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Articles 1 - 17 of 17
Full-Text Articles in Social and Behavioral Sciences
The Reciprocal Relationship Between Group Therapeutic Relationships And Group Member Symptom Improvement: An Archival Analysis, Aileen Marie Rands
The Reciprocal Relationship Between Group Therapeutic Relationships And Group Member Symptom Improvement: An Archival Analysis, Aileen Marie Rands
Theses and Dissertations
Researchers and clinicians have long recognized that therapeutic relationships play a fundamental role in client symptom change during treatment. At the same time, it has been proposed that improvement in client symptoms is associated with improvement in therapeutic relationships. To date, very few studies have investigated this reciprocal relationship; even fewer have examined group therapeutic relationship factors. The present study is an archival analysis on Group Questionnaire (GQ) (i.e., positive bond, positive work, and negative relationship) and Outcome Questionnaire (OQ-45) data that aims to analyze the reciprocal relationship between group therapeutic relationships and client symptom change. More specifically, this study …
The Relationship Of Alliance, Cohesion, And Group Climate With Outcome, Rachel Anne Arnold
The Relationship Of Alliance, Cohesion, And Group Climate With Outcome, Rachel Anne Arnold
Theses and Dissertations
Therapeutic alliance, cohesion, and group climate are all important relationship components of group therapy which have been shown to predict client outcome. Yet, due to discrepancies in how these are defined and measured in the literature, how these three constructs differentially predict outcome is not yet fully understood. For instance, most studies only assess a single construct and often do so with outcome assessed from a pre-post perspective rather than continuously. The present study is an archival analysis on Group Questionnaire (GQ) positive bond and Outcome Questionnaire-45 (OQ-45) data that aims to elucidate the predictive relationship of therapeutic alliance, group …
Informant Discrepancy In Y-Oq Reporting And Inferences Regarding Youth And Primary Caregiver Functioning, Tess Janeen Collett
Informant Discrepancy In Y-Oq Reporting And Inferences Regarding Youth And Primary Caregiver Functioning, Tess Janeen Collett
Theses and Dissertations
Discrepancy in reporting is a frequent phenomenon in psychotherapy research and its presence indicates added information to take into account when assessing youth functioning (De Los Reyes, 2011; Hawley & Weisz, 2003). There is a need to further understand patterns in youth psychotherapy to protect from risk of treatment failure or deterioration. Our study aimed to explore informant discrepancy and its relation to key therapeutic constructs as well as youth functionality over time within youth outpatient mental health populations who use the Y-OQ and TSM in routine outcome monitoring and as clinical support measures. Using an outpatient mental health sample, …
Psychotherapy Utilization And Presenting Concerns Among Black International And African-American Students In A University Counseling Center, Mica Nicole Mcgriggs
Psychotherapy Utilization And Presenting Concerns Among Black International And African-American Students In A University Counseling Center, Mica Nicole Mcgriggs
Theses and Dissertations
Little is known about the psychotherapy utilization, presenting concerns, and outcome differences between Black international and African American university students. The aim of this research is to identify potential similarities and differences between the two groups, as well as potential differences between the aforementioned groups and white students. This study examined archival data collected over the course of a 17-year period that focused on experiences of African-American, Black international, and White students at a large university in the Rocky Mountain West, United States. More specifically, archival data were analyzed to identify differences between the aforementioned groups of students in regard …
Youth Motivation As A Predictor Of Treatment Outcomes In A Community Mental Health System, Brett M. Merrill
Youth Motivation As A Predictor Of Treatment Outcomes In A Community Mental Health System, Brett M. Merrill
Theses and Dissertations
The role of motivation in relation to youth symptoms and psychotherapy outcomes is not well understood. Some cross-sectional research suggests that motivation predicts youth treatment outcome in low-motivation populations. The purpose of this study was to examine patterns of change in youth motivation over the course of treatment and to elucidate the relation between motivation, youth symptoms, and psychotherapy outcomes in a routine community mental health setting. Participants and their caregivers were from three community mental health outpatient clinics and completed youth or parent forms of the Youth Outcome Questionnaire (Y-OQ) and Treatment Support Measure (TSM) at frequent intervals throughout …
Scheduled Healing: The Relationship Between Session Frequency And Psychotherapy Outcome In A Naturalistic Setting, David Mcconkie Erekson
Scheduled Healing: The Relationship Between Session Frequency And Psychotherapy Outcome In A Naturalistic Setting, David Mcconkie Erekson
Theses and Dissertations
The dose-effect relationship in psychotherapy has been examined extensively, but few studies have included session frequency as a component of psychotherapy "dose." Those studies that have examined the effects of session frequency have indicated that it may affect both the total amount of recovery and the speed of recovery. No studies were found examining the clinical significance of this construct in a naturalistic setting. The change trajectories of 16,003 clients were examined using multi-level modeling and including session frequency as a fixed effect. Of these clients, subgroups were identified that were scheduled approximately once a week or approximately once every …
Comparative Psychotherapy Outcomes Of Sexual Minority Clients And Controls, Sasha A. Mondragon
Comparative Psychotherapy Outcomes Of Sexual Minority Clients And Controls, Sasha A. Mondragon
Theses and Dissertations
Research examining the psychotherapy outcomes of sexual minority clients seen in routine clinical care is lacking. No studies could be identified in which sexual minority client outcomes were examined with a standardized measure. The pre-treatment mental health functioning of 600 sexual minority clients was compared with that of a randomly selected group matched to the minority group on male/female ratio. The post-treatment mental health functioning of 596 sexual minority clients was also examined and compared to a control group matched on female/male ratio, initial levels of mental health functioning, age, and marital status. Results indicated that sexual minority clients who …
Measuring Growth: The Reliability And Validity Of The Utah Recovery Scale, Ray J. Katzenbach
Measuring Growth: The Reliability And Validity Of The Utah Recovery Scale, Ray J. Katzenbach
Theses and Dissertations
Recently the direction of consumer mental health care in the United States has shifted in terms of its approach to recovery. In this sense recovery is not thought to be a complete amelioration of symptoms, but rather the acquisition of meaningful relationships, independent living, and fulfilling work. In response to these changes, the Utah division of the National Alliance for the Mentally Ill (NAMI-Utah) conducted consumer focus groups for the purpose of developing a tool to monitor this new conceptualization of recovery. The focus groups generated 10 recovery indicators based on recovery as the Substance Abuse and Mental Health Services …
Utilizing Focus Groups To Determine Clinical Perceptions Of Assessment Needs, Emily Ruth Smith Putnam
Utilizing Focus Groups To Determine Clinical Perceptions Of Assessment Needs, Emily Ruth Smith Putnam
Theses and Dissertations
There has been a recent trend towards increasing accountability of mental health care providers through the use of treatment outcome measures, in order to reduce spending and improve patient care. This qualitative study utilized focus groups to elicit input regarding the need and possible content involved in creating an improved outcome measure specifically designed for severe emotionally disturbed (SED) children and adolescents. We conducted 60-90 minute focus groups with each of the following three separate constituent groups who are regularly involved in the care of SED youth at the Utah State Hospital (USH), including a) hospital clinical staff, b) affiliated …
Cohesion's Relationship To Outcome In Group Psychotherapy: A Meta-Analytic Review Of Empirical Research, Jennifer Tehani Alonso
Cohesion's Relationship To Outcome In Group Psychotherapy: A Meta-Analytic Review Of Empirical Research, Jennifer Tehani Alonso
Theses and Dissertations
Research has consistently shown group psychotherapy to be an effective form of treatment. Group cohesiveness, the quantity and magnitude of the strength of the bonds within the group, has received considerable attention. This study describes the integration of the cohesion literature using a random effects meta-analysis to ascertain the magnitude of the relationship between cohesion and outcome as well as explore the effect specific group variables have on this association. Studies were included which measured the relationship between groups comprised of at least three members, included both an outcome and cohesion measure convertible to an effect size, and were published …
Throwing The Baby Out With The Bathwater: When Can We Trust Self Report With The Smi Inpatient Population?, Jeffrey A. Lee
Throwing The Baby Out With The Bathwater: When Can We Trust Self Report With The Smi Inpatient Population?, Jeffrey A. Lee
Theses and Dissertations
Reliability of self-report outcome assessment is often called into question with the severely mentally ill population. In the context of inpatient care, demand characteristics may further complicate self-report measures. Although clinician-completed outcome measures, such as the Brief Psychiatric Rating Scale-Expanded Version (BPRS-E), have become industry standard with this population, self-report assessment may be useful under certain conditions. This study sought to explore the relationship between a clinician-completed, the BPRS-E, and a self-completed measure, the SOQ, within the SMI inpatient population. A total of 357 adult participants with a minimum of three assessment iterations were analyzed. The results of the analysis …
Classifying Symptom Change In Eating Disorders: Clinical Significance Metrics For The Change In Eating Disorder Symptoms Scale, Anthony D. Hwang
Classifying Symptom Change In Eating Disorders: Clinical Significance Metrics For The Change In Eating Disorder Symptoms Scale, Anthony D. Hwang
Theses and Dissertations
Despite well-established diagnostic measures and measures of specific dimensions of eating disorder symptomatology, little work has been done to develop a brief, comprehensive, and valid measure for assessing change in eating disorder symptoms. Further, empirically-supported change indices to assess treatment progression and outcome have not yet been developed. The Change in Eating Disorder Symptoms Scale (CHEDS) is a new comprehensive measure designed to assess progress and change during treatment in persons with diagnoses on the eating disorder spectrum. Previous studies have demonstrated the subscale structure, reliability, and validity of the CHEDS. This study determined clinically significant change criteria for the …
The Effects Of Client Therapist Racial And Ethnic Matching: A Meta Analytic Review Of Empirical Research, Raquel Cabral Bowman
The Effects Of Client Therapist Racial And Ethnic Matching: A Meta Analytic Review Of Empirical Research, Raquel Cabral Bowman
Theses and Dissertations
In a widely cited 2003 report, the U.S. Surgeon General criticized mental health and social services within the United States for failing to adequately serve the needs of clients of color. The report highlighted the fact that therapists often do not adequately account for cultural variables in their evaluations or interventions. Clients of color are rarely seen by therapists who adequately understand their cultural values and backgrounds. To address this discrepancy, researchers have explored a variety of therapy process and outcome variables across clients seen by therapists of their same race vs. another race (often called "ethnic matching"). Over 200 …
Clinical Prediction In Group Psychotherapy, Christopher L. Chapman
Clinical Prediction In Group Psychotherapy, Christopher L. Chapman
Theses and Dissertations
Prior research in individual therapy has provided evidence that therapists are poor predictors of client outcome without the aid of objective measures and often misjudge clients' perceptions of the therapeutic relationship. The focus of the current research was to conduct a similar study in a group setting. Therapists from a university counseling center and a state psychiatric hospital were recruited to test their accuracy in predicting client outcome, quality of therapeutic relationship and their own use of empirically supported group interventions. Results indicated that therapists are poor predictors of all three, providing support for the implementation of measure-based feedback systems …
Familial Predictors Of Long-Term Outcome Following Inpatient Treatment For Eating Disorders, Anna Mae Ridley
Familial Predictors Of Long-Term Outcome Following Inpatient Treatment For Eating Disorders, Anna Mae Ridley
Theses and Dissertations
The present investigation examined characteristic, symptomatic, and familial predictors of long-term symptom severity of eating disorders. The purpose of the study was to determine if, after accounting for a number of known predictors of outcome, familial variables explained a significant amount of additional variance in disordered eating and general well-being scores measured at post-treatment follow-up. The sample included 398 women, ages 13 to 56, who had completed eating disorder treatment at an inpatient facility. Hierarchal multiple regression analysis demonstrated that familial predictors at admission to treatment did significantly predict long-term outcomes, while changes from admission to treatment in symptoms and …
Adolescent Girls' Perception Of Residential Treatment Centers: A Qualitative Study Of How Treatment Works, Tyler Adam Money
Adolescent Girls' Perception Of Residential Treatment Centers: A Qualitative Study Of How Treatment Works, Tyler Adam Money
Theses and Dissertations
RTCs play an increasingly significant role in the continuum of treatment of emotionally disturbed adolescents. However, outcome research in this area has lagged behind the growth of treatment centers. More specifically, there has been very little investigation of the relative efficacy of the many different aspects of residential treatment, which are referred to as mechanisms of change in other research. The present study attempts to develop a phenomenological understanding of RTC patients' experience of all of the interventions that make up residential treatment. Results suggest that patients view social support, non-therapist staff members, family involvement and family therapy, as most …
Self-Esteem As A Predictor Of Treatment Outcome Among Women With Eating Disorders, Suzanne F. Plowman
Self-Esteem As A Predictor Of Treatment Outcome Among Women With Eating Disorders, Suzanne F. Plowman
Theses and Dissertations
Current empirical evidence suggests that true recovery from eating disorders is not possible without a corresponding improvement in body image and self-esteem. Ten studies in current literature evaluate this relationship between self-esteem and clinical eating disorders during inpatient treatment or during follow-up studies but do not provide both pre- (baseline) and post-treatment self-esteem scores. As a result, many questions about the nature of the relationship between eating disorders and self-esteem remain unanswered. The purpose of this study was to empirically investigate whether a comprehensive measure of self-esteem, given to women at the beginning of inpatient treatment for eating disorders, reliably …