Predicting change for individual psychotherapy clients on the basis of their nearest neighbors.

Abstract:

:This study extended client-focused research by using the nearest neighbor (NN) approach, a client-specific sampling and prediction strategy derived from research on alpine avalanches. Psychotherapy clients (N=203) seen in routine practice settings in the United Kingdom completed a battery of intake measures and then completed symptom intensity ratings before each session. Forecasts of each client's rate of change and session-by-session variability were computed on the basis of that client's NNs (n=10-50 in different comparisons). Alternative forecasts used linear or log-linear slopes and were compared with an alternative prediction strategy. Results showed that the NN approach was superior to the alternative model in predicting rate of change, though the advantage was less clear for predicting variability.

journal_name

J Consult Clin Psychol

authors

Lutz W,Leach C,Barkham M,Lucock M,Stiles WB,Evans C,Noble R,Iveson S

doi

10.1037/0022-006X.73.5.904

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

904-13

issue

5

eissn

0022-006X

issn

1939-2117

pii

2005-13740-013

journal_volume

73

pub_type

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