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Patient early session experience and treatment outcome
Frank P Pesale1, Mark J Hilsenroth, Jesse J Owen
1Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, USA. frankpesale@yahoo.com
Summary
Early patient ratings in psychodynamic psychotherapy predict treatment success. Positive session evaluations correlate with significant functional improvements, highlighting the importance of patient-reported outcomes in therapy.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Patient feedback is crucial for understanding psychotherapy effectiveness.
- The Session Evaluation Questionnaire (SEQ) measures patient perceptions of therapy sessions.
Purpose of the Study:
- To investigate the relationship between early treatment session ratings and long-term psychotherapy outcomes.
- To determine if specific SEQ dimensions predict symptom and functional improvement.
Main Methods:
- Utilized data from 73 patients undergoing psychodynamic psychotherapy at a university clinic.
- Employed bivariate correlations and multilevel analyses to examine SEQ ratings (Smoothness, Positivity) and patient outcomes.
- Assessed patient-rated functional improvement across psychopathology, interpersonal, occupational, and social domains.
Main Results:
- A trend towards significance was observed between session Smoothness ratings and symptom improvement.
- Positivity ratings showed a significant association with broad patient-rated functional improvement.
- These findings held true even after controlling for therapist effects.
Conclusions:
- Early patient perceptions of session positivity are a strong predictor of functional gains in psychotherapy.
- Session Smoothness may also play a role in symptom reduction, warranting further investigation.
- Patient-reported outcomes early in treatment offer valuable insights into therapeutic success in psychodynamic psychotherapy.
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