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Generic change indicators in therapeutic processes with different outcomes.
Mariane Krause1, Carolina Altimir, Janet Carola Pérez
1a Department of Psychology , Pontificia Universidad Católica de Chile , Santiago , Chile.
Summary
Therapies with good outcomes showed more advanced change indicators (Stage III GCIs) and linked early progress to later stages. Poor outcome therapies had more early-stage indicators without connection to later progress.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Understanding the link between the therapeutic process and its outcome is crucial for effective interventions.
- Naturalistic settings offer valuable insights into real-world therapy dynamics.
Purpose of the Study:
- To analyze the relationship between ongoing change indicators and final therapeutic outcomes in naturalistic settings.
- To explore how different stages of change (GCIs) relate to therapy success.
Main Methods:
- Assessed ongoing change using generic change indicators (GCIs) across 19 complexity levels, grouped into three stages.
- Measured therapy outcome using Lambert's Outcome Questionnaire (OQ 45.2).
- Calculated productivity indicators for GCIs, adjusted for therapy length and individual production.
Main Results:
- Good outcome therapies exhibited a higher frequency of Stage III GCIs.
- A significant association was found between Stage I GCI productivity and later stages (II and III) in good outcome cases.
- Poor outcome therapies showed increased early-stage GCI productivity without correlation to advanced stages.
Conclusions:
- Ongoing change, particularly advanced stages, is related to positive therapeutic outcomes.
- Generic change indicators (GCIs) show potential for monitoring therapy progress in clinical practice.
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