Identification of Patients at Risk for Nonresponse and Negative Outcome in Psychotherapy

David C. Mohr, Larry E. Beutler, David Engle, Varda Shoham-Salomon, John Bergan, Alfred W. Kaszniak, Elizabeth B. Yost

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

This study evaluated the use of pretherapy patient variables as correlates of 3 categorical types of outcome: negative response (negative change of more than 1 normative SEest on depression measure); nonresponse (change within ± 1 SEest on depression measure); and positive response (positive change of more than 1 SEest on depression measure) to psychotherapy among 62 patients with major depressive disorder. By using 4 scales from the Brief Symptom Inventory, the Inventory of Interpersonal Problems, age, and sex, 75.8% of the Ss were correctly classified into the 3 groups. Negative responders were characterized by high levels of interpersonal difficulty and low levels of subjective distress. Nonresponders displayed moderate levels of both interpersonal difficulties and subjective distress. Positive responders displayed high levels of both interpersonal difficulties and subjective distress.

Original languageEnglish (US)
Pages (from-to)622-628
Number of pages7
JournalJournal of consulting and clinical psychology
Volume58
Issue number5
DOIs
StatePublished - Oct 1990

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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