AI 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.
Article Abstract
Objective: Feedback from clients on their view of progress and the therapeutic relationship can improve effectiveness and efficiency of psychological treatments in general. However, what the added value is of client feedback specifically within cognitive-behavioural therapy (CBT), is not known. Therefore, the extent to which the outcome of CBT can be improved is investigated by providing feedback from clients to therapists using the Outcome Rating Scale (ORS) and Session Rating Scale (SRS).
Method: Outpatients (n = 1006) of a Dutch mental health organization either participated in the "treatment as usual" (TAU) condition, or in Feedback condition of the study. Clients were invited to fill in the ORS and SRS and in the Feedback condition therapists were asked to frequently discuss client feedback.
Results: Outcome on the SCL-90 was only improved specifically with mood disorders in the Feedback condition. Also, in the Feedback condition, in terms of process, the total number of required treatment sessions was on average two sessions fewer.
Conclusion: Frequently asking feedback from clients using the ORS/SRS does not necessarily result in a better treatment outcome in CBT. However, for an equal treatment outcome significantly fewer sessions are needed within the Feedback condition, thus improving efficiency of CBT.
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| http://dx.doi.org/10.1080/10503307.2016.1152408 | DOI Listing |
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