title: Discrepancies in therapist and client ratings of global improvement following cognitive behavioral therapy for social phobia and their differential relations with symptom improvement at post-treatment and 12-month follow-up.
abstract: OBJECTIVE
  This study aimed to examine discrepancies in client and therapist ratings of global improvement and their relations to symptom improvement at post-treatment and 12-month follow-up.
  
  
  METHODS
  Participants (N = 59) with social phobia received eight sessions of cognitive behavioral therapy (CBT). Participants and therapists rated improvement following each session. Participants also rated improvement at follow-up. Participants completed symptom severity self-reports at post-treatment and follow-up.
  
  
  RESULTS
  Clients consistently rated themselves as more improved than therapists. Relative to client ratings, therapist post-treatment ratings of improvement were related to more indices of symptom change at both timepoints.
  
  
  CONCLUSIONS
  RESULTS suggest that therapist ratings have good predictive utility of client-reported change in symptoms.
authors.affiliation: a Psychology , Georgia State University , Atlanta , GA , USA.
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Morgan
authors.forename: Page L
authors.initials: PL
authors.lastname: Anderson
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D059026:Diagnostic Self Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000592:standards*; D010698:Phobic Disorders / Q000628:therapy*; D055815:Young Adult
keywords: anxiety; cognitive behavior therapy; outcome research