A total of 117 depressed clients, stratified for severity, completed 8 or 16 sessions manualized treatment, either cognitive-behavioral psychotherapy (CB) psychodynamic-interpersonal (PI). Each 5 clinician-investigators treated clients in all 4 treatment conditions. On most measures, CB and PI were equally effective, irrespective the severity depression duration treatment. However, there was evidence some advantage to on Beck Depression Inventory (Beck, Ward, Mendelson, Mock, & Erbaugh,...

DAVID A. SHAPIRO AND GILLIAN HARDYMRC/ESRC Social and Applied Psychology UnitUniversity of SheffieldIn successful psychotherapy,problematic experiences (threatening orpainful thoughts, feelings, memories,etc.) are gradually assimilated intoschemata that introduced by thetherapist or developed in the therapist-client interaction modification oldschemata. As it is assimilated, aproblematic experience passes throughpredictable stages. The client movesfrom being oblivious, to experiencingthe...

Three related studies are presented focusing on the development of a short 32-item version Inventory Interpersonal Problems (IIP). Study 1 presents procedures for item selection IIP version; 2 confirmatory analysis an independent sample; and 3 provides preliminary normative (general population out-patient) data additional evidence psychometric properties form. The results suggest that sacrifices little compared to original 127-item in terms its while being considerably more convenient...

Background It is widely suggested that many National Health Service (NHS) workers experience high levels of minor psychiatric disorder. However, inadequacies sampling and measurement in studies to date have not allowed this suggestion be properly evaluated. Method The present study was designed overcome these methodological weaknesses by using a sample over 11 000 employees from 19 NHS trusts well-established measure disorder for which there are comparative data. Results findings show 26.8%...

The authors attempted to replicate and extend D. M. Kivlighan P. Shaughnessy's (2000) findings of (a) 3 distinctive patterns alliance development across sessions (b) a differential association one these, U-shaped quadratic growth pattern, with positive treatment outcome. In data drawn from clinical trial brief psychotherapies for depression (N = 79 clients), the distinguished 4 development. These matched 2 patterns, but not none was differentially associated However, further examination...

The aims of this study were to examine the impact psychological distress on absence from work; compare and job satisfaction as predictors absence; relative effects 2 components distress, depression anxiety, absence. Organizational records over a 3-year period obtained for 323 health service staff in United Kingdom, who also completed self-report measures at beginning years later. Psychological particularly depression, was found predict absence, with higher levels predicting greater number...

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 basis of data 2 manualized clinical trials cognitive therapy for depression. The authors found similar sudden gains among clients with a variety disorders treated approaches routine clinic settings. Clients (N = 135 who met inclusion criteria) completed short forms Clinical Outcomes Routine Evaluation (CORE-SF) preceding 7 74 individual...

Clients' evaluations of their sessions were prominent in factor-based indexes session impact derived from the Session Evaluation Questionnaire (SEQ) and Impacts Scale (SIS) a large sample (n=2414 with 218 clients).

This study compared the impact of helpful and hindering events, as perceived by 40 clients, in two forms psychotherapy: an exploratory, relationship‐oriented therapy, a prescriptive, cognitive/behavioural therapy. All clients received eight sessions each type treatment crossover design. Events were obtained self‐report both during at end period, content analysed for therapeutic three trained raters. Results showed that most commonly occurring impacts across types treatments ‘problem...

To investigate the psychometric properties of Work and Social Adjustment Scale (WSAS) as an outcome measure for Improving Access to Psychological Therapy programme, assessing its value addition Patient Health (PHQ-9) Generalised Anxiety Disorder questionnaires (GAD-7). Little research has investigated these date.Reliability responsiveness change were assessed using data from 4,835 patients. Principal components analysis was used determine whether WSAS measures a factor distinct PHQ-9...

Psychiatric interviews were carried out to validate the General Health Questionnaire-12 (GHQ-12; Goldberg, 1972) for use with staff of England's National Service (NHS), and determine appropriate threshold score identify probable cases. In a sample 551 NHS staff, correlation between GHQ-12 Clinical Interview Schedule-Revised (CIS-R) was found be .70. The receiver operating characteristic showed that 3/4 threshold, higher than used in all but one previous study, gave best conservative estimate...

We used a new instrument, the Agnew Relationship Measure (ARM), to examine alliance's dimensionality and construct scales for use in future studies.We studied alliance as reported on ARM by both clients therapists Second Sheffield Psychotherapy Project, randomized comparison of two contrasting time-limited psychotherapies depression.Clients (N = 95) 5) completed parallel forms (ARM) after every session 1120).Five were constructed, based results simultaneous components analyses considerations...

One hundred four clients completed a mailed follow-up 1 year after completing 8 of 16 sessions treatment, either cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. Although mean scores on outcome measures at suggested that gains were, in general, well maintained, only 29% were asymptomatic all 3 occasions testing (end months and later) without recourse to further treatment. However, 11% those end treatment experienced relapse recurrence depression, albeit the...

The aims of this study were to explore individual and collective understandings psychological well-being among young Somali (black African Muslim) asylum-seeker or refugee women. Three groups five semi-structured interviews undertaken themes identified using Interpretative Phenomenological Analysis. Themes included resilience protection; identity beliefs; concealment, distancing secrets; which reflected acculturation, Islamic cultures. Spirit possession was explored in relation culture...

Of 76 clients receiving 8-20 sessions of cognitive therapy (CT) in a joint university and national health service clinic, 31 experienced sudden gains that appeared very similar to those first reported clinical trials CT by T. Z. Tang R. J. DeRubeis (1999) subsequently replicated other studies. The less stable the present study's more routine practice settings than they were trials. Life events did not appear account for gains.

The aims of this study were to explore the relationship between therapists' self‐reported attachment styles and therapeutic orientation with general alliance therapist‐reported problems in psychological therapy. A sample 491 psychotherapists from differing orientations responded a postal questionnaire. questionnaire contained standardized measures quality, behaviours, checklist therapy, brief personality inventory. Therapist‐reported generally explained significant additional proportion...

Hazan and Shaver (1990) have argued that attachment theory can be used to predict relationships between adult types (love) aspects of work behavior. They found anxious/ambivalent attachments were associated with poorer performance. Avoidantly attached individuals tended overinvolved which resulted in effective performance but disrupted home life. The present study aimed develop scales insecure problems for use a clinical population further replicate Shaver's findings. In this context the...

Effective psychological therapies have been recommended for common mental health problems, such as depression and anxiety, but provision has poor. Improving Access to Psychological Therapies (IAPT) may provide a cost-effective solution this problem.To determine the cost-effectiveness of IAPT at Doncaster demonstration site (2007-2009).An economic evaluation comparing costs outcomes patients with those comparator sites, including separate assessment lost productivity. Sensitivity analyses...