Forecasting Success: Patients' Expectations for Improvement and Their Relations to Baseline, Process and Outcome Variables in Group Cognitive–Behavioural Therapy for Depression

Tsai, Michelle; Ogrodniczuk, John S.; Söchting, Ingrid; Mirmiran, Jamal

doi:10.1002/cpp.1831

Cited by 42 publications

(36 citation statements)

References 52 publications

(78 reference statements)

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“…Fontaine et al [ 50 ] suggest that intervention outcomes may be influenced via placebo-related factors such as expectations of improvement, interaction with staff, and desires of improvement. Indeed, in psychotherapy settings where participant expectations have been extensively studied, researchers have noted the importance of considering the impact of expectations on participant outcomes following intervention [ 51 , 52 ]. A shift from enrolment (baseline) to intervention commencement (pre-intervention) may have restored participants’ hopes and positive expectations, and hence impacted on a reduction in symptoms [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (Curtin University’s Activity, Food and Attitudes Program)

Fenner

Howie

Davis

et al. 2016

Health Qual Life Outcomes

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BackgroundLimited studies have investigated relationships in psychosocial outcomes between adolescents who are obese and their parents and how psychosocial outcomes change during participation in a physical activity and healthy eating intervention. This study examined both adolescent and parent psychosocial outcomes while participating in a one - year multi-disciplinary family-based intervention: Curtin University’s Activity, Food, and Attitudes Program (CAFAP).MethodsFollowing a waitlist control period, the intervention was delivered to adolescent (n = 56, ages 11–16) and parent participants over 8 weeks, with one-year maintenance follow-up. Adolescent depression and quality of life, family functioning, and parent depression, anxiety, and stress were assessed at six time points: baseline and prior to intervention (e.g., waitlist control period), immediately following intervention, and at 3, 6, and 12 months post-intervention. Relationships between adolescent and parent psychosocial outcomes were assessed using Spearman correlations and changes in both adolescent and parent outcomes were assessed using linear mixed models. Changes in adolescent psychosocial outcomes were compared to changes in behavioural (physical activity and healthy eating) and physical (weight) outcomes using independent samples t-tests.ResultsThe majority of psychosocial outcomes were significantly correlated between adolescents and parents across the one-year follow-up. Adolescent depression, psychosocial and physical quality of life outcomes significantly improved before or following intervention and were maintained at 6-months or one-year follow-up. Parent symptoms of depression, anxiety, and stress were reduced during waitlist and primarily remained improved. Changes in adolescent psychosocial outcomes were shown to be partially associated with behavioural changes and independent of physical changes.ConclusionsAdolescents in CAFAP improved psychosocial and physical quality of life and reversed the typical trajectory of depressive symptoms in adolescents who are obese during a one-year maintenance period. CAFAP was also effective at maintaining reductions in parent symptoms of depression, anxiety, and stress demonstrated during the waitlist period.Trial RegistrationThe trial was registered with the Australian and New Zealand Clinical Trials Registry (No. 12611001187932).

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Section: Discussionmentioning

confidence: 99%

Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (Curtin University’s Activity, Food and Attitudes Program)

Fenner

Howie

Davis

et al. 2016

Health Qual Life Outcomes

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“…A recent study by Tsai, Ogrodniczuk, Sochting and Mirmiran [35] attempted to address some of the shortcomings of earlier research. This study involved participants engaging in group CBT for depression.…”

Section: Shifts In Prognostic Expectationsmentioning

confidence: 99%

The Role of Expectations in Treatment Outcome and Symptom Development in Anxiety Disorders

Katerelos¹,

Bélanger²,

Payette³

et al. 2015

A Fresh Look at Anxiety Disorders

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For more than years, researchers have been interested in determining the impact of expectations on treatment outcome. Earlier studies mostly focused on two types of expectations prognostic and process expectations. "ims To review how four different types of expectations prognostic, process, anxiety expectancy and anxiety sensitivity contribute to psychotherapy outcome, and to the development of clinical disorders, especially anxiety. Conclusions First, the role of process and prognostic expectancies in clinical disorders and psychotherapy outcome should be clarified by addressing the methodological flaws of the earlier expectancy studies. Second, studies, especially those on anxiety disorders, may benefit from evaluating the four different types of expectations to determine their relative impact on outcome, and on the development and maintenance of these disorders. Third, possible links with other clinical disorders should be further explored. Finally, expectancies should be assessed prior to treatment and after several sessions to determine the extent to which the treatment's failure in modifying initial low expectancies contribute to a poor outcome.

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“…These findings suggest that in addition to enhancement of inherent character strengths, improvement of state-dependent mood is an important objective towards augmenting perceptions of function and beliefs about treatment. In particular, as positive mood correlates with treatment expectations, which is an important factor underlying success of psychological treatments (Tsai, Ogrodniczuk, Sochting, & Mirmiran, 2012;Vogel, Wester, Wei, & Boysen, 2005), enhancement of mood early in treatment may have longer-term implications for both response to intervention and quality-of-life outcomes. As the applications of positive psychology continue to emerge within rehabilitation medicine, our findings indicate that in addition to addressing depression, supporting positive moods and character strengths may be directly relevant to treatment success (Dunn & Dougherty, 2005;Evans, 2012;Majani, 2011;Tonks et al, 2011;Wells et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Positive psychology in rehabilitation medicine: A brief report

Bertisch

Rath

Long

et al. 2014

NRE

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BACKGROUND: The field of positive psychology has grown exponentially within the last decade. To date, however, there have been few empirical initiatives to clarify the constructs within positive psychology as they relate to rehabilitation medicine. Character strengths, and in particular resilience, following neurological trauma are clinically observable within rehabilitation settings, and greater knowledge of the way in which these factors relate to treatment variables may allow for enhanced treatment conceptualization and planning. OBJECTIVE: The goal of this study was to explore the relationships between positive psychology constructs (character strengths, resilience, and positive mood) and rehabilitation-related variables (perceptions of functional ability post-injury and beliefs about treatment) within a baseline data set, a six-month follow-up data set, and longitudinally across time points. METHODS: Pearson correlations and supplementary multiple regression analyses were conducted within and across these time points from a starting sample of thirty-nine individuals with acquired brain injury (ABI) in an outpatient rehabilitation program. RESULTS: Positive psychology constructs were related to rehabilitation-related variables within the baseline data set, within the follow-up data set, and longitudinally between baseline positive psychology variables and follow-up rehabilitation-related data. CONCLUSIONS: These preliminary findings support relationships between character strengths, resilience, and positive mood states with perceptions of functional ability and expectations of treatment, respectively, which are primary factors in treatment success and quality of life outcomes in rehabilitation medicine settings. The results suggest the need for more research in this area, with an ultimate goal of incorporating positive psychology constructs into rehabilitation conceptualization and treatment planning.

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Forecasting Success: Patients' Expectations for Improvement and Their Relations to Baseline, Process and Outcome Variables in Group Cognitive–Behavioural Therapy for Depression

Cited by 42 publications

References 52 publications

Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (Curtin University’s Activity, Food and Attitudes Program)

Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (Curtin University’s Activity, Food and Attitudes Program)

The Role of Expectations in Treatment Outcome and Symptom Development in Anxiety Disorders

Positive psychology in rehabilitation medicine: A brief report

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