Responsive regulation of treatment duration in routine practice in United Kingdom primary care settings: replication in a larger sample.
Abstract
Replicating a previous study (M. Barkham et al., 2006), the authors examined rates of improvement in psychotherapy in United Kingdom primary care settings as a function of the number of sessions attended. Included in the study were adult clients who returned valid assessments at the beginning and the end of their treatment, had planned endings, began treatment above the clinical cutoff score, and were seen for 20 or fewer sessions (N = 9,703; 72.4% female; 87.7% Caucasian; average age = 40.9 years). Clients' average assessment scores improved substantially across treatment, with a pretreatment-posttreatment effect size of 1.96; 62.0% achieved reliable and clinically significant improvement (RCSI). Clients' mean pretreatment-posttreatment change was approximately constant regardless of treatment duration (in the range of 0 to 20 sessions); the RCSI rate decreased slightly with treatment duration, as fewer clients fell below the cutoff at longer durations. Results were interpreted as suggesting that therapists and clients tend to make appropriately responsive decisions about treatment duration.
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Psychological therapy provided in primary care settings for depression and GAD is usually brief due to limited budget in mental health care or because health professionals opt to attend patients for brief, time-limited therapy to improve access to mental health services.
“Secondly, developing brief interventions is essential because psychological therapy provided in primary care settings for depression and GAD is usually brief due to the limited budget in mental health care or because health professionals opt to attend patients for brief, time-limited therapy to improve access to mental health services for all patients in the clinic (Saxena et al., 2007; Stiles et”
From A Multiple-Baseline Evaluation of Acceptance and Commitment Therapy Focused on Repetitive Negative Thinking for Comorbid Generalized Anxiety Disorder and Depression (2020) · cites this paper as Stiles et al., 2008
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- Authors
- Stiles, W. B., Barkham, M., Connell, J., & Mellor-Clark, J.
- Affiliations
- Miami University (US)
- University of Sheffield (GB)
- University of Leeds (GB)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008-04
- Volume
- 76
- Issue
- 2
- Pages
- 298-305
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2019290064
- Cited by
- 98
- References
- 37
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 10 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 14 · 2014: 9 · 2013: 10 · 2012: 7
- FWCI
- 6.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health Service
- Mental Health Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- brief psychotherapy, primary care, treatment response, number of treatment sessions, therapist decision-making, replication study
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Decision Making, Female, United Kingdom, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Primary Health Care, Psychotherapy, State Medicine, Time Factors, Reproducibility of Results
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