Psychotherapy Outcome, as Measured by the OQ-45, in African American, Asian/Pacific Islander, Latino/a, and Native American Clients Compared with Matched Caucasian Clients

Lambert, Michael J.; Smart, David W.; Campbell, Michael; Hawkins, Eric J.; Harmon, Cory; Slade, Karstin

doi:10.1300/j035v20n04_03

Cited by 35 publications

(41 citation statements)

References 17 publications

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“…The limited literature investigating the effects of racial/ethnic matching with other racial/ethnic minority groups has yielded mixed results (Karlsson, 2005 Lambert et al, 2006). It is presently unclear if that conclusion is justified.…”

Section: Previous Research On Potential Moderating Variablesmentioning

confidence: 99%

Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes.

Cabral

Smith

2011

Journal of Counseling Psychology

515

336

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Across several decades the effects of matching clients with therapists of the same race/ethnicity have been explored using a variety of approaches. We conducted a meta-analysis of 3 variables frequently used in research on racial/ethnic matching: individuals' preferences for a therapist of their own race/ethnicity, clients' perceptions of therapists across racial/ethnic match, and therapeutic outcomes across racial/ethnic match. Across 52 studies of preferences, the average effect size (Cohen's d) was 0.63, indicating a moderately strong preference for a therapist of one's own race/ethnicity. Across 81 studies of individuals' perceptions of therapists, the average effect size was 0.32, indicating a tendency to perceive therapists of one's own race/ethnicity somewhat more positively than other therapists. Across 53 studies of client outcomes in mental health treatment, the average effect size was 0.09, indicating almost no benefit to treatment outcomes from racial/ethnic matching of clients with therapists. These 3 averaged effect sizes were characterized by substantial heterogeneity: The effects of racial/ethnic matching are highly variable. Studies involving African American participants demonstrated the highest effect sizes across all 3 types of evaluations: preferences, perceptions, and outcomes.

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Section: Previous Research On Potential Moderating Variablesmentioning

confidence: 99%

Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes.

Cabral

Smith

2011

Journal of Counseling Psychology

515

336

View full text Add to dashboard Cite

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“…Although frequent consumers of mental health services, Canadian Indigenous peoples have rarely been the focus of quantitative counseling outcome research studies. In addition, outcome research with Native Americans in the United States typically includes a small percentage of Native clients embedded within a general population sample (Lambert et al, ). Quantitative outcome research with Indigenous populations is critically needed to better understand the relationship of the therapeutic alliance to counseling outcomes with this population.…”

mentioning

confidence: 99%

Counseling Canadian Indigenous Peoples: The Therapeutic Alliance and Outcome

Shaw¹,

Lombardero

Babins‐Wagner³

et al. 2019

J Multicult Couns & Deve

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The aim of this study was to determine whether client therapeutic alliance ratings and client symptom severity were predictors of counseling outcomes among Canadian Indigenous clients. Participants included 179 Canadian Indigenous clients who completed an outcome measure at the 1st and last sessions and an alliance measure at both the 2nd and 3rd sessions. Results indicated that higher client alliance ratings at Sessions 2 and 3 and baseline client symptom severity were significant predictors of outcome. El objetivo de este estudio fue determinar si las valoraciones del cliente de la alianza terapéutica y la severidad de los síntomas del cliente fueron indicadores de los resultados de la consejería entre clientes indígenas canadienses. Los participantes incluyeron 179 clientes indígenas canadienses que completaron una medida de resultados en la primera y última sesión, además de una medida de la alianza en la segunda y tercera sesión. Los resultados indicaron que unas valoraciones del cliente más altas de la alianza en las sesiones 2 y 3 y la severidad preliminar de los síntomas del cliente fueron indicadores significativos del resultado.

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“…Participants express their feelings about the last week with a 5‐point scale ranging from 0 ( never ) to 4 ( almost always) . Lambert et al () report an internal consistency ( α = .93) and 10‐week test–retest reliability (.66–.86). The OQ‐45.2 is considered to have good reliability and sensitivity to client change (Doerfler, Addis, & Moran, ).…”

Section: Methodsmentioning

confidence: 99%

Subjective and objective socieoeconomic status and the impact on overall variance in clinical outcomes

Hawley

2019

Couns and Psychother Res

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Objective The current investigation examined objective and subjective socioeconomic status (SES) measures on mental health outcomes with a counselling population. Method Measures of SES included education level, income, savings, health care, perceived SES, perceived financial security and economic positioning. Two hierarchical regression models assessed objective and subjective SES measures with clinical outcomes using the OQ‐45.2. Results The results of the preliminary study indicate that subjective SES is a better predictor of mental health outcomes than objective SES. Conclusions More exploration of subjective SES as a predictor in counselling outcome research is needed.

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Psychotherapy Outcome, as Measured by the OQ-45, in African American, Asian/Pacific Islander, Latino/a, and Native American Clients Compared with Matched Caucasian Clients

Cited by 35 publications

References 17 publications

Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes.

Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes.

Counseling Canadian Indigenous Peoples: The Therapeutic Alliance and Outcome

Subjective and objective socieoeconomic status and the impact on overall variance in clinical outcomes

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