Control expectancies as predictors of psychotherapy outcome: A systematic review

Delsignore, Aba; Schnyder, Ulrich

doi:10.1348/014466507x226953

Cited by 60 publications

(40 citation statements)

References 51 publications

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“…These findings are consistent with a wealth of medical literature, which reports an association between positive expectancy and non-specific treatment effects (Harrington 1999; Stewart-Williams and Podd 2004). While expectancy may be considered a component of the placebo response, it is also closely related to motivation and may direct intentions and behavior (Delsignore and Schnyder 2007; Maddux et al 1986; Wigfield 1994). Thus, expectancy may be an important component of the treatment effect that should be included in future research on the psychological mechanisms of Mindfulness-Based Stress Reduction.…”

Section: Discussionmentioning

confidence: 99%

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction

et al. 2011

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Mindfulness-Based Stress Reduction is a secular behavioral medicine program that has roots in meditative spiritual practices. Thus, spirituality may partly explain Mindfulness-Based Stress Reduction outcomes. Participants (N = 279; M (SD) age = 45(12); 75% women) completed an online survey before and after an 8-week Mindfulness-Based Stress Reduction program. Structural equation modeling was used to test the hypothesis that, following Mindfulness-Based Stress Reduction, the relationship between enhanced mindfulness and improved health-related quality of life is mediated by increased daily spiritual experiences. Changes in both spirituality and mindfulness were significantly related to improvement in mental health. Although the initial mediation hypothesis was not supported, an alternate model suggested that enhanced mindfulness partly mediated the association between increased daily spiritual experiences and improved mental health-related quality of life (indirect effect: β = 0.07, P = 0.017). Effects on physical health-related quality of life were not significant. Findings suggest a novel mechanism by which increased daily spiritual experiences following Mindfulness-Based Stress Reduction may partially explain improved mental health as a function of greater mindfulness.

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Section: Discussionmentioning

confidence: 99%

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction

et al. 2011

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“…The literature describes patients’ attitude about treatment outcome as “expectancies of improvement or expectancies of usefulness/helpfulness” of the treatment 1 2. Whether it is direct clinical care or participating in a clinical trial, patients make choices about what treatment they engage in.…”

Section: Introductionmentioning

confidence: 99%

Treatment Expectation for Pain Coping Skills Training

Broderick¹,

Junghaenel²,

Schneider³

et al. 2011

The Clinical Journal of Pain

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Objectives-This study examined predictors of treatment expectation among osteoarthritis (OA) patients in a multi-site clinical trial of pain coping strategies training (CST).Methods-Patients (N=171) completed a pre-treatment assessment battery that asked questions about treatment expectations, pain coping variables, pain, physical function, psychological distress, quality of life, and depression as well as background demographic and medical variables.Results-Regression analyses indicated that several variables accounted for 21% of the variance in treatment expectations (p < .0001). Patients who were classified as adaptive copers, reported higher self efficacy and social interaction, had higher quality of life, and who had lower levels of affective distress and depression had more positive expectations about engaging in pain coping skills training. Variables that were not associated with treatment expectation were level of pain and physical dysfunction, duration of disease, and disability status as well as demographic variables.Discussion-Thus, while many OA patients will approach pain coping skills training with positive expectations, others have lower expectations. This study suggests that a multidimensional assessment of OA patients with chronic pain can identify those who have higher expectations versus lower expectations. The results suggest that patients who are psychologically distressed are less optimistic about engaging in treatment and that these patients, in particular, may benefit from and need pre-treatment motivational interviewing to enhance their uptake of pain coping skills

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“…Standardized measures, such as the locus of control questionnaires developed by Rotter (1966) or Levenson (1973) could have been used, but preference was given to an open-ended question. In a review of the psychometric characteristics of the Multidimensional Health Locus of Control Scales, Wallston (2005), advises that researchers should be very careful when working with these instruments as the theoretical relationship between beliefs and constructs is extremely complex when generalizations are made about new situational contexts (Delsignore & Schnyder, 2007).…”

Section: Independent Variablesmentioning

confidence: 99%

Health Attributions and Health Care Behavior Interactions in a Community Sample

Gil‐Lacruz¹,

Gil-Lacruz²

2010

soc behav pers

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In this article we examine the influence of a number of psychosocial variables on health attributions and the use of the health care system. The study sample consisted of 1,032 participants, who were representative of a stratified suburban community in Spain. Homebased interviews were conducted to identify participants' main health improvement resources. Most answers were related to health attitudes concerning behavior, the health services available to participants, or other external agents. Qualitative and quantitative strategies were employed and results showed that age and health perception were the most reliable predictors of these attitudes. Social variables were found to play an important role in the explanation of participants' beliefs and medical consultation behaviors.Keywords: health attribution, locus of control, health care behavior, health perception.Health is a consequence of a balanced relationship between sociological, physical and physiological factors. From an ecological perspective, health is seen as a changeable process which depends on the social environment.

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Control expectancies as predictors of psychotherapy outcome: A systematic review

Cited by 60 publications

References 51 publications

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction

Treatment Expectation for Pain Coping Skills Training

Health Attributions and Health Care Behavior Interactions in a Community Sample

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