A further investigation of the good-enough level model across outcome domains and termination status
| Autor: | Karen P. Egan, Theodore Pickett Jr., Yi-Jiun Lin, Simon B. Goldberg, D. Martin Kivlighan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 050103 clinical psychology Patient Dropouts Adolescent PsycINFO Models Psychological Outcome (game theory) Solution focused brief therapy Time Young Adult 03 medical and health sciences 0302 clinical medicine Phase model Humans 0501 psychology and cognitive sciences High rate Mental Disorders 05 social sciences Middle Aged Mental health 030227 psychiatry Psychotherapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Well-being Female Health behavior Psychology Clinical psychology |
| Zdroj: | Psychotherapy. 56:309-317 |
| ISSN: | 1939-1536 0033-3204 |
| Popis: | Accurate estimations of progress in psychotherapy are necessary for therapists to identify clients at risk of deterioration and potentially reduce premature terminations. This need has resulted in a large body of literature examining the rate and trajectory of change in psychotherapy; however, few studies have tested these dose-response relationships outside of global measures of mental health. Moreover, there is a paucity of research examining the relationship between progress in treatment, treatment length, and premature termination. In this study, we conducted multivariate multilevel analyses to test the good-enough level model across the three domains of the phase model of psychotherapy: psychological symptoms, life functioning, and well-being. In addition, we tested changes in well-being, psychological symptoms, and life functioning, treatment length, and an interaction between treatment progress and treatment length as predictors of premature termination. Data for this study consisted of 438 clients who were treated by 57 therapists within a brief therapy model. Results failed to support the good-enough level model for changes in well-being, psychological symptoms, and life functioning, such that the rate of change across all three scales did not significantly vary as a function of treatment length. However, exploratory analyses revealed a significant interaction effect between changes in well-being, treatment length, and premature termination, indicating that clients who experienced high rates of change in well-being early in treatment were more likely to prematurely terminate treatment. Clinical implications and future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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