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J Psychother Pract Res 10:145-154, July 2001
© 2001 American Psychiatric Association

Regular Article

Early Improvement During Manual-Guided Cognitive and Dynamic Psychotherapies Predicts 16-Week Remission Status

Paul Crits-Christoph, Ph.D., Mary Beth Connolly, Ph.D., Robert Gallop, Ph.D., Jacques P. Barber, Ph.D., Xin Tu, Ph.D., Madeline Gladis, Ph.D. and Lynne Siqueland, Ph.D.

Received November 27, 2000; revised March 17, 2001; accepted March 20, 2001. From the Department of Psychiatry, University of Pennsylvania, Room 650, 3535 Market Street, Philadelphia, PA 19104. Address correspondence to Dr. Crits-Christoph.

This study examined the extent to which improvement from baseline to weeks 2, 3, and 4 on the Beck Depression Inventory and Beck Anxiety Inventory predict week 16 clinical remission for patients with major depressive disorder, generalized anxiety disorder, and/or obsessive-compulsive or avoidant personality disorders who were receiving manual-based psychotherapies. Logistic regression and receiver-operator characteristic analyses revealed relatively accurate identification of remitters and nonremitters based on improvement from baseline to sessions 2 to 4 in both original and cross-validation samples. Predictive success did not vary as a function of diagnosis, treatment type (cognitive or dynamic), or treatment status (short-term or long-term). The clinical implications of the results are discussed.

Key Words: Cognitive Therapy • Psychotherapy, Psychodynamic • Early Sessions




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Early Response to Psychotherapy Predicts 4-Month Outcome
Journal Watch Psychiatry, August 7, 2001; 2001(807): 1 - 1.
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