"The early bird catches the worm"-Prediction of early response and its importance for treatment outcome in a naturalistic setting of cognitive behaviour therapy

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Bonnie Roehrig
  • Michael Witthoeft
  • Stephan Herpertz
  • Frank Petrak
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:001167063900001&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1002/cpp.2956
eISSN
1099-0879
Externe Identifier
  • Clarivate Analytics Document Solution ID: IN7D8
  • PubMed Identifier: 38363023
ISSN
1063-3995
Ausgabe der Veröffentlichung
1
Zeitschrift
CLINICAL PSYCHOLOGY & PSYCHOTHERAPY
Schlüsselwörter
  • cognitive behaviour therapy
  • early response
  • naturalistic setting
  • outcome research
  • process research
Artikelnummer
ARTN e2956
Datum der Veröffentlichung
2024
Status
Published
Titel
"The early bird catches the worm"-Prediction of early response and its importance for treatment outcome in a naturalistic setting of cognitive behaviour therapy
Sub types
  • Article
Ausgabe der Zeitschrift
31

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Abstract
<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>Knowledge about predictors of early response (ER) remains limited. This study examined patient, process, and therapist variables to predict ER in a naturalistic setting.</jats:p></jats:sec><jats:sec><jats:title>Research Design and Methods</jats:title><jats:p>Data from 493 psychotherapy outpatients were analysed. ER was defined by a ≥25% reduction in general psychological distress (<jats:italic>ER percent</jats:italic>) and by the reliable change index (<jats:italic>ER RCI</jats:italic>) within the first 10 sessions measured by the Brief Symptom Inventory‐18. ER prediction was determined using logistic regression. General psychological distress (GSI) throughout treatment in patients with and without ER was modelled using a multilevel linear model. This model aimed to predict GSI over treatment using repeated measurements, considering group affiliation (ER percent vs. no ER percent), controlled for other predictors.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The prevalence of <jats:italic>ER percent</jats:italic> and <jats:italic>ER RCI</jats:italic> were 63.6% and 47.5%, respectively. GSI and therapeutic relationship significantly predicted ER (<jats:italic>ER percent</jats:italic>: <jats:italic>χ</jats:italic><jats:sup>2</jats:sup> (6) 70.32, <jats:italic>p</jats:italic> &lt; .001, Nagelkerkes <jats:italic>R</jats:italic><jats:sup>2</jats:sup> = .19; <jats:italic>ER RCI</jats:italic>: <jats:italic>χ</jats:italic><jats:sup>2</jats:sup> (6) 134.71, <jats:italic>p</jats:italic> &lt; .001, Nagelkerkes <jats:italic>R</jats:italic><jats:sup>2</jats:sup> = .35). Patients who rated the therapeutic relationship more positively were more likely to achieve ER (<jats:italic>OR</jats:italic> = 1.10). Difference in outcomes between patients with and without ER during treatment was influenced by factors such as therapeutic relationship, GSI, therapist experience, and mental comorbidities. Including these variables improved the predictive model from AIC = 17,042.98 to AIC = 16,730.24.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The therapeutic relationship is a crucial predictor of ER. Patients achieving ER tend to have better outcome than those without ER. The early phase of therapy warrants particular attention to enhance psychotherapy outcomes.</jats:p></jats:sec>
Autoren
  • Bonnie Röhrig
  • Michael Witthöft
  • Stephan Herpertz
  • Frank Petrak
DOI
10.1002/cpp.2956
eISSN
1099-0879
ISSN
1063-3995
Ausgabe der Veröffentlichung
1
Zeitschrift
Clinical Psychology &amp; Psychotherapy
Sprache
en
Online publication date
2024
Datum der Veröffentlichung
2024
Status
Published
Herausgeber
Wiley
Herausgeber URL
http://dx.doi.org/10.1002/cpp.2956
Datum der Datenerfassung
2024
Titel
“The early bird catches the worm”—Prediction of early response and its importance for treatment outcome in a naturalistic setting of cognitive behaviour therapy
Ausgabe der Zeitschrift
31

Datenquelle: Crossref

Abstract
<h4>Objective</h4>Knowledge about predictors of early response (ER) remains limited. This study examined patient, process, and therapist variables to predict ER in a naturalistic setting.<h4>Research design and methods</h4>Data from 493 psychotherapy outpatients were analysed. ER was defined by a ≥25% reduction in general psychological distress (ER percent) and by the reliable change index (ER RCI) within the first 10 sessions measured by the Brief Symptom Inventory-18. ER prediction was determined using logistic regression. General psychological distress (GSI) throughout treatment in patients with and without ER was modelled using a multilevel linear model. This model aimed to predict GSI over treatment using repeated measurements, considering group affiliation (ER percent vs. no ER percent), controlled for other predictors.<h4>Results</h4>The prevalence of ER percent and ER RCI were 63.6% and 47.5%, respectively. GSI and therapeutic relationship significantly predicted ER (ER percent: χ<sup>2</sup> (6) 70.32, p < .001, Nagelkerkes R<sup>2</sup>  = .19; ER RCI: χ<sup>2</sup> (6) 134.71, p < .001, Nagelkerkes R<sup>2</sup>  = .35). Patients who rated the therapeutic relationship more positively were more likely to achieve ER (OR = 1.10). Difference in outcomes between patients with and without ER during treatment was influenced by factors such as therapeutic relationship, GSI, therapist experience, and mental comorbidities. Including these variables improved the predictive model from AIC = 17,042.98 to AIC = 16,730.24.<h4>Conclusion</h4>The therapeutic relationship is a crucial predictor of ER. Patients achieving ER tend to have better outcome than those without ER. The early phase of therapy warrants particular attention to enhance psychotherapy outcomes.
Addresses
  • Center for Psychotherapy Wiesbaden MVZ GmbH, Wiesbaden, Germany.
Autoren
  • Bonnie Röhrig
  • Michael Witthöft
  • Stephan Herpertz
  • Frank Petrak
DOI
10.1002/cpp.2956
eISSN
1099-0879
Externe Identifier
  • PubMed Identifier: 38363023
Open access
false
ISSN
1063-3995
Ausgabe der Veröffentlichung
1
Zeitschrift
Clinical psychology & psychotherapy
Schlüsselwörter
  • Humans
  • Treatment Outcome
  • Psychotherapy
  • Comorbidity
  • Cognitive Behavioral Therapy
Sprache
eng
Medium
Print
Paginierung
e2956
Datum der Veröffentlichung
2024
Status
Published
Datum der Datenerfassung
2024
Titel
"The early bird catches the worm"-Prediction of early response and its importance for treatment outcome in a naturalistic setting of cognitive behaviour therapy.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
31

Datenquelle: Europe PubMed Central

Abstract
OBJECTIVE: Knowledge about predictors of early response (ER) remains limited. This study examined patient, process, and therapist variables to predict ER in a naturalistic setting. RESEARCH DESIGN AND METHODS: Data from 493 psychotherapy outpatients were analysed. ER was defined by a ≥25% reduction in general psychological distress (ER percent) and by the reliable change index (ER RCI) within the first 10 sessions measured by the Brief Symptom Inventory-18. ER prediction was determined using logistic regression. General psychological distress (GSI) throughout treatment in patients with and without ER was modelled using a multilevel linear model. This model aimed to predict GSI over treatment using repeated measurements, considering group affiliation (ER percent vs. no ER percent), controlled for other predictors. RESULTS: The prevalence of ER percent and ER RCI were 63.6% and 47.5%, respectively. GSI and therapeutic relationship significantly predicted ER (ER percent: χ2 (6) 70.32, p < .001, Nagelkerkes R2  = .19; ER RCI: χ2 (6) 134.71, p < .001, Nagelkerkes R2  = .35). Patients who rated the therapeutic relationship more positively were more likely to achieve ER (OR = 1.10). Difference in outcomes between patients with and without ER during treatment was influenced by factors such as therapeutic relationship, GSI, therapist experience, and mental comorbidities. Including these variables improved the predictive model from AIC = 17,042.98 to AIC = 16,730.24. CONCLUSION: The therapeutic relationship is a crucial predictor of ER. Patients achieving ER tend to have better outcome than those without ER. The early phase of therapy warrants particular attention to enhance psychotherapy outcomes.
Date of acceptance
2024
Autoren
  • Bonnie Röhrig
  • Michael Witthöft
  • Stephan Herpertz
  • Frank Petrak
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/38363023
DOI
10.1002/cpp.2956
eISSN
1099-0879
Ausgabe der Veröffentlichung
1
Zeitschrift
Clin Psychol Psychother
Schlüsselwörter
  • cognitive behaviour therapy
  • early response
  • naturalistic setting
  • outcome research
  • process research
  • Humans
  • Cognitive Behavioral Therapy
  • Treatment Outcome
  • Psychotherapy
  • Comorbidity
Sprache
eng
Country
England
Paginierung
e2956
Datum der Veröffentlichung
2024
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2024
Titel
"The early bird catches the worm"-Prediction of early response and its importance for treatment outcome in a naturalistic setting of cognitive behaviour therapy.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
31

Datenquelle: PubMed

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