Patterns of change and their relationship to outcome and follow-up in group and individual psychotherapy for depression.

Abstract

3.5.3 Patients' baseline characteristics as predictors of the patterns of change………………………………………………………….... 3.5.4 Patterns of change as predictors of treatment outcome at termination and follow-up……………………………….……… 4. Results………………………………………………………...…………… 4.1 Patterns of Change for Group and Individual Therapy………………….. 4.2 Patients' Characteristics within Each Pattern………………...………… 4.3 Patients' Baseline Characteristics as Predictors of the Patterns of Change………………………………………………………….……… 4.4 Patterns of Change as Predictors of Treatment Outcome at Termination and Follow-up…………………………………………………..……… 5. Discussion…………………………………….…………………………… 5.1 Limitations of the Study………………………………………………...

Is behavioral activation an effective and acceptable treatment for co-occurring depression and substance use disorders? A meta-analysis of randomized controlled trials

“…These appear to be the 'common factors' that are present across group based approaches to treatment in complex client groups including feeling connected, communication and a sense of belonging (Bledin, Loat, Caffrey, Evans, Taylor & Nitsun, 2016). However, there is some evidence to suggest that group therapy may be less effective for patients with a higher level of complexity (Moggia, Lutz, Arndt & Feixas, 2020). It is therefore unclear whether group BA would be suitable for depressed SUD patients with more complex profiles, such as those who are actively using substances and accessing CDAT.…”

Exploring change in cognitive-behavioral therapy for generalized anxiety disorder—A two-arms ABAB crossed-therapist randomized clinical implementation trial.

“…However, in a naturalistic multi-center study that integrated a representative sample of outpatients ( N = 1,500 patients), in 19% of the cases with sudden gains, sudden losses were registered as well (Lutz et al, 2013; see also Present et al, 2008). Whereas sudden gains are focused short-term session-by-session changes, further studies concentrated on more gradual patterns of change investigating short-term but also long-term trajectories from intake up to follow-up assessments (e.g., Lutz et al, 2009; Moggia et al, 2020; Rubel et al, 2015; Stulz et al, 2013). Whereas in psychotherapy the occurrence of both substantial sudden and more subtle gains is well documented, there is little evidence-based knowledge of how psychotherapists should handle these changes, neither in general nor specifically in GAD therapy (e.g., Flückiger et al, 2013).…”

Do certain patients respond better to specific forms of psychotherapy?

“…Patients for whom the algorithm predicted better outcomes for the mixed modality showed larger improvements rates in the mixed modality than in an individual modality. Similarly, Moggia et al (2020) used data from an RCT in which 108 depressive patients were first treated with group and then with individual cognitive therapy to identify three patient subgroups: group therapy improvers (those who improved at the beginning of the group therapy phase), individual therapy improvers (those who did not improve during the group therapy phase but started to improve immediately after beginning the individual therapy phase), and nonimprovers (those who did not improve in either of the phases). The authors were able to predict group membership based on patient pretreatment characteristics explaining 51% of variability.…”