Evaluation of Results of Psychotherapy

Rosenbaum, Milton; Friedlander, Jane; Kaplan, Stanley M.

doi:10.1097/00006842-195603000-00002

Cited by 60 publications

(26 citation statements)

References 4 publications

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“…The finding that favorable response to interpersonal psychotherapy is associated not only with good social adjustment but with previous attainment of a marital relationship, higher satisfaction with social relationships in general, and heightened interpersonal sensitivity seems consistent with reports in the general psychotherapy literature that various indicators of social competence or achievement are associated with good psychotherapy response, whereas social impairment is not. Poor social skills and poor interpersonal relationships have been reported to be related to poor outcome of psychotherapy (32,33), while perceived social support, social satisfaction, focus.psychiatryonline.org and the ability to develop a good relationship have been associated with favorable response to psychotherapy (31,(34)(35)(36)(37)(38). However, this specific relation with pretreatment social adjustment was neither observed nor previously reported for patients treated with cognitive-behavior therapy, the other psychotherapy in our study.…”

Section: Sotsky Et Alcontrasting

confidence: 78%

“…focus.psychiatryonline.org a negative relation between duration of illness and clinical outcome of psychotherapy (49)(50)(51)(52), imipramine and other tricyclic antidepressants (34,39,(53)(54)(55), and placebo (34,56). Previous reports have indicated that acute onset of depression is a positive indicator of response to both tricyclic antidepressant treatment (7,9,45) and psychotherapy (33).…”

Section: Sotsky Et Almentioning

confidence: 99%

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Patient Predictors of Response to Psychotherapy and Pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program

Sotsky¹,

Glass²,

Shea³

et al. 2006

FOC

150

165

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Objective: The authors investigated patient characteristics predictive of treatment response in the National Institute of Mental Health (NIMH) Treatment of Depression Collaborative Research Program. Method: Two hundred thirty-nine outpatients with major depressive disorder according to the Research Diagnostic Criteria entered a 16-week multicenter clinical trial and were randomly assigned to interpersonal psychotherapy, cognitive-behavior therapy, imipramine with clinical management, or placebo with clinical management. Pretreatment sociodemographic features, diagnosis, course of illness, function, personality, and symptoms were studied to identify patient predictors of depression severity (measured with the Hamilton Rating Scale for Depression) and complete response (measured with the Hamilton scale and the Beck Depression Inventory). Results: One hundred sixty-two patients completed the entire 16-week trial. Six patient characteristics, in addition to depression severity previously reported, predicted outcome across all treatments:social dysfunction, cognitive dysfunction, expectation of improvement, endogenous depression, double depression, and duration of current episode. Significant patient predictors of differential treatment outcome were identified. 1) Low social dysfunction predicted superior response to interpersonal psychotherapy. 2) Low cognitive dysfunction predicted superior response to cognitive-behavior therapy and to imipramine. 3) High work dysfunction predicted superior response to imipramine. 4) High depression severity and impairment of function predicted superior response to imipramine and to interpersonal psychotherapy. Conclusions: The results demonstrate the relevance of patient characteristics, including social, cognitive, and work function, for prediction of the outcome of major depressive disorder.They provide indirect evidence of treatment specificity by identifying characteristics responsive to different modalities, which may be of value in the selection of patients for alternative treatments.

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Section: Sotsky Et Alcontrasting

confidence: 78%

Section: Sotsky Et Almentioning

confidence: 99%

Patient Predictors of Response to Psychotherapy and Pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program

Sotsky¹,

Glass²,

Shea³

et al. 2006

FOC

150

165

View full text Add to dashboard Cite

show abstract

“…Kogan, Hunt and Bartelme (6), and Rosenbaum, Friedlander and Kaplan ( 9 ) also found positive relationships between follow-up status and various pretherapy measures of personal and social adjustment. Measures of intellectual and social attainment contributed small but significant increases to accuracy of predicting outcome.…”

Section: Discussiokmentioning

confidence: 93%

A three-year follow-up of psychotherapy patients

et al. 1964

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“…As Speer (1994) noted, although this finding points to beneficial effects of treatment, it implies that about 20% of psychotherapy clients may be unchanged or worse at the end of treatment than is the average untreated individual. More generally, the potential for deterioration as a concomitant of treatment was identified more than 50 years ago in general psychiatric care (Masserman & Carmichael, 1938), social-work counseling (Powers & Witmer, 1951), and client-centered (Rogers & Dymond, 1954) and psychodynamic (Rosenbaum, Friedlander, & Kaplan, 1956) psychotherapy. Warne, Canter, and Wiznia (1953) found that 7% of patients who received insightoriented psychotherapy at a VA clinic were worse at the end than at the beginning of treatment.…”

Section: Prevalence Of Deteriorationmentioning

confidence: 99%

Predictors of deterioration among patients with substance‐use disorders

Moos¹,

Moos²,

Finney³

2001

J Clin Psychol

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The purpose of this study was to identify patients with substance-use disorders who deteriorate during treatment, and to examine baseline predictors of deterioration. Three groups of 872 patients each, matched on number of problems at baseline, were selected from a larger sample based on their treatment outcome (improved, nonresponsive, deteriorated). Deterioration was predicted by younger age and African-American race; four aspects of patients' history (psychiatric symptoms, arrests, prior drug treatment, and recent inpatient or residential care); and having no close friends. Patients who had both an alcohol and a drug diagnosis, a personality-disorder diagnosis, and those who had a shorter episode of care and fewer outpatient-mental-health visits, also were more likely to deteriorate.

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Evaluation of Results of Psychotherapy

Cited by 60 publications

References 4 publications

Patient Predictors of Response to Psychotherapy and Pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program

Patient Predictors of Response to Psychotherapy and Pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program

A three-year follow-up of psychotherapy patients

Predictors of deterioration among patients with substance‐use disorders

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