Article2007

Identifying mechanisms of change in psychotherapy: Mediators of treatment outcome

120 citations0/0 files storedClinical Psychology & Psychotherapy

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Psychotherapy Techniques and Applications Psychoanalysis and Psychopathology Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

Abstract We know that psychotherapy works, but the processes and mechanisms underlying therapeutic change are still largely unknown. The study of mediators and moderators of change in psychotherapy is one way to improve our understanding of mechanisms operating in psychotherapy. Consensus is slowly building on how to define both mediators and moderators of change, while there is still a controversy on strategic issues, e.g., criteria for demonstrating causality. The rationales for mediator research are discussed, as well as some of the major obstacles inherent in this research area. Finally, we present some strategic considerations for future research. Copyright © 2007 John Wiley & Sons, Ltd.

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References

1980The benefits of psychotherapy 1993The efficacy of psychological, educational, and behavioral treatment: Confirmation from meta-analysis.2002Metacognitive awareness and prevention of relapse in depression: Empirical evidence.2003Delineating mechanisms of change in child and adolescent therapy: methodological issues and research recommendations 2004Cognitive Mediation of Treatment Change in Social Phobia.1990How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression.2002Treatment expectancies, patient alliance and outcome: Further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program.2002Cognitive-behavioral therapy for bulimia nervosa: Time course and mechanisms of change.

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