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The effectiveness of initial therapy contact: A systematic review
Katie Aafjes-van Doorn1, Kristen Sweeney2
1Yeshiva University, New York, NY, USA.
Clinical Psychology Review
|November 17, 2019
Summary
Initial therapy contacts, defined as the first 3 hours or less of psychological treatment, show significant patient benefits including symptom change. These positive effects, observed across various formats, are maintained at follow-up.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- Initial therapy contacts are critical but their direct impact on symptom change is understudied.
- Understanding the effect of early treatment interactions is vital for optimizing patient outcomes.
Purpose of the Study:
- To systematically review and synthesize empirical evidence on the effect of initial therapy contacts on symptom change.
- To evaluate the methodological quality of studies examining the impact of early psychological treatment.
Main Methods:
- Systematic literature search identifying 35 empirical studies.
- Analysis included study characteristic comparison, methodological rigor assessment (risk of bias), and narrative synthesis.
- Studies varied in therapy format (single session, multi-session) and design (controlled, uncontrolled).
Main Results:
- A significant proportion of patients reported benefits, including symptom reduction.
- Positive effects were most evident when compared to no-treatment controls.
- Observed benefits were generally maintained at follow-up assessments.
Conclusions:
- Various initial therapy contact formats can be beneficial for patients in primary care settings.
- Despite methodological limitations in existing research, early treatment interactions appear to positively impact patient symptoms.
- Further research with robust methodologies is warranted to confirm and expand these findings.
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