Reliability and Validity of the Outcome Questionnaire–45.2

Boswell, Donald L.; White, Jason K.; Sims, Wendy D.; Harrist, R. Steven; Romans, John S. C.

doi:10.2466/02.08.pr0.112.3.689-693

Cited by 40 publications

(33 citation statements)

References 8 publications

(7 reference statements)

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“…The questionnaire was given after the first and the penultimate sessions and was filled in between two sessions, at home. Cronbach's alpha was α = .94 for the present study and α = 0.94 in the literature (Boswell, White, Sims, Harrist, & Romans, ).…”

Section: Methodssupporting

confidence: 57%

Metacognitive improvement and symptom change in a 3‐month treatment for borderline personality disorder

et al. 2019

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Objectives. Recognizing and reflecting on one's own and other people's mental states represent a major difficulty for patients with borderline personality disorder (BPD). Only recently have studies begun exploring whether these capacities increase with successful therapies and if such an improvement is linked with outcome. The present study investigated whether metacognition would improve and if its improvement was related with symptom change in BPD patients.Design. The transcripts from the first and the penultimate session of a ten-session version of good psychiatric management were analysed with the MAS-R scale in a N = 37 BPD sample. Patients, selected from a previously published RCT (Kramer et al., 2014), were assigned either to the good psychiatric management treatment or to the same treatment with the addition of the Motive-Oriented Therapeutic Relationship (Caspar, 2007), a form of therapeutic relationship based on an individualized case formulation. Symptoms were assessed with the OQ-45.Results. Findings partially support the hypotheses. First, improvement in capacities to understand others' mind, to take a critical distance from one's own rigid and maladaptive beliefs, and to use behavioural and attentional strategies to face adversities is found in both treatment groups. Controlling for marital status, only the ability to differentiate between reality and representations remains significant. Second, no link between metacognitive change and symptom change during treatment is found. However, a link is observed between the increase in metacognition and symptom reduction at 6-month follow-up.Conclusions. Results invite to further investigate the role of metacognition in therapy change through different modalities and in longer-term treatments. Practitioner pointsThe development of metacognitive processes and their links with symptom change were examined during a short-term treatment in 37 borderline patients

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Section: Methodssupporting

confidence: 57%

Metacognitive improvement and symptom change in a 3‐month treatment for borderline personality disorder

et al. 2019

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“…On the AAQ-II, four participants endorsed clinically significant levels of psychological inflexibility and experiential avoidance (>24; Bond et al, 2011). Two and four participants reported clinically significant impairments in SR functioning and interpersonal functioning, respectively, at baseline (OQ-45.2 SR and IR subscales; Boswell et al, 2013). Figure 1 summarizes changes in the target symptoms of worry and anxiety over the course of treatment and at the 4mFU.…”

Section: Treatment Effectiveness Baseline Assessmentmentioning

confidence: 99%

Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder

Chang

Chen

et al. 2020

Front. Psychol.

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This report describes initial results from a multi-stage project to manualize and adapt an indigenous therapy, Chinese Taoist Cognitive Psychotherapy (CTCP), for dissemination in the United States context. Study aims were to (a) integrate cultural adaptation and implementation science frameworks to manualize and adapt the original intervention and (b) explore the feasibility, acceptability, and effectiveness of the modified intervention, renamed Taoist Cognitive Therapy (TCT), in a sample of Chinese immigrants with generalized anxiety disorder (GAD). Incorporating bottom-up and top-down adaptation approaches, we involved Chinese American clinician stakeholders and experts in Taoist philosophy, cognitive-behavioral therapy, and GAD to help identify cultural and contextual barriers and solutions to enhance treatment acceptability and implementation. Five treatment-seeking Chinese American immigrants (average age = 43.2 years) with a primary diagnosis of GAD completed 14-16 sessions of TCT. Two participants also had secondary diagnoses of major depressive disorder. Changes on primary measures of worry and anxiety were assessed for statistical and clinical significance using reliable change indices (RCIs; Jacobson and Truax, 1991) and comparisons to normative data. In this sample of patients with limited prior exposure to Taoism, results found evidence of feasibility and acceptability of the modified intervention, with strong endorsement of Taoist principles at termination. Statistically and clinically significant improvements in anxiety, worry, psychological inflexibility, and emotional avoidance were found only for the participants without comorbid depression. Results suggest that Taoist principles of acceptance and flexible adaptation to natural laws may be helpful to Chinese immigrants coping with anxiety. However, additional treatment modifications may be required to address the low self-efficacy and fatalism expressed among those with comorbid depression.

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“…The OQ45.2 version instrument is administered at every session to therapy patients in our clinic to track treatment progress, reliable clinical change, and to predict treatment prognosis. Items on the OQ45.2 are presented on a 5‐point Likert scale: “Never,” “Rarely,” “Sometimes,” “Frequently,” and “Always/Almost Always.” In a setting similar to our clinic, the OQ‐45.2 was determined to be reliable and valid; Cronbach's α for subscales and the OQ45.2 total were: symptom distress (.93), interpersonal relations (.78), social role (.70), and OQ45.2 total (.94) (Boswell, White, Sims, Harrist, & Romans, 2013). Validity was demonstrated via significant correlations between a range of psychiatric and social/interpersonal presentations (Boswell et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

“…Number needed to treat (NNT) statistics were calculated based on treatment onset and termination prevalence rates of insomnia and headaches. An inadequate treatment response was defined as having an OQ45 total >63 at treatment conclusion, which is the OQ cut‐off for clinically significant distress (Boswell et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response

Sullivan

Bell

Bonham

et al. 2020

Clinical Psychologist

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Objectives Sleep dysfunction and headaches are common and disabling conditions which are frequently comorbid with psychiatric disorders. Furthermore, there is a growing body of literature linking sleep dysfunction to the frequency and intensity of headaches. This study retrospectively examined the prevalence of insomnia and headache frequency, and their effects on general psychological treatment outcomes in a sample of patients attending a university psychology outpatient clinic in metropolitan Queensland, Australia. Methods Outcome Questionnaire 45 data were extracted for 69 adult patients who presented to the Griffith University Psychology Clinic (Mount Gravatt, QLD) in 2018, and who consented to the use of their deidentified data for research purposes. Results The prevalence of frequent insomnia and headaches in the week of patients' initial session were 47.8 and 23.2%, respectively. Additionally, there was a correlation, rs = .26, p = .02 between frequency of insomnia and headaches at the initial session. Frequent insomnia (odds ratio [OR] = 4.62, p < .01), headaches (OR = 3.82, p = .055, pbootstrapped = .04), and comorbid insomnia and headaches (OR = 7.25, p = .02) were strong predictors of inadequate treatment response, adjusting for age, sex, and number of therapy sessions. Effect sizes achieved by students were large (d = 0.9), and similar to those found in studies of fully qualified therapists. Conclusions Our study demonstrates clinicians should be aware that sleep and headache problems may complicate psychological treatment of other problems, and that presence of these factors should warrant specific targeted attention early in treatment.

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Reliability and Validity of the Outcome Questionnaire–45.2

Cited by 40 publications

References 8 publications

Metacognitive improvement and symptom change in a 3‐month treatment for borderline personality disorder

Metacognitive improvement and symptom change in a 3‐month treatment for borderline personality disorder

Let Nature Take Its Course: Cultural Adaptation and Pilot Test of Taoist Cognitive Therapy for Chinese American Immigrants With Generalized Anxiety Disorder

A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response

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