title: Self-image patterns as predictors of change and outcome of trainee-led psychotherapy.
abstract: This study investigated the outcome of undergraduate trainee-led psychotherapy and how different self-image patterns explain symptom change. Pre- and post-treatment data from 235 Swedish outpatients were used. Clients were assessed with Symptom Checklist-90 (SCL-90) and the Structural Analysis of Social Behavior (SASB). Outcome effect size was moderate and in line with earlier studies on trainees. Clinical significant change showed that 42% of all clients were recovered or improved after 18 sessions in either training condition PDT or CBT. Regression analysis showed that a more negative self-image and higher levels of self-control before treatment predicted improvement in both psychiatric symptoms and personality factors. A negative self-image, when observed before treatment, can be understood as an increased motivation for change.
authors.affiliation: Psychology, Umeå University, Umeå, Sweden. Inga.Dennhag@psy.umu.se
authors.forename: Inga
authors.initials: I
authors.lastname: Dennhag
authors.forename: Helene
authors.initials: H
authors.lastname: Ybrandt
authors.forename: Kerstin
authors.initials: K
authors.lastname: Armelius
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011586:Psychology, Clinical / Q000193:education; D011613:Psychotherapy / Q000193:education; D012649:Self Concept; D012737:Sex Factors; D012919:Social Behavior; D016896:Treatment Outcome; D055815:Young Adult