Abstract:
OBJECTIVE:Psychotherapy outcomes vary between therapists, but it is unclear how such information can be used for treatment planning or practice development. This proof-of-concept study aimed to develop a data-driven method to match patients to therapists. METHOD:We analyzed data from N = 4,849 patients who accessed cognitive-behavioral therapy in U.K. primary care services. The main outcome was posttreatment reliable and clinically significant improvement (RCSI) on the Patient Health Questionnaire-9 (PHQ-9) depression measure. Machine-learning analyses were applied in a training sample (N = 2,425 patients treated by 68 therapists in Year 1), including a chi-squared automatic interaction detector (CHAID) algorithm and a random forest (RF) algorithm. The predictive models were cross-validated in a statistically independent test sample (N = 2,424 patients treated by the same therapists in Year 2) and evaluated using odds ratios (ORs) adjusted for baseline depression severity. RESULTS:We identified subgroups of therapists that were differentially effective for highly specific subgroups of patients, yielding 17 classes of patient-to-therapist matches. The overall base rate of RCSI in the sample was 40.4%, but this varied from 10.5% to 69.9% across classes. Cases classed by the prediction algorithms as expected responders in the test sample were ∼60% more likely to attain posttreatment RCSI compared with those classed as nonresponders (adjusted ORs = 1.59, 1.60; p < .001). CONCLUSIONS:Machine-learning approaches could help to improve treatment outcomes by enabling the strategic allocation of patients to therapists and therapists to supervisors. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Delgadillo J,Rubel J,Barkham Mdoi
10.1037/ccp0000507subject
Has Abstractpub_date
2020-09-01 00:00:00pages
799-808issue
9eissn
0022-006Xissn
1939-2117pii
2020-31137-001journal_volume
88pub_type
杂志文章abstract::Diagnosis of life-threatening illness now meets Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) criteria for traumatic stressor exposure for posttraumatic stress disorder (PTSD). Quality of life (QOL) and PTSD-like symptoms were assessed in 55 women postt...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.63.6.981
更新日期:1995-12-01 00:00:00
abstract::The authors examined the amount and durability of change in the cognitive content of 156 adult outpatients with recurrent major depressive disorder after treatment with cognitive therapy. The pre-post magnitude of change was large for the Attributional Style Questionnaire Failure composite (d = 0.79), Dysfunctional At...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.75.3.432
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:Military couples need and desire relationship interventions. Online interventions improve access; however, their effectiveness within the military population is untested. Using a subsample from a larger randomized controlled trial of OurRelationship and ePREP online relationship programs for low-income couple...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000606
更新日期:2020-10-01 00:00:00
abstract::This article examined marital interactions in 50 couples with a depressed husband, 41 couples with a depressed wife, and 50 nondepressed control couples. As expected, couples with a depressed partner evidenced more disturbed marital interaction than control couples. Furthermore, couples with a depressed wife demonstra...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.65.1.15
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To test the effects of a cognitive-behavioral intervention for weight bias internalization (WBI; i.e., self-stigma) combined with behavioral weight loss (BWL). METHOD:Adults with obesity and elevated WBI were randomly assigned to BWL alone or combined with the Weight Bias Internalization and Stigma Program (...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000480
更新日期:2020-05-01 00:00:00
abstract::A meta-analysis of 68 studies examined the effectiveness of skills training for individuals with severe mental illness and the influence of such factors as methodological rigor, choice of outcome measures, and service settings. The methodological quality of these studies was generally very good. Skills training was fo...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037//0022-006x.64.6.1337
更新日期:1996-12-01 00:00:00
abstract::Dual diagnosis, defined in this instance as the co-occurrence of mental health disorders with mental retardation, has become a major area of clinical practice and research in the past 10 years. Whereas areas such as differential diagnosis, assessment, and prevalence have been major focuses of research, etiologies of d...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.62.1.6
更新日期:1994-02-01 00:00:00
abstract::Smoking abstinence responses were characterized in 96 female smokers. Participants completed subjective state measures twice per week for 5 weeks and were then randomly assigned to a group required to abstain for 31 days or a control group that continued to smoke. Financial incentives for biochemically verified abstin...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.70.1.142
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:To extend the sparse literature on moderators, we used time-varying effect modeling (TVEM; Tan, Shiyko, Li, Li, & Dierker, 2012) to examine how depressive symptoms and duration of generalized anxiety disorder (GAD) moderated effects of 3 treatments for GAD (applied relaxation [AR], cognitive-behavioral therap...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000385
更新日期:2019-03-01 00:00:00
abstract::Although comorbidity with specific learning disabilities is less frequent than commonly reported, externalizing behavior disorders--particularly attention-deficit hyperactivity disorder (ADHD)--often overlap with various indices of academic underachievement during childhood. Furthermore, by adolescence, delinquency is...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.60.6.893
更新日期:1992-12-01 00:00:00
abstract::A total of 116 clients with a range of subsyndromal depression received 3 therapy sessions: 2 sessions 1 week apart followed by a 3rd session 3 months later (the 2 + 1 model). Clients were stratified for severity on the Beck Depression Inventory (BDI) as stressed, subclinical, or low-level clinically depressed. In a 2...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.67.2.201
更新日期:1999-04-01 00:00:00
abstract::The authors developed a measure for categorizing the nature of the topic that clients and therapists discuss from moment to moment during psychotherapy. The Counseling Topic Classification System (CTCS) contains 55 topics and 8 emotional categories. It was used to code the thematic content of Donald Meichenbaum's and ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.4.701
更新日期:1996-08-01 00:00:00
abstract::D.C. Mohr (1995) suggested that high deterioration rates may occur in self-directed treatments. The investigators examined data from 5 studies of self-administered treatment for depression and found in contrast much lower rates (9% vs. 19%) than those cited in Mohr's review. The negative response rates for the self-ad...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037//0022-006x.64.5.1086
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:Interventions for peer problems among children with attention-deficit/hyperactivity disorder (ADHD) typically focus on improving these children's behaviors. This study tested the proposition that an adjunctive component encouraging the peer group to be socially inclusive of children with ADHD would augment th...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0029654
更新日期:2013-02-01 00:00:00
abstract::Although the subject has been debated and examined for more than 3 decades, it is still not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a total of 53 studies) in which 7 major types of psychological treatment for mild to moderate adult depression (cognitive-be...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037/a0013075
更新日期:2008-12-01 00:00:00
abstract::Prospective longitudinal studies that pertain to the stability, developmental pathways, and long-term outcome for the 2 primary forms of externalizing behavior problems (conduct problems [CP] and hyperactivity [HA]) are described. Treatment outcome studies for CP and HA with at least 1 year of follow-up data are revie...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.62.5.901
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVE:To test the efficacy of a combined web- and text messaging-based intervention to reduce problem drinking in young people compared to assessment only. METHOD:Two-arm, parallel-group, cluster-randomized controlled trial with assessments at baseline and 6-month follow up. The automated intervention included onl...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000138
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:The relationships between the occupational, educational, and verbal-cognitive characteristics of health care professionals and their motivational interviewing (MI) skills before, during, and after training were investigated. METHOD:Fifty-eight community-based addiction clinicians (M = 42.1 years, SD = 10.0; ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0028362
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:While several behavioral interventions have shown efficacy in opioid use disorder treatment, little is known regarding which behavioral interventions work best for youth, and if treatment responses vary by developmental age or sex. We explored latency to first episode of opioid use among adolescents and young...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-02-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-08-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.66.3.513
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:Video teleconferencing (VTC) is used for mental health treatment delivery to geographically remote, underserved populations. However, few studies have examined how VTC affects individual or group psychotherapy processes. This study compares process variables such as therapeutic alliance and attrition among pa...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1037/a0020158
更新日期:2010-10-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1037/a0030666
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:This study investigated the association between hostility and health and whether it is moderated by the quality of an individual's primary romantic relationship. METHOD:Longitudinal data were provided by 184 African Americans, including 166 women. Participants averaged 38 years old and were married or in lon...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0020436
更新日期:2010-10-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.63.6.862
更新日期:1995-12-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000215
更新日期:2017-07-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.4.646
更新日期:1993-08-01 00:00:00
abstract::The Strong African American Families Program, a universal preventive intervention to deter alcohol use among rural African American adolescents, was evaluated in a cluster-randomized prevention trial. This 7-week family skills training program is based on a contextual model in which intervention effects on youth prote...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.74.2.356
更新日期:2006-04-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0020063
更新日期:2010-12-01 00:00:00