Patterns of symptomatic recovery in psychotherapy.
Abstract
Using the psychotherapy dosage model in which effect was probability of recovery, this study compared treatment response rates for psychological symptoms. Symptom checklists were administered to 854 psychotherapy outpatients at intake and during treatment. Sixty-two symptoms were grouped into 3 classes on the basis of probit analysis results. Chronic distress symptoms demonstrated the fastest average response rate, whereas characterological symptoms demonstrated the slowest. Acute distress symptoms showed the highest average percentage of patients recovered across doses. A typical outpatient needed about a year of psychotherapy to have a 75% chance of symptomatic recovery. The model holds promise for establishing guidelines for the financing of psychotherapy.
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General psychotherapy is not an effective intervention for insomnia.
“It is important to note that general psychotherapy is not an effective intervention for insomnia [15].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [15]
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“Early change is primarily expressed in decreased symptom level, while changes in interpersonal functioning as well as in self-concept and self-experience typically take place in later phases (Howard et al., 1996; Kopta et al., 1994; Sembill et al., 2019).”
BackgroundThe effectiveness of long-term psychotherapy: Methodological research issues
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- Authors
- Kopta, S. M., Howard, K. I., Lowry, J. L., & Beutler, L. E.
- Affiliations
- University of Evansville (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1994
- Volume
- 62
- Issue
- 5
- Pages
- 1009-1016
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1992773668
- Cited by
- 442
- References
- 1
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 13 · 2020: 18 · 2019: 10 · 2018: 12 · 2017: 18 · 2016: 16 · 2015: 16 · 2014: 19 · 2013: 27 · 2012: 19
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh042901-08, 1k05mh000924-01a1)
- National Institute of Mental Health (R01 MH 42901, 1 K05 MH00924-01A1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- symptomatic recovery, treatment response rate, psychological symptoms, symptom checklist, treatment duration
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Chronic Disease, Female, Humans, Male, Middle Aged, Psychotherapy, Severity of Illness Index, Treatment Outcome
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