Evidence that therapy works in clincally representative conditions.

Shadish, William R.; Matt, Georg E.; Navarro, Ana; Siegle, Greg J.; Crits‐Christoph, Paul; Hazelrigg, Mark D.; Jorm, Anthony F; Lyons, Larry C.; Nietzel, Michael T.; Prout, H. Thompson; Robinson, Leslie A.; Smith, Michael L.; Svartberg, Martin; Weiss, Bahr

doi:10.1037/0022-006x.65.3.355

Cited by 167 publications

(132 citation statements)

References 101 publications

(86 reference statements)

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“…Despite some evidence from clinical trials suggesting that efficacy corresponds to effectiveness (e.g., Shadish, Matt, Navarro, & Phillips, 2000;Shadish et al, 1997), there are few outcome data from clinical settings to suggest that treatments in these settings (i.e., treatment as usual; TAU) attain the benefits observed in clinical trials.…”

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confidence: 99%

“…One factor that Weersing and Weisz (2002) did not explicitly pursue as a potential methodological issue in conducting benchmarking studies was the reactivity and specificity of outcome measures, which have repeatedly been shown to significantly affect the effect size estimates of treatment outcomes (Lambert & Bergin, 1994;Lambert, Hatch, Kingston, & Edwards, 1986;Robinson, Berman, & Neimeyer, 1990;Shadish et al, 1993Shadish et al, , 1997Shadish et al, , 2000Shapiro & Shapiro, 1982;Smith, Glass, & Miller, 1980). Reactivity is generally concerned with the sensitivity of the measure produced by the rater of the outcome-notably, an observer (either the treating clinician or an independent rater) or the client.…”

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confidence: 99%

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Benchmarks for psychotherapy efficacy in adult major depression.

Minami¹,

Wampold²,

Serlin³

et al. 2007

Journal of Consulting and Clinical Psychology

103

135

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This study estimates pretreatment-posttreatment effect size benchmarks for the treatment of major depression in adults that may be useful in evaluating psychotherapy effectiveness in clinical practice. Treatment efficacy benchmarks for major depression were derived for 3 different types of outcome measures: the Hamilton Rating Scale for Depression (M. A. Hamilton, 1960A. Hamilton, , 1967, the Beck Depression Inventory (A. T. Beck, 1978;A. T. Beck & R. A. Steer, 1987), and an aggregation of low reactivity-low specificity measures. These benchmarks were further refined for 3 conditions: treatment completers, intent-to-treat samples, and natural history (wait-list) conditions. The study confirmed significant effects of outcome measure reactivity and specificity on the pretreatment-posttreatment effect sizes. The authors provide practical guidance in using these benchmarks to assess treatment effectiveness in clinical settings.

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mentioning

confidence: 99%

mentioning

confidence: 99%

Benchmarks for psychotherapy efficacy in adult major depression.

Minami¹,

Wampold²,

Serlin³

et al. 2007

Journal of Consulting and Clinical Psychology

103

135

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5] Treatment effectiveness refers to broader, 'real-world' outcomes assessment that is applicable beyond the narrow limitations of the clinical trial environment. This applies, for example, to the selection of inclusion and exclusion criteria in clinical trials, particularly with regard to partner relationship and other psychosocial variables.…”

Section: Introductionmentioning

confidence: 99%

The ‘effectiveness’ scale—therapeutic outcome of pharmacologic therapies for ED: an international consensus panel report

et al. 2004

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Despite availability of outcome measures and scales for assessing erectile dysfunction (ED) treatment efficacy, guidelines are not available for assessing broader therapeutic outcomes or defining treatment failure in ED. An International Consensus Advisory Panel was convened to develop guidelines, definitions and a new algorithm for evaluating treatment effectiveness in ED. These new guidelines are recommended for use in both research and clinical practice. A multidisciplinary, international panel, consisting of 11 senior researchers and clinicians, was convened to address pertinent issues concerning therapeutic outcome assessment for ED. The panel utilized a modified Delphi method of consensus development and proposed a new model for outcomes assessment. This model is inherently testable, using existing instruments and current methods of assessment. Following a comprehensive literature review and discussion, the Panel recommended adoption of a new treatment effectiveness conceptual framework or theoretical model for assessing therapeutic outcomes in ED. Treatment effectiveness is presumed to be a combined function of two other factors, treatment response and treatment satisfaction. Treatment response is based on the combined assessment of efficacy and tolerability, and treatment satisfaction on the combined assessment of patient and partner satisfaction. Taken together, these two domains define an overall domain of treatment effectiveness. This therapeutic index would be derived by independently assessing treatment efficacy and satisfaction by means of event logs, questionnaires or the more typical patient interview methods. In conclusion, the Ad Hoc Advisory Consensus Panel recommends adoption of a new framework or conceptual model for conducting ED outcome trials or clinical research. The concept of 'treatment effectiveness' is proposed as a new 'umbrella concept' or distal outcome to be evaluated.

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“…En este sentido, sería recomendable contar con más estudios similares en otros centros y contextos diferentes. A pesar de esto, conviene recordar que los centros universitarios han sido considerados centros representativos de la práctica clínica en el ámbito asistencial privado por otros autores (Borkovec, 2004;Shadish et al, 1997Shadish et al, , 2000.…”

Section: Discusión Y Conclusionesunclassified

Uso de técnicas de relajación en una clínica de psicología

Blanco¹,

Estupiñá

Labrador

et al. 2014

analesps

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Resumen: El objetivo del artículo es identificar el uso de las técnicas de relajación (TR) en la práctica de la Psicología Clínica asistencial. Se analiza el tipo de técnicas de relajación, su frecuencia de uso, tanto en general como en función del diagnóstico, y su relación con los resultados del tratamiento. De los 880 pacientes en una clínica universitaria asistencial, con todo tipo de diagnóstico, el 67.2% son mujeres y su edad media es de 32.79 años. Los resultados señalan que el 70.5% de los casos ha utilizado alguna TR, siendo el Control de la Respiración la más frecuente (72.3%). Predomina su uso en trastornos de ansiedad (87.8%), somatomorfos (84.2%) y control de impulsos (77.8%). Hay un incremento importante en el uso de TR en los casos con comorbilidad (82.4% frente a 68%). Y el uso de técnicas de control de respiración o relajación progresiva entre los pacientes que obtienen el alta es de alrededor del 69%. Se discuten los resultados destacando el valor de usar TR, incluso con independencia del diagnóstico. Palabras clave: Técnicas de relajación; relajación muscular progresiva; relajación autógena; entrenamiento en control de respiración; resultados terapéuticos. Title:The use of relaxation techniques in a psychology clinic practice. Abstract: The aim of this article is to describe the use of relaxation techniques (RT) in the practice of clinic psychology care. Relaxation techniques are analyzed considering what type of technique they are and their use, going from a general overview to a specific diagnosis context and treatment results. 67.2 percent of 880 clinic patients with all types of diagnosis are women and the average age is 32.79 years old. The results show that some RT has been used in 70.5 per cent of the cases being breath control the most frequent one (72.3 per cent). It is mainly used for anxiety disorders (87.8%), somatoform disorder (84.2%) and impulse control disorder (77.8%). The use of these techniques is more frequent in cases of comorbid disorder (82.4% versus 68%). Breathe control and progressive muscular relaxation techniques are used in about 69 per cent of discharged patients. The discussion of this paper focuses on the results of using RT regardless of the diagnosis.

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Evidence that therapy works in clincally representative conditions.

Cited by 167 publications

References 101 publications

Benchmarks for psychotherapy efficacy in adult major depression.

Benchmarks for psychotherapy efficacy in adult major depression.

The ‘effectiveness’ scale—therapeutic outcome of pharmacologic therapies for ED: an international consensus panel report

Uso de técnicas de relajación en una clínica de psicología

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