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Initial symptom severity is a client characteristic associated with psychotherapy outcome, although this relationship is not well-understood. Readiness to change is a factor that may influence this relationship. This study tested readiness as a moderator of the relationship between initial severity and symptom change. Data were derived from an RCT examining the efficacy of a transdiagnostic CBT treatment. Readiness was assessed with the URICA, and symptom and functioning outcomes were assessed. Multiple regression models indicated that severity was associated with less overall change, yet readiness moderated this relationship. At higher levels of readiness, the effect of initial severity on outcome was essentially reversed; for clients with higher initial readiness, higher levels of severity were associated with greater change.

Titel:	Readiness to change as a moderator of outcome in transdiagnostic treatment.
Autor/in / Beteiligte Person:	Boswell, JF ; Sauer-Zavala, SE ; Gallagher, MW ; Delgado, NK ; Barlow, DH
Zeitschrift:	Psychotherapy research : journal of the Society for Psychotherapy Research, Jg. 22 (2012), Heft 5, S. 570-8
Veröffentlichung:	2005- : London : Routledge ; <i>Original Publication</i>: New York, NY, USA : Guilford Publications, [1991-, 2012
Medientyp:	academicJournal
ISSN:	1468-4381 (electronic)
DOI:	10.1080/10503307.2012.688884
Schlagwort:	Adult Cognitive Behavioral Therapy methods Female Humans Male Middle Aged Prognosis Randomized Controlled Trials as Topic Regression Analysis Severity of Illness Index Treatment Outcome Anxiety Disorders therapy Motivation
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural Language: English [Psychother Res] 2012; Vol. 22 (5), pp. 570-8. <i>Date of Electronic Publication: </i>2012 May 21. MeSH Terms: Motivation* ; Anxiety Disorders / *therapy ; Adult ; Cognitive Behavioral Therapy / methods ; Female ; Humans ; Male ; Middle Aged ; Prognosis ; Randomized Controlled Trials as Topic ; Regression Analysis ; Severity of Illness Index ; Treatment Outcome References: J Subst Abuse. 1990;2(2):217-35. (PMID: 2136111) ; Br J Psychiatry. 2002 May;180:461-4. (PMID: 11983645) ; Clin Psychol Rev. 2004 Jul;24(3):361-78. (PMID: 15245836) ; Arch Gen Psychiatry. 1988 Aug;45(8):742-7. (PMID: 3395203) ; Psychiatr Clin North Am. 2010 Sep;33(3):557-77. (PMID: 20599133) ; J Behav Ther Exp Psychiatry. 2006 Sep;37(3):247-55. (PMID: 16460667) ; J Anxiety Disord. 1997 Jul-Aug;11(4):395-408. (PMID: 9276784) ; Br J Med Psychol. 1959;32(1):50-5. (PMID: 13638508) ; Psychother Res. 2011 Jul;21(4):447-61. (PMID: 21644188) ; Br J Psychiatry. 1994 Dec;165(6):781-6. (PMID: 7661936) ; J Couns Psychol. 2012 Jul;59(3):368-78. (PMID: 22545802) ; Addiction. 2001 Jan;96(1):175-86. (PMID: 11177528) ; Am Psychol. 2004 Dec;59(9):869-878. (PMID: 15584821) ; J Abnorm Psychol. 2001 Feb;110(1):49-58. (PMID: 11261399) ; J Consult Clin Psychol. 2007 Dec;75(6):864-74. (PMID: 18085904) ; Behav Ther. 2012 Sep;43(3):666-78. (PMID: 22697453) ; Br J Psychiatry. 1992 Feb;160:206-11. (PMID: 1540760) ; J Pers Soc Psychol. 1986 Dec;51(6):1173-82. (PMID: 3806354) ; J Abnorm Psychol. 2007 May;116(2):313-28. (PMID: 17516764) ; J Consult Clin Psychol. 1988 Dec;56(6):893-7. (PMID: 3204199) ; J Anxiety Disord. 2009 Dec;23(8):1106-17. (PMID: 19665347) ; J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62. (PMID: 14399272) ; Br Med J. 1973 Jul 21;3(5872):156-60. (PMID: 4720767) ; Behav Res Ther. 2004 Jun;42(6):711-29. (PMID: 15081886) ; Depress Anxiety. 2001;13(4):166-78. (PMID: 11413563) ; Behav Res Ther. 2011 Feb;49(2):106-13. (PMID: 21159325) ; Neuropsychopharmacology. 2004 Mar;29(3):612-8. (PMID: 14702024) ; Behav Modif. 2002 Apr;26(2):223-73. (PMID: 11961914) ; Acta Psychiatr Scand. 1997 Nov;96(5):354-61. (PMID: 9395153) Grant Information: R01 MH090053 United States MH NIMH NIH HHS; R34 MH070693 United States MH NIMH NIH HHS Entry Date(s): Date Created: 20120522 Date Completed: 20130211 Latest Revision: 20240318 Update Code: 20240318 PubMed Central ID: PMC3427709

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Readiness to change as a moderator of outcome in transdiagnostic treatment.