Abstract:
OBJECTIVE:Psychotherapy patients who experience large, stable symptomatic improvement between sessions are more likely than those without such sudden gains to benefit from treatment. However, there is limited empirical basis for the definition of sudden gains, and it is unclear how they may affect symptomatic change at other points in treatment. METHOD:In a psychotherapy training clinic, 149 adults completed a distress measure at each session. For each criterion in the definition of sudden gains, we evaluated the prediction of outcome, possible moderating variables, local score instability, and multisession change before and after score shifts. RESULTS:Large intersession improvement did not lead to increased rate of change later in treatment, but it did predict outcome, regardless of whether nearby session scores were stable. Early improvement during the first five treatment sessions was an independent predictor of outcome. Large intersession improvement generally occurred in the context of local score instability. CONCLUSION:Sudden gains appear to predict outcome because of improvement inherent in the gains themselves. Early overall improvement predicts outcome almost as effectively as do sudden gains. There may be advantages to redefining sudden gains as large intersession improvement, regardless of local score stability.
journal_name
Clin Psychol Psychotherjournal_title
Clinical psychology & psychotherapyauthors
Koffmann Adoi
10.1002/cpp.2337subject
Has Abstractpub_date
2019-01-01 00:00:00pages
146-155issue
1eissn
1063-3995issn
1099-0879journal_volume
26pub_type
杂志文章abstract::Research on the role of acceptance in adjustment to persisting pain has been facilitated by the development of the Chronic Pain Acceptance Questionnaire (CPAQ). However, the CPAQ has not yet been validated amongst Iranian patients with chronic pain. To examine the psychometric properties of the Persian version of the ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1769
更新日期:2013-07-01 00:00:00
abstract:AIM:Although most veterans have a successful transition to civilian life when they leave the military, some struggle to cope and adjust to the demands and challenges of civilian life. This study explores how a variety of psychosocial factors influence veteran adjustment to civilian life in Scotland, UK, and which of th...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2182
更新日期:2018-03-25 00:00:00
abstract::This study suggests some potential pathways leading towards maintained gains or further growth versus deterioration after naturalistic psychotherapy with experienced clinicians. This is explored in a way that transcends specific theoretical orientations. Sixteen therapies, all showing reliable improvement on Outcome Q...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2162
更新日期:2018-03-01 00:00:00
abstract:UNLABELLED:Evidence suggests that emotional processes play an important role in the development of delusions. The aim of the present study was to investigate emotion appraisal in individuals with high and low psychosis proneness. We compared 30 individuals who experienced a transient psychotic episode followed by a com...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1763
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) 'International Classification of Functioning, Disability and Health: ICF' (2001). The aims of the present study were to test psychometric pro...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1909
更新日期:2014-09-01 00:00:00
abstract:UNLABELLED:Ratings of parents that have participated in a parent training for child externalizing behaviour problems might be biased (e.g., they may report symptom reduction to reward their own endeavours for attending the training). The potential for bias in parent ratings was investigated in a secondary analysis of a...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1784
更新日期:2013-09-01 00:00:00
abstract::In order to increase therapeutic impact by enhancing awareness of clients' nonverbal communications, this article operationalizes the therapeutic alliance as a needs-satisfaction process. The client's competence as a needs seeker and the therapist assisting with the client's expression and satiation of basic social ne...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.2330
更新日期:2019-01-01 00:00:00
abstract::There are a number of clients that mental health teams (CMHTs) struggle to help. This group often have some form of personality disorder diagnosis. All workers can experience the client's presentation as challenging and this sometimes results in unhelpful repeated patterns between clients and services. Difficulties fo...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.1812
更新日期:2013-07-01 00:00:00
abstract::Providing care for a relative with dementia is considered to be a chronic stressor that has been linked to negative mental health consequences for caregivers. A theoretical model was developed and tested to assess the degree to which ambivalence and guilt feelings contribute to caregivers' depressive symptomatology. P...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2116
更新日期:2018-01-01 00:00:00
abstract::The social cognition and object relations scale-global rating method is a clinical rating system assessing 8 domains of self and interpersonal functioning. It can be applied to score numerous forms of narrative data. In this study, we investigate the SCORS-G relationship to measures of alliance and readiness for psych...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2193
更新日期:2018-04-17 00:00:00
abstract:BACKGROUND:Music therapy (MT) interventions are aimed at creating and developing a relationship between patient and therapist. However, there is a lack of validated observational instruments to consistently evaluate the MT process. AIM:The purpose of this study was the validation of Music Therapy Session Assessment Sc...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2115
更新日期:2017-11-01 00:00:00
abstract:AIM:Somatoform disorders are common and often chronic. It would be helpful to distinguish those patients who are likely to have a positive treatment course from those who are likely to follow a negative course. Such studies of different somatoform disorders are scarce, especially in secondary psychiatric care. This stu...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2191
更新日期:2018-03-23 00:00:00
abstract::The aim of the present study was to explore the role of pathological dissociation in mediating the association between childhood trauma (CT) and gambling severity. One hundred seventy-one (134 men and 37 women) gamblers recruited in gambling environments (i.e., two Italian casinos) have been enrolled in the study. Psy...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1997
更新日期:2017-01-01 00:00:00
abstract::The current study represented a replication of previous research, addressing measures of interpersonal relatedness as predictors of outcome for dynamically oriented, short-term group (STG) psychotherapy for patients presenting with complicated grief. In an analysis of data from a comparative trial of two forms (interp...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.686
更新日期:2010-03-01 00:00:00
abstract::In the interpersonal theory of suicide, perceived burdensomeness (PB) and thwarted belongingness (TB) are proximal triggers of suicidal ideation. Using the 15-item version of the Interpersonal Needs Questionnaire (INQ-15), suicidal ideation in psychiatric inpatients was predicted by the PB and TB scales, and cut-off s...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2343
更新日期:2019-03-01 00:00:00
abstract::Cognitive behavioural therapy (CBT) is considered to be an effective treatment for internet gaming disorder (IGD). This study examined the effectiveness of CBT in treating impulsivity, anxiety, avoidance, and family and environmental problems in patients. A total of 101 patients completed the CBT programme, and 104 co...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2419
更新日期:2020-03-01 00:00:00
abstract::Recent findings have suggested some potential psychological vulnerability factors for development of obsessive-compulsive (OC) symptoms, including cognitive factors of appraisal and thought control, religiosity, self-esteem and personality characteristics such as neuroticism. Studies demonstrating these associations u...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.642
更新日期:2010-03-01 00:00:00
abstract:UNLABELLED:This paper examines the contribution of incompleteness/'not just right experiences' (NJREs) to an understanding of the relationship between obsessive-compulsive disorder (OCD) and obsessive-compulsive personality traits (OCPTs). It investigates the association of specific OCD symptom dimensions with OCPTs, c...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1842
更新日期:2014-09-01 00:00:00
abstract:UNLABELLED:This qualitative study explores psychodynamic therapists' experiences associated with unexpected encounters with their patients outside the clinical setting. Information was collected using a semi-structured interview protocol from 10 experienced practitioners in Poland and examined according to the interpre...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1930
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:Despite the promising effectiveness findings for transdiagnostic groups, studies have not explored clients' experiences. There is a risk that clients could perceive that the content of transdiagnostic groups is not sufficiently tailored to their specific problems. Our aims were to examine whether a brief tra...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2303
更新日期:2018-09-01 00:00:00
abstract::Self-concept literature and literature on childhood sexual abuse (CSA) suggests that women with a history of CSA may have particular ways of perceiving themselves, which, as well as impacting upon relationships within their everyday lives, may also have implications for therapy; whether this is on an individual basis ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.671
更新日期:2010-05-01 00:00:00
abstract:PURPOSE:There is much evidence indicating the presence of social deficits in schizophrenia and the detrimental effect of these deficits on global functioning in this population. As a result, social skills training (SST) has emerged as a legitimate psychosocial treatment, although effectiveness research has revealed sma...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1850
更新日期:2014-09-01 00:00:00
abstract:UNLABELLED:The purpose of this study was to perform an initial validation of a Swedish translation of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM). The CORE-OM is a broad self-report instrument of psychological problems, designed as an outcome measure for evaluating the effects of psychological...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1788
更新日期:2013-09-01 00:00:00
abstract::The study investigated several associations between depression and intrusive negative autobiographical memories. A systematic literature search identified 23 eligible studies (N = 2,582), which provided 59 effect sizes. Separate meta-analyses indicated that depression was moderately, positively associated with intrusi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2184
更新日期:2018-02-23 00:00:00
abstract:AIMS:Major depression is more prevalent in patients with type 2 diabetes mellitus (T2DM) than in general population. Comparing psychotherapeutic and pharmacological treatment responses could help to inform the choice between available treatment options. METHOD:Thirty-four patients with T2DM and major depression detect...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1002/cpp.1817
更新日期:2014-01-01 00:00:00
abstract::This study adds a phase-by-phase perspective to the case of Susan, with the aim of better understanding the processes of change in this therapeutic case. A team of 3 raters integrated the sequential phases of the Paradigmatic Complementarity Metamodel with a moment-by-moment tracking method-the Developmental Analysis ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2110
更新日期:2017-11-01 00:00:00
abstract::Mothers with severe post-natal mental illness can be admitted with their infant to a psychiatric mother and baby unit (MBU) in the UK. MBUs provide specialist assessment, management and support. Partners of women admitted to MBUs are integral to their recovery but may show reduced wellbeing themselves, yet their suppo...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2056
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Theoretical models of depression and bipolar disorder emphasise the importance of positive mental imagery in mood and behaviour. Distressing, intrusive images are common in psychosis; however, little is known about positive imagery experiences or their association with clinical symptoms. The aim of the curre...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1976
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Shame experiences have been suggested to be related with psychopathological symptoms and with self-relevant beliefs. Recent studies also suggest that avoidant-focused strategies (e.g., rumination, thought suppression and dissociation) mediate the impact of shame memories and depression symptoms. However, exp...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1862
更新日期:2015-01-01 00:00:00
abstract::Knowing the processes of emotion regulation that children use to respond to stressful situations is essential to analyse the development of psychopathology. The objectives of this research were to study the use of nine cognitive emotion regulation strategies (CERS) in depressed children, compared with nondepressed chi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2516
更新日期:2020-09-12 00:00:00