The ups and downs of psychotherapy: Sudden gains and sudden losses identified with session reports

Psychotherapy Research

Volumn 23, Issue 1, 2013, Pages 14-24

  Lutz, Wolfgang ^a   Ehrlich, Torsten ^a   Rubel, Julian ^a   Hallwachs, Nora ^a   Röttger, Marie Anna ^a   Jorasz, Christine ^a   Mocanu, Sarah ^a   Vocks, Silja ^b   Schulte, Dietmar ^c   Tschitsaz Stucki, Armita ^d  

^a UNIVERSITY OF TRIER   (Germany)

^b UNIVERSITY OF OSNABRÜCK   (Germany)

^c RUHR UNIVERSITY BOCHUM   (Germany)

^d Sanatorium Kilchberg   (Switzerland)

Author keywords

patient focused research; process outcome research; sudden gains; sudden losses

Indexed keywords

ADOLESCENT; ADULT; AGED; ANXIETY DISORDER; ARTICLE; COMPARATIVE STUDY; DEPRESSION; EQUIPMENT; FEMALE; HUMAN; HUMAN RELATION; MALE; MENTAL DISEASE; METHODOLOGY; MIDDLE AGED; MULTICENTER STUDY; PATIENT SATISFACTION; PSYCHOMETRY; PSYCHOTHERAPY; QUESTIONNAIRE; STANDARD; TIME; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; ANXIETY DISORDERS; DEPRESSIVE DISORDER; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; PATIENT SATISFACTION; PROFESSIONAL-PATIENT RELATIONS; PSYCHOMETRICS; PSYCHOTHERAPY; QUESTIONNAIRES; TIME FACTORS; TREATMENT OUTCOME; YOUNG ADULT;

MLCS; MLOWN;

EID: 84872548194     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503307.2012.693837     Document Type: Article

References (51)

1. Barkham, M., Stiles, W.B. and Shapiro, D.A. 1993. The shape of change: Longitudinal assessment of personal problems. Journal of Consulting and Clinical Psychology, 61: 667-677. doi:10.1037/0022-006X.61.4.667
2. Beck, A.T., Rush, A.J., Shaw, B.F. and Emery, G. 1979. Cognitive therapy of depression. The Guilford clinical psychology and psychotherapy series, New York: Guilford Press.
3. Busch, A.M., Kanter, J.W., Landes, S.J. and Kohlenberg, R.J. 2006. Sudden gains and outcome: a broader temporal analysis of cognitive therapy for depression. Behavior Therapy, 37(1): 61-68. doi:10.1016/j.beth.2005.04.002
4. Comninos, A. and Grenyer, B.F.S. 2007. The influence of interpersonal factors on the speed of recovery from major depression. Psychotherapy Research, 17(2): 230-239. doi:10.1080/10503300600849140
5. Davies, L., Leach, C., Lucock, M., Stiles, W.B., Iveson, S. and Barkham, M. 2006. Therapists' recall of early sudden gains in routine clinical practice. Psychology and Psychotherapy: Theory, Research and Practice, 79(1): 107-114. doi:10.1348/147608305X41209
6. Derogatis, L.R. 1975. Brief Symptom Inventory, Baltimor, MD: Clinical Psychometric Research.
7. Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F. and Parloff, M.B. 1989. National Institute of Mental Health Treatment of Depression Collaborative Research Program. Archives of General Psychiatry, 46: 971-982. doi:10.1001/archpsyc.1989.01810110013002
8. Finch, A.E., Lambert, M.J. and Schaalje, B.G. 2001. Psychotherapy quality control: the statistical generation of expected recovery curves for integration into an early warning system. Clinical Psychology & Psychotherapy, 8: 231-242. doi:10.1002/cpp.286
9. First, Michael B., Spitzer, Robert L., Gibbon, Miriam and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
10. Flückiger, C., Regli, D., Zwahlen, D., Hostettler, S. and Caspar, F. 2010. Der Berner Patienten- und Therapeutenstundenbogen 2000. Ein Instrument zur Erfassung von Therapieprozessen [Bern post session report for patients and for therapists: Measuring psychotherapeutic processes]. Zeitschrift für Klinische Psychologie und Psychotherapie, 39(2): 71-79. doi:10.1026/1616-3443/a000015
11. Frank, J.D. 1973. Persuasion and healing: A comparative study of psychotherapy, Baltimore: Johns Hopkins University Press.
12. Franke, G. 2000. BSI. Brief Symptom Inventory: Deutsche Version [BSI. Brief Symptom Inventory: German Version]. Manual, Göttingen: Beltz.
13. Freund, J.E. 1967. Modern Elementary Statistics, 3rd ed, Englewood Cliffs, NJ: Prentice Hall.
14. Gaynor, S.T., Weersing, V.R., Kolko, D.J., Birmaher, B., Heo, J. and Brent, D.A. 2003. The prevalence and impact of large sudden improvements during adolescent therapy for depression: a comparison across cognitive-behavioral, family, and supportive therapy. Journal of Consulting and Clinical Psychology, 71(2): 386-393. doi:10.1037/0022-006X.71.2.386
15. Grawe, K. 2000. Psychologische Therapie, 2., korrigierte Aufl. [Psychological Therapy (2nd ed.)]. Göttingen: Hogrefe.
16. Grawe, K. 2004. Psychological therapy. Göttingen: Hogrefe.
17. Grawe, K. and Braun, U. 1994. Qualitätskontrolle in der Psychotherapiepraxis [Quality control in the psychotherapy practice]. Zeitschrift für Klinische Psychologie und Psychotherapie, 23(6): 657-678.
18. Haas, E., Hill, R.D., Lambert, M.J. and Morrell, B. 2002. Do early responders to psychotherapy maintain treatment gains?. Journal of Clinical Psychology, 58(9): 1157-1172. doi:10.1002/jclp.10044
19. Hardy, G.E., Cahill, J., Stiles, W.B., Ispan, C., Macaskill, N. and Barkham, M. 2005. Sudden gains in cognitive therapy for depression: a replication and extension. Journal of Consulting and Clinical Psychology, 73(1): 59-67. doi:10.1037/0022-006X.73.1.59
20. Hayes, A.M., Feldman, G.C., Beevers, C.G., Laurenceau, J.-P., Cardaciotto, L. and Lewis-Smith, J. 2007. Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 75(3): 409-421. doi:10.1037/0022-006X.75.3.409
21. Hofmann, S.G., Schulz, S.M., Meuret, A.E., Moscovitch, D.A. and Suvak, M. 2006. Sudden gains during therapy of social phobia. Journal of Consulting and Clinical Psychology, 74(4): 687-697. doi:10.1037/0022-006X.74.4.687
22. Horowitz, L.M., Strauss, B. and Kordy, H. 2000. Inventar Intrpersonaler Probleme (IIP-D): Deutsche Version [Inventory of interpersonal problems (IIP-D): German Version], Weinheim: Beltz Test GmbH.
23. Howard, K.I., Kopta, M., Krause, M. and Orlinsky, D. 1986. The dose-effect response in psychotherapy. American Psychologist, 41: 159-164. doi:10.1037/0003-066X.41.2.159
24. Howard, K.I., Lueger, R.J., Maling, M.S. and Martinovich, Z. 1993. A phase model of psychotherapy outcome: Causal mediation of change. Journal of Consulting and Clinical Psychology, 61(4): 678-685. doi:10.1037/0022-006X.61.4.678
25. Howard, K.I., Moras, K., Brill, P., Martinovich, Z. and Lutz, W. 1996. The evaluation of psychotherapy. American Psychologist, 5: 1059-1064. doi:10.1037/0003-066X.51.10.1059
26. Ilardi, S.S. and Craighead, W.E. 1994. The Role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science and Practice, 1(2): 138-155. doi:10.1111/j.1468-2850.1994.tb00016.x
27. Jacobson, N. and Truax, P. 1991. Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1): 12-19. doi:10.1037/0022-006X.59.1.12
28. Kazdin, A.E. 2009. Understanding how and why psychotherapy leads to change. Psychotherapy Research, 4-5(19): 418-428. doi:10.1080/10503300802448899
29. Kelly, M.A.R., Roberts, J.E. and Ciesla, J.A. 2004. Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter?. Behaviour Research and Therapy, 43: 703-714. doi:10.1016/j.brat.2004.06.002
30. Kline, R.B. 2004. Beyond significance testing: Reforming data analysis methods in behavioral research, Washington, DC: APA.
31. Krause, M.S. and Lutz, W. 2009. Process transforms inputs to determine outcomes: Therapists are responsible for managing process. Clinical Psychology: Science and Practice, 16: 73-81. doi:10.1111/j.1468-2850.2009.01146.x
32. Lambert, M. 2007. Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1): 1-14. doi:10.1080/10503300601032506
33. Lambert, M.J., Whipple, J.L., Hawkins, E.J., Vermeersch, D.A., Nielsen, S.L. and Smart, D. 2003. Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10: 288-301. doi:10.1093/clipsy.bpg025
34. Lutz, W. 2002. Patient-focused psychotherapy research and individual treatment progress as scientific groundwork for an empirically based clinical practice. Psychotherapy Research, 12(3): 251-272. doi:10.1080/713664389
35. Lutz, W. 2010. Lehrbuch Psychotherapie [Textbook Psychotherapy], Bern: Huber.
36. Lutz, W., Böhnke, J.R. and Köck, K. 2011. Evaluation and feedback of recovery and non-response in psychotherapy. Community Mental Health, 47(3): 311-317. doi:10.1007/s10597-010-9307-3
37. Lutz, W., Martinovich, Z. and 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. doi:10.1037/0022-006X.67.4.571
38. Lutz, W., Stulz, N. and Köck, K. 2009. Patterns of early change and their relationship to outcome and follow-up among patients with major depressive disorders. Journal of Affective Disorders, 118: 60-68. doi:10.1016/j.jad.2009.01.019
39. Lutz, W. and Tschitsaz, A. 2007. Plötzliche Gewinne und Verluste im Behandlungsverlauf von Angststörungen, depressiven und komorbiden Störungen [Sudden gains and losses in the treatment of patients with anxiety, depressive and comorbid disorders]. Zeitschrift für Klinische Psychologie und Psychotherapie, 36(4): 298-308. doi:10.1026/1616-3443.36.4.298
40. Muran, C.J., Segal, Z.V., Samstag, L.W. and Crawford, C.E. 1994. Patient pretreatment interpersonal problems and therapeutic alliance in short-term cognitive therapy. Journal of Consulting and Clinical Psychology, 62(1): 185-190. doi:10.1037/0022-006X.62.1.185
41. Schulte, D. and Eifert, G.H. 2002. What to do when manuals fail? The dual model of psychotherapy. Clinical Psychology: Science and Practice, 9(3): 312-328. doi:10.1093/clipsy.9.3.312
42. Spielmans, G.I., Masters, K.S. and Lambert, M.J. 2006. A comparison of rational versus empirical methods in the prediction of psychotherapy outcome. Clinical Psychology & Psychotherapy, 13: 202-214. doi:10.1002/cpp.491
43. Spitzer, R.L., Williams, J.B.W., Gibbon, M. and First, M.B. 1992. The Structured Clinical Interview for DSM-III-R (SCID) I: History, rationale, and description. Archives of General Psychiatry, 49: 624-629. doi:10.1001/archpsyc.1992.01820080032005
44. Stiles, W.B., Barkham, M., Connell, J. and Mellor-Clark, J. 2008. Responsive regulation of treatment duration in routine practice in United Kingdom primary care settings: Replication in a larger sample. Journal of Consulting and Clinical Psychology, 76(2): 298-305. doi:10.1037/0022-006X.76.2.298
45. Stiles, W.B., Leach, C., Barkham, M., Lucock, M., Iveson, S., Shapiro, D.A. and Iveson, M. 2003. Early sudden gains in psychotherapy under routine clinic conditions: practice-based evidence. Journal of Consulting and Clinical Psychology, 71(1): 14-21. doi:10.1037/0022-006X.71.1.14
46. Tang, T.Z. and DeRubeis, R.J. 1999. Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67(6): 894-904. doi:10.1037/0022-006X.67.6.894
47. Tang, T.Z., DeRubeis, R.J., Beberman, R. and Pham, T. 2005. Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73(1): 168-172. doi:10.1037/0022-006X.73.1.168
48. Thompson, M., Thompson, L., Gallagher-Thompson, D. and Alto, P. 1995. Linear and nonlinear changes in mood between psychotherapy sessions: Implications for treatment outcome and relapse risk. Psychotherapy Research, 5(4): 327-336. doi:10.1080/10503309512331331436
49. Tschitsaz-Stucki, A. and Lutz, W. 2009. Identifikation und Aufklärung von Veränderungssprüngen im individuellen Psychotherapieverlauf [Identification and clarification of sudden gains and losses in individual psychotherapy courses]. Zeitschrift für Klinische Psychologie und Psychotherapie, 38(1): 13-23. doi:10.1026/1616-3443.38.1.13
50. Ullrich de Muynck, R. and Ullrich, R. 1977. Das Emotionalitätsinventar als Befindlichkeitsmaβ: Testmanual EMI-B [The Inventory of Emotional Distress-Manual EMI-B], München: Pfeiffer.
51. Vittengl, J.R., Clark, L.A. and Jarrett, R.B. 2005. Validity of sudden gains in acute phase treatment of depression. Journal of Consulting and Clinical Psychology, 73(1): 173-182. doi:10.1037/0022-006X.73.1.173