An exploratory study of patients’ sudden losses during outpatient CBT and therapists’ experience of difficulties

Odyniec, Patrizia; Probst, Thomas; Göllner, Richard; Margraf, Jürgen; Willutzki, Ulrike

doi:10.1002/jclp.22828

Cited by 5 publications

(2 citation statements)

References 44 publications

(86 reference statements)

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“…Importantly, sudden gains are associated with better treatment outcomes both at treatment termination and at follow-up (Shalom & Aderka, 2020). On average, sudden losses are reported in approximately 10% of cases (Helmich et al, 2020; König et al, 2014; Krüger et al, 2014; Lutz et al, 2007, 2013; Lutz & Tschitsaz, 2007; Odyniec et al, 2019). Although they are less common than sudden gains, sudden losses also occur in various mental disorders (Helmich et al, 2020; Krüger et al, 2014; Lutz et al, 2013).…”

Section: Sudden Gains and Sudden Losses In Clinical Psychologymentioning

confidence: 99%

Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness

Eckes

Nestler

2023

Clinical Psychological Science

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Although rapid changes in symptom severity, or sudden gains and losses, are well known in psychotherapeutic research, much about the underlying processes that lead to them is still unclear. The revised theory of sudden gains and the complexity theory of psychopathology offer explanations of why sudden gains and sudden losses occur and how they can be predicted. To test the implications of these two theories, we investigated sudden gains and losses in a daily diary study focusing on their frequency, stability, and association with certain statistical indicators. To this end, we examined the daily self-esteem and nervousness ratings of 98 young adults over 82 consecutive days. Generally supporting the theoretical frameworks above, our findings suggest that everyday sudden gains and losses seem to be a common but unstable phenomenon associated with increased within-person variance.

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Section: Sudden Gains and Sudden Losses In Clinical Psychologymentioning

confidence: 99%

Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness

Eckes

Nestler

2023

Clinical Psychological Science

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“…Essentially, ROM includes clients completing brief measures of psychological functioning, which can be interpreted in session to track clients’ progress or deterioration (Brattland et al, 2018; Lambert, Whipple, & Kleinstäuber, 2018; Shimokawa, Lambert, & Smart, 2010). Obtaining information about what does or does not work for clients in therapy provides an entre for therapists to act against deterioration and promote positive gains in treatment (Odyniec, Probst, Göllner, Margraf, & Willutzki, 2019; Peterson & Fagan, 2017). Indeed, meta-analyses indicate that treatment with ROM is associated with improved treatment outcomes, reduction in the cost of care, shortening the length of treatment, and reducing deterioration risk (Goodman, McKay, & DePhillipis, 2013; Lambert et al, 2018; Miller et al, 2015).…”

mentioning

confidence: 99%

Longitudinal measurement invariance of the Behavioral Health Measure in a clinical sample.

Coleman¹,

Dong²,

Dumas³

et al. 2022

Journal of Counseling Psychology

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The practice of routine outcome monitoring (ROM) has grown in popularity and become a fixture in feedback-supported clinical practice and research. However, if the interpretation of an ROM measure changes over time, treatment outcome scores may be inaccurate and produce erroneous or misguided interpretations of client progress and therapist efficacy. The current study examined whether factorial invariance held when using the Behavioral Health Measure (BHM-20) longitudinally in a clinical sample (n ϭ 12,467). Using multidimensional item response theory-based models for the investigation of the BHM-20 factor structure, at a single time point and then longitudinally. Based on the original factor structure of the BHM-20 a unidimensional model, a three-factor orthogonal model, and a three-factor correlated model were fit to the data, indicating poor model fit with the proposed three-factor or unidimensional models. Next, using exploratory factor analysis and subsequent multidimensional item response theory procedures, a new 4-factor (General Distress, Life Functioning, Anxiety, and Alcohol/ Drug Use) model was proposed with improved model-fit statistics. Finally, when testing the longitudinal invariance of the BHM-17 over 10 sessions of treatment, it was found to be fully consistent. The current study proposes the use of a 17-item, 4-factor model for a new understanding of the BHM-17. Implications for use in ROM and limitations are discussed. Public Significance StatementThe current study suggests that instruments used in ROM, specifically the BHM-20, may not be accurate in measuring client outcomes longitudinally. This is problematic because it means that client feedback data collected in session about their experience in therapy is not accurate. The current study offers a refined version of the BHM-20 called the BHM-17, which can be used longitudinally with improved accuracy.

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Healing involvement and stressful involvement experienced by psychotherapy trainees: Patterns, correlates and perceived development

Orlinsky,

Rønnestad,

Willutzki

et al. 2024

Couns and Psychother Res

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Background and MethodThe experiences of 454 psychotherapy trainees when providing therapy to patients were surveyed in a multinational sample largely from European countries, as part of the collaborative SPRISTAD study, using established measures of trainees' Healing Involvement (HI) and Stressful Involvement (SI).ResultsThe results of cross‐sectional analyses included the delineation of four differential patterns of therapeutic work involvement showing approximately half the trainees experienced an Effective Practice (high HI, low SI) while the other half experienced either a Challenging Practice (high HI, high SI), a Disengaged Practice (low HI, low SI) or a Distressing Practice (low HI, high SI).DiscussionStrong‐to‐moderate correlations were found between involvement styles and trainees' individual personal and professional characteristics, and among training programme and workplace situational conditions, and their possible applications to candidate selection and training practices were discussed. A strong association was seen between HI and SI qualities of trainees' therapeutic work and their positive or negative experiences of current professional development. Implications for training and hypotheses for future longitudinal studies were proposed based on the results.

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An exploratory study of patients’ sudden losses during outpatient CBT and therapists’ experience of difficulties

Cited by 5 publications

References 44 publications

Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness

Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness

Longitudinal measurement invariance of the Behavioral Health Measure in a clinical sample.

Healing involvement and stressful involvement experienced by psychotherapy trainees: Patterns, correlates and perceived development

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