Early sudden gains in psychotherapy under routine clinic conditions

Practice-based evidence

William Stiles, Chris Leach, Michael Barkham, Mike Lucock, Steve Iveson, David A. Shapiro, Michaela Iveson, Gillian E. Hardy

Research output: Contribution to journalArticle

136 Citations (Scopus)

Abstract

Sudden gains---large, enduring reductions in symptom intensity from one session to the next--were identified by T. Z. Tang and R. J. DeRubeis (1999) on the basis of data from 2 manualized clinical trials of cognitive therapy for depression. The authors found similar sudden gains among clients with a variety of disorders treated with a variety of approaches in routine clinic settings. Clients (N=135 who met inclusion criteria) completed short forms of the Clinical Outcomes in Routine Evaluation (CORE-SF) preceding 7 to 74 individual sessions. Those who experienced sudden gains within their first 16 sessions (n=23) had significantly lower CORE-SF scores in their final 3 sessions than did the other clients.
Original languageEnglish
Pages (from-to)14-21
Number of pages8
JournalJournal of Consulting and Clinical Psychology
Volume71
Issue number1
DOIs
Publication statusPublished - Feb 2003

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Evidence-Based Practice
Cognitive Therapy
Psychotherapy
Clinical Trials
Depression

Cite this

Stiles, William ; Leach, Chris ; Barkham, Michael ; Lucock, Mike ; Iveson, Steve ; Shapiro, David A. ; Iveson, Michaela ; Hardy, Gillian E. / Early sudden gains in psychotherapy under routine clinic conditions : Practice-based evidence. In: Journal of Consulting and Clinical Psychology. 2003 ; Vol. 71, No. 1. pp. 14-21.
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Early sudden gains in psychotherapy under routine clinic conditions : Practice-based evidence. / Stiles, William; Leach, Chris; Barkham, Michael; Lucock, Mike; Iveson, Steve; Shapiro, David A.; Iveson, Michaela; Hardy, Gillian E.

In: Journal of Consulting and Clinical Psychology, Vol. 71, No. 1, 02.2003, p. 14-21.

Research output: Contribution to journalArticle

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