Assessment of Suitability for Psychotherapy

Gs, Truant

doi:10.1176/appi.psychotherapy.1999.53.1.17

Cited by 16 publications

(2 citation statements)

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“…The Cronbach's alpha of the 6-item RTQ (α = .63) was below the .7 generally suggested as acceptable. However, a low alpha can result from a low number of items such as in this case (Tavakol and Dennick, 2011); the inter-item mean correlation of .24 is within the range of .15 to .50 suggested as acceptable by Clark and Watson (1995).…”

Section: Discussionmentioning

confidence: 94%

Development and validation of the Readiness for Therapy Questionnaire (RTQ)

Ghomi

Wrightman

Ghaemian

et al. 2020

Behav. Cogn. Psychother.

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Background: Motivational factors are generally regarded as an important ingredient for change in therapy. However, there is currently a lack of available instruments that can measure clients’ readiness for change in therapy. Aim: The objective of this paper was to create an instrument, the Readiness for Therapy Questionnaire (RTQ), which could measure clients’ readiness for change. Method: The RTQ was created by researchers following analysis of themes drawn from a review of the literature and interviews with patients at the end of therapy. This included both people who completed therapy and those who dropped out. As part of the standard assessment process, the RTQ was administered to 349 participants (69.6% female and 30.4% male; mean age 37.1 years; 90.5% Caucasian) who were patients at a psychological therapy service for common mental health difficulties. Result: An initial 12-item scale was reduced to 6 items. This scale significantly correlated with post-therapy PHQ-9 and GAD-7 scores and changes in these scores across therapy. After controlling for baseline scores and demographic variables, a logistic regression showed that scores on this 6-item measure pre-therapy significantly predicted three outcome variables: completing therapy, being recovered on both PHQ-9 and GAD-7 post-therapy, and having a reliable change in both the PHQ-9 and GAD-7 post-therapy. However, receiver operating characteristic (ROC) curve analysis showed the measure had poor sensitivity and specificity. Symptom severity did not have a significant impact on motivation to change. Conclusion: The RTQ is potentially a valid measure with useful clinical applications in treatment of common mental health difficulties.

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Section: Discussionmentioning

confidence: 94%

Development and validation of the Readiness for Therapy Questionnaire (RTQ)

Ghomi

Wrightman

Ghaemian

et al. 2020

Behav. Cogn. Psychother.

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“…Estas características obstaculizarían el éxito de la mayoría de las intervenciones del terapeuta (Gold, 1995;Kottler, 1992;Powell, 1995). -Dificultades graves para establecer y mantener relaciones interpersonales, lo que complica la relación terapéutica misma, además de asociarse con una falta de redes de apoyo social, aspecto predictor de un peor pronóstico (Clarkin y Levi, 2004;Mays y Franks, 1985;Truant, 1999). Podríamos afirmar que estos pacientes difíciles obtienen poco o nulo beneficio de las intervenciones psicoterapéuticas por un profundo estado de desconfianza epistémica.…”

Section: Factores Relacionados Con Los Terapeutasunclassified

Iatrogenia en personas diagnosticadas de trastorno límite de la personalidad

Cahill¹,

Llavero²,

Escudero³

et al. 2021

Clínica Contemporánea

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Resumen: Existe en los psicoterapeutas una tendencia a sobreestimar los resultados de sus intervenciones además de infravalorar los riesgos a los que exponen a sus pacientes. Aunque la psicoterapia ha demostrado con creces su eficacia, conviene tener en cuenta que entre el 5 y el 10 por ciento de los pacientes empeoran durante el proceso psicoterapéutico y que tres de cada diez manifiestan cambios clínicamente poco significativos, de acuerdo a diferentes investigaciones. Este texto se propone revisar la diversidad del daño que se puede derivar de la psicoterapia con pacientes diagnosticados de un trastorno límite de la personalidad. En las personas con este diagnóstico se incrementa el riesgo de iatrogenia como resultado de la activación de su sistema de apego. El artículo hace un recorrido por las fuentes de efectos perjudiciales finalizando con algunas recomendaciones para la disminución del riesgo que subyace en la psicoterapia con estos pacientes. Palabras claves: Iatrogenia, riesgo psicoterapéutico, daño psicoterapéutico, trastorno límite de la personalidad, trastorno identitario.

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