Abstract:
:Sudden gains are abrupt and substantial improvements in symptoms. This study used the Outcome Questionnaire-45 (OQ-45; Lambert et al., 1996) to characterize sudden gains occurring in a cognitive-behavioral therapy training clinic. Also, gradual gainers were identified and used as a comparison group. Sudden gains were identified in 23% of patients and in 29% of those who entered treatment in the clinical range on the OQ, within the range of prevalence established by previous sudden gain studies in the context of randomized controlled trials (RCT's). As in earlier research, sudden gains tended to occur early in therapy. However, sudden gains were more likely to be reversed than in RCT's. Gradual gains occurred for 54% of nonsudden gainers; they were of similar magnitude to sudden gains but occurred later in therapy. Sudden gainers showed significantly better outcomes at the end of treatment than did gradual gainers. Sudden gains have clear prognostic significance, but more research is needed to determine why they may be more transient in naturalistic studies or studies involving less experienced therapists than they are in RCT's.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Greenfield MF,Gunthert KC,Haaga DAdoi
10.1002/jclp.20748subject
Has Abstractpub_date
2011-01-01 00:00:00pages
17-30issue
1eissn
0021-9762issn
1097-4679journal_volume
67pub_type
杂志文章abstract:OBJECTIVE:The aim of the present study is to examine the heterogeneity of attenuated psychotic symptoms (PS) and related personality factors using a cluster analytic approach. METHOD:A large sample of participants from the general population was evaluated in terms of attenuated symptomatology (psychotic and affective)...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22658
更新日期:2018-12-01 00:00:00
abstract::The Millon Clinical Multiaxial Inventory (MCMI) is a recently introduced instrument designed to measure both symptomatology and long-standing patterns of personality disorder in clinical populations. Because it is designed to assess clients who are similar to those with whom the MMPI is often used (e.g., adjudicated o...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199001)46:1<89::aid-jclp22704601
更新日期:1990-01-01 00:00:00
abstract::Investigated two problem areas: (a) difficulty in the diagnoses of some types of organic brain dysfunctions; and (b) lack of accuracy in the differentiation of patients with organic disorders from patients with nonorganic disorders. Hospitalized male Ss (N = 152) were selected by diagnoses to form one nonorganic and t...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197907)35:3<484::aid-jclp2270350
更新日期:1979-07-01 00:00:00
abstract::Performed detailed neuropsychological evaluations with 25 recently hospitalized schizophrenics in whom systematic neurologic workups had failed to reveal CNS disease. Efforts were made to minimize possible effects of drug-induced extrapyramidal symptoms on test performance. Although the schizophrenics showed some neur...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197901)35:1<46::aid-jclp22703501
更新日期:1979-01-01 00:00:00
abstract::Threatened Ss in five stress groups with electric shock, while Ss in a sixth group were not threatened. In one of the stress groups Ss were encouraged to project causality for their feelings that resulted from the threat of shock to the E instead of to the shock, while Ss in the remaining stress groups were not encour...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197801)34:1<200::aid-jclp2270340
更新日期:1978-01-01 00:00:00
abstract::For many individuals attachment trauma is at the core of psychoneurosis and personality disorder. Combining theoretical aspects of psychodynamic therapy, developmental neuroscience, and attachment styles provides a useful framework for intensifying emotion and accelerating the course of treatment. A bihemispheric mode...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20246
更新日期:2006-05-01 00:00:00
abstract::People with schizophrenia have a high prevalence of co-occurring substance use disorders, which is related to a worse course of psychiatric illness, more frequent relapses, and increased depression and suicide, compared with those with schizophrenia alone. The Family Intervention for Dual Diagnosis (FIDD) program, whi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21852
更新日期:2012-05-01 00:00:00
abstract::Used a brief deep muscle relaxation procedure to reduce patient (N = 39) anxiety during a dental appointment. State anxiety decreased significantly for a relaxed (treated) group from the waiting room period to the actual contact with the dentist. This reduction in state anxiety was maintained for the duration of the d...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198001)36:1<270::aid-jclp2270360
更新日期:1980-01-01 00:00:00
abstract::As the positive psychology movement gains momentum, both within psychology and in the broader culture, it becomes increasingly important to ensure that the complexity of individual personality and psychological processes do not get lost in a "one-size-fits-all" approach to improving human functioning. In this article,...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10094
更新日期:2002-09-01 00:00:00
abstract::This study examined cognitive distortions and coping styles as potential mediators for the effects of mindfulness meditation on anxiety, negative affect, positive affect, and hope in college students. Our pre- and postintervention design had four conditions: control, brief meditation focused on attention, brief medita...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20543
更新日期:2009-06-01 00:00:00
abstract::Twenty-five new psychiatric outpatient were clinically evaluated and were routinely administered a brief psychological screening battery which included measures of symptoms, personality, and cognitive function. Included in this assessment procedure were the Gottschalk-Gleser Content Analysis Scales on which scores wer...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199708)53:5<427::aid-jclp3
更新日期:1997-08-01 00:00:00
abstract::This editorial note introduces the next five commentaries on the placebo effect in psychotherapy. These commentaries follow the July, 2005 publication of a special series of articles in the Journal of Clinical Psychology, entitled "The Placebo Concept in Psychotherapy. ...
journal_title:Journal of clinical psychology
pub_type: 社论
doi:10.1002/jclp.20348
更新日期:2007-04-01 00:00:00
abstract::Previous reports on the use of the MMPI with chronic pain patients have produced a variety of results. No single configural feature or scale identifies the chronic pain patient, regardless of the origin or verifiability of the etiology of the pain. Elevations on the neurotic triad occur frequently, but do not have the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198611)42:6<878::aid-jclp2270420
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVES:The current study evaluated the mediational role of well-being in the relationship between identity development and psychosocial functioning. METHOD:A sample of 7,649 undergraduate students (73% female; mean age = 19.95, standard deviation = 1.98; 62% Caucasian) completed measures of personal identity, well...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,多中心研究
doi:10.1002/jclp.21960
更新日期:2013-04-01 00:00:00
abstract::Causal and consequence explanations for past life events, future life events, and a set of hypothetical events were obtained from depressed inpatients (N = 18) and a group of matched hospitalized controls (N = 18). Most of the causal dimensions were found to distinguish depressives from controls in the direction predi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198703)43:2<206::aid-jclp2270430
更新日期:1987-03-01 00:00:00
abstract::The present study (N = 97) hypothesized that both major life events and daily hassles would be associated with anxiety and depressive symptomatology. While the results partially supported the hypothesis, the inconsistent findings suggest methodological flaws in each life stress measure. These limitations are reviewed,...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198605)42:3<485::aid-jclp2270420
更新日期:1986-05-01 00:00:00
abstract::In a study of the severity of sleep disturbances in children with attention-deficit hyperactivity disorder (ADHD) who are taking stimulant medication, parents of 20 children diagnosed as having ADHD and on medication, 20 unmedicated children with some other psychiatric diagnosis (OPD), and 20 nonclinical control child...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199808)54:5<701::aid-jclp1
更新日期:1998-08-01 00:00:00
abstract::Dialectical behavior therapy (DBT) was originally designed as a treatment of emotionally dysregulated, impulsive, and dramatic disorders (e.g., borderline personality disorder) and populations (e.g., parasuicidal women). However, a number of complex disorders represent the dialectical opposite of BPD and related disor...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20449
更新日期:2008-02-01 00:00:00
abstract::The present study examined the gender differences in the relationship between victimization and depression, as well as in the buffering effect of social support, in Hong Kong adolescents. Based on social role theory, we predicted (a) that victimization would be associated with higher depression in boys than in girls, ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20489
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:We aimed to explore associations between positive and negative symptoms, mindfulness, positive affect, and social safeness; and to understand the mediator role of positive emotions in the relationship between mindfulness and social safeness. METHOD:Fifty-six participants with a psychotic disorder were asses...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22727
更新日期:2019-03-01 00:00:00
abstract::This study investigated whether a pain sample and pain simulators could be distinguished on the Pain Patient Profile (P3). Forty patients with a pain condition completed the P3 under normal instructions, while 20 students responded under instructions to feign a pain disorder but to attempt to avoid detection. The simu...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.1022
更新日期:2001-03-01 00:00:00
abstract::Doctoral students in professional psychology face broad challenges, such as changing market demands and increased competition for careers in traditional practice settings. To prepare for these demands, students must decide how much and when to specialize, if at all, predoctorally. Complicating matters, students in sin...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20030
更新日期:2004-09-01 00:00:00
abstract::Empirical evidence suggests that social and occupational disability plays a significant role in posttraumatic stress disorder (PTSD). The purpose of this study was to assess the role of social/occupational disability and to identify predictors of the development of PTSD in a group of disaster relief workers (DRWs) who...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20575
更新日期:2009-07-01 00:00:00
abstract::The objective assessment of thought disorder in schizophrenia is problemmatic in clinical psychology. Recently an individually administered instrument (WIST) was introduced as a brief, objective, and quantitative measure of schizophrenic thought processes. Possible shortcomings of the WIST are noted; experimental find...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197707)33:3<658::aid-jclp2270330
更新日期:1977-07-01 00:00:00
abstract::This study indicates that the vertical ordering of self-social others is a potent measure of individual differences in social orientations. Since the extravert is the more sociable, excitement-seeking, carefree individual, while the introvert is more retiring, aloof and introspective, it would be worthwhile in future ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197510)31:4<662::aid-jclp2270310
更新日期:1975-10-01 00:00:00
abstract::MMPI profiles of 545 psychiatric inpatients and 560 incarcerated offenders were separated sequentially into normal, sociopathic, neurotic and psychotic groups by means of Goldberg's profile classification rules. Patient-prisoner differences in both rates of classification and profile patterns of groups within diagnost...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197810)34:4<893::aid-jclp2270340
更新日期:1978-10-01 00:00:00
abstract::Investigated the utility of profile analysis, using the WISC-R to differentiate learning disabled from emotionally disturbed and nonhandicapped children. Little evidence was found to support the use of WISC-R subtest scatter, and profile analysis was discussed. Research efforts that focus upon the meaning of WISC-R su...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:
更新日期:1983-01-01 00:00:00
abstract::Examined the possibility that the previously reported pattern of errors on the Speech Sounds Perception Test could be explained on the basis of learning (N = 30). This possibility was examined by altering the order of presentation of subtests so that the series with the highest mean error scores in the previous study ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198401)40:1<266::aid-jclp2270400
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:Innovative approaches to the treatment of war-related posttraumatic stress disorder (PTSD) are needed. We report on secondary psychological outcomes of a randomized controlled trial of integrative exercise (IE) using aerobic and resistance exercise with mindfulness-based principles and yoga. We expected-in pa...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1002/jclp.22549
更新日期:2018-04-01 00:00:00
abstract::Research on the treatment of eating disorders has focused primarily on cognitive-behavioral therapy (CBT) and, more recently, interpersonal psychotherapy (IPT). Numerous studies have shown that CBT is helpful in reducing symptoms of bulimia nervosa and binge-eating disorder. In addition, CBT has been found to be super...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-4679(199906)55:6<685::aid-jclp3
更新日期:1999-06-01 00:00:00