Shapes of early change in psychotherapy under routine outpatient conditions
Abstract
Although improvement of clients' state is a central concern for psychotherapy, relatively little is known about how change in outcome variables unfolds during psychotherapy. Client progress may follow highly variable temporal courses, and this variation in treatment courses may have important clinical implications. By analyzing treatment progress using growth mixture modeling up to the 6th session in a sample of 192 outpatients treated under routine clinic conditions, the authors identified 5 client groups based on similar progress on the short form versions of the Clinical Outcomes in Routine Evaluation-Outcome Measure. The shapes of early change typical for these client groups were characterized by (a) high initial impairment, (b) low initial impairment, (c) early improvement, (d) medium impairment with continuous treatment progress, or (e) medium impairment with discontinuous treatment progress. Moreover, the shapes of early change were associated with different treatment outcomes and durations, and several intake variables (depression, anxiety, and age) enabled prediction of the shape of early change and/or prediction of individual treatment progress within client groups with similar shapes of change.
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As we know from psychotherapeutic contexts, change is not always easy and often leads to an initial impairment of symptoms.
“As we know from psychotherapeutic contexts, change is not always easy and often leads to an initial impairment of symptoms [88].”
From Embodied Cognition in Meditation, Yoga, and Ethics—An Experimental Single-Case Study on the Differential Effects of Four Mind–Body Treatments (2022) · cites this paper as [88]
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“As we know from psychotherapeutic contexts, change is not always easy and often leads to an initial impairment of symptoms [88].”
BackgroundMatko, K., Berghöfer, A., Jeitler, M., Sedlmeier, P., & Bringmann, H. C. (2022) · doi:10.31231/osf.io/9rbqe · Cited by 13 · see citing works
- Authors
- Stulz, N., Lutz, W., Leach, C., Lucock, M., & Barkham, M.
- Affiliations
- University of Bern (CH)
- Universität Trier (DE)
- South West Yorkshire Partnership NHS Foundation Trust (GB)
- University of Sheffield (GB)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2007-12
- Volume
- 75
- Issue
- 6
- Pages
- 864-874
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2031325170
- Cited by
- 122
- References
- 56
- Citations by year
- 2026: 4 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 5 · 2015: 11 · 2014: 9 · 2013: 14 · 2012: 8
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- BORIS (University Library Bern) (submittedVersion)
- University of Huddersfield Repository (University of Huddersfield) (submittedVersion)
- Huddersfield Research Portal (University of Huddersfield) (submittedVersion)
- Funders
- Swiss National Science Foundation (PP001-102651)
- United Kingdom's National Health Service (NYRO ACJ)
- NHS
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychotherapeutic change, early changes, growth mixture modeling, treatment outcome prediction, treatment duration, depression, anxiety, age
- MeSH terms
- Adolescent, Adult, Ambulatory Care, Mental Disorders, Female, Humans, Male, Middle Aged, Psychotherapy, Prevalence
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