Multidimensional patterns of change in outpatient psychotherapy: The phase model revisited

Journal of Clinical Psychology

Volumn 63, Issue 9, 2007, Pages 817-833

  Stulz, Niklaus ^a,b   Lutz, Wolfgang ^b  

^a UNIVERSITY OF BERN   (Switzerland)

^b UNIVERSITY OF TRIER   (Germany)

Author keywords

Growth mixture modeling; Outpatient psychotherapy; Patient focused psychotherapy research; Patterns of change; Phase model of psychotherapy outcome

Indexed keywords

ARTICLE; DATA ANALYSIS; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISTRESS SYNDROME; EXPECTATION; HUMAN; MAJOR CLINICAL STUDY; MANAGED CARE; OUTPATIENT CARE; PSYCHOTHERAPY; TEST RETEST RELIABILITY; UNITED STATES; WELLBEING;

ADOLESCENT; ADULT; AGED; AMBULATORY CARE; ATTITUDE TO HEALTH; COGNITIVE THERAPY; FEMALE; HUMANS; MALE; MANAGED CARE PROGRAMS; MENTAL DISORDERS; MIDDLE AGED; MODELS, PSYCHOLOGICAL; OUTCOME ASSESSMENT (HEALTH CARE); PSYCHIATRIC STATUS RATING SCALES; PSYCHOTHERAPEUTIC PROCESSES; PSYCHOTHERAPY; TREATMENT OUTCOME; UNITED STATES;

EID: 34548714582     PISSN: 00219762     EISSN: 10974679     Source Type: Journal    
DOI: 10.1002/jclp.20397     Document Type: Article

References (42)

1. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3. Barkham, M., Connell, J., Miles, J. N. V., Evans, C., Stiles, W. B., Marginson, F., et al. (2006). Dose-effect relations and responsive regulation of treatment duration: The good enough level. Journal of Consulting and Clinical Psychology, 74, 160-167.
4. Barkham, M., Rees, A., Stiles, W. B., Shapiro, D. A., Hardy, G. E., & Reynolds, S. (1996). Dose-effect relations in time-limited psychotherapy for depression. Journal of Consulting and Clinical Psychology, 64, 927-935.
5. Barkham, M., Stiles, W. B., & Shapiro, D. A. (1993). The shape of change in psychotherapy: Longitudinal assessment of personal problems. Journal of Consulting and Clinical Psychology, 61, 667-677.
6. Blalock, H. M. (1964). Causal inferences in nonexperimental research. Chapel Hill: University of North Carolina Press.
7. Colder, C. R., Campbell, R. T., Ruel, E., Richardson, J. L., & Flay, B. R. (2002). A finite mixture model of growth trajectories of adolescent alcohol use: Predictors and consequences. Journal of Consulting and Clinical Psychology, 70, 976-985.
8. Cuijpers, P., van Lier, P. A. C., van Straten, A., & Donker, M. (2005). Examining differential effects of psychological treatment of depressive disorder: An application of trajectory analyses. Journal of Affective Disorders, 89, 137-146.
9. Grissom, G., Lyons, J., & Lutz, W. (2002). Development of an outcome management system based on the dose model and phase model of psychotherapy. Psychotherapy Research, 12, 397-412.
10. Howard, K. I., Kopta, M., Krause, M. S., & Orlinsky, D. E. (1986). The dose-effect relationship in psychotherapy. American Psychologist, 41, 159-164.
11. Howard, K. I., Lueger, R. J., Maling, M. S., & Martinovich, Z. (1993). A phase model of psychotherapy outcome: Causal mediation of change. Journal of Consulting and Clinical Psychology, 61, 678-685.
12. Howard, K. I., Moras, K., Brill, P., Martinovich, Z., & Lutz, W. (1996). The evaluation of psychotherapy. American Psychologist, 52, 1059-1064.
13. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
14. Joyce, A. S., Ogrodniczuk, J., Piper, W. E., & McCallum, M. (2002). A test of the phase model of psychotherapy change. Canadian Journal of Psychiatry, 47, 759-766.
15. Kaas, R. E., & Wasserman, L. (1995). A reference Bayesian test for nested hypotheses and its relationship to the Schwartz criterion. Journal of the American Statistical Association, 90, 928-934.
16. Kopta, S. M., Howard, K. I., Lowry, J. L., & Beutler, L. E. (1994). Patterns of symptomatic recovery in psychotherapy. Journal of Consulting and Clinical Psychology, 62, 1009-1016.
17. Krause, M. S., Howard, K. I., & Lutz, W. (1998). Exploring individual change. Journal of Consulting and Clinical Psychology, 66, 838-845.
18. Lambert, M. J. (2001). Psychotherapy outcome and quality improvement: Introduction to the special section on patient-focused research. Journal of Consulting and Clinical Psychology, 69, 159-172.
19. Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001). Patient-focused research: Using patient outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69, 159-172.
20. Lambert, M. J., Whipple, J. L., Bishop, M. J., Vermeersch, D. A., Gray, G. V., & Finch, A. E. (2002). Comparison of empirically-derived and rationally-derived methods for identifying patients at risk for treatment failure. Clinical Psychology and Psychotherapy, 9, 149-164.
21. Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10, 288-301.
22. Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88, 767-778.
23. Lueger, R. J., Howard, K. I., Martinovich, Z., Lutz, W., Anderson, E. E., & Grissom, G. (2001). Assessing treatment progress of individual patients using expected treatment response models. Journal of Consulting and Clinical Psychology, 69, 150-158.
24. Lueger, R. J., Lutz, W., & Howard, K. I. (2000). The predicted and observed course of psychotherapy for anxiety and mood disorders. The Journal of Nervous and Mental Disease, 188, 127-134.
25. Lutz, W. (2002). Patient-focused psychotherapy research and individual treatment progress as scientific groundwork for an empirical based clinical practice. Psychotherapy Research, 12, 251-273.
26. Lutz, W., Leach, C., Barkham, M., Lucock, M., Stiles, W. B., Evans, C., et al. (2005). Predicting change for individual psychotherapy clients based on their nearest neighbors. Journal of Consulting and Clinical Psychology, 73, 904-913.
27. Lutz, W., Leon, S. C., Martinovich, Z., Lyons, J. S., & Stiles, W. B. (2007). Therapist effects in outpatient psychotherapy: A three-level growth curve approach. Journal of Counseling Psychology, 54, 32-39.
28. Lutz, W., Lowry, J., Kopta, M., Einstein, A. D., & Howard, K. I. (2001). Prediction of dose-response relations based on patient characteristics. Journal of Clinical Psychology, 57, 1-12.
29. Lutz, W., Martinovich, Z., & Howard, K. I. (1999). Patient profiling: An application of random coefficient regression models to depicting the response of a patient to outpatient psychotherapy. Journal of Consulting and Clinical Psychology, 67, 571-577.
30. Lutz, W., Saunders, S. M., Leon, S. C., Martinovich, Z., Kosfelder, J., Schulte, D., et al. (2006). Empirically and clinically useful decision making in psychotherapy: Differential predictions with treatment response models. Psychological Assessment, 18, 133-141.
31. Muthén, B. O. (2004). Latent variable analysis: Growth mixture modeling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for social sciences (pp. 345-368). Newbury Park, CA: Sage.
32. Muthén, B. O., Brown, C. H., Maysn, K., Jo, B., Khoo, S.-T., Yang, C.-C., et al. (2002). General growth mixture modeling for randomized preventive interventions. Biostatistics, 3, 459-475.
33. Muthén, B. O., & Muthén, L. K. (2000). Integrating person-centred and variable-centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24, 882-891.
34. Muthén, L. K., & Muthén, B. O. (2004). Mplus user's guide (3 ed.). Los Angeles, CA: Muthén & Muthén.
35. Nagin, D. S. (1999). Analyzing developmental trajectories: A semiparametric, group-based approach. Psychological Methods, 4, 139-157.
36. Puschner, B., Kraft, S., & Bauer, S. (2004). Interpersonal problems and outcome in outpatient psychotherapy: Findings from a long-term longitudinal study. Journal of Personality Assessment, 83, 223-234.
37. Ramaswamy, V., DeSabro, W., Reibstein, D., & Robinson, W. (1993). An empirical pooling approach for estimating marketing mix elasticities with PIMS data. Marketing Science, 12, 103-124.
38. Schwartz, G. (1978). Estimating dimensions of a model. Annals of Statistics, 6, 461-464.
39. Sperry, L., Brill, P. L., Howard, K. I., & Grissom, G. R. (1996). Treatment outcomes in psychotherapy and psychiatric interventions. New York: Brunner/Mazel.
40. Stirnman, S. W., DeRubeis, R. J., Crits-Christoph, P., & Brody, P. E. (2003). Are samples in randomized controlled trials of psychotherapy representative of community outpatients? A new methodology and initial findings. Journal of Consulting and Clinical Psychology, 71, 963-972.
41. Vessey, J. T., & Howard, K. I. (1993). Who seeks psychotherapy? Psychotherapy, 30, 546-553.
42. Weissman, M. M., Verdeli, H., Gameroff, M. J., Bledsoe, S. E., Betts, K., Mufson, L., et al. (2006). National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry, 63, 925-934.