Application of the Stages of Change Scale in a clinical drug trial

Motivation to Change as a Predictor of Treatment Response in Obsessive Compulsive Disorder

“…Although not significant at conventional levels, the effect size for the association between Contemplation and reliable change in OCD severity was moderate. Our findings are consistent with medication trials in both panic disorder (12) and GAD (13) in which patients with high Precontemplation scores experienced less change in anxiety symptoms than those with low Precontemplation scores. These medication trials also found a greater decrease in illness severity in patients high on Contemplation than those low on Contemplation.…”

“…Overall readiness to change was high in this sample of patients voluntarily entering an OCD treatment trial. URICA subscale means and ranges were similar to those reported in medication trials for panic disorder (12) and GAD (13). Internal consistency reliabilities for the URICA subscales were high, with the exception of a somewhat lower reliability for the Precontemplation subscale, which is consistent with previous reported use of the URICA (8,17,25).…”

“…More recently, investigators in the area of mental health have become interested in how motivation to change impacts treatment and recovery from psychiatric disorders (12)(13)(14). According to the TTM, motivation to change is represented by five theoretical stages that divide the change process into meaningful steps.…”

Stage of change as a predictor of response to psychotherapy for bulimia nervosa

“…Although stage of change has, in some cases, been found to be associated with outcome in patients treated for addictive disorders like smoking (Farkas et al, 1996;Dijkstra, Roijackers, & DeVries, 1998), alcoholism (Hernandez-Avila, Burleson, & Kranzler, 1998, panic disorder (Wilson, Bell-Dolan, & Beitman, 1997;Beitman et al, 1994), and drug abuse (Belding, Iguchi, Lamb, Lakin, & Terry, 1995), there has been little research regarding the impact of stage of change on treatment outcome in patients suffering from eating disorders. We examined data on outcome among subjects from a double-blind randomized psychotherapy trial for patients with bulimia nervosa.…”

The role of therapeutic change in the treatment of patients with behavioural disorders using CBT approach

“…Although correlations between readiness to change and positive outcome have been observed in pharmacotherapy studies for panic disorder (Beitman et al, 1994;Reid, Nair, Mistry, and Beitman, 1996), generalized anxiety disorder (GAD; Wilson, Bell Dolan, and Beitman, 1997), and OCD (Pinto, Neziroglu, and Yaryura-Tobias, 2007), this construct remains understudied in the field of psychotherapeutic treatment (Newman et al, 2006).…”