An Upper Limit to Youth Psychotherapy Benefit? A Meta-Analytic Copula Approach to Psychotherapy Outcomes
Open accessAbstract
Across 50 years of research, extensive efforts have been made to improve the effectiveness of psychotherapies for children and adolescents. Yet recent evidence shows no significant improvement in youth psychotherapy outcomes. In other words, efforts to improve the general quality of therapy models do not appear to have translated directly into improved outcomes. We used multilevel meta-analytic data from 502 randomized controlled trials to generate a bivariate copula model predicting effect size as therapy quality approaches infinity. Our results suggest that even with a therapy of perfect quality, achieved effect sizes may be modest. If therapy quality and therapy outcome share a correlation of .20 (a somewhat optimistic assumption given the evidence we review), a therapy of perfect quality would produce an effect size of Hedges’s g = 0.83. We suggest that youth psychotherapy researchers complement their efforts to improve psychotherapy quality by investigating additional strategies for improving outcomes.
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The overall effect of psychotherapeutic interventions on mental health outcomes is moderate.
“Whilst it has been shown that psychotherapeutic interventions provide some reduction in the burden of mental disorders compared to untreated YP [20, 21], their overall effect on mental health outcomes is moderate [22, 23].”
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“…ISSN: 1989-9912 Actualmente la psicoterapia de niños y adolescentes cuenta con un cuerpo de evidencia empírica cada vez mayor en diferentes patologías (Jones et al., 2019; Knapp et al., 2016; Midgley et al., 2018; Miller et al., 2013; O’Brien et al., 2013; Pérez Álvarez, 2010; Shirk et al., 2011).”
BackgroundKaijadoe, S. P. T., Nijhof, K. S., Klip, H., Popma, A., & Scholte, R. H. J. (2024) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2024.2409514 · Cited by 2 · see citing works
“Additionally, the effectiveness of youth care seems to have reached a plateau, with limited improvement in effect size (Jones et al., 2019).”
BackgroundKarver, M. S., & Peterson, A. L. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-44226-2_23
Evidence-Based Therapies for Children and Adolescents: Where Are We Going?
Roberts, M. C., Steele, R. G., & Cushing, C. C. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-44226-2_26 · Cited by 1 · see citing works
Editorial: Optimizing Depression Prevention: The Way Forward?
Merry, S. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.06.012
Li, W. H. C., Gleeson, J., Fraser, M., Ciarrochi, J., Hofmann, S. G., Hayes, S. C., & Sahdra, B. K. (2024) · doi:10.31234/osf.io/9j7xv
Weisz, J., Kuppens, S., Jones, P. J., et al. (2019) · Open Science Framework · doi:10.17605/osf.io/myfg7
Self-citationVousoura, E., Gergov, V., Tulbure, B. T., Camilleri, N., Saliba, A., Garcia-Lopez, L., Podina, I. R., Prevendar, T., Löffler‐Stastka, H., Chiarenza, G. A., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16544055
- Authors
- Jones, P. J., Mair, P., Kuppens, S., & Weisz, J. R.
- Affiliations
- Harvard University (US)
- Karel de Grote Hogeschool (BE)
- Corresponding author
- Jones, Payton J.
- Venue
- Clinical Psychological Science
- Publisher
- SAGE Publications
- Published
- 2019-08-06
- Volume
- 7
- Issue
- 6
- Pages
- 1434-1449
- ISSN
- 2167-7026 (ISSN-L)
- 2167-7034
- OpenAlex
- W2950878909
- Semantic Scholar
- af1002a9a0730b662d0b8ea6e706db6ad5b26812
- Cited by
- 31
- References
- 73
- Citations by year
- 2025: 2 · 2024: 7 · 2023: 2 · 2022: 4 · 2021: 11 · 2020: 4 · 2019: 1
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Update notices
- correction (2020-01-31)
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Clinical Psychological Science (publishedVersion)
- Lirias (acceptedVersion, other-oa)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Funders
- National Science Foundation (DGE1745303)
- 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 › Clinical Psychology › Child Therapy and Development
- Keywords
- adolescent psychotherapy, psychotherapy effectiveness, children and adolescents, psychotherapy outcome, randomized controlled trials
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