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The importance of problem-focused treatments: A meta-analysis of anxiety treatments.
Yulish, Noah E; Goldberg, Simon B; Frost, Nickolas D; Abbas, Maleeha; Oleen-Junk, Nick A; Kring, Molly; Chin, Mun Yuk; Raines, Christopher R; Soma, Christina S; Wampold, Bruce E.
Afiliação
  • Yulish NE; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Goldberg SB; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Frost ND; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Abbas M; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Oleen-Junk NA; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Kring M; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Chin MY; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Raines CR; Department of Counseling Psychology, University of Wisconsin-Madison.
  • Soma CS; Department of Educational Psychology, University of Utah.
  • Wampold BE; Research Institute, Modum Bad Psychiatric Center.
Psychotherapy (Chic) ; 54(4): 321-338, 2017 Dec.
Article em En | MEDLINE | ID: mdl-29251952
One explanation for differences in treatment effectiveness for targeted symptoms is that more-effective treatments are more focused on patients' problems than are less-effective treatments. This conjecture was examined meta-analytically. Comparisons of two treatments of adults with anxiety disorders were included. Effect sizes for targeted symptoms, nontargeted symptoms, and global outcomes (e.g., quality of life and well-being) as well as the relative focus on patients' problems and researcher allegiance were coded. Metaregressions were conducted to predict effect sizes from (a) variables related to the focus on patients' problems and (b) researcher allegiance. For symptom measures, the relative focus on patients' problems predicted the relative effectiveness of the treatments, with the expectations created by explanation appearing more predictive than specific therapeutic actions focused on patients' problems, although conclusions about relative importance were difficult to determine given collinearity of predictors. Researcher allegiance also predicted the effects of the comparisons. For global outcomes, both the focus on patients' problems and researcher allegiance seemed to have smaller roles. A focus on patients' problems appears to be important for the reductions of symptoms. Clinical trials comparing treatments need to balance the focus on patients' problems and reduce researcher allegiance. (PsycINFO Database Record
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Psicoterapia Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Psicoterapia Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article