The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

Hans Henrik Jensen; Erik Lykke Mortensen; Martin Lotz

doi:10.1111/j.1467-9450.2008.00656.x

The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

Hans Henrik Jensen, Erik Lykke Mortensen, Martin Lotz

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

7 Citationer (Scopus)

Abstract

Udgivelsesdato: 2008-Aug

Originalsprog	Engelsk
Tidsskrift	Scandinavian Journal of Psychology
Vol/bind	49
Udgave nummer	4
Sider (fra-til)	339-43
Antal sider	4
ISSN	0036-5564
DOI	https://doi.org/10.1111/j.1467-9450.2008.00656.x
Status	Udgivet - 2008

Bibliografisk note

Keywords: Adult; Female; Humans; Male; Mental Disorders; Personality; Psychotherapy, Group; Severity of Illness Index; Social Sciences; Treatment Outcome

Adgang til dokumentet

10.1111/j.1467-9450.2008.00656.x

Citationsformater

@article{edbe2b90eba411ddbf70000ea68e967b,

title = "The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy",

abstract = "In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.",

author = "Jensen, {Hans Henrik} and Mortensen, {Erik Lykke} and Martin Lotz",

note = "Keywords: Adult; Female; Humans; Male; Mental Disorders; Personality; Psychotherapy, Group; Severity of Illness Index; Social Sciences; Treatment Outcome",

year = "2008",

doi = "10.1111/j.1467-9450.2008.00656.x",

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TY - JOUR

T1 - The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

AU - Jensen, Hans Henrik

AU - Mortensen, Erik Lykke

AU - Lotz, Martin

N1 - Keywords: Adult; Female; Humans; Male; Mental Disorders; Personality; Psychotherapy, Group; Severity of Illness Index; Social Sciences; Treatment Outcome

PY - 2008

Y1 - 2008

N2 - In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.

AB - In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.

U2 - 10.1111/j.1467-9450.2008.00656.x

DO - 10.1111/j.1467-9450.2008.00656.x

M3 - Journal article

C2 - 18466190

VL - 49

SP - 339

EP - 343

JO - Scandinavian Journal of Psychology

JF - Scandinavian Journal of Psychology

SN - 0036-5564

IS - 4

ER -