Article1995

Linking in-session change to overall outcome in short-term cognitive therapy.

John Christopher Muran · Bernard S. Gorman · Jeremy D. Safran · Lynne Twining · Arnold Winston

75 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Psychotherapy Techniques and Applications Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychological Treatments and Assessments

Abstract

To better understand the mechanisms of change in psychotherapy, it is important to validate suboutcome measures that represent intermediate links between more molecular in-session changes and ultimate outcome. The present study involved the collection of pre- and postsession ratings from 53 patients in a 20-session protocol of cognitive therapy, which yielded 5 suboutcome measures: Anxiety Shift, Depression Shift, Cognitive Shift, Optimism Shift, and Therapeutic Alliance. From a series of regression analyses of repeated measures with a generalized estimating equations approach, results regarding the predictive relationship of these variables to a number of patient and therapist-rated outcome criterion variables indicated that change in cognition and quality of the therapeutic alliance were the strongest predictors.

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References

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