Publications by authors named "Pauline D Janse"
Early Change as a Predictor of Treatment Outcome in Patients with a Personality Disorder.
Adm Policy Ment Health
September 2024
A significant proportion of patients with a personality disorder do not benefit from treatment. Monitoring treatment progress can help adjust ineffective treatments. This study examined whether early changes in symptoms and personality dysfunction during the first phase of therapy could predict treatment outcomes.
View Article and Find Full Text PDFObjective: The Mental Health Self-Direction Scale (MHSD) measures the extent to which clients are able to resolve mental problems by themselves. Because this scale had not yet been evaluated, the aims of this paper were (a) to evaluate and improve the MHSD and (b) to explore the sensitivity to change of the improved scale.
Method: The MHSD was evaluated and improved by means of confirmatory factor analyses of data from one longitudinal and two cross-sectional outpatient sample.
Although studies have shown that client feedback can improve treatment outcome, little is known about which factors might possibly moderate the effects of such feedback. The present study investigated potential therapist variables that might influence whether frequent client feedback is effective, including the Big Five personality traits, internal/external feedback propensity and self-efficacy. Data from two previous studies, a quasi-experimental study and a randomized controlled trial, were combined.
View Article and Find Full Text PDFObjectives: This study investigated whether therapists' self-assessed time spent on learning activities was associated with treatment outcomes. The study was a replication of Chow et al.'s (2015) study, which showed that the most effective therapists spent more total time on solitary learning activities than less effective therapists.
View Article and Find Full Text PDFArticle Synopsis
- A study tested how progress feedback impacts cognitive behavioral therapy (CBT) outcomes by comparing high-intensive feedback to low-intensive monitoring in a group of 368 outpatients.
- Results showed that clients receiving high-intensive feedback experienced similar symptom reduction in significantly fewer sessions, and had lower dropout rates compared to those who received low-intensive feedback.
- The findings suggest that incorporating high-intensive feedback into CBT can lead to more efficient treatment, particularly for clients with personality disorders, making it a promising adaptation of conventional CBT.
Article Synopsis
- The study explores the value of client feedback on progress and the therapeutic relationship in cognitive-behavioral therapy (CBT) to enhance treatment effectiveness and efficiency.
- In a trial involving 1006 outpatients, clients were either treated with standard methods or received regular feedback using the Outcome Rating Scale (ORS) and Session Rating Scale (SRS), where therapists engaged in discussions based on this feedback.
- Results indicated that client feedback led to improved outcomes for mood disorders and required significantly fewer treatment sessions without compromising overall results, suggesting a more efficient approach to CBT.