The effect of process and outcome feedback in highly distressed outpatients: A randomized controlled trial

Bitan, Dana Tzur; Kivity, Yogev; Ganor, Ori; Biran, Lior; Grossman-Giron, Ariella; Bloch, Yuval

doi:10.1080/10503307.2019.1627014

Cited by 7 publications

(4 citation statements)

References 40 publications

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“…The original version of the working alliance inventory was previously found suitable for detecting weekly changes in alliance, and to be associated with changes in therapy outcome . The short version of the SAI was also previously utilized for the detection of changes in alliance in naturalistic psychiatric settings and was found to adequately detect such changes (Tzur Bitan et al, 2019). The alpha coefficient in the current sample indicated good internal reliability (Cronbach's alpha = 0.89 at baseline).…”

Section: Methodsmentioning

confidence: 67%

The Patient’s Change: Understanding the Complexity of the Dynamics of Change and its Precursors in Psychotherapy

2021

Frontiers Research Topics

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Frontiers is more than just an open-access publisher of scholarly articles: it is a pioneering approach to the world of academia, radically improving the way scholarly research is managed. The grand vision of Frontiers is a world where all people have an equal opportunity to seek, share and generate knowledge. Frontiers provides immediate and permanent online open access to all its publications, but this alone is not enough to realize our grand goals. Frontiers Journal SeriesThe Frontiers Journal Series is a multi-tier and interdisciplinary set of open-access, online journals, promising a paradigm shift from the current review, selection and dissemination processes in academic publishing. All Frontiers journals are driven by researchers for researchers; therefore, they constitute a service to the scholarly community. At the same time, the Frontiers Journal Series operates on a revolutionary invention, the tiered publishing system, initially addressing specific communities of scholars, and gradually climbing up to broader public understanding, thus serving the interests of the lay society, too. Dedication to QualityEach Frontiers article is a landmark of the highest quality, thanks to genuinely collaborative interactions between authors and review editors, who include some of the world's best academicians. Research must be certified by peers before entering a stream of knowledge that may eventually reach the public -and shape society; therefore, Frontiers only applies the most rigorous and unbiased reviews. Frontiers revolutionizes research publishing by freely delivering the most outstanding research, evaluated with no bias from both the academic and social point of view. By applying the most advanced information technologies, Frontiers is catapulting scholarly publishing into a new generation.

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Section: Methodsmentioning

confidence: 67%

The Patient’s Change: Understanding the Complexity of the Dynamics of Change and its Precursors in Psychotherapy

2021

Frontiers Research Topics

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“…The study was approved by the Shalvata Mental Health Center institutional review board (IRB, approval number: 0007-20-SHA). Patients who had participated in a previous study which was carried out in October 2017 [ 13 ] were contacted after the lifting of the first lockdown in Israel, at mid-May 2020. Baseline measures of level of distress before the pandemic were extracted from the last measurement of the previous study.…”

Section: Methodsmentioning

confidence: 99%

“…In this study we aimed to assess the psychological consequences of COVID-19 for the psychiatric population, by conducting a follow-up examination among outpatients struggling with severe mental illnesses. To reach this aim, we reapproached psychiatric patients who reported on various mental health facets prior to the pandemic as part of a previous study [ 13 ]. Patients who agreed to participate in the current study were re-evaluated for symptomatic distress, well-being, and fear of COVID-19 right after the lifting of the first lockdown in Israel (mid-May 2020).…”

Section: Introductionmentioning

confidence: 99%

Distress and Well-Being Among Psychiatric Patients in the Aftermath of the First COVID-19 Lockdown in Israel: A Longitudinal Study

Grossman-Giron

Bitan²,

Mendlovic³

et al. 2022

Int J Public Health

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Objectives: Studies assessing the effect of the COVID-19 pandemic on psychiatric patients have mostly focused on cross-sectional evaluations of differences in levels of distress. In this study, we aimed to assess changes in distress and well-being following the COVID-19 pandemic outbreak as compared with pre-pandemic levels, as well as potential predictors of symptomatic deterioration, among psychiatric outpatients treated in a public mental health hospital in Israel.Methods: Patients evaluated for distress and well-being before the pandemic (n = 55) were re-evaluated at the end of the first lockdown in Israel.Results: Analyses revealed a significant decrease in the patients’ sense of personal growth. Increases in distress were significantly associated with fear of COVID-19 beyond patient characteristics.Conclusion: These results suggest that the pandemic has a short-term effect on patients’ well-being, and that fear of the pandemic is associated with elevations in distress.

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“…The original version of the working alliance inventory was previously found suitable for detecting weekly changes in alliance, and to be associated with changes in therapy outcome (Klein et al, 2003). The short version of the SAI was also previously utilized for the detection of changes in alliance in naturalistic psychiatric settings and was found to adequately detect such changes (Tzur Bitan et al, 2019). The alpha coefficient in the current sample indicated good internal reliability (Cronbach’s alpha = 0.89 at baseline).…”

Section: Methodsmentioning

confidence: 99%

The Role of Entrapment in Crisis-Focused Psychotherapy Delivered in Psychiatric Emergency Settings: A Comparative Study

et al. 2019

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Although many mental health centers offer crisis intervention services as part of their psychiatric emergency facilities, studies assessing outcome, and process of crisis intervention psychotherapy are scarce. One potential psychological construct that might be unique to crisis intervention psychotherapy is entrapment, a psychological construct which reflects an individual’s subjective perception of being in uncontrollable, unremitting, and inescapable circumstances. In this study we aimed to investigate whether changes in entrapment affect the process and outcome of crisis intervention psychotherapy, as compared to its effect in short-term psychotherapy delivered in outpatient units. Sixty-nine patients were recruited for the study. Patients were assessed for level of entrapment, symptoms, well-being, and the working alliance at three time points. The moderating effect of the type of therapy on the associations between changes in entrapment and changes in symptoms, well-being, and the working alliance were assessed using the Hayes process script. The dynamics of change following crisis intervention psychotherapy, as well as the effect of changes in entrapment on symptomatic relief, were illustrated using a clinical vignette of a patient treated in the crisis unit. Results of the moderation analyses indicated that entrapment had a more substantial effect on symptom distress in crisis intervention psychotherapy as compared to its effect in the short-term psychotherapy. Further, the difference in the effect of entrapment across the study groups was manifested primarily in internal entrapment, whereas no moderating effect was found for external entrapment. Clinical vignettes demonstrated the dynamics through which crisis intervention psychotherapy produces changes in entrapment by offering potential outlets from internal thoughts and interpretations of life circumstances. These results suggest that entrapment is a potential underlying process unique to crisis intervention psychotherapy. Limitations, directions for future research, and clinical implications are discussed.

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The effect of process and outcome feedback in highly distressed outpatients: A randomized controlled trial

Cited by 7 publications

References 40 publications

The Patient’s Change: Understanding the Complexity of the Dynamics of Change and its Precursors in Psychotherapy

The Patient’s Change: Understanding the Complexity of the Dynamics of Change and its Precursors in Psychotherapy

Distress and Well-Being Among Psychiatric Patients in the Aftermath of the First COVID-19 Lockdown in Israel: A Longitudinal Study

The Role of Entrapment in Crisis-Focused Psychotherapy Delivered in Psychiatric Emergency Settings: A Comparative Study

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