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The relationship between expected engagement and talking therapy outcome.

Phillippa Harrison1,2, Gillian E Hardy1, Michael Barkham1

  • 1Department of Psychology, University of Sheffield, Sheffield, UK.

Clinical Psychology & Psychotherapy
|April 25, 2019
PubMed
Summary

Client expectations for engagement in cognitive behavioural therapy (CBT) predicted symptom improvement, particularly when CBT

Keywords:
cognitive behavioural therapyengagementexpectationsoutcome predictionperson-centred experiential therapytalking therapy

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychotherapy Research

Background:

  • Client expectations significantly influence therapeutic outcomes.
  • Understanding predictors of therapy success is crucial for optimizing mental health interventions.

Purpose of the Study:

  • To investigate if client-reported expected engagement predicts therapy outcomes.
  • To determine if expected engagement predicts symptomatic improvement and therapy completion in cognitive behavioural therapy (CBT) and person-centred experiential therapy (PCET).

Main Methods:

  • The Sheffield Expected Engagement with Therapy Scale assessed 96 clients with moderate to severe depression before therapy.
  • Clients received either CBT (n=53) or PCET (n=43).
  • Therapy outcomes included symptomatic improvement and therapy completion.

Main Results:

  • Higher expected engagement predicted greater symptomatic improvement in CBT, but not in PCET.
  • This predictive relationship in CBT was significant only when clients perceived CBT's credibility as low or moderate.
  • Expected engagement did not predict therapy completion for either therapy modality.

Conclusions:

  • Assessing expected engagement may be a valuable tool for predicting symptomatic improvement in CBT.
  • Client expectations regarding engagement appear to play a role in the effectiveness of specific therapeutic approaches like CBT.
  • Further research could explore tailoring interventions based on client expectations to enhance treatment efficacy.