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Original Articles

Defining response and remission in psychotherapy research: A comparison of the RCI and the method of percent improvement

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Pages 1-11 | Received 01 Dec 2010, Accepted 09 Aug 2011, Published online: 23 Sep 2011

References

  • Atkins , D.C. , Bedics , J.D. , McGlinchey , J.B. and Beauchaine , T.P. 2005 . Assessing clinical significance: Does it matter which method we use? . Journal of Consulting and Clinical Psychology , 73 : 982 – 989 .
  • Bandelow , B. , Baldwin , D.S. , Dolberg , O.T. , Andersen , H.F. and Stein , D.J. 2006 . What is the threshold for symptomatic response and remission for major depressive disorder, panic disorder, social anxiety disorder, and generalized anxiety disorder? . Journal of Clinical Psychiatry , 67 : 1428 – 1434 .
  • Barkham , M. , Rees , A. , Stiles , W.B. , Shapiro , D.A. , Hardy , G.E. and Reynolds , S. 1996 . Dose effect relations in time limited psychotherapy for depression . Journal of Consulting and Clinical Psychology , 64 : 927 – 935 .
  • Bauer , S. , Lambert , M.J. and Nielsen , S.L. 2004 . Clinical significance methods: A comparison of statistical techniques . Journal of Personality Assessment , 82 : 60 – 70 .
  • Beck , A.T. and Steer , R.A. 1987 . Beck Depression Inventory Manual , San Antonio , TX : The Psychological Corporation .
  • Beck , A.T. , Steer , R.A. and Garbin , M.G. 1988 . Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation . Clinical Psychology Review , 8 : 77 – 100 .
  • Blom , M.B. , Spinhoven , P. , Hoffman , T. , Jonker , K. , Hoencamp , E. , Haffmans , P.M. and van Dyck , R. 2007 . Severity and duration of depression, not personality factors, predict short term outcome in the treatment of major depression . Journal of Affective Disorders , 104 : 119 – 126 .
  • Christensen , L. and Mendoza , J.L. 1986 . A method of assessing change in a single subject: an alteration of the RC index . Behavior Therapy , 17 : 305 – 308 .
  • Craigie , M.A. and Nathan , P. 2009 . A nonrandomized effectiveness comparison of broad spectrum group CBT to individual CBT for depressed outpatients in a community health setting . Behavior Therapy , 40 : 309 – 314 .
  • DeRubeis , R.J. , Hollon , S.D. , Amsterdam , J.D. , Shelton , R.C. , Young , P.R. , Salomon , R.M. and Gallop , R. 2005 . Cognitive therapy vs medications in the treatment of moderate to severe depression . Archives of General Psychiatry , 62 : 409 – 416 .
  • Dimidjian , S. , Hollon , S.D. , Dobson , K.S. , Schmaling , K.B. , Kohlenberg , R.J. , Addis , M.E. , Gallop , R. , McGlinchey , J.B. , Markley , D.K. , Gollan , J.K. , Atkins , D.C. , Dunner , D.L. and Jacobson , N.S. 2006 . Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression . Journal of Consulting and Clinical Psychology , 74 : 658 – 670 .
  • Dowrick , C. , Dunn , G. , Ayuso-Mateos , J.L. , Dalgard , O.S. , Page , H. , Lehtinen , V. , Casey , P. , Wilkinson , C. , Vazquez Barquero , J.L. and Wilkinson , G. 2000 . Problem solving treatment and group psychoeducation for depression: multicentre randomized controlled trial. Outcomes of Depression International Network (ODIN) Group . British Medical Journal , 321 : 1450 – 1454 .
  • First , M.B. , Spitzer , R.L. , Gibbon , M. and Williams , J.B.W. 1997 . Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) , Washington , DC : American Psychiartic Press .
  • Frank , E. , Prien , R.F. Jarrett , R.B. 1991 . Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence . Archives of General Psychiatry , 48 : 851 – 855 .
  • Hautzinger , M. , Bailer , M. , Worall , H. and Keller , F. 1994 . Das Beck Depressionsinventar (BDI) [The Beck Depression Inventory] , Bern : Huber .
  • Hautzinger , M. , de Jong-Meyer , R. , Treiber , R. , Rudolf , G.A.E. and Thien , U. 1996 . Wirksamkeit Kognitiver Verhaltenstherapie, Pharmakotherapie und deren Kombination bei nicht-endogenen, unipolaren Depressionen [Efficacy of cognitive behavior therapy, pharmacotherapy, and the combination of both in non-melancholic, unipolar depression] . Zeitschrift für Klinische Psychologie , 25 : 130 – 145 .
  • HIller , W. , Zaudig , M. and Mombour , W. 1990 . Development of diagonostic checklists for use in routine clinical care . Archives of General Psychiatry , 47 : 782 – 784 .
  • Hollon , S.D. , DeRubeis , R.J. , Evans , M.D. , Wiemer , M.J. , Garvey , M.J. , Grove , W.M. and Tuason , V.B. 1992 . Cognitive therapy and pharmacotherapy for depression. Singly and in combination . Archives of General Psychiatry , 49 : 774 – 781 .
  • Hsu , L.M. 1995 . Regression toward the mean associated with measurement error and the identification of improvement and deterioration in psychotherapy . Journal of Consulting and Clinical Psychology , 63 : 141 – 144 .
  • Jacobson , N.S. , Dobson , K.S. , Truax , P.A. , Addis , M.E. , Koerner , K. , Gollan , J.K. , Gortner , E. and Prince , S.E. 1996 . A component analysis of cognitive-behavioral treatment for depression . Journal of Consulting and Clinical Psychology , 64 : 295 – 304 .
  • Jacobson , N.S. , Follette , W.C. and Revenstorf , D. 1984 . Psychotherapy outcome research: methods for reporting variability and evaluating clinical significance . Behavior Therapy , 15 : 336 – 352 .
  • Jacobson , N. , Roberts , L. , Berms , S. and McGlinchey , J. 1999 . Methods for defining and determining the clinical significance of treatment effects: Description, application and alternatives . Journal of Consulting and Clinical Psychology , 67 : 300 – 307 .
  • Jacobson , N.S. and Truax , P. 1991 . Clinical significance: a statistical approach to defining meaningful change in psychotherapy research . Journal of Consulting and Clinical Psychology , 59 : 12 – 19 .
  • Jamison , C. and Scogin , F. 1995 . The outcome of cognitive bibliotherapy with depressed adults . Journal of Consulting and Clinical Psychology , 63 : 644 – 650 .
  • Jarrett , R.B. , Schaffer , M. , McIntire , D. , Witt-Browder , A. , Kraft , D. and Risser , R.C. 1999 . Treatment of atypical depression with cognitive therapy or phenelzine: a double-blind, placebo-controlled trial . Archives of General Psychiatry , 56 : 431 – 437 .
  • Jorgensen , B.M. , Dam , H. and Bolwig , T.G. 1998 . The efficacy of psychotherapy in nonbipolar depression: a review . Acta Psychiatrica Scandinavica , 98 : 1 – 13 .
  • Kendall , P.C. , Marrs-Garcia , A. , Nath , S.R. and Sheldrick , R.C. 1999 . Normative comparisons for the evaluation of clinical significance . Journal of Consulting and Clinical Psychology , 67 : 285 – 299 .
  • Lambert , M.J. and Ogles , B.M. 2004 . “ The efficacy and effectiveness of psychotherapy ” . In Bergin & Garfield's Handbook of Psychotherapy and Behavior Change , 5th ed. , Edited by: Lambert , M.J. New York , NY : Wiley .
  • Lambert , M.J. and Ogles , B.M. 2009 . Using clinical significance in psychotherapy outcome research: The need for a common procedure and validity data . Psychotherapy Research , 19 : 493 – 501 .
  • Lambert , M.J. , Whipple , J.L. , Hawkins , E.J. , Vermeersch , D.A. , Nielsen , S.L. and Smart , D.W. 2003 . Is it time for clinicians to routinely track patient outcome? A meta-analysis . Clinical Psychology: Science and Practice , 10 : 288 – 301 .
  • Lecrubier , Y. 2002 . How do you define remission? . Acta Psychiatrica Scandinavica , 106 ( Suppl. 415 ) : 7 – 11 .
  • Lutz , W. , Köck , K. and Böhnke , J.R. 2009 . Die Wirkung von Rückmeldesystemen aus ambulanten Settings: Das Modellvorhaben zur Psychotherapie der Techniker Krankenkasse und Wege in die stationäre Praxis [Effects of feedback systems in outpatient settings: The Techniker Krankenkasse health insurance company's model project and paths into inpatient practice] . Klinische Verhaltensmedizin und Rehabilitation , 84 : 118 – 125 .
  • McEvoy , P.M. and Nathan , P. 2007 . Effectiveness of cognitive behaviour therapy for diagnostically heterogeneous groups: a benchmarking study . Journal of Consulting and Clinical Psychology , 75 : 344 – 350 .
  • McGlinchey , J.B. , Atkins , D.C. and Jacobson , N.S. 2002 . Clinical significancc mcthods: Which one to use and how useful are they? . Behavior Therapy , 33 : 529 – 550 .
  • McGlinchey , J.B. , Zimmerman , M. and Atkins , D.C. 2008 . Clinical significance and remission in treating major depressive disorder: Parallels between related outcome constructs . Harvard Review of Psychiatry , 16 : 25 – 34 .
  • Nierenberg , A.A. and DeCecco , L.M. 2001 . Definitions of antidepressant treatment response, remission, nonresponse, partial response, and other relevant outcomes: A focus on treatment-resistant depression . Journal of Clinical Psychiatry , 62 ( Suppl. 16 ) : 5 – 9 .
  • Ogles , B.M. , Lambert , M.J. and Sawyer , J.D. 1995 . The clinical significance of the National Institute of Mental Health collaborative depression study data . Journal of Consulting and Clinical Psychology , 63 : 321 – 326 .
  • Ogles , B.M. , Lunnen , K.M. and Bonesteel , K. 2001 . Clinical significance: History, application, and current practice . Clinical Psychology Review , 21 : 421 – 446 .
  • Percevic , R. , Lambert , M.J. and Kordy , H. 2006 . What is the predictive value of responses to psychotherapy for the future course? Empirical explorations and consequences for outcome monitoring . Psychotherapy Research , 16 : 364 – 373 .
  • Riedel , M. , Möller , H.J. , Obermeier , M. , Schennach-Wolff , R. , Bauer , M. , Adli , M. , Kronmüller , K. , Nickel , T. , Brieger , P. , Laux , G. , Bender , W. , Heuser , I. , Zeiler , J. , Gaebel , W. and Seemüller , F. 2010 . Response and remission criteria in major depression-A validation of current practice . Journal of Psychiatric Research , 44 : 1063 – 1068 .
  • Rush , A.J. , Kraemer , H.C. , Sackeim , H.A. , Fava , M. , Trivedi , M.H. , Frank , E. , Ninan , P.T. , Thase , M.E. , Gelenberg , A.J. , Kupfer , D.J. , Regier , D.A. , Rosenbaum , J.F. , Ray , O. and Schatzberg , A.F. 2006 . Report by the ACNP Task Force on Response and Remission in major depressive disorder . Neuropsychopharmacology , 31 : 1841 – 1853 .
  • Seggar , L.B. , Lambert , M.J. and Hansen , M.B. 2002 . Assessing clinical significance: Application to the Beck Depression Inventory . Behavior Therapy , 33 : 253 – 269 .
  • Schindler , A. and Hiller , W. 2010 . Therapieeffekte und Responseraten bei unipolar depressiven Patienten einer verhaltenstherapeutischen Hochschulambulanz [Therapy effects and response rates for cognitive-behavioral treatment of unipolar depressive patients in an outpatient clinic] . Zeitschrift für Klinische Psychologie und Psychotherapie , 39 : 107 – 115 .
  • Smit , A. , Kluiter , H. , Conradi , H.J. , Van der Meer , K. , Tiemens , B.G. , Jenner , J.A. , Van Os , T.W.D.P. and Ormel , J. 2006 . Short-term effects of enhanced treatment for depression in primary care: results from a randomized controlled trial . Psychological Medicine , 36 : 15 – 26 .
  • Strauman , T.J. , Vieth , A.Z. , Merrill , K.A. , Kolden , G.G. , Woods , T.E. , Klein , M.H. , Papadakis , A.A. , Schneider , K.L. and Kwapil , L. 2006 . Self-System therapy as an intervention for self-regulatory dysfunction in depression: A randomized comparison with cognitive therapy . Journal of Consulting and Clinical Psychology , 74 : 367 – 376 .
  • Tingey , R.C. , Lambert , M.J. , Burlingame , G.M. and Hansen , N.B. 1996 . Clinically significant change: practical indictors for evaluating psychotherapy outcome . Psychotherapy Research , 6 : 144 – 153 .
  • Westbrook , D. and Kirk , J. 2005 . The clinical effectiveness of cognitive behaviour therapy: outcome for a large sample of adults treated in routine practice . Behavior Research and Therapy , 43 : 1243 – 1261 .
  • Wise , E.A. 2004 . Methods for analyzing psychotherapy outcomes: A review of clinical significance, reliable change, and recommendations for future directions . Journal of Personality Assessment , 82 : 50 – 59 .

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