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Journal of Clinical Psychology
Article . 2015 . Peer-reviewed
License: Wiley Online Library User Agreement
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The Relation of Baseline Skills to Psychotherapy Outcome Across Diverse Psychotherapies

Authors: Mary Beth Connolly, Gibbons; Sarah M, Thompson; Rachel A, Mack; Jacqueline K, Lee; Paul, Crits-Christoph;

The Relation of Baseline Skills to Psychotherapy Outcome Across Diverse Psychotherapies

Abstract

ObjectiveWe explored whether patients with varied levels of baseline deficits in compensatory skills and self‐understanding had different outcomes across cognitive and dynamic therapies.MethodThe assessment battery was administered at intake and termination (N = 97; 66% female, 81% Caucasian). We conducted regression analyses predicting symptom change from baseline levels of self‐understanding and compensatory skills. We also evaluated the interaction between baseline skill levels and treatment condition in the prediction of psychotherapy outcome.ResultsThere was a significant interaction between treatment group and baseline compensatory skills in the prediction of Hamilton Depression Rating Scale (HAMD) symptom change, F(1,76) = 4.59, p = .035. Baseline deficits in compensatory skills were significantly related to symptom change for patients who received cognitive treatment, ηρ = .40, p = .037, while baseline levels of self‐understanding were not significantly predictive of treatment outcome in either condition. Baseline skill variables did not predict symptom change as measured by the HAMA.ConclusionsThe findings support a capitalization model of cognitive therapy, whereby patients with relative strengths in compensatory skills at baseline have better treatment outcomes.

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Keywords

Adult, Male, Cognitive Behavioral Therapy, Major Depressive Disorder, Middle Aged, Anxiety Disorders, Adaptation, Psychological, Outcome Assessment, Health Care, Humans, Panic Disorder, Female, Psychotherapy, Psychodynamic

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
bronze