Effectiveness of routine psychotherapy: Method matters

McAleavey, Andrew A.; Youn, Soo Jeong; Xiao, Henry; Castonguay, Louis G.; Hayes, Jeffrey A.; Locke, Benjamin D.

doi:10.1080/10503307.2017.1395921

Cited by 52 publications

(55 citation statements)

References 46 publications

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“…Even the ITT ES of 0.59 is about four times as large as the waitlist control benchmark ES of 0.149 obtained from depressive patients in Posternak and Miller (2001) used by Minami et al (2009). Thus, the ES found in this study is well beyond natural remission and quite in line with that found in the benchmark studies by Minami et al (2009) and McAleavey et al (2017).…”

Section: Discussionsupporting

confidence: 93%

“…The ES (Cohen' s d) of the, on average, five-session intervention was 0.76 on the Global Severity Index of the Symptom Check List-90-Revised (Derogatis, 1992) for the 530 participants with at least two sessions and pre-and postintervention measures, 0.89 for the 429 clients above the clinical cut-off at pre-intervention, and 0.59 in an ITT analysis for all 739 participants with two or more sessions. These results are in the middle range of those achieved in the nine previous pre-post-intervention studies on student counseling outcome, including two large US benchmark studies by Minami et al (2009) and McAleavey et al (2017). Consequently, the present study adds to the growing evidence of counseling being effective in natural clinical settings.…”

Section: Resultssupporting

confidence: 70%

“…In a systematic review from 2006, Connell, Cahill, Barkham, Gilbody, and Madill identified only one study by Vonk and Tyrer (1999) fulfilling these criteria. A literature search identified nine more recent studies: four studies from the USA (McAleavey et al, 2017;Minami et al, 2009;Nordberg, Castonguay, McAleavey, Locke, & Hayes, 2016;Talley & Clack, 2006), two from the UK Murray, McKenzie, Murray, & Richelieu, 2016), two from Italy (Monti, Tonetti, & Ricci Bitti, 2013;Strepparava & Bani, 2016), and one study from Germany (Sperth, Hofmann, & Holm-Hadulla, 2014). Eight of these studies reported a mean number of sessions between 4 and 11, while the Italian study by Monti et al (2013) had a mean of 40 sessions.…”

Section: The Danish Student Counseling Service Is a Public Institutiomentioning

confidence: 99%

“…They concluded that the magnitude of the center's ES of 0.98, obtained from student clients with pre-treatment levels of psychological distress above the clinical cut-off value, was equivalent to treatment efficacy observed in clinical trials for adult patients with major depressive disorder. McAleavey et al (2017) used the benchmark method from Minami et al (2009), included 9,895 clients from 108 university counseling centers and found that clients who enter treatment distressed undergo improvement in symptom severity equal to that of clients participating in RCTs. With the exception of Minami et al (2009), who, because of session-bysession outcome measurement, probably had measures on all participants with two or more sessions, the studies reported completer analysis including all participants with pre and postintervention outcome data.…”

Section: The Danish Student Counseling Service Is a Public Institutiomentioning

confidence: 99%

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Symptomatic distress and effectiveness of psychological treatments delivered at a nationwide student counseling service

Østergård

Fenger

Hougaard

2017

Counselling Psychology Quarterly

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The aim of this study is to investigate the effectiveness of student counseling in Denmark and to compare the symptomatic distress among student counseling clients with that of Danish outpatients. The pre-intervention level of self-reported symptomatic distress among 1256 students closely paralleled that of psychiatric outpatients. Participants in the intervention study were the 739 student clients with two or more counseling sessions. For the 530 (71.7%) participants with both pre-and post-measurements, the mean pre-post Cohen's d effect size was 0.76 on the Global Severity Index of the Symptom Check List-90-Revised (Derogatis, 1992). An intention-to-treat analysis of all 739 clients resulted in an effect size of 0.59. The number of recovered clients according to the Jacobson and Truax (1991) criteria was 295 (68.8%) of the 429 (80.9%) clients above the clinical cutoff at preintervention, while 66 (12.5%) of the 530 clients reliably deteriorated. The mean number of sessions was 5.0. Individual counseling, number of sessions, and ending counseling in agreement predicted better outcome. In line with results from other countries, this study may indicate that in Denmark student counseling is an effective intervention for a highly needy clientele, even though a high proportion of clients deteriorated (12.5%) or droppedout (31.7%).

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Section: Discussionsupporting

confidence: 93%

Section: Resultssupporting

confidence: 70%

Section: The Danish Student Counseling Service Is a Public Institutiomentioning

confidence: 99%

Section: The Danish Student Counseling Service Is a Public Institutiomentioning

confidence: 99%

See 2 more Smart Citations

Symptomatic distress and effectiveness of psychological treatments delivered at a nationwide student counseling service

Østergård

Fenger

Hougaard

2017

Counselling Psychology Quarterly

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“…Sabemos claramente que la psicoterapia es una intervención eficaz y efectiva para personas con problemas psicológicos, y que no funciona para todos (McAleavey et al, 2017). Uno de los impedimentos más importantes para la efectividad de la misma es el problema de la terminación prematura.…”

Section: Introductionunclassified

Contradicciones de la psiquiatría médica

Ortega¹

2020

rdp

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Este texto no trata sobre una nueva psiquiatría o un manifiesto de ruptura con el abordaje actual de los trastornos mentales. Más bien trata de poner de relieve el alejamiento sistemático de lo genuino del individuo, por un proceder basto, impreciso, pero a la vez implacable, característico de la psiquiatría médica imperante. Me cuestiono si esta aproximación al padecimiento existencial no contribuye, por el contrario, a la cronificación de dicho sufrimiento al verse forzado el sujeto a identificarse, sin opción, a una posición pasiva que lo sitúa como enfermo mental. Desde la mirada de un psiquiatra al uso se resaltan contradicciones evidentes, tanto en la teoría como en la práctica, y se indaga sobre el núcleo del aferramiento, terco, a las mismas.

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Replication of relations among working alliance, distress and attendance variables

Meier

2024

Couns and Psychother Res

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IntroductionRecent reports from the World Health Organization and the American Psychological Association have highlighted the gap between the growing need for mental health services and available resources. Even with additional funding, however, the high proportion of clients who drop out after only a few sessions presents a significant obstacle to providing effective help.MethodsUsing archival data from the Research Consortium of Counseling and Psychological Services in Higher Education, this study examined relations between client attendance and two constructs of the early therapeutic environment model, working alliance and client distress.ResultsSession count evidenced a floor effect, with the mean of the distribution (4.45) <1 standard deviation (SD; 4.11) from the lowest possible score. In contrast, clients' alliance scores (measured with the Working Alliance Inventory) displayed a ceiling effect, with the mean 1.48 SD units from the highest possible score. Analyses indicated that alliance and distress (measured via the Outcome Questionnaire—45) scores exhibit different nonlinear relations with session count. Working alliance scores exhibited a power function indicating that rapid increases in alliance scores during initial sessions were associated with larger session counts. In contrast, distress scores formed a funnel shape with session count such that moderate initial distress was associated with greater attendance. Clients whose alliance scores evidenced a ceiling effect accounted for most of the observed change on the distress measure.ConclusionTo enhance attendance, study findings suggest that, as early as possible, therapists should maximise the client–therapist alliance and moderate the level of client distress.

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Effectiveness of routine psychotherapy: Method matters

Cited by 52 publications

References 46 publications

Symptomatic distress and effectiveness of psychological treatments delivered at a nationwide student counseling service

Symptomatic distress and effectiveness of psychological treatments delivered at a nationwide student counseling service

Contradicciones de la psiquiatría médica

Replication of relations among working alliance, distress and attendance variables

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