Patterns of change in different phases of outpatient psychotherapy: a stage-sequential pattern analysis of change in session reports.
Patterns of change in different phases of outpatient psychotherapy: a stage-sequential pattern analysis of change in session reports.
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门诊心理治疗不同阶段的变化模式：会议报告变化的阶段顺序模式分析。
DOI：
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发表时间：
2015
影响因子：
3.6
通讯作者：
D. Schulte
中科院分区：
文献类型：
--
作者：
Julian A. Rubel;W. Lutz;D. Schulte
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了解心理治疗患者的典型变化模式有助于改善心理障碍的治疗指南。最近的研究表明，它是可能的，以确定几个患者亚组的早期变化模式。然而，虽然集中在治疗的早期阶段，在后期阶段的变化模式几乎没有调查。在这项研究中，增长混合模型被用来确定潜在的变化类在不同阶段的治疗中的自然主义样本的1229心理治疗门诊患者。并探讨了不同阶段的变化模式之间的关系及其对治疗时间和疗效的预测能力。结果显示，不同的变化模式的三个调查阶段。在早期治疗阶段，（第1 - 6次治疗）可以识别出5种不同的变化模式：随着时间的推移，变化类别的数量大幅减少，导致第2阶段（第7-12次治疗）出现3种模式，第3阶段（第13-18次治疗）出现2种模式。到目前为止，在每个阶段，最大的班级都表现出良好的进步模式，只有很小的进步或没有进一步的进步。
关键执业者信息
患者进展估计的大多数变化发生在治疗的早期阶段，并在治疗的后期阶段稳定在相对较高的水平。在治疗的后期阶段仍然存在实质性改善，但发生频率低于早期阶段。持续的结果监测和反馈系统应整合进展措施，以监测患者的进展，特别是在治疗的早期阶段，并将获得的信息反馈给治疗师。
UNLABELLED
Knowledge about typical change patterns of psychotherapy patients can help to improve treatment guidelines for psychological disorders. Recent studies showed that it is possible to identify several patient subgroups with regard to their early change pattern. However, although focusing on the early phase of treatment, change patterns in later stages have hardly been investigated yet. In this study, Growth Mixture Modelling was used to identify latent change classes in different phases of therapy in a naturalistic sample of 1229 psychotherapy outpatients. Furthermore, this paper inquired into the relation between the change patterns in different phases as well as their predictive power for therapy length and outcome. Results revealed different change patterns for the three investigated phases. While in an early treatment phase, (sessions one-six) five different change patterns could be identified: the number of change classes decreased considerably over time, resulting in three patterns in the second (sessions 7-12) and two in the third phase (sessions 13-18). In each phase, by far, the biggest class showed a pattern of good progress with small/no further improvements.
KEY PRACTITIONER MESSAGES
Most change in patients' progress estimates took place in an early phase of the treatment and levelled out on a relatively high level in later phases of the treatment. Substantial improvements were still present in later phases of the treatment but occurred less frequent than in early stages. Continuous outcome monitoring and feedback systems should integrate progress measures to monitor patients progress especially in the early phase of the treatment and feed the so gained information back to therapists.
治疗反应的自然类别。
影响因子：
5.9
作者：
Morral,AR;Iguchi,MY;Belding,MA;Lamb,RJ
通讯作者：
Lamb,RJ
检查心理社会治疗对可卡因依赖的不同影响：潜在轨迹分析的应用。
影响因子：
4.2
作者：
Stulz,Niklaus;Gallop,Robert;Lutz,Wolfgang;Wrenn,GlendaL;Crits-Christoph,Paul
通讯作者：
Crits-Christoph,Paul
探索个体的改变。
影响因子：
5.9
作者：
Krause,MS;Howard,KI;Lutz,W
通讯作者：
Lutz,W