Early sudden gains in psychotherapy under routine clinic conditions: practice-based evidence.
Sudden gains--large, enduring reductions in symptom intensity from one session to the next--were identified by T. Z. Tang and R. J. DeRubeis (1999b) on the basis of data from 2 manualized clinical trials of cognitive therapy for depression. The authors found similar sudden gains among clients with a variety of disorders treated with a variety of approaches in routine clinic settings. Clients (N = 135 who met inclusion criteria) completed short forms of the Clinical Outcomes in Routine Evaluation (CORE-SF) preceding 7 to 74 individual sessions. Those who experienced sudden gains within their first 16 sessions (n = 23) had significantly lower CORE-SF scores in their final 3 sessions than did the other clients.
Stiles
William B
WB
Department of Psychology, Miami University, Oxford, Ohio 45056, USA. stileswb@muohio.edu
Leach
Chris
C
Barkham
Michael
M
Lucock
Mike
M
Iveson
Steve
S
Shapiro
David A
DA
Iveson
Michaela
M
Hardy
Gillian E
GE
D000328:Adult; D000553:Ambulatory Care; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010818:Practice Patterns, Physicians'; D011594:Psychometrics; D013997:Time Factors; D016896:Treatment Outcome