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He Y, Zinbarg RE, Goldsmith JZ, Williams AL, Pinsof WM. Sensitivity to change of the Systemic Therapy Inventory of Change (STIC) intersession scales. Psychother Res 2024; 34:461-474. [PMID: 37695995 DOI: 10.1080/10503307.2023.2244150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 06/22/2023] [Accepted: 06/27/2023] [Indexed: 09/13/2023] Open
Abstract
Objective: The Systemic Therapy Inventory of Change (STIC) is a systemic measurement feedback system that provides therapists with feedback regarding the multidimensional clinical change in individual, couple, and family therapy. The STIC Intersession scales include Individual Problems and Strengths (IPS), Relationship with Partner (RWP), Family/Household (FH), and Child Problems and Strengths (CPS). They are administered to clients before each therapy session. The purpose of the current study is to investigate the STIC Intersession scales' sensitivity to change, the ability to detect reliable and valid changes that occur after an intervention. Method: Participants (N = 583) who voluntarily received individual, couple, or family therapy services in a randomized clinical trial attended the study. Results: By comparing the changes in pre-therapy and post-therapy scores of the STIC Intersession scales with those of the corresponding reference measures, the external sensitivity to change of the STIC Intersession scales was supported. The IPS Intersession scale showed greater change than the Beck Anxiety Inventory. However, no evidence supported the discriminant validity of CPS's change scores. Conclusion: Thus, the STIC Intersession IPS, RWP, and FH can be validly used to assess multi-systemic changes in both research and clinical work.
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Affiliation(s)
- Yaliu He
- Department of Social Work & Marriage and Family Therapy, Iona University, New Rochelle, NY, USA
| | - Richard E Zinbarg
- Department of Psychology, Northwestern University, Evanston, IL, USA
- The Family Institute at Northwestern University, Evanston, IL, USA
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2
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Lord KA, Tolin DF. Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders. J Anxiety Disord 2024; 103:102843. [PMID: 38310753 DOI: 10.1016/j.janxdis.2024.102843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 06/30/2023] [Accepted: 01/29/2024] [Indexed: 02/06/2024]
Abstract
The efficacy of cognitive-behavioral therapy (CBT) for reducing anxiety disorder symptoms is well documented. However, limited research has investigated how symptom amelioration is temporally associated with changes in psychosocial functioning, such as interpersonal and social role functioning, during CBT. Participants were 288 (M age = 37.00 [SD = 14.41]; 59.0% female; 69.0% White; 6.6% Hispanic/Latino) outpatients diagnosed with an anxiety disorder who received CBT at a specialized hospital-based clinic. Participants completed the Outcome Questionnaire-45, a measure of symptom distress, social role performance, and interpersonal problems, at initial assessment and prior to each treatment session. Symptom distress and indicators of psychosocial functioning were robustly related during 25 sessions of CBT. Cross-lagged analyses revealed that reductions in symptom distress predicted subsequent improvements in psychosocial functioning during treatment, and vice versa. Associations from symptom distress to subsequent psychosocial functioning evidenced larger effect sizes than the reverse. Lower levels of severity at intake and presence of comorbid depression attenuated the association between symptom reduction and subsequent social role performance improvement. In sum, anxiety symptoms and psychosocial functioning bidirectionally improve during CBT for anxiety disorders. Maximally effective treatments may be those that simultaneously ameliorate symptoms and focus on improving functioning in key domains.
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Affiliation(s)
- Kayla A Lord
- Anxiety Disorders Center, Institute of Living, Hartford, USA.
| | - David F Tolin
- Anxiety Disorders Center, Institute of Living, Hartford, USA; Department of Psychiatry, Yale School of Medicine, New Haven, USA
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3
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Haqiqatkhah MM, Ryan O, Hamaker EL. Skewness and Staging: Does the Floor Effect Induce Bias in Multilevel AR(1) Models? MULTIVARIATE BEHAVIORAL RESEARCH 2024; 59:289-319. [PMID: 38160329 DOI: 10.1080/00273171.2023.2254769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
Multilevel autoregressive models are popular choices for the analysis of intensive longitudinal data in psychology. Empirical studies have found a positive correlation between autoregressive parameters of affective time series and the between-person measures of psychopathology, a phenomenon known as the staging effect. However, it has been argued that such findings may represent a statistical artifact: Although common models assume normal error distributions, empirical data (for instance, measurements of negative affect among healthy individuals) often exhibit the floor effect, that is response distributions with high skewness, low mean, and low variability. In this paper, we investigated whether-and to what extent-the floor effect leads to erroneous conclusions by means of a simulation study. We describe three dynamic models which have meaningful substantive interpretations and can produce floor-effect data. We simulate multilevel data from these models, varying skewness independent of individuals' autoregressive parameters, while also varying the number of time points and cases. Analyzing these data with the standard multilevel AR(1) model we found that positive bias only occurs when modeling with random residual variance, whereas modeling with fixed residual variance leads to negative bias. We discuss the implications of our study for data collection and modeling choices.
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Affiliation(s)
- MohammadHossein M Haqiqatkhah
- Department of Methodology and Statistics, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands
| | - Oisín Ryan
- Department of Methodology and Statistics, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands
- Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht University, Utrecht, The Netherlands
| | - Ellen L Hamaker
- Department of Methodology and Statistics, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands
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4
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Gaskell C, Kellett S, Simmonds‐Buckley M, Curran J, Hetherington J, Delgadillo J. Long‐term psychotherapy in tertiary care: A practice‐based benchmarking study. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2023; 62:483-500. [DOI: 10.1111/bjc.12424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 03/13/2023] [Indexed: 03/29/2023]
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5
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Tomczyk S, Heineck S, McLaren T, Peter LJ, Schomerus G, Schmidt S, Muehlan H. Yes, I can! Development and validation of the self-efficacy for self-help scale. J Affect Disord 2023; 331:279-286. [PMID: 36933667 DOI: 10.1016/j.jad.2023.03.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 03/09/2023] [Accepted: 03/12/2023] [Indexed: 03/20/2023]
Abstract
BACKGROUND Self-help interventions for health complaints promise alleviation, for instance, of depressive symptoms, and have become increasingly popular. However, despite constant progress regarding digitally supported self-help, real-world uptake is low and motivational processes, like task-specific self-efficacy, are rarely investigated. Therefore, this study developed and tested the Self-Efficacy for Self-Help Scale (SESH). METHODS In a randomized controlled trial of a positive psychological online intervention to foster self-help, 344 adults (mean age = 49.26 years, SD = 27.85; 61.9 % female) completed SESH at three time points (pretest, posttest, 2-week follow-up). Psychometric testing included factorial validity, reliability (internal consistency, split-half), convergent validity (via depression coping self-efficacy), discriminant validity (via depression severity, depression literacy), sensitivity to change (due to the intervention), and predictive validity (via a theory of planned behavior questionnaire on self-help). RESULTS The unidimensional scale showed excellent reliability, construct validity, and predictive validity regarding self-help (the theory of planned behavior explained 49 % of variance in self-help intentions). The analysis did not clearly support sensitivity to change, however, as SESH scores did not change in the intervention group but were lower in the control group at posttest. LIMITATIONS The study was not representative of the population, and the intervention was not previously tested. Studies with longer follow-ups and more diverse samples are needed. CONCLUSIONS This study closes a gap in current self-help research by presenting a psychometrically sound measure to capture self-efficacy for self-help that can be used in epidemiological studies as well as clinical practice.
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Affiliation(s)
- Samuel Tomczyk
- University of Greifswald, Institute of Psychology, Department Health and Prevention, Germany.
| | - Sascha Heineck
- University of Greifswald, Institute of Psychology, Department Health and Prevention, Germany
| | - Thomas McLaren
- University of Greifswald, Institute of Psychology, Department Health and Prevention, Germany
| | - Lina-Jolien Peter
- University of Leipzig Medical Center, Department of Psychiatry and Psychotherapy, Germany
| | - Georg Schomerus
- University of Leipzig Medical Center, Department of Psychiatry and Psychotherapy, Germany
| | - Silke Schmidt
- University of Greifswald, Institute of Psychology, Department Health and Prevention, Germany
| | - Holger Muehlan
- University of Greifswald, Institute of Psychology, Department Health and Prevention, Germany
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6
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Rider CD, Kao J, Hewawitharana SC, Becker CM, Linares A, Woodward-Lopez G. Validity and Reliability of a Site-Level Assessment Questionnaire to Assess Nutrition and Physical Activity Practices in Schools. Child Obes 2022; 18:383-398. [PMID: 34935464 DOI: 10.1089/chi.2021.0148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: Schools are an ideal setting for policy, systems, and environmental approaches to obesity prevention. Although school health environment assessments exist for planning purposes, we developed and tested a comprehensive questionnaire that is suitable for both evaluation and planning. Methods: Reliability was measured by comparing data collected by school personnel from low-income elementary schools across California at two time points, an average of 2 months apart (n = 23). To assess convergent validity, school responses were compared with the responses completed by the research team (n = 28). A weighted kappa test statistic and percent agreement were calculated for each question and specific groups of questions (questionnaire section, item topic, and response type). Results: Test/retest reliability of the questionnaire yielded kappa statistics that ranged from -0.14 to 1.00 (interquartile range [IQR] 0.36). Percent agreement for reliability ranged from 34.78 to 100.00 (IQR 21.7). Kappa statistics for validity ranged from -0.14 to 1.00 (IQR 0.44). Percent agreement for validity ranged from 14.29 to 100.00 (IQR 39.2). Based on these findings, the tool was revised. Conclusions: Study findings indicate that the Site-Level Assessment Questionnaire as tested is a reliable and accurate instrument for use in low-income elementary schools. Revisions may have improved the validity and reliability. We therefore recommend either version for use to support low-income schools in their efforts to assess needs, evaluate progress, and create action plans; and to supply high-quality, aggregable data for large-scale analysis. Additional testing is recommended to validate the revised version, increase generalizability, and determine sensitivity to detect change over time.
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Affiliation(s)
- Carolyn D Rider
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
| | - Janice Kao
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
| | - Sridharshi C Hewawitharana
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
| | - Christina M Becker
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
| | - Amanda Linares
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
| | - Gail Woodward-Lopez
- Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Sacramento, CA, USA
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7
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Hopwood CJ, Bleidorn W, Zimmermann J. Assessing Personality Change: Introduction to the Special Section. J Pers Assess 2022; 104:431-434. [PMID: 35238675 DOI: 10.1080/00223891.2022.2041650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Both clinical and personality psychologists are interested in assessing personality change, although they have tended to approach the issue in different ways. In this paper we argue that both sub-fields should focus more on basic issues in the assessment of personality change, and that they would make more progress on this issue together than alone. This Special Section on the Assessment of Personality Change includes four papers by researchers working primarily in basic personality science. Each paper addresses specific ways to advance the assessment of personality change that have both basic and applied clinical relevance, but collectively they show how far the field still has to go.
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8
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Immel N, Dagnino P, Hunger-Schoppe C. Associations between patient personality, symptomatic change and therapy dropout. Clin Psychol Psychother 2021; 29:922-932. [PMID: 34520091 DOI: 10.1002/cpp.2670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 08/08/2021] [Accepted: 09/08/2021] [Indexed: 11/08/2022]
Abstract
BACKGROUND Studies show that 16% to 77% of psychotherapy patients abandon therapy within the first sessions. The aim of this study is to examine how patient personality variables, specifically the patients' structural integration and the personality traits dependency and self-criticism, are associated with symptomatic change and therapy dropout. METHOD We analysed data from 96 patients (age: M = 30.56, SD = 11.39; 78.5% women; 44.6% students, 28.3% employees). A hierarchical logistic regression analysis was carried out to determine whether patients' structural integration (assessed via the OPD-SQ) and their level of dependency and self-criticism (DEQ) can predict therapy dropout. In addition, a multiple regression was used to analyse how these variables affect symptomatic change (OQ-45.2 symptom subscale). RESULTS The interaction of structural integration level and dependency best predicts therapy dropout. For the prediction of symptomatic change, both structural integration and dependency were significant. However, their interaction showed no significant results. DISCUSSION The patient's structural integration was associated to both symptomatic change and dropout. Therapists' training should include techniques addressing patients' structural integration and degree of dependency to prevent patient dropout from therapy.
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Affiliation(s)
- Nina Immel
- Department of Psychology, Pontificia Universidad Catolica de Chile, Santiago, Chile.,Department of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany
| | - Paula Dagnino
- Faculty of Psychology, Universidad San Sebastian, Santiago, Chile
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9
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Lorenzini N, de la Parra G, Dagnino P, Gomez-Barris E, Crempien C, Ehrenthal JC. Chilean validation of the operationalized psychodynamic diagnosis-structure questionnaire (OPD-SQ) for personality structure. BMC Psychol 2021; 9:139. [PMID: 34517907 PMCID: PMC8436439 DOI: 10.1186/s40359-021-00640-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 08/19/2021] [Indexed: 11/10/2022] Open
Abstract
Background This is the validation of the Operationalized Psychodynamic Diagnosis—Structure Questionnaire (OPD-SQ). Methods A clinical sample of 399 adults and a nonclinical general population sample of 50 healthy adults completed measures of depression, attachment, psychiatric symptomatology and distress. Internal consistency and concurrent validity were assessed. Test–retest and Reliable Change Index were also calculated, as was the ability of the OPD-SQ to distinguish between the clinical and general population groups. Results High internal consistencies were found; significant differences between clinical and nonclinical samples, and significant associations with psychiatric symptomatology, depression and psychological distress. Conclusion The Chilean OPD-SQ has good reliability, and discriminates between clinical and healthy samples.
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Affiliation(s)
- Nicolás Lorenzini
- Psychoanalysis Unit, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - G de la Parra
- Department of Psychiatry, Faculty of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 8330077, Santiago, Chile. .,Millenium Institute for Research on Depression and Personality - MIDAP, Santiago, Chile.
| | - P Dagnino
- Millenium Institute for Research on Depression and Personality - MIDAP, Santiago, Chile.,Faculty of Psychology, Universidad Alberto Hurtado, Santiago, Chile
| | - E Gomez-Barris
- Department of Psychiatry, Faculty of Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 8330077, Santiago, Chile.,Millenium Institute for Research on Depression and Personality - MIDAP, Santiago, Chile
| | - C Crempien
- Millenium Institute for Research on Depression and Personality - MIDAP, Santiago, Chile
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10
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Heasley C, Clayton B, Muileboom J, Schwanke A, Rathnayake S, Richter A, Little M. "I was eating more fruits and veggies than I have in years": a mixed methods evaluation of a fresh food prescription intervention. ACTA ACUST UNITED AC 2021; 79:135. [PMID: 34301335 PMCID: PMC8298943 DOI: 10.1186/s13690-021-00657-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 07/10/2021] [Indexed: 11/10/2022]
Abstract
Background Food insecurity is associated with poor nutritional health outcomes. Prescribing fresh fruits and vegetables in healthcare settings may be an opportunity to link patients with community supports to promote healthy diets and improve food security. This mixed methods study evaluated the impacts of a fresh food prescription pilot program. Methods The study took place at two Community Health Centre locations in Guelph, Ontario, Canada. Sixty food insecure patients with ≥1 cardio-metabolic condition or micronutrient deficiency participated in the intervention. Participants were prescribed 12 weekly vouchers to Community Food Markets. We conducted a one-group pre-post mixed-methods evaluation to assess changes in fruit and vegetable intake, self-reported health, food security, and perceived food environments. Surveys were conducted at baseline and follow-up and semi-structured interviews with participants were conducted following the intervention. Results Food security and fruit and vegetable consumption improved following the intervention. Food security scores increased by 1.6 points, on average (p < 0.001). Consumption of fruits and 'other' vegetables (cucumber, celery, cabbage, cauliflower, squashes, and vegetable juice) increased from baseline to follow-up (p < 0.05). No changes in self-reported physical or mental health were observed. Qualitative data suggested that the intervention benefited the availability, accessibility, affordability, acceptability, and accommodation of healthy foods for participating households. Conclusions Fresh food prescription programs may be a useful model for healthcare providers to improve patients' food environments, healthy food consumption, and food security.
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Affiliation(s)
- Cole Heasley
- Department of Population Medicine, University of Guelph, Guelph, ON Canada.,School of Public Health and Social Policy, University of Victoria, Victoria, BC Canada
| | | | - Jade Muileboom
- Arrell Food Institute, University of Guelph, Guelph, ON Canada
| | - Anna Schwanke
- Food From Thought, University of Guelph, Guelph, ON Canada
| | | | - Abby Richter
- Guelph Community Health Centre, Guelph, ON Canada
| | - Matthew Little
- School of Public Health and Social Policy, University of Victoria, Victoria, BC Canada
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11
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McAleavey AA, Nordberg SS, Moltu C. Initial quantitative development of the Norse Feedback system: a novel clinical feedback system for routine mental healthcare. Qual Life Res 2021; 30:3097-3115. [PMID: 33851326 PMCID: PMC8528796 DOI: 10.1007/s11136-021-02825-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2021] [Indexed: 12/04/2022]
Abstract
Purpose As routine outcome monitoring has become prevalent in psychological practice, there is need for measurement tools covering diverse symptoms, treatment processes, patient strengths, and risks. Here we describe the development and initial tests of the psychometric properties of a multi-scale system for use in mental healthcare, Norse Feedback. Methods In Study 1, we present the item-generation process and structure of the Norse Feedback, a 17-scale digital-first measurement tool for psychopathology and treatment-relevant variables. In Study 2, we present analyses of this initial measure in a nonclinical sample of 794 healthy controls and a sample of 222 mental health patients. In Study 3, we present the analysis of a revised 20-scale system in two separate samples of patients. In each analysis, we investigate item and test information in particular, including analysis of differential item functioning on gender, age, site, and sample differences where applicable. Results Scales performed variably. Changes to items and scales are described. Several scales appeared to reliably discriminate individuals entering mental health treatment on severity, and others are less reliable. Marked improvements in scale internal consistency and measurement precision were observed between the first and second implemented versions. Conclusion This system includes some scales with reasonable structural validity, though several areas for future development are identified. The system was developed to be iteratively re-evaluated, to strengthen the validity of its scales over time. There are currently a number of limitations on inferences from these scores, which future developments should address. Supplementary Information The online version contains supplementary material available at 10.1007/s11136-021-02825-1.
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Affiliation(s)
- Andrew A McAleavey
- Center for Health Research, Helse Førde, Førde, 6807, Norway. .,District General Hospital of Førde, Førde, Norway. .,Weill Cornell Medical College, New York, NY, USA.
| | - Samuel S Nordberg
- Harvard School of Population Medicine, District General Hospital of Førde, Cambridge, MA, UK.,District General Hospital of Førde, Førde, Norway.,Helse Førde, Førde, Norway
| | - Christian Moltu
- District General Hospital of Førde, Førde, Norway.,Department of Health and Caring Sciences, Western Norway University of Applied Science, Førde, Norway
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12
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Dindo L, Roddy MK, Boykin D, Woods K, Rodrigues M, Smith TL, Gonzalez RD, True G. Combination outreach and wellness intervention for distressed rural veterans: results of a multimethod pilot study. J Behav Med 2020; 44:440-453. [DOI: 10.1007/s10865-020-00177-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 08/30/2020] [Indexed: 11/27/2022]
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13
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Connors EH, Douglas S, Jensen-Doss A, Landes SJ, Lewis CC, McLeod BD, Stanick C, Lyon AR. What Gets Measured Gets Done: How Mental Health Agencies can Leverage Measurement-Based Care for Better Patient Care, Clinician Supports, and Organizational Goals. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2020; 48:250-265. [PMID: 32656631 DOI: 10.1007/s10488-020-01063-w] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Mental health clinicians and administrators are increasingly asked to collect and report treatment outcome data despite numerous challenges to select and use instruments in routine practice. Measurement-based care (MBC) is an evidence-based practice for improving patient care. We propose that data collected from MBC processes with patients can be strategically leveraged by agencies to also support clinicians and respond to accountability requirements. MBC data elements are outlined using the Precision Mental Health Framework (Bickman et al. in Adm Policy Mental Health Mental Health Serv Res 43:271-276, 2016), practical guidance is provided for agency administrators, and conceptual examples illustrate strategic applications of one or more instruments to meet various needs throughout the organization.
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Affiliation(s)
- Elizabeth H Connors
- Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT, 06511, USA.
| | - Susan Douglas
- Department of Leadership, Policy and Organizations, Vanderbilt University, 230 Appleton Place, Nashville, TN, 37203, USA
| | - Amanda Jensen-Doss
- Department of Psychology, University of Miami, P.O. Box 248185, Coral Gables, FL, 33124, USA
| | - Sara J Landes
- VISN 16 Mental Illness Research, Education, and Clinical Center (MIRECC), Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA
- Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 W. Markham St, Little Rock, AR, 72205, USA
| | - Cara C Lewis
- Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA
- Department of Psychiatry and Behavioral Sciences, University of Washington, School of Medicine, 6200 NE 74th Street, Suite 100, Seattle, WA, 98115, USA
| | - Bryce D McLeod
- Department of Psychology, Virginia Commonwealth University, 806 W. Franklin Street, PO Box 842018, Richmond, VA, 23284, USA
| | - Cameo Stanick
- Clinical Practice, Training, and Research and Evaluation, Hathaway-Sycamores Child and Family Services, 100 W. Walnut Street, Ste #375, Pasadena, CA, 91124, USA
| | - Aaron R Lyon
- Department of Psychiatry and Behavioral Sciences, University of Washington, School of Medicine, 6200 NE 74th Street, Suite 100, Seattle, WA, 98115, USA
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14
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Levy HC, Worden BL, Davies CD, Stevens K, Katz BW, Mammo L, Diefenbach GJ, Tolin DF. The dose-response curve in cognitive-behavioral therapy for anxiety disorders. Cogn Behav Ther 2020; 49:439-454. [PMID: 32631134 DOI: 10.1080/16506073.2020.1771413] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Previous studies examining the dose-response curve in psychotherapy have suggested that 11-19 sessions may be necessary for at least 50% of individuals to show clinically significant improvement. However, this curve has not been examined specifically for cognitive-behavioral therapy (CBT) for anxiety disorders, for which a more rapid recovery curve may be expected. Survival analysis was used to assess the dose-response curve for 201 patients with anxiety disorders who received weekly CBT at an anxiety specialty clinic. The primary outcome measure was the Outcome Questionnaire-45.2, which patients completed prior to each treatment session. Sixty-four percent of the sample achieved reliable change, and this response occurred in approximately five sessions on average. Fifty percent of the sample achieved clinically significant improvement, which occurred in approximately eight sessions on average. The findings suggest that earlier response may be expected in CBT for anxiety disorders, and are discussed in terms of potential ways to further improve response rates for this treatment.
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Affiliation(s)
- Hannah C Levy
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Blaise L Worden
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Carolyn D Davies
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Kimberly Stevens
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Benjamin W Katz
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Liya Mammo
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA
| | - Gretchen J Diefenbach
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA.,Department of Psychiatry, Yale University School of Medicine , New Haven, CT, USA
| | - David F Tolin
- Anxiety Disorders Center, Institute of Living , Hartford, CT, USA.,Department of Psychiatry, Yale University School of Medicine , New Haven, CT, USA
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15
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ter Heege FM, Mijnster T, van Veen MM, Pijnenborg GHM, de Jong PJ, Boersma GJ, Lancel M. The clinical relevance of early identification and treatment of sleep disorders in mental health care: protocol of a randomized control trial. BMC Psychiatry 2020; 20:331. [PMID: 32580724 PMCID: PMC7313112 DOI: 10.1186/s12888-020-02737-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 06/15/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Sleep disorders are a risk factor for developing a variety of mental disorders, have a negative impact on their remission rates and increase the risk of relapse. Early identification and treatment of sleep disorders is therefore of paramount importance. Unfortunately, in mental health care sleep disorders are often poorly recognized and specific treatment frequently occurs late or not at all. This protocol-paper presents a randomized controlled trial investigating the clinical relevance of early detection and treatment of sleep disorders in mental health care. The two aims of this project are 1) to determine the prevalence of sleep disorders in different mental disorders, and 2) to investigate the contribution of early identification and adequate treatment of sleep disorders in individuals with mental disorders to their sleep, mental disorder symptoms, general functioning, and quality of life. METHODS Patients newly referred to a Dutch mental health institute for psychiatric treatment will be screened for sleep disorders with the self-assessment Holland Sleep Disorders Questionnaire (HSDQ). Patients scoring above the cut-off criteria will be invited for additional diagnostic evaluation and, treatment of the respective sleep disorder. Participants will be randomly assigned to two groups: Immediate sleep diagnostics and intervention (TAU+SI-T0), or delayed start of sleep intervention (TAU+SI-T1; 6 months after inclusion). The effect of sleep treatment as add-on to treatment as usual (TAU) will be tested with regard to sleep disorder symptoms, general functioning, and quality of life (in collaboration with a psychiatric sleep centre). DISCUSSION This trial will examine the prevalence of different sleep disorders in a broad range of mental disorders, providing information on the co-occurrence of specific sleep and mental disorders. Further, this study is the first to investigate the impact of early treatment of sleep disorders on the outcome of many mental disorders. Moreover, standard sleep interventions will be tailored to specific mental disorders, to increase their efficacy. The results of this trial may contribute considerably to the improvement of mental health care. TRIAL REGISTRATION This clinical trial has been retrospectively registered in the Netherlands Trial Register (NL8389; https://www.trialregister.nl/trial/8389) on February 2th, 2020.
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Affiliation(s)
- Fiona M. ter Heege
- grid.468637.80000 0004 0465 6592GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands
| | - Teus Mijnster
- grid.468637.80000 0004 0465 6592GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands
| | - Maaike M. van Veen
- grid.468637.80000 0004 0465 6592GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands
| | - Gerdina H. M. Pijnenborg
- grid.468637.80000 0004 0465 6592GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands ,grid.4830.f0000 0004 0407 1981Department of clinical and Developmental Neuropsychology, University of Groningen, Groningen, the Netherlands
| | - Peter J. de Jong
- grid.4830.f0000 0004 0407 1981Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
| | - Gretha J. Boersma
- grid.468637.80000 0004 0465 6592GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands
| | - Marike Lancel
- GGZ Drenthe Mental Health Institute, 9404 LA, Assen, The Netherlands. .,Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands.
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Bidirectional Relationships Between Posttraumatic Stress Disorder and Social Functioning During Cognitive Processing Therapy. Behav Ther 2020; 51:447-460. [PMID: 32402260 PMCID: PMC7232057 DOI: 10.1016/j.beth.2019.08.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 07/29/2019] [Accepted: 08/02/2019] [Indexed: 11/24/2022]
Abstract
This study investigated temporal relationships between posttraumatic stress symptoms and two indicators of social functioning during cognitive processing therapy. Participants were 176 patients (51.5% female, M age = 39.46 [SD = 11.51], 89.1% White, 42.6% active duty military/veteran) who participated in at least two assessment time points during a trial of cognitive processing therapy. Posttraumatic stress disorder (PTSD) symptoms (PTSD Checklist for DSM-IV) and interpersonal relationship and social role functioning problems (Outcome Questionnaire-45) were assessed prior to each of 12 sessions. Multivariate multilevel lagged analyses indicated that interpersonal relationship problems predicted subsequent PTSD symptoms (b = .22, SE = 0.09, cr = 2.53, p = .01, pr = .46) and vice versa (b = .05, SE = 0.02, cr = 2.11, p = .04, pr = .16); and social role functioning problems predicted subsequent PTSD symptoms (b = .21, SE = 0.10, cr = 2.18, p = .03, pr = .16) and vice versa (b = .06, SE = 0.02, cr = 3.08, p < .001, pr = .23). Military status moderated the cross-lag from social role functioning problems to PTSD symptoms (b = -.35, t = -2.00, p = .045, pr = .16). Results suggest a robust association between PTSD symptoms and social functioning during cognitive processing therapy with a reciprocal relationship between PTSD symptoms and social functioning over time. Additionally, higher social role functioning problems for patients with military status indicate smaller reductions in PTSD symptoms from session to session.
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Youn SJ, Castonguay LG, McAleavey AA, Nordberg SS, Hayes JA, Locke BD. Sensitivity to Change of the Counseling Center Assessment of Psychological Symptoms-34. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2019. [DOI: 10.1080/07481756.2019.1691459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Soo Jeong Youn
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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18
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Weinstock MC, Meier ST. A Comparison of Two Item-Selection Methodologies for Measuring Change in University Counseling Center Clients. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2019. [DOI: 10.1080/07481756.2003.12069082] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - Scott T. Meier
- Scott T. Meier, Department of Counseling, School, and Educational Psychology, State University of New York at Buffalo
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19
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Brorson HH, Arnevik EA, Rand K. Predicting Dropout from Inpatient Substance Use Disorder Treatment: A Prospective Validation Study of the OQ-Analyst. SUBSTANCE ABUSE-RESEARCH AND TREATMENT 2019; 13:1178221819866181. [PMID: 31452601 PMCID: PMC6698986 DOI: 10.1177/1178221819866181] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Accepted: 07/05/2019] [Indexed: 11/30/2022]
Abstract
Background and Aims: There is an urgent need for tools allowing therapists to identify patients at
risk of dropout. The OQ-Analyst, an increasingly popular computer-based
system, is used to track patient progress and predict dropout. However, we
have been unable to find empirical documentation regarding the ability of
OQ-Analyst to predict dropout. The aim of the present study was to perform
the first direct test of the ability of the OQ-Analyst to predict
dropout. Design: Patients were consecutively enlisted in a naturalistic, prospective,
longitudinal clinical trial. As interventions based on feedback from the
OQ-Analyst could alter the outcome and potentially render the prediction
wrong, feedback was withheld from patients and therapists. Setting: The study was carried out during 2011–2013 in an inpatient substance use
disorder clinic in Oslo, Norway. Participants: Patients aged 18 to 28 years who met criteria for a principal diagnosis of
mental or behavioural disorder due to psychoactive substance use (ICD 10;
F10.2–F19.2). Measurements: Red signal (predictions of high risk) from the Norwegian version of the
OQ-Analyst were compared with dropouts identified using patient medical
records as the standard for predictive accuracy. Findings: A total of 40 patients completed 647 OQ assessments resulting in 46 red
signals. There were 27 observed dropouts, only one of which followed after a
red signal. Patients indicated by the OQ-Analyst as being at high risk of
dropping out were no more likely to do so than those indicated as being at
low risk. Random intercept logistic regression predicting dropout from a red
signal was statistically nonsignificant. Bayes factor supports no
association. Conclusions: The study does not support the predictive ability of the OQ-Analyst for the
present patient population. In the absence of empirical evidence of
predictive ability, it may be better not to assume such ability.
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Affiliation(s)
- Hanne H Brorson
- Department of Psychology, University of Oslo, Norway, Oslo.,Department of Substance use Disorder Treatment, Oslo University Hospital, Oslo
| | - Espen Ajo Arnevik
- Department of Substance use Disorder Treatment, Oslo University Hospital, Oslo
| | - Kim Rand
- Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway
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Hepark S, Janssen L, de Vries A, Schoenberg PLA, Donders R, Kan CC, Speckens AEM. The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial. J Atten Disord 2019; 23:351-362. [PMID: 26588940 DOI: 10.1177/1087054715613587] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. METHOD Adults with ADHD were randomly allocated to MBCT ( n = 55) or waitlist ( n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. RESULTS MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill "Act With Awareness." No improvements were observed for depressive and anxiety symptoms, and patient functioning. CONCLUSION This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.
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Affiliation(s)
- Sevket Hepark
- 1 Radboud University Medical Center Nijmegen, The Netherlands
| | - Lotte Janssen
- 1 Radboud University Medical Center Nijmegen, The Netherlands
| | | | | | - Rogier Donders
- 1 Radboud University Medical Center Nijmegen, The Netherlands
| | - Cornelis C Kan
- 1 Radboud University Medical Center Nijmegen, The Netherlands
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Shaw SL, Lombardero A, Babins-Wagner R, Sommers-Flanagan J. Counseling Canadian Indigenous Peoples: The Therapeutic Alliance and Outcome. JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT 2019. [DOI: 10.1002/jmcd.12120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Sidney L. Shaw
- Clinical Mental Health Counseling Program; Walden University
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22
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Progress Monitoring Measures for Internalizing Symptoms: A Systematic Review of the Peer-Reviewed Literature. SCHOOL MENTAL HEALTH 2018. [DOI: 10.1007/s12310-018-9299-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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23
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Euler S, Stalujanis E, Allenbach G, Kolly S, de Roten Y, Despland JN, Kramer U. Dialectical behavior therapy skills training affects defense mechanisms in borderline personality disorder: An integrative approach of mechanisms in psychotherapy. Psychother Res 2018; 29:1074-1085. [DOI: 10.1080/10503307.2018.1497214] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Sebastian Euler
- Psychiatric University Hospital (UPK), University of Basel, Basel, Switzerland
| | - Esther Stalujanis
- Psychiatric University Hospital (UPK), University of Basel, Basel, Switzerland
- Division of Clinical Psychology and Psychiatry, University of Basel, Basel, Switzerland
- Division of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Berlin, Germany
| | - Gilles Allenbach
- Psychiatric University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland
| | - Stéphane Kolly
- Psychiatric University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland
| | - Yves de Roten
- Psychiatric University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland
| | - Jean-Nicolas Despland
- Psychiatric University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland
| | - Ueli Kramer
- Psychiatric University Hospital (CHUV), University of Lausanne, Lausanne, Switzerland
- Department of Psychology, University of Windsor, Windsor, Canada
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Metacognitive Interpersonal Therapy for Personality Disorders Featuring Emotional Inhibition: A Multiple Baseline Case Series. J Nerv Ment Dis 2018; 206:263-269. [PMID: 29377848 DOI: 10.1097/nmd.0000000000000789] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Metacognitive interpersonal therapy (MIT) is an integrative psychotherapeutic approach targeting personality disorders (PDs) featuring inhibition and avoidance. The current case series reports the outcome of a time-limited, 12-month MIT intervention for people with PDs featuring emotional inhibition. Seven participants were diagnosed with a PD on the basis of a structured clinical interview. The study followed a multiple baseline design, with baseline measures taken for 3 weeks before intervention. Participants underwent 12 months of weekly MIT sessions, with outcome measures taken every 3 months. Outcome variables were diagnostic recovery, symptom severity, and alexithymia. All participants improved over the course of the 12-month intervention across most measures. For six of the participants, the intervention was a likely driver of change. The current study contributes to a growing evidence base regarding the effectiveness of MIT for the treatment of PDs.
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25
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Levy HC, Billingsley AL, Springer KS, Hannan S, Das A, Tolin DF. Utility of the Outcome Questionnaire-45.2 in outpatient anxiety clinics: A comparison between anxiety patients with and without co-occurring depression. J Clin Psychol 2018. [PMID: 29543337 DOI: 10.1002/jclp.22611] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The Outcome Questionnaire-45.2 (OQ-45) is a self-report measure of general psychological distress. Although intended to be transdiagnostic, the OQ-45 may be best conceptualized as a measure of depression; as such, its utility in assessing other symptoms such as anxiety is unclear. METHOD We examined scores on the OQ-45 in a sample of 329 patients with anxiety and related disorders, half of whom had co-occurring depression. RESULTS Eighty-two percent of patients scored above the OQ-45 cutoff, whereas 18% were incorrectly screened out. Patients with co-occurring depression were more likely to score above the OQ-45 cutoff than nondepressed patients. Depression severity predicted many of the OQ-45 scales, even after controlling for anxiety severity. By contrast, most of the anxiety-specific measures failed to predict the OQ-45 after controlling for depression severity. CONCLUSIONS Findings suggest that the OQ-45 may not adequately capture anxiety symptoms and are discussed in terms of diagnostic screening and assessment.
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Affiliation(s)
- Hannah C Levy
- Anxiety Disorders Center, Institute of Living, Hartford Hospital
| | | | | | - Scott Hannan
- Anxiety Disorders Center, Institute of Living, Hartford Hospital
| | - Akanksha Das
- Anxiety Disorders Center, Institute of Living, Hartford Hospital
| | - David F Tolin
- Anxiety Disorders Center, Institute of Living, Hartford Hospital.,Department of Psychiatry, Yale University School of Medicine
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26
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Berzins S, Babins‐Wagner R, Hyland K. Relationship of employment status and socio‐economic factors with distress levels and counselling outcomes during a recession. COUNSELLING & PSYCHOTHERAPY RESEARCH 2018. [DOI: 10.1002/capr.12164] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Sandy Berzins
- Research Department Calgary Counselling Centre Departments of Psychiatry and Community Health Sciences University of Calgary Calgary AB Canada
| | - Robbie Babins‐Wagner
- Faculty of Social Work Calgary Counselling Centre University of Calgary Calgary AB Canada
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27
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Mental Health Monitoring During Basic Military Training: Psychometric Properties of the Outcome Questionnaire-30.2. MILITARY PSYCHOLOGY 2017. [DOI: 10.1037/mil0000102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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28
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Owen JE, O'Carroll Bantum E, Pagano IS, Stanton A. Randomized Trial of a Social Networking Intervention for Cancer-Related Distress. Ann Behav Med 2017; 51:661-672. [PMID: 28244002 PMCID: PMC5572555 DOI: 10.1007/s12160-017-9890-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
BACKGROUND Web and mobile technologies appear to hold promise for delivering evidence-informed and evidence-based intervention to cancer survivors and others living with trauma and other psychological concerns. Health-space.net was developed as a comprehensive online social networking and coping skills training program for cancer survivors living with distress. PURPOSE The purpose of this study was to evaluate the effects of a 12-week social networking intervention on distress, depression, anxiety, vigor, and fatigue in cancer survivors reporting high levels of cancer-related distress. METHODS We recruited 347 participants from a local cancer registry and internet, and all were randomized to either a 12-week waiting list control group or to immediate access to the intervention. Intervention participants received secure access to the study website, which provided extensive social networking capabilities and coping skills training exercises facilitated by a professional facilitator. RESULTS Across time, the prevalence of clinically significant depression symptoms declined from 67 to 34 % in both conditions. The health-space.net intervention had greater declines in fatigue than the waitlist control group, but the intervention did not improve outcomes for depression, trauma-related anxiety symptoms, or overall mood disturbance. For those with more severe levels of anxiety at baseline, greater engagement with the intervention was associated with higher levels of symptom reduction over time. CONCLUSIONS The intervention resulted in small but significant effects on fatigue but not other primary or secondary outcomes. Results suggest that this social networking intervention may be most effective for those who have distress that is not associated with high levels of anxiety symptoms or very poor overall psychological functioning. TRIAL REGISTRATION NUMBER The trial was registered with the ClinicalTrials.gov database ( ClinicalTrials.gov #NCT01976949).
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Affiliation(s)
- Jason E Owen
- National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.
| | - Erin O'Carroll Bantum
- Cancer Prevention & Control Program, University of Hawai'i Cancer Center, Honolulu, HI, USA
| | - Ian S Pagano
- Cancer Prevention & Control Program, University of Hawai'i Cancer Center, Honolulu, HI, USA
| | - Annette Stanton
- Departments of Psychology and Psychiatry/Biobehavioral Sciences, Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA
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Lutz W, Zimmermann D, Müller VNLS, Deisenhofer AK, Rubel JA. Randomized controlled trial to evaluate the effects of personalized prediction and adaptation tools on treatment outcome in outpatient psychotherapy: study protocol. BMC Psychiatry 2017; 17:306. [PMID: 28836954 PMCID: PMC5571503 DOI: 10.1186/s12888-017-1464-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 08/14/2017] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Psychotherapy is successful for the majority of patients, but not for every patient. Hence, further knowledge is needed on how treatments should be adapted for those who do not profit or deteriorate. In the last years prediction tools as well as feedback interventions were part of a trend to more personalized approaches in psychotherapy. Research on psychometric prediction and feedback into ongoing treatment has the potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure or drop-out. METHODS/DESIGN The research project investigates in a randomized controlled trial the effectiveness as well as moderating and mediating factors of psychometric feedback to therapists. In the intended study a total of 423 patients, who applied for a cognitive-behavioral therapy at the psychotherapy clinic of the University Trier and suffer from a depressive and/or an anxiety disorder (SCID interviews), will be included. The patients will be randomly assigned either to one therapist as well as to one of two intervention groups (CG, IG2). An additional intervention group (IG1) will be generated from an existing archival data set via propensity score matching. Patients of the control group (CG; n = 85) will be monitored concerning psychological impairment but therapists will not be provided with any feedback about the patients assessments. In both intervention groups (IG1: n = 169; IG2: n = 169) the therapists are provided with feedback about the patients self-evaluation in a computerized feedback portal. Therapists of the IG2 will additionally be provided with clinical support tools, which will be developed in this project, on the basis of existing systems. Therapists will also be provided with a personalized treatment recommendation based on similar patients (Nearest Neighbors) at the beginning of treatment. Besides the general effectiveness of feedback and the clinical support tools for negatively developing patients, further mediating and moderating variables on this feedback effect should be examined: treatment length, frequency of feedback use, therapist effects, therapist's experience, attitude towards feedback as well as congruence of therapist's and patient's evaluation concerning the progress. Additional procedures will be implemented to assess treatment adherence as well as the reliability of diagnosis and to include it into the analyses. DISCUSSION The current trial tests a comprehensive feedback system which combines precision mental health predictions with routine outcome monitoring and feedback tools in routine outpatient psychotherapy. It also adds to previous feedback research a stricter design by investigating another repeated measurement CG as well as a stricter control of treatment integrity. It also includes a structured clinical interview (SCID) and controls for comorbidity (within depression and anxiety). This study also investigates moderators (attitudes towards, use of the feedback system, diagnoses) and mediators (therapists' awareness of negative change and treatment length) in one study. TRIAL REGISTRATION Current Controlled Trials NCT03107845 . Registered 30 March 2017.
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Affiliation(s)
- Wolfgang Lutz
- Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286, Trier, Germany.
| | - Dirk Zimmermann
- 0000 0001 2289 1527grid.12391.38Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286 Trier, Germany
| | - Viola N. L. S. Müller
- 0000 0001 2289 1527grid.12391.38Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286 Trier, Germany
| | - Anne-Katharina Deisenhofer
- 0000 0001 2289 1527grid.12391.38Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286 Trier, Germany
| | - Julian A. Rubel
- 0000 0001 2289 1527grid.12391.38Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286 Trier, Germany
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30
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Anderberg E, Cox JC, Neeley Tass ES, Erekson DM, Gabrielsen TP, Warren JS, Cline J, Petersen D, South M. Sticking with it: Psychotherapy outcomes for adults with autism spectrum disorder in a university counseling center setting. Autism Res 2017; 10:2048-2055. [PMID: 28815985 DOI: 10.1002/aur.1843] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 05/28/2017] [Accepted: 06/26/2017] [Indexed: 11/10/2022]
Abstract
Young adults with autism spectrum disorders (ASD) experience high rates of comorbid mental health concerns in addition to distress arising from the core symptoms of autism. Many adults with ASD seek psychological treatment in outpatient facilities in their communities that are not specifically geared toward individuals with ASD. However, few studies have looked at the effectiveness of standard psychotherapeutic care in adults with ASD. This study aimed to discover how individuals with ASD fare in psychotherapy within a college counseling setting, compared to their neurotypical peers. Clients with ASD (n = 76) or possible ASD (n = 91) were retrospectively identified from counseling center case notes. Data from the Outcome Questionnaire-45 (OQ) were retrieved for each therapy session as a measure of client distress. Clients with ASD showed no difference in level of distress at intake compared to their neurotypical peers (n = 21,546), and improved about the same amount from pre- to post-treatment. However, students with ASD stayed in treatment for significantly more sessions than neurotypical clients, and took significantly longer to achieve maximum improvement on OQ reports. Results are discussed with implications for university and other community based treatment settings. Autism Res 2017, 10: 2048-2055. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY This study aimed to discover how individuals with autism spectrum disorders (ASD) fare in psychotherapy within a university counseling setting, compared to their neurotypical peers. Clients with ASD showed no difference in level of distress at intake compared to their neurotypical peers, and improved about the same amount from pre- to post-treatment. However, students with ASD stayed in treatment for significantly more sessions than neurotypical clients, and took significantly longer to achieve maximum improvement on Outcome Questionnaire-45 reports.
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Affiliation(s)
- Emily Anderberg
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Jonathan C Cox
- Counseling and Psychological Services Center, Brigham Young University, Provo, Utah
| | | | - David M Erekson
- Counseling and Psychological Services Center, Brigham Young University, Provo, Utah
| | - Terisa P Gabrielsen
- Counseling Psychology and Special Education, Brigham Young University, Provo, Utah
| | - Jared S Warren
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Jared Cline
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Devin Petersen
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Mikle South
- Department of Psychology and Neuroscience Center, Brigham Young University, Provo, Utah
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31
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Errázuriz P, Opazo S, Behn A, Silva O, Gloger S. Spanish Adaptation and Validation of the Outcome Questionnaire OQ-30.2. Front Psychol 2017; 8:673. [PMID: 28559857 PMCID: PMC5432756 DOI: 10.3389/fpsyg.2017.00673] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Accepted: 04/13/2017] [Indexed: 11/23/2022] Open
Abstract
This study assessed the psychometric properties of a Spanish version of the Shortened Outcome Questionnaire (OQ-30.2, Lambert et al., 2004) validated with a sample of 546 patients in an outpatient mental health clinic and 100 non-clinical adults in Chile. Our results show that this measure has similar normative data to the original measure, with a cutoff score for the Chilean population set at 43.36, and the reliable change index at 14. This Spanish OQ-30.2 has good internal consistency (α = 0.90), has concurrent validity with the Depressive, Anxious, and Somatoform disorders measuring scale (Alvarado and Vera, 1991), and is sensitive to change during psychotherapy. Consistent with previous studies, factorial analyses showed that both, the one-factor solution for a general scale and the three-factor solution containing three theoretical scales yielded poor fit estimates. Overall, our results are similar to past research on the OQ-45 and the OQ-30. The short version has adequate psychometric properties, comparable to those of the OQ-45, but provides a gain in application time that could be relevant in the setting of psychotherapy research with large samples, frequent assessments over time, and/or samples that may require more assistance completing items (e.g., low-literacy). We conclude that this measure will be a valuable instrument for research and clinical practice.
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Affiliation(s)
- Paula Errázuriz
- Department of Psychology, Pontificia Universidad Católica de ChileSantiago, Chile.,National Research Center for Integrated Natural Disaster ManagementSantiago, Chile.,Millennium Institute for Research in Depression and PersonalitySantiago, Chile
| | - Sebastián Opazo
- Department of Psychology, Pontificia Universidad Católica de ChileSantiago, Chile
| | - Alex Behn
- Department of Psychology, Pontificia Universidad Católica de ChileSantiago, Chile.,Millennium Institute for Research in Depression and PersonalitySantiago, Chile
| | - Oscar Silva
- Psicomédica Clinical and Research GroupSantiago, Chile
| | - Sergio Gloger
- Millennium Institute for Research in Depression and PersonalitySantiago, Chile.,Psicomédica Clinical and Research GroupSantiago, Chile.,Department of Psychiatry, Universidad de ChileSantiago, Chile
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32
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Affiliation(s)
- Rachel B. Tambling
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT, USA
| | - Sara K. Johnson
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT, USA
| | - Lee N. Johnson
- Department of Child and Family Development, University of Georgia, Athens, GA, USA
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Kim SH, Beretvas SN, Sherry AR. A Validation of the Factor Structure of OQ-45 Scores Using Factor Mixture Modeling. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2017. [DOI: 10.1177/0748175609354616] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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34
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Ding C, Yang D. Assessment of Grade-Level Differences in Coping Behavior Among Adolescents Using Multidimensional Scaling Single-Ideal-Point Model. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2017. [DOI: 10.1177/0748175612467462] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Cody Ding
- University of Missouri-St. Louis, St. Louis, MO, USA
| | - Dong Yang
- Center for Mental Health, School of Psychology, Southwest University, Chongqing, China
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35
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A combination of probiotics and magnesium orotate attenuate depression in a small SSRI resistant cohort: an intestinal anti-inflammatory response is suggested. Inflammopharmacology 2017; 25:271-274. [PMID: 28155119 DOI: 10.1007/s10787-017-0311-x] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Accepted: 01/16/2017] [Indexed: 12/17/2022]
Abstract
Approximately, one-third of those who develop major depression will have a poor response to treatment and over time can become treatment resistant. Intestinal dysbiosis has been implicated in depression with systemic inflammation and vagal and enteric nerve impairment. We report on a sequel pilot study (n = 12) with a combination probiotics/magnesium orotate formulation adjuvant administered with SSRIs for treatment resistant depression. At the end of an 8-week intervention mean changes for depression scores and quality of life in the group was clinically significantly improved (p < 0.001) with all but 4 participants experiencing a benefit. An intestinal anti-inflammatory response was suggested. At 16-weeks follow-up while still on SSRI medications, the group had relapsed after cessation of the test intervention.
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36
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Therapist Reflective Functioning, Therapist Attachment Style and Therapist Effectiveness. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2017; 44:614-625. [DOI: 10.1007/s10488-017-0790-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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37
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Bowen MM, Lambert MJ, Berkeljon A, Orr TE, Berrett M, Simon W. Effects of feedback-assisted treatment on post-treatment outcome for eating disordered inpatients: A follow-up study. COGENT PSYCHOLOGY 2016. [DOI: 10.1080/23311908.2016.1191119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Megan M. Bowen
- Psychology Department, Brigham Young University, Provo, UT 84602, USA
| | | | - Arjan Berkeljon
- Psychology Department, Brigham Young University, Provo, UT 84602, USA
| | - Tyler E. Orr
- Psychology Department, Brigham Young University, Provo, UT 84602, USA
| | | | - Witold Simon
- Psychology Department, Brigham Young University, Provo, UT 84602, USA
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
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38
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Tolin DF, Billingsley AL, Hallion LS, Diefenbach GJ. Low pre-treatment end-tidal CO 2 predicts dropout from cognitive-behavioral therapy for anxiety and related disorders. Behav Res Ther 2016; 90:32-40. [PMID: 27960095 DOI: 10.1016/j.brat.2016.12.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Revised: 12/05/2016] [Accepted: 12/06/2016] [Indexed: 11/26/2022]
Abstract
Recent clinical trial research suggests that baseline low end-tidal CO2 (ETCO2, the biological marker of hyperventilation) may predict poorer response to cognitive-behavioral therapy (CBT) for anxiety-related disorders. The present study examined the predictive value of baseline ETCO2 among patients treated for such disorders in a naturalistic clinical setting. Sixty-nine adults with a primary diagnosis of a DSM-5 anxiety disorder, obsessive-compulsive disorder, or posttraumatic stress disorder completed a 4-min assessment of resting ETCO2, and respiration rate (the first minute was analyzed). Lower ETCO2 was not associated with a diagnosis of panic disorder, and was associated with lower subjective distress ratings on certain measures. Baseline ETCO2 significantly predicted treatment dropout: those meeting cutoff criteria for hypocapnia were more than twice as likely to drop out of treatment, and ETCO2 significantly predicted dropout beyond other pre-treatment variables. Weekly measurement suggested that the lower-ETCO2 patients who dropped out were not responding well to treatment prior to dropout. The present results, along with previous clinical trial data, suggest that lower pre-treatment ETCO2 is a negative prognostic indicator for CBT for anxiety-related disorders. It is suggested that patients with lower ETCO2 might benefit from additional intervention that targets respiratory abnormality.
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Affiliation(s)
- David F Tolin
- The Institute of Living, United States; Yale University School of Medicine, United States.
| | | | | | - Gretchen J Diefenbach
- The Institute of Living, United States; Yale University School of Medicine, United States
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39
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Puschner B, Cosh S, Becker T. Patient-Rated Outcome Assessment With the German Version of the Outcome Questionnaire 45 in People With Severe Mental Illness. EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2016. [DOI: 10.1027/1015-5759/a000254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Abstract. The purpose of this study was to assess the feasibility and psychometric properties of the German version of the Outcome Questionnaire (Ergebnisfragebogen; EB-45) in people with severe mental illness (N = 294). Reliability and sensitivity to change were assessed. Convergent validity was examined through correlations with the measures Health of the Nation Outcome Scales (HoNOS-D) and Global Assessment of Functioning (GAF), and predictive validity through correlation with length of inpatient stay. The EB-45 showed good reliability and sensitivity to change, as well as good internal consistency for the total score and the subscale “symptom distress.” The EB-45 was found to be acceptable and feasible for use within inpatient psychiatric settings. Also predictive validity was good. However, psychometric properties of the subscales “interpersonal relations” and “social role” were equivocal. Thus, interpreting subscale scores only is not advisable. Also low convergent validity is a concern. Taken together, the EB-45 can be recommended for outcome assessment in a wide range of mental health service settings including inpatient psychiatric services. However, treatment planning and evaluation of effectiveness of services for people with severe mental illness should not be based on EB-45 data alone.
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Affiliation(s)
- Bernd Puschner
- Department of Psychiatry II, Ulm University, Günzburg, Germany
| | - Suzanne Cosh
- Department of Psychiatry II, Ulm University, Günzburg, Germany
| | - Thomas Becker
- Department of Psychiatry II, Ulm University, Günzburg, Germany
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40
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Bell H, Hagedorn WB, Robinson EHM. An Exploration of Supervisory and Therapeutic Relationships and Client Outcomes. COUNSELOR EDUCATION AND SUPERVISION 2016. [DOI: 10.1002/ceas.12044] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Hope Bell
- Department of Counseling; University of Texas at San Antonio
| | - W. Bryce Hagedorn
- Department of Child, Family and Community Services; University of Central Florida; Orlando
| | - E. H. Mike Robinson
- Department of Child, Family and Community Services; University of Central Florida; Orlando
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41
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Schlier B, Moritz S, Lincoln TM. Measuring fluctuations in paranoia: Validity and psychometric properties of brief state versions of the Paranoia Checklist. Psychiatry Res 2016; 241:323-32. [PMID: 27227702 DOI: 10.1016/j.psychres.2016.05.002] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Revised: 03/22/2016] [Accepted: 05/01/2016] [Indexed: 10/21/2022]
Abstract
Research increasingly assesses momentary changes in paranoia in order to elucidate causal mechanisms. Observed or manipulated changes in postulated causal factors should result in fluctuations in state paranoid ideation. Previous studies often employed a state-adapted Paranoia Checklist (Freeman et al., 2005) to measure state paranoia. This study examined whether the Paranoia Checklist or subsets of its items are appropriate for this purpose. Thirteen studies (N=860) were subjected to meta-analyses of each Paranoia Checklist item. We selected items based on (1) whether they showed pre-to-post change in the expected direction and (2) whether this effect was larger in experimental vs. control conditions. All resulting item selections were cross-validated on a hold-out sample (n=1893). Finally, we explored how much variation in paranoia was captured by the state-adapted version in a brief ambulatory assessment study (N=32). A thirteen item State Paranoia Checklist as well as a five item and a three item Brief State Paranoia Checklist were extracted. Cross validation revealed better model fit and increased sensitivity to change. Multilevel analysis indicated 25-30% of the variance in the Brief State Paranoia Checklists to be due to intra-individual daily fluctuations in paranoia. Our analyses produced reliable and valid revised scales. Increases in change sensitivity indicate that future assessment of state paranoia in experimental and ambulatory assessment studies can be optimized by using the revised scales.
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Affiliation(s)
- Björn Schlier
- Institute of Psychology, University of Hamburg, Germany.
| | - Steffen Moritz
- Department of Psychiatry and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Germany
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42
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Kramer U. The Role of Coping Change in Borderline Personality Disorder: A Process-Outcome Analysis on Dialectical-Behaviour Skills Training. Clin Psychol Psychother 2016; 24:302-311. [PMID: 27098296 DOI: 10.1002/cpp.2017] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 03/11/2016] [Accepted: 03/22/2016] [Indexed: 11/06/2022]
Abstract
Difficulty in emotion regulation is a hallmark feature of patients with borderline personality disorder (BPD). Skills training concepts based on dialectical-behaviour therapy (DBT) are common and effective treatment options for specifically addressing lacking skills in emotion regulation. However, so far it is unclear which aspects of coping change over the course of DBT skills training and if these coping strategies predict symptom change. The present process-outcome analysis, based on a randomized controlled study, aims at investigating these questions, by referring to a general conception of coping and by using an observer-rated approach to assess coping strategies directly in the therapy sessions. In total, n = 31 patients with BPD underwent two individual clinical interview assessments (pre- and post-study intervention; half of the patients underwent DBT skills training, half were in a wait-list control). All individual assessment sessions were transcribed and analysed using the Coping Action Pattern Rating Scale. Outcome was assessed pre- and post-intervention using the Outcome Questionnaire-45.2 and the Borderline Symptom List 23. The results showed increase in overall coping functioning in patients who underwent the DBT skills training, compared with the controls, and specific increases in relatedness coping where the stress is appraised as challenge, along with specific decreases in autonomy coping where the stress is appraised as threat. These changes predicted changes in general distress and borderline symptomatology. The results are interpreted within a general framework aiming at understanding the psychological effects of treatments for BPD, in particular effects related to coping. Effective emotion regulation strategies may therefore be important candidates as potential change mechanisms in treatments for BPD. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE It seems important for clinicians to assess the quality of coping strategies as they occur within the session facing a patient with borderline personality disorder. Clinicians may foster the emergence of support-seeking and self-reliance coping strategies in order to increase the effectiveness of therapy. Clinicians may monitor closely the patient's use of ineffective emotion regulation strategies, in particular opposition and submission, with the aim of reducing them early in therapy.
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Affiliation(s)
- Ueli Kramer
- Institute of Psychotherapy, Department of Psychiatry-CHUV, University of Lausanne, Lausanne, Switzerland.,General Psychiatry Service, Department of Psychiatry-CHUV, University of Lausanne, Lausanne, Switzerland.,Department of Psychology, University of Windsor, Windsor, Canada
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43
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Sherman AC, Mosier J, Leszcz M, Burlingame GM, Ulman KH, Cleary T, Simonton S, Latif U, Hazelton L, Strauss B. Group Interventions for Patients with Cancer and HIV Disease: Part I: Effects on Psychosocial and Functional Outcomes at Different Phases of Illness. Int J Group Psychother 2015; 54:29-82. [PMID: 14986573 DOI: 10.1521/ijgp.54.1.29.40376] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Group interventions for individuals facing cancer or HIV disease have drawn considerable attention among researchers and clinicians over the past 20 years. There is growing evidence that group services may be helpful, but which interventions are most effective for participants at which phases in the trajectory of disease has been less clear. Moreover, professionals working in different intervention settings (e.g., primary prevention vs. clinical care) and different disease sites (cancer vs. HIV disease) often have little awareness of relevant advances in other fields. Efforts to integrate findings in the literature may accelerate research and advance the standard of clinical care. The current article, the first in a series of four special reports, critically evaluates the efficacy of group interventions led by professional or trained facilitators for individuals confronted by cancer or HIV, across the spectrum of illness from elevated risk through advanced disease. We examine psychosocial and functional outcomes for different interventions directed toward different patient subgroups, trace common themes, highlight limitations, and offer recommendations for further research.
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Affiliation(s)
- Allen C Sherman
- Department of Otolaryngology, University of Arkansas for Medical Sciences, USA.
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44
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White MM, Lambert MJ, Ogles BM, Mclaughlin SB, Bailey RJ, Tingey KM. Using the Assessment for Signal Clients as a feedback tool for reducing treatment failure. Psychother Res 2015; 25:724-34. [DOI: 10.1080/10503307.2015.1009862] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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45
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Crits-Christoph P, Markell HM, Gallop R, Gibbons MBC, McClure B, Rotrosen J. Predicting outcome of substance abuse treatment in a feedback study: Can recovery curves be improved upon? Psychother Res 2015; 25:694-704. [PMID: 25588189 DOI: 10.1080/10503307.2014.994146] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVE The goal of the study was to evaluate whether enhanced normative feedback recovery curves are needed for treatment of substance use problems. METHOD Patient predictors of outcome were examined using data from four substance abuse treatment clinics. RESULTS Baseline severity of symptoms/functioning, employment, and craving were found to be associated with rate of change in symptoms/functioning. Several other variables were associated with rate of change in alcohol use, although in the opposite direction than found in efficacy trials. CONCLUSIONS The results point to the complexity of designing feedback systems using normative recovery curves for those with substance use problems and highlight the important differences between real-world treatment of those with substance use problems compared to data from efficacy trials.
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Affiliation(s)
- Paul Crits-Christoph
- a Department of Psychiatry , University of Pennsylvania , Philadelphia , PA , USA
| | - Hannah M Markell
- a Department of Psychiatry , University of Pennsylvania , Philadelphia , PA , USA
| | - Robert Gallop
- b Department of Mathematics , West Chester University , West Chester , PA , USA
| | | | - Bridget McClure
- c Joint Clinical Trials Office , Weill Cornell Medical College , New York , NY , USA
| | - John Rotrosen
- d Department of Psychiatry , New York University School of Medicine , New York , NY , USA
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46
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Rousmaniere TG, Swift JK, Babins-Wagner R, Whipple JL, Berzins S. Supervisor variance in psychotherapy outcome in routine practice. Psychother Res 2014; 26:196-205. [DOI: 10.1080/10503307.2014.963730] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
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47
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Tarescavage AM, Ben-Porath YS. Psychotherapeutic Outcomes Measures: A Critical Review for Practitioners. J Clin Psychol 2014; 70:808-30. [DOI: 10.1002/jclp.22080] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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48
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Biescad M, Timulak L. Measuring psychotherapy outcomes in routine practice: Examining Slovak versions of three commonly used outcome instruments. EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2014. [DOI: 10.1080/13642537.2014.895772] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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49
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Richmond CJ, Jordan SS, Bischof GH, Sauer EM. Effects of Solution-Focused Versus Problem-Focused Intake Questions on Pre-treatment Change. ACTA ACUST UNITED AC 2014. [DOI: 10.1521/jsyt.2014.33.1.33] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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50
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Stieglitz RD. Psychometrische Verfahren in der Psychotherapie. VERHALTENSTHERAPIE 2014. [DOI: 10.1159/000358912] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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