The Effect of Patient Progress Feedback on Psychotherapy Outcome

DC FieldValueLanguage
dc.contributor.authorSchoettke, Henning
dc.contributor.authorUnrath, Michael
dc.contributor.authorUhlmann, Christina
dc.date.accessioned2021-12-23T15:58:53Z-
dc.date.available2021-12-23T15:58:53Z-
dc.date.issued2020
dc.identifier.issn10166262
dc.identifier.urihttps://osnascholar.ub.uni-osnabrueck.de/handle/unios/3629-
dc.description.abstractBackground: There is evidence that outpatient psychotherapy is effective in treating mental disorders. However, 5-10% of the patients get worse during treatment. Patients and Methods: This randomised, controlled trial investigates the effect of systematic feedback of patients' progress to therapists on the outcome of psychotherapy. A total of 230 adult patients were randomly assigned to three conditions: progress monitoring with feedback, progress monitoring without feedback, no progress monitoring. Subsequently, they were treated with cognitive behavioral therapy in an outpatient clinic. Feedback was based on three self-report questionnaires: Questionnaire for the Evaluation of Psychotherapeutic Change (FEP-2), Outcome Questionnaire (OQ-30), and Assessment for Signal Cases (ASC). Variance analyses with repeated measurements were conducted to verify whether feedback enhances treatment outcomes. Results: There were no statistical differences between the three conditions with regard to sociodemographic and disease-relevant variables. Patients' impairment improved significantly in all three groups, but there were no significant differences between groups. Moreover, feedback had no differential effect on patients without initial improvement (n = 49). Discussion and Conclusion: In our study, collective patients' progress feedback to therapists did neither have a global nor a differential effect on treatment outcomes. In order to better demonstrate a potential feedback effect, future studies should aim for a higher frequency of feedback, measure therapists' attitude towards such feedback systems, and use ``clinical support tools.'' (c) 2019 S. Karger AG, Basel
dc.language.isode
dc.publisherKARGER
dc.relation.ispartofVERHALTENSTHERAPIE
dc.subjectCLIENTS
dc.subjectClinical psychology
dc.subjectCLINICAL SUPPORT TOOLS
dc.subjectFeedback
dc.subjectMETAANALYSIS
dc.subjectOutcome
dc.subjectPsychiatry
dc.subjectPsychology
dc.subjectPsychology, Clinical
dc.subjectPSYCHOMETRIC FEEDBACK
dc.subjectPsychotherapy
dc.subjectQUALITY-ASSURANCE
dc.subjectQUESTIONNAIRE
dc.subjectRISK
dc.subjectTHERAPISTS
dc.subjectTreatment
dc.subjectTREATMENT FAILURE
dc.titleThe Effect of Patient Progress Feedback on Psychotherapy Outcome
dc.typejournal article
dc.identifier.doi10.1159/000501176
dc.identifier.isiISI:000568960900004
dc.description.volume30
dc.description.issue3
dc.description.startpage222
dc.description.endpage233
dc.identifier.eissn14230402
dc.publisher.placeALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND
dcterms.isPartOf.abbreviationVerhaltenstherapie
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