The article below may contain offensive and/or incorrect content.
Accurate estimations of progress in psychotherapy are necessary for therapists to identify clients at risk of deterioration and potentially reduce premature terminations. This need has resulted in a large body of literature examining the rate and trajectory of change in psychotherapy; however, few studies have tested these dose-response relationships outside of global measures of mental health. Moreover, there is a paucity of research examining the relationship between progress in treatment, treatment length, and premature termination. In this study, we conducted multivariate multilevel analyses to test the good-enough level model across the three domains of the phase model of psychotherapy: psychological symptoms, life functioning, and well-being. In addition, we tested changes in well-being, psychological symptoms, and life functioning, treatment length, and an interaction between treatment progress and treatment length as predictors of premature termination. Data for this study consisted of 438 clients who were treated by 57 therapists within a brief therapy model. Results failed to support the good-enough level model for changes in well-being, psychological symptoms, and life functioning, such that the rate of change across all three scales did not significantly vary as a function of treatment length. However, exploratory analyses revealed a significant interaction effect between changes in well-being, treatment length, and premature termination, indicating that clients who experienced high rates of change in well-being early in treatment were more likely to prematurely terminate treatment. Clinical implications and future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)





Departments
Authors
Libraries
Current Articles
- Article Correctness Is Author's Responsibility: Video » The NIMH Director’s Innovation Speaker Series: Advancing Therapies for Central Nervous System Disorders
- Article Correctness Is Author's Responsibility: Scientific Meeting » The NIMH Director’s Innovation Speaker Series: Advancing Therapies for Central Nervous System Disorders
- Article Correctness Is Author's Responsibility: How schools meet the needs of students crushed by stress, depression
- Article Correctness Is Author's Responsibility: Losing a long-term spouse can be deadly
- Article Correctness Is Author's Responsibility: Blog Post » One Year In: COVID-19 and Mental Health
- Article Correctness Is Author's Responsibility: Is COVID-19 the rock in David’s slingshot that will bring down Goliath?
- Article Correctness Is Author's Responsibility: CDC says racism is a 'serious threat' to public health
- Article Correctness Is Author's Responsibility: Challenges and innovations in Guatemala’s psychology
- Article Correctness Is Author's Responsibility: Group therapy can provide meaningful connection during COVID-19 loneliness
- Article Correctness Is Author's Responsibility: Covid-19 linked to depression and dementia
- Article Correctness Is Author's Responsibility: Stress on the front lines of Covid-19
- Article Correctness Is Author's Responsibility: Scientific Meeting » Virtual Workshop: Integrating Genomics with Dimensional and Transdiagnostic Approaches to Advance Mental Health Research
- Article Correctness Is Author's Responsibility: Augmenting exposure therapy: International collaboration and technological innovation for specific phobia
- Article Correctness Is Author's Responsibility: What are the 3 levels of autism?
- Article Correctness Is Author's Responsibility: How to reach out when someone you know may be at risk of suicide
- Article Correctness Is Author's Responsibility: Five questions for Michael Kraus
- Article Correctness Is Author's Responsibility: Meeting the demand for services
- Article Correctness Is Author's Responsibility: Preparing for leadership
- Article Correctness Is Author's Responsibility: Benefits of virtual psychotherapy groups for students during COVID-19
- Article Correctness Is Author's Responsibility: Airbnb launches inclusive virtual experiences for neurodiverse guests