Dose Effect in Child Psychotherapy: Outcomes Associated With Negligible Treatment
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Objective To compare the outcomes of children who received negligible amounts of outpatient treatment to children receiving more treatment. Method A random regression longitudinal model was used to analyze outcomes of children (aged 5-17 years) from the Fort Bragg Evaluation Project. Results In examining several outcomes, the results show no statistically significant dose effect. Conclusions Children receiving substantial amounts of treatment showed no better mental health outcomes than those receiving negligible amounts of treatment. The results do not support the existence of a dose effect consistent enough to guide clinicians, administrators, or policymakers.
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Even very brief interventions combined with spontaneous remission are sufficient for many adolescent psychiatric problems.
“This finding suggests that even very brief interventions combined with spontaneous remission are sufficient for many adolescent psychiatric problems, as previously reported by Andrade et al. [22].”
From A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services (2010) · cites this paper as Andrade et al. [22]
The Longitudinal Random-Effect Regression Model section (page unavailable) reports that children improved over time and that improvement was similar with more and less treatment. The Clinical Implications section (page unavailable) suggests that most children in this outpatient sample improved without services. It does not establish that spontaneous remission combined with a brief intervention is sufficient, or extend that conclusion to many adolescent psychiatric problems generally. (LLM, conf=0.85)
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Lipsey, M. W., & Wilson, D. B. (1993) · American Psychologist · doi:10.1037/0003-066x.48.12.1181 · Cited by 2,033 · see citing works
The effectiveness of psychotherapy: the Consumer Reports study
Seligman, M. E. P. (1995) · American Psychologist · doi:10.1037/0003-066x.50.12.965 · Cited by 1,608 · see citing works
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Schleider, J. L., & Weisz, J. R. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.09.011 · Cited by 152 · see citing works
Baker-Ericzén, M. J., Jenkins, M. M., & Haine-Schlagel, R. (2013) · Journal of Child and Family Studies · doi:10.1007/s10826-012-9644-7 · Cited by 96 · see citing works
Laukkanen, E., Hintikka, J. J., Kylmä, J., Kekkonen, V., & Marttunen, M. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-261 · Cited by 21 · see citing works
“[22].”
- Authors
- ANDRADE, A. R., LAMBERT, E. W., & BICKMAN, L.
- Affiliations
- Vanderbilt University (US)
- Corresponding author
- ANDRADE, ANA REGINA
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-02
- Volume
- 39
- Issue
- 2
- Pages
- 161-168
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W1973578595
- Cited by
- 86
- References
- 2
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 1 · 2016: 2 · 2015: 2 · 2014: 5 · 2012: 6
- FWCI
- 8.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (R01MH-46136)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- dosage effect, child psychotherapy, treatment intensity, outpatient care, mental health outcomes, children and adolescents
- MeSH terms
- Adolescent, Ambulatory Care, Mental Disorders, Child, Child Behavior Disorders, Child, Preschool, Cost-Benefit Analysis, Female, Humans, Longitudinal Studies, Male, Outcome and Process Assessment, Health Care, Psychotherapy, Psychotherapy, Brief
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