measures are repeated two months following the third MDMA-assisted session. The primary outcome measure is the Clinician Administered PTSD Scale (CAPS). Additional measures include the Beck Depression Inventory-II (BDI-II), Global Assessment of Functioning (GAF), Pittsburgh Sleep Quality Index (PSQI) and Posttraumatic Growth Inventory (PTGI).ResultsIn the original study comparing MDMA with inactive placebo along with the same psychotherapy PTSD was resolved in 83% of the MDMA group vs. 25% of the placebo group receiving the same therapy. Improvement was maintained for at least 74% of subjects at long-term follow-up a mean of 45 months later. In a more recent, unpublished, study both the high dose and the medium dose of MDMA showed large effect sizes in reducing CAPS scores, and improvements in secondary measures: and BDI-II, PSQI, GAF and PTGI.ConclusionEvidence in phase II trials suggest that MDMA-assisted psychotherapy is effective in treating PTSD in both civilians and veterans who have not responded to established treatments. Phase III trials are necessary to definitively establish safety and efficacy of MDMA-assisted psychotherapy for PTSD.Disclosure of interestThe author has not supplied his declaration of competing interest.

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Schacht, Thomas E. "A TLDP Therapist Meets the Buddha on a Road and No One Is Killed." Pragmatic Case Studies in Psychotherapy 12, no. 4 (December 17, 2016): 319. http://dx.doi.org/10.14713/pcsp.v12i4.1994.

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<p>Samlin’s (2016) case studies demonstrate the creative integration of Time-Limited Dynamic Psychotherapy (TLDP) and selected Buddhist psychological concepts. In this commentary I analyze epistemological, theoretical, cultural, and clinical complexities involved in this integration from the perspectives of patient recruitment and selection, therapeutic alliance, diagnostic and outcome assessment, and the nature of the Cyclic Maladaptive Pattern (CMP) concept. <strong></strong></p>

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Balzan, Ryan P., Julie K. Mattiske, Paul Delfabbro, Dennis Liu, and Cherrie Galletly. "Individualized Metacognitive Training (MCT+) Reduces Delusional Symptoms in Psychosis: A Randomized Clinical Trial." Schizophrenia Bulletin 45, no. 1 (October 30, 2018): 27–36. http://dx.doi.org/10.1093/schbul/sby152.

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Abstract Individualized metacognitive training (MCT+) is a novel psychotherapy that has been designed to specifically target delusional beliefs in people with psychosis. It works by developing an awareness of the implausible content of delusional beliefs, while also targeting the cognitive biases that contribute to their formation and maintenance. It was expected that MCT+ would lead to significantly greater reductions in delusional severity compared to a cognitive remediation (CR) active control condition. A total of 54 patients with a schizophrenia spectrum disorder and active delusions were randomized into four 2-hourly sessions of MCT+ (n = 27) or CR (n = 27). All participants completed posttreatment assessment, and only 2 participants did not complete 6-month follow-up assessment, resulting in MCT+ (n = 26) and CR (n = 26) for final analysis. The primary outcome measures of delusional and positive symptom severity were assessed rater-blind; secondary outcome assessment was non-blinded and included clinical and cognitive insight, the jumping to conclusions (JTC) bias, and cognitive functioning. Participants in the MCT+ condition showed significant reductions in delusional and overall positive symptom severity (large effect) and improved clinical insight (moderate effect) relative to CR controls. In contrast, CR controls showed moderate improvement in problem-solving ability relative to MCT+, but no other cognitive domain. Importantly, these findings were maintained at 6-month follow-up. The study adds further efficacy to the MCT program, and suggests that even brief psychotherapy can help to ameliorate the symptoms of psychosis.

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Liebherz, Sarah, Nele Schmidt, and Sven Rabung. "How to assess the quality of psychotherapy outcome studies: A systematic review of quality assessment criteria." Psychotherapy Research 26, no. 5 (July 14, 2015): 573–89. http://dx.doi.org/10.1080/10503307.2015.1044763.

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Hersoug, Anne Grete. "Assessment of Therapists' and Patients' Personality: Relationship to Therapeutic Technique and Outcome in Brief Dynamic Psychotherapy." Journal of Personality Assessment 83, no. 3 (December 2004): 191–200. http://dx.doi.org/10.1207/s15327752jpa8303_03.

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Crameri, Aureliano, Christopher Schuetz, Andreas Andreae, Margit Koemeda, Peter Schulthess, Volker Tschuschke, and Agnes von Wyl. "The Brief Symptom Inventory and the Outcome Questionnaire-45 in the Assessment of the Outcome Quality of Mental Health Interventions." Psychiatry Journal 2016 (2016): 1–14. http://dx.doi.org/10.1155/2016/7830785.

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Self-report questionnaires are economical instruments for routine outcome assessment. In this study, the performance of the German version of the Outcome Questionnaire-45 (OQ-45) and the Brief Symptom Inventory (BSI) was evaluated when applied in analysis of the outcome quality of psychiatric and psychotherapeutic interventions. Pre-post data from two inpatient samples (N=5711) and one outpatient sample (N=239) were analyzed. Critical differences (reliable change index) and cut-off points between functional and dysfunctional populations were calculated using the Jacobson and Truax method of calculating clinical significance. Overall, the results indicated that the BSI was more accurate than the OQ-45 in correctly classifying patients as clinical subjects. Nonetheless, even with the BSI, about 25% of inpatients with schizophrenia attained a score at admission below the clinical cut-off. Both questionnaires exhibited the highest sensitivity to psychopathology with patients with personality disorders. When considering the differences in the prescores, both questionnaires showed the same sensitivity to change. The advantage of using these self-report measures is observed primarily in assessing outpatient psychotherapy outcome. In an inpatient setting two main problems—namely, the low response rate and the scarce sensitivity to psychopathology with severely ill patients—limit the usability of self-report questionnaires.

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Goodyear, Rodney K., Bruce E. Wampold, Terence J. G. Tracey, and James W. Lichtenberg. "Psychotherapy Expertise Should Mean Superior Outcomes and Demonstrable Improvement Over Time." Counseling Psychologist 45, no. 1 (January 2017): 54–65. http://dx.doi.org/10.1177/0011000016652691.

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How the field understands psychotherapy expertise is important. It affects how we practice and how we prepare others for practice. As in our other work, we argue that the most meaningful definition of expertise must involve steady improvement over time to achieve superior performance on some meaningful measure, which typically is client outcome. We also argue that the best means by which a therapist can achieve this is through ongoing deliberate practice. We contrast our position with not only Hill, Spiegel, Hoffman, Kivlighan, and Gelso’s preferred definition, in which they anchor expertise in therapist performance, but also with the various other possible definitions of expertise (e.g., therapist experience, therapist self-assessment of expertise) that they proffer as options.

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Breitbart, William, Shannon Poppito, Barry Rosenfeld, Andrew J. Vickers, Yuelin Li, Jennifer Abbey, Megan Olden, et al. "Pilot Randomized Controlled Trial of Individual Meaning-Centered Psychotherapy for Patients With Advanced Cancer." Journal of Clinical Oncology 30, no. 12 (April 20, 2012): 1304–9. http://dx.doi.org/10.1200/jco.2011.36.2517.

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Purpose Spiritual well-being and sense of meaning are important concerns for clinicians who care for patients with cancer. We developed Individual Meaning-Centered Psychotherapy (IMCP) to address the need for brief interventions targeting spiritual well-being and meaning for patients with advanced cancer. Patients and Methods Patients with stage III or IV cancer (N = 120) were randomly assigned to seven sessions of either IMCP or therapeutic massage (TM). Patients were assessed before and after completing the intervention and 2 months postintervention. Primary outcome measures assessed spiritual well-being and quality of life; secondary outcomes included anxiety, depression, hopelessness, symptom burden, and symptom-related distress. Results Of the 120 participants randomly assigned, 78 (65%) completed the post-treatment assessment and 67 (56%) completed the 2-month follow-up. At the post-treatment assessment, IMCP participants demonstrated significantly greater improvement than the control condition for the primary outcomes of spiritual well-being (b = 0.39; P <.001, including both components of spiritual well-being (sense of meaning: b = 0.34; P = .003 and faith: b = 0.42; P = .03), and quality of life (b = 0.76; P = .013). Significantly greater improvements for IMCP patients were also observed for the secondary outcomes of symptom burden (b = −6.56; P < .001) and symptom-related distress (b = −0.47; P < .001) but not for anxiety, depression, or hopelessness. At the 2-month follow-up assessment, the improvements observed for the IMCP group were no longer significantly greater than those observed for the TM group. Conclusion IMCP has clear short-term benefits for spiritual suffering and quality of life in patients with advanced cancer. Clinicians working with patients who have advanced cancer should consider IMCP as an approach to enhance quality of life and spiritual well-being.

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Afolabi, Olusegun Emmanuel. "Clinical Significance of Therapeutic Approach to Treatment Planning." Polish Psychological Bulletin 46, no. 4 (December 1, 2015): 607–15. http://dx.doi.org/10.1515/ppb-2015-0067.

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Abstract Psychological assessment has long been reported as a key component of clinical psychology. This paper examined and shed light on the complexities surrounding the clinical significance of therapeutic approach to treatment Planning. To achieve this objective, the paper searched and used the PsycINFO and PubMed databases and the reference sections of chapters and journal articles to analysed the underlying themes: 1) a strong basis for the usage of therapeutic approach to psychological assessment in treatment plans, 2) explained the conceptual meaning of clinical significant change in therapeutic assessment, 3) used initial theory to explain the therapeutic mechanisms of change in clinical practice, 4) analysed the empirically documenting clinically significant change in therapeutic assessment. Finally, the study suggested that though therapeutic assessment is not sufficient for the systematic study of psychotherapy outcome and process, it is still consistent with both the lay-man and professional expectations regarding treatment outcome and also provides a precise method for classifying clients as “changed” or “unchanged” on the basis of clinical significance criteria.

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Bouchard, Stéphane, Michel J. Dugas, Geneviève Belleville, Frédéric Langlois, Patrick Gosselin, Geneviève Robillard, Giulia Corno, and André Marchand. "A Multisite Non-Inferiority Randomized Controlled Trial of the Efficacy of Cognitive-Behavior Therapy for Generalized Anxiety Disorder Delivered by Videoconference." Journal of Clinical Medicine 11, no. 19 (October 7, 2022): 5924. http://dx.doi.org/10.3390/jcm11195924.

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Delivering psychotherapy by videoconference has been studied in a number of clinical trials, but no large controlled trial has involved generalized anxiety disorder (GAD). This multicenter randomized controlled non-inferiority trial was conducted to test if cognitive-behavior psychotherapy delivered by videoconference (VCP) is as effective as cognitive-behavior psychotherapy delivered face-to-face, using a strict margin of tolerance for non-inferiority. A total of 148 adults received a 15-session weekly manualized program. The treatment was based on the intolerance of uncertainty model of GAD. The impact of treatment was assessed using primary (GAD severity), secondary (worry, anxiety, and intolerance of uncertainty) and tertiary (general functioning) variables measured before and after treatment and at 6-month and 12-month follow-ups. Results showed that: (a) the treatment was effective; (b) VCP for GAD was statistically non-inferior to face-to-face psychotherapy on primary, secondary and tertiary measures at all assessment points; (c) change in intolerance of uncertainty significantly predicted change in the primary outcome measure over and above important clinical factors common to all psychotherapies (motivation, working alliance, perceived therapist competence, and client satisfaction). These findings support the use of VCP as a promising treatment option for adults with GAD. Clinical trial registry: ISRCTN#12662027.

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Afolabi, Olusegun Emmanuel. "Clinical Significance: a Therapeutic Approach Topsychological Assessment in Treatment Planning." Journal of Pedagogy and Psychology "Signum Temporis" 7, no. 1 (June 1, 2015): 20–29. http://dx.doi.org/10.1515/sigtem-2016-0003.

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Abstract Psychological assessment has long been reported as a key component of clinical psychology. This paper examines the complexities surrounding the clinical significance of therapeutic approach to treatment planning. To achieve this objective, the paper searched and used the PsycINFO and PubMed databases and the reference sections of chapters and journal articles to analysed, 1) a strong basis for the usage of therapeutic approach to psychological assessment in treatment plans, 2) explained the conceptual meaning of clinical significant change in therapeutic assessment, 3) answered some of the questions regarding practicability and the clinical significance of therapeutic approach to treatment plans, particularly during or before treatment, 4) linked therapeutic assessment to change in clients’ clinical impression, functioning and therapeutic needs 5) analysed the empirically documenting clinically significant change in therapeutic assessment. Finally, the study suggested that though therapeutic assessment is not sufficient for the systematic study of psychotherapy outcome and process, it is still consistent with both the layman and professional expectations regarding treatment outcome and also provides a precise method for classifying clients as ‘changed’ or ‘unchanged’ on the basis of clinical significance criteria.

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Collins, Padraig, Zara Walsh, Aimee Walsh, Amy Corbett, Roisin Finnegan, Sinead Murphy, Lisa Clogher, Eimear Cleary, and Sinead Kearns. "A 360° evaluation of stepped-care psychotherapy: APSI yrs 4-5." Mental Health Review Journal 25, no. 2 (June 10, 2020): 127–38. http://dx.doi.org/10.1108/mhrj-02-2020-0014.

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Purpose This paper aims to evaluate the effectiveness of a stepped-care primary care psychology service through triangulating clinical outcome data, service user satisfaction ratings and feedback from referrers. Design/methodology/approach A mixed method approach including a repeated measures design (pre- and post-clinical data on standardised psychometrics) for clinical outcomes and an online and postal survey with quantitative and qualitative elements offered to all service users and referrers to the service. Findings In total, 125 service users completed a full intervention with the service with 56% treatment completers demonstrating a reliable reduction in the symptoms of low mood and 49.6% in anxiety. Of those within the clinical range for depression at assessment, 66.67% achieved clinical recovery following an intervention. Of those within the clinical range for an anxiety disorder at assessment, 62.03% achieved clinical recovery following an intervention. Service users reported high levels of satisfaction with the service specifying particular interpersonal qualities of the therapists and the individualisation of service provision as crucial positive factors. Referrers similarly reported high levels of overall satisfaction with the service, specifying that the speed of response to referral and length of intervention was of greatest importance to them. Practical implications Stepped-care psychological interventions reduce psychological distress in treatment completers with mild to moderate symptoms of anxiety and low mood. The overall interpersonal experience may be of greater importance to service users in their evaluation of a service than clinical outcomes. In their relationship to a Psychology service, referrers value speed of response and ongoing feedback. Building a robust, highly valued service may require the triangulation of evidence from all key stakeholders. Originality/value This paper provides a pragmatic template of how a rigorous evaluation of a primary care psychology service requires evidence from multiple stakeholders.

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Lorentzen, Steinar. "Assessment of Change after Long-Term Psychoanalytic Group Treatment: Presentation of a Field Study of Outpatients from Private Psychiatric Practice." Group Analysis 33, no. 3 (September 2000): 373–96. http://dx.doi.org/10.1177/05333160022077407.

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The main purpose of this article is to underline the importance of doing clinical research on long-term, dynamic group psychotherapy as it is carried out in practice (effectiveness study). After a review of the outcome literature, which mainly consists of experimental studies (efficacy studies), an effectiveness study from a private practice will be described with some preliminary results. Experiences from implementation of a research project in clinical practice are presented and the strengths and limitations of the two research methods are discussed.

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Gerke, Leonie, Sönke Ladwig, Franz Pauls, Manuel Trachsel, Martin Härter, and Yvonne Nestoriuc. "Optimized Informed Consent for Psychotherapy: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 11, no. 9 (September 30, 2022): e39843. http://dx.doi.org/10.2196/39843.

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Background Informed consent is a legal and ethical prerequisite for psychotherapy. However, in clinical practice, consistent strategies to obtain informed consent are scarce. Inconsistencies exist regarding the overall validity of informed consent for psychotherapy as well as the disclosure of potential mechanisms and negative effects, the latter posing a moral dilemma between patient autonomy and nonmaleficence. Objective This protocol describes a randomized controlled web-based trial aiming to investigate the efficacy of a one-session optimized informed consent consultation. Methods The optimized informed consent consultation was developed to provide information on the setting, efficacy, mechanisms, and negative effects via expectation management and shared decision-making techniques. A total of 122 participants with an indication for psychotherapy will be recruited. Participants will take part in a baseline assessment, including a structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders-fifth edition (DSM-5) disorders. Eligible participants will be randomly assigned either to a control group receiving an information brochure about psychotherapy as treatment as usual (n=61) or to an intervention group receiving treatment as usual and the optimized informed consent consultation (n=61). Potential treatment effects will be measured after the treatment via interview and patient self-report and at 2 weeks and 3 months follow-up via web-based questionnaires. Treatment expectation is the primary outcome. Secondary outcomes include the capacity to consent, decisional conflict, autonomous treatment motivation, adherence intention, and side-effect expectations. Results This trial received a positive ethics vote by the local ethics committee of the Center for Psychosocial Medicine, University-Medical Center Hamburg-Eppendorf, Hamburg, Germany on April 1, 2021, and was prospectively registered on June 17, 2021. The first participant was enrolled in the study on August 5, 2021. We expect to complete data collection in December 2022. After data analysis within the first quarter of 2023, the results will be submitted for publication in peer-reviewed journals in summer 2023. Conclusions If effective, the optimized informed consent consultation might not only constitute an innovative clinical tool to meet the ethical and legal obligations of informed consent but also strengthen the contributing factors of psychotherapy outcome, while minimizing nocebo effects and fostering shared decision-making. Trial Registration PsychArchives; http://dx.doi.org/10.23668/psycharchives.4929 International Registered Report Identifier (IRRID) DERR1-10.2196/39843

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Rossegger, A., and A. Laubacher. "Results from a Validation Study Comparing Ideographic and Nomothetic Risk Assessment Instruments." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70382-7.

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During the judicial process there are several decision points which require an assessment of recidivism risk: e.g. decisions regarding sentence severity or the form of detention (i.e. low or high security unit), level of treatment, or decisions regarding transfers to open correctional facilities or release. Psychiatric experts called on by the court are required to not only assess recidivism risk, but also state if risk may be lowered by forensic psychotherapy. In the case of treated sex and violent offenders treatment progress has to be evaluated by the therapist and by external experts, before an offender will be released from a correctional institution. When considering the variety of available risk assessment instruments the question arises, which instrument is most suited for decision making. For instance, the “value” of an instrument can be determined by its validity for a specific target population, and by its validity for a specific outcome: Is the instrument valid for a specific offender population or judicial or correctional setting? For what kind of outcome criterion has the instrument been developed and validated?

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Chiappelli, Marco, Gianluca Lo Coco, Salvatore Gullo, Luca Bensi, and Claudia Prestano. "The Outcome Questionnaire 45.2. Italian validation of an instrument for the assessment of phychological treatments." Epidemiologia e Psichiatria Sociale 17, no. 2 (June 2008): 152–61. http://dx.doi.org/10.1017/s1121189x00002852.

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SummaryAims– The Outcome Questionnaire (OQ-45.2; Lambertet al., 2004) was designed to measure important areas of functioning (symptoms, interpersonal problems and social role functioning) that are of central interest in mental health. The crosscultural validity of the OQ-45.2 in the Italian population has been examined by comparing the psychometric properties and equivalence in factor structure and normative scores of the Italian OQ with the original American version.Method– Data were collected at university (N=461), in community (N=61) and in three mental health care organisations (N=301).Results– Results showed that the psychometric properties of the Italian OQ were adequate and similar to the original instrument. The CFA supported the multidimentional construct system of the instrument. Furthermore, normative scores were different for the Italian and American samples and this resulted in different cutoff scores for estimating clinically significant change in the Italian population.Conclusions– The Italian version of the OQ-45.2 appears promising as a measure of general psychological distress, and it could be used to measure the psychotherapy outcome in routine clinical practice.Declaration of Interest:

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Kerper, Léonie F., Claudia D. Spies, Anna-Lena Salz, Edith Weiß-Gerlach, Felix Balzer, Tim Neumann, Sascha Tafelski, et al. "Effects of an Innovative Psychotherapy Program for Surgical Patients." Anesthesiology 123, no. 1 (July 1, 2015): 148–59. http://dx.doi.org/10.1097/aln.0000000000000685.

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Abstract Background: The stepped care program Bridging Intervention in Anesthesiology (BRIA) aims at motivating and supporting surgical patients with comorbid mental disorders to engage in psychosocial mental healthcare options. This study examined the efficacy of BRIA. Methods: This randomized, parallel-group, open-label, controlled trial was conducted in the preoperative anesthesiological assessment clinics and surgical wards of a large university hospital in Germany. A total of 220 surgical patients with comorbid mental disorders were randomized by using the computer-generated lists to one of two intervention groups: BRIA psychotherapy sessions up to 3 months postoperatively (BRIA) versus no psychotherapy/computerized brief written advice (BWA) only. Primary outcome was participation in psychosocial mental healthcare options at month 6. Secondary outcome was change of self-reported general psychological distress (Global Severity Index of the Brief Symptom Inventory) between baseline and month 6. Results: At 6-month follow-up, the rate of patients who engaged in psychosocial mental healthcare options was 30% (33 of 110) in BRIA compared with 11.8% (13 of 110) in BWA (P = 0.001). Number needed to treat and relative risk reduction were 6 (95% CI, 4 to 13) and 0.21 (0.09 to 0.31), respectively. In BRIA, Global Severity Index decreased between baseline and month 6 (P < 0.001), whereas it did not change significantly in BWA (P = 0.197). Conclusions: Among surgical patients with comorbid mental disorders, BRIA results in an increased engagement in subsequent therapy options and a decrease of general psychological distress. These data suggest that it is reasonable to integrate innovative psychotherapy programs into the context of interdisciplinary surgical care.

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Skelly, Allan, Caitriona Collins, and Mandip Dosanjh. "A service evaluation of psychodynamic psychotherapy for people with intellectual disabilities." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 15, no. 2 (August 2017): 8–15. http://dx.doi.org/10.53841/bpsfpid.2017.15.2.8.

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The evidence base for psychodynamic psychotherapy for people with intellectual disabilities (ID) is mainly made up of case studies with a small number of open trials without control (Beail, 2016) and the development of the evidence base for psychological therapies is a priority. In this service evaluation, we estimated the significance and effect size of psychodynamic intervention in 66 cases from the time of assessment to case closure, using the Health of the Nation Outcome Scales for Learning Disability (HoNOS-LD). A significant and sizeable effect from assessment to case closure was detected on HoNOS-LD Total Score, with similar effects on subscale Factor Scores. A waiting list control condition for a smaller subset did not find significant overall change, and cases remaining within the service following intervention showed no deterioration after therapy. A relatively low number of sessions was required on average (13.7; median=8) but a dose-effect relationship was observed with more change associated with more sessions. We consider the shortcomings of this study and make recommendations for improved design of further studies.

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Kirchmann, Helmut, Robert Mestel, Karin Schreiber-Willnow, Dankwart Mattke, Klaus-Peter Seidler, Elke Daudert, Ralf Nickel, Rainer Papenhausen, Jochen Eckert, and Bernhard Strauss. "Associations among attachment characteristics, patients’ assessment of therapeutic factors, and treatment outcome following inpatient psychodynamic group psychotherapy." Psychotherapy Research 19, no. 2 (March 2009): 234–48. http://dx.doi.org/10.1080/10503300902798367.

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Gori, Alessio, Rosapia Lauro-Grotto, Marco Giannini, and David Schuldberg. "Predicting treatment outcome by combining different assessment tools: Toward an integrative model of decision support in psychotherapy." Journal of Psychotherapy Integration 20, no. 2 (2010): 251–69. http://dx.doi.org/10.1037/a0019768.

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Wilkinson, Paul, Bernadka Dubicka, Raphael Kelvin, Chris Roberts, and Ian Goodyer. "Treated depression in adolescents: predictors of outcome at 28 weeks." British Journal of Psychiatry 194, no. 4 (April 2009): 334–41. http://dx.doi.org/10.1192/bjp.bp.108.052381.

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BackgroundThere is great heterogeneity of clinical presentation and outcome in paediatric depression.AimsTo identify which clinical and environmental risk factors at baseline and during treatment predicted major depression at 28-week follow-up in a sample of adolescents with depression.MethodOne hundred and ninety-two British adolescents with unipolar major depression were enrolled in a randomised controlled trial (the Adolescent Depression Antidepressants and Psychotherapy Trial, ADAPT). Participants were treated for 28 weeks with routine psychosocial care and selective serotonin reuptake inhibitors (SSRIs), with half also receiving cognitive–behavioural therapy (CBT). Full clinical and demographic assessment was carried out at baseline and 28 weeks.ResultsDepression at 28 weeks was predicted by the additive effects of severity, obsessive–compulsive disorder and suicidal ideation at entry together with presence of at least one disappointing life event over the follow-up period.ConclusionsClinicians should assess for severity, suicidality and comorbid obsessive–compulsive disorder at presentation and should monitor closely for subsequent life events during treatment.

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Journal articles on the topic 'Psychotherapy – Outcome assessment'

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