Abstract:
:Surprisingly few studies have investigated the accuracy of prognostic assessments of therapy outcome by clinicians. The objective of the present study was to investigate the relationship between clinicians' prognostic assessments and patient characteristics and treatment outcome. Seventy-one patients with a borderline personality disorder randomly allocated to schema-focused therapy (SFT) or transference-focused psychotherapy (TFP) were assessed every 3 months for 3 years. Prognostic assessments proved to be unrelated to patients' biographical (i.e., age, gender, education level, and employment level) and clinical characteristics (i.e., number of Axis I and Axis II diagnoses, and severity of psychiatric symptoms or borderline personality pathology). Clinical assessors as well as therapists rated the probability of success for SFT to be higher than for TFP. Prospective assessments of assessors and therapists accurately predicted different indices of outcome above and independent of patient characteristics. The prediction of outcome in the TFP condition in particular proved to be valid. Identifying prognostic markers of treatment outcome as used by clinicians in their prognostic assessments may improve current prediction models and patient-treatment matching.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Spinhoven P,Giesen-Bloo J,van Dyck R,Arntz Adoi
10.1002/jclp.20466subject
Has Abstractpub_date
2008-06-01 00:00:00pages
667-86issue
6eissn
0021-9762issn
1097-4679journal_volume
64pub_type
杂志文章,多中心研究,随机对照试验abstract::This study explores the narratives of psychological distress and resilience among a group of female sex workers who use residential spaces to attend to clients in rural India. The narratives reflect the lived experiences of these women. They describe the women's reasons for opting into sex work; guilt, shame, and stig...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22364
更新日期:2016-08-01 00:00:00
abstract::This research describes the initial development of a new measure to assess the expectations of children for social situations. Responses are provided to 16 ambiguous photographs of children. Answers identify expectations for how the child will feel and what will happen to the child in each picture. The value of expect...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(200012)56:12<1551::AID-6>3.0.CO;
更新日期:2000-12-01 00:00:00
abstract::MMPI data presented by Small, Madero, Gross, Teagno, Leib, and Ebert (1981), contrary to the authors' conclusion, show distinct differences, consistent with the clinical diagnosis in the case of the schizophrenic patients, and suggestive of an affective disorder in the anorexic patients. ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198411)40:6<1433::aid-jclp227040
更新日期:1984-11-01 00:00:00
abstract::This study compared 69 adult children of alcoholics (ACOAs) with 30 control college students on scales from the revised MMPI (MMPI-2). ACOA subjects could be differentiated from control subjects on several MMPI-2 scales and two-scale profiles, many of which differentiate alcoholic from nonalcoholic samples. However, t...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199405)50:3<446::aid-jclp2270500
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:To examine the predictive value of cognitive coping strategies at pretreatment and the value of changes in these strategies during cognitive-behavioral treatment for aviophobia for long-term therapy results. METHOD:Data from baseline, after therapy at 2 months, short-term follow-up at 5 months, and long-term...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22424
更新日期:2017-09-01 00:00:00
abstract::This study investigated the relationship among psychopathology, intelligence and the simulation of psychopathological roles. The 132 Ss were 48 inpatients, 48 outpatients, and 36 nonprofessional employees. Each S simulated the MMPI profile of an anxiety neurotic, psychopathic deviate, or paranoid schizophrenic. Their ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract::Compared the MMPI profiles of 23 randomly selected fee-paying clients (FP group) of an out-patient psychiatry clinic to those of 23 clients who left unpaid bills (NFP group). All Ss had been terminated at least 2 months. No differences between groups were found on age, education, income, fee level, number of therapy s...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197810)34:4<953::aid-jclp2270340
更新日期:1978-10-01 00:00:00
abstract::Many postmodernists appeal to theses about the relationship between language and reality as one basis for rejecting natural science approaches to psychotherapy. The theses include one or more of the following: (a) There are multiple worlds rather than just one, (b) worlds are constructed rather than discovered, and (c...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(200101)57:1<7::aid-jclp3>3.0.co;
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:Mindfulness-based stress reduction (MBSR) promotes numerous psychological benefits, but few studies have identified for whom MBSR is most effective. The current study tested the hypothesis that lower baseline mindfulness invites more "room to grow" and, thus, predicts greater improvement during MBSR. METHOD...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22521
更新日期:2018-04-01 00:00:00
abstract::We explored emotional awareness in substance-dependent patients and its relationships to self-reported alexithymia. Sixty-four outpatients with drug dependence or alcohol dependence were evaluated before the beginning of treatment with the Hamilton Depressive Scale and the Covi Anxiety Scale, and they completed the To...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20662
更新日期:2010-06-01 00:00:00
abstract::Belief in a concerned God has been shown to be associated with lower depression through the mediation of hopelessness. This study hypothesized that this relationship would also be true longitudinally. Shortly after admission to treatment and 8 weeks later, 136 adults with clinical depression completed the Beck Depress...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20598
更新日期:2009-09-01 00:00:00
abstract::A cluster analysis was performed on data collected from six different groups, one of controls and five of various patient groups. The analysis produced two clusters of items that differentiated groups at significant levels. The schizophrenic group, in particular, showed very high levels of significance when compared w...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197507)31:3<419::aid-jclp2270310
更新日期:1975-07-01 00:00:00
abstract::Advocates of the Open Access movement claim that removing access barriers will substantially increase the diffusion of academic research. If successful, this movement could play a role in efforts to increase utilization of psychotherapy research by mental health practitioners. In a pair of studies, mental health profe...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20492
更新日期:2008-07-01 00:00:00
abstract::Current literature on effects of childhood lead poisoning and high blood lead level on psychological test performance was reviewed. A pathognomic configuration of mental ability test scores is described. A sample of 18 moderately to severely lead poisoned children was found to have a significantly higher frequency of ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199301)49:1<94::aid-jclp22704901
更新日期:1993-01-01 00:00:00
abstract::This pilot study compared the efficacy of two treatments for postraumatic stress disorder (PTSD): Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who ...
journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/jclp.1132
更新日期:2002-01-01 00:00:00
abstract::The extent and potential dangerousness of the problem of domestic violence warrants systematic screening and assessment in all mental health settings. Few empirical studies have approached the question of domestic violence with the aim of identifying risk markers, making it impossible to identify a particular characte...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/1097-4679(200010)56:10<1289::AID-JCLP4>3.0
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:The present study used a cultural and social cognitive conceptual framework to investigate whether alcohol expectancies and valuations would mediate the associations between specific acculturation orientations and alcohol-related risk behaviors. DESIGN:The sample comprised 1,527 Hispanic students attending ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21859
更新日期:2013-04-01 00:00:00
abstract::Mental health professionals have been described as biased in the evaluation of mental illness, almost always in favor of illness. It is a professional bias does exist, two factors could be responsible--situational expectancies and/or professional training. Undergraduate students (N = 32) and psychiatric residents (N =...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198001)36:1<99::aid-jclp22703601
更新日期:1980-01-01 00:00:00
abstract::A factor analysis of data from 1,295 administrations of a level of care instrument produced a seven-factor solution. The scales developed from these factors through a simple unit weighting procedure were internally reliable and replicable on an additional sample of clients. The seven factors are discussed in terms of ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198911)45:6<903::aid-jclp2270450
更新日期:1989-11-01 00:00:00
abstract::Investigated the construct validity of the Social Interest Index (SII) on a sample (N = 140) of hospitalized male alcoholics. Because of the inferred properties of social interest, it was hypothesized that the SII would relate positively with measures of some social traits, mental health, intelligence, education, and ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.6120360205
更新日期:1980-04-01 00:00:00
abstract::A recently developed instrument for the quantification of mother-infant interaction, the Parent-Child Early Relationship Assessment (PCERA), was used to observe drug-abusing mothers and their infants. Compared to the standardization sample used in the development of the PCERA, these drug-abusing mothers (N = 5) showed...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199103)47:2<316::aid-jclp2270470
更新日期:1991-03-01 00:00:00
abstract::This study examined the association between pretreatment client characteristics and the therapeutic bond, which is defined as the emotional aspect of the therapeutic alliance. Three types of interpersonal problems and four indicators of emotional distress were measured and compared to the therapeutic bond and its subs...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.1101
更新日期:2001-12-01 00:00:00
abstract::The recovery movement has not only challenged traditional pessimism regarding schizophrenia but also presented opportunities for the possibilities for psychotherapy for people with the disorder. Though in the past psychotherapy models were often pitted against one another, recently there have been emergent reports of ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22247
更新日期:2016-02-01 00:00:00
abstract::Over the last 100 years, countertransference has evolved from a narrow construct referring to the analyst's transference to the patient to a jointly created phenomenon that is ever-present in the psychotherapeutic situation. In recent years, a myriad of theoretical perspectives have begun to converge around the view t...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.1065
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:Doctoral training in clinical psychology has undergone substantial changes in recent decades, especially with the increasing heterogeneity of training models and graduate students. To document these changes, we analyzed program, student, and faculty characteristics of American Psychological Association (APA)-...
journal_title:Journal of clinical psychology
pub_type: 历史文章,杂志文章
doi:10.1002/jclp.22517
更新日期:2018-03-01 00:00:00
abstract::This investigation reexamined and extended previous research on the psychometric characteristics of the Halstead Category Test (HCT), one part of the Halstead-Reitan Neuropsychological Test Battery (HNTB). Protocols for 102 subjects with a diagnosis of either closed head injury or cerebrovascular accident were examine...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198705)43:3<368::aid-jclp2270430
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVE:Extant literature has documented a significant relationship between borderline symptoms and substance use disorders. As supported in past work, there is a significant theoretical relationship between borderline symptoms and compulsive sexual behaviors because both disorders share common underlying behaviors a...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22310
更新日期:2016-10-01 00:00:00
abstract::Although considerable research has been conducted on the efficacy of psychotherapy for depression, with and without medication, relatively few studies have focused on chronic forms of depression. Approximately 20% of individuals with depression experience episodes that last for two years or longer. We review the contr...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.10181
更新日期:2003-08-01 00:00:00
abstract::This study investigates imaginative, dissociative, and schizotypal processes that are potentially relevant to obsessive-compulsive (OC) symptoms. Students (n = 377) completed questionnaires that assessed inferential confusion, absorption, schizotypal personality, and other domains. Hierarchical regression revealed tha...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20729
更新日期:2011-01-01 00:00:00
abstract::Administered the Low Back (Lb) Scale, a special derivative of the MMPI, to 20 patients with functional low back pain and 20 patients with verifiable organic evidence for their low back complaints. The Social Desirability Scale also was administered in order to assess the test-taking attitudes of the patients. The two ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197904)35:2<306::aid-jclp2270350
更新日期:1979-04-01 00:00:00