Can we predict failure in couple therapy early enough to enhance outcome?

Pepping, Christopher A., Halford, W. Kim and Doss, Brian D. (2015) Can we predict failure in couple therapy early enough to enhance outcome?. Behaviour Research and Therapy, 65 60-66. doi:10.1016/j.brat.2014.12.015


Author Pepping, Christopher A.
Halford, W. Kim
Doss, Brian D.
Title Can we predict failure in couple therapy early enough to enhance outcome?
Journal name Behaviour Research and Therapy   Check publisher's open access policy
ISSN 1873-622X
0005-7967
Publication date 2015-02-01
Sub-type Article (original research)
DOI 10.1016/j.brat.2014.12.015
Open Access Status
Volume 65
Start page 60
End page 66
Total pages 7
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2016
Language eng
Abstract Feedback to therapists based on systematic monitoring of individual therapy progress reliably enhances therapy outcome. An implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. To explore the possibility of using feedback of therapy progress to enhance couple therapy outcome, the current study tested whether weekly therapy progress could detect off-track clients early in couple therapy. In an effectiveness trial of couple therapy, 136 couples were monitored weekly on relationship satisfaction and an expert derived algorithm was used to attempt to predict eventual therapy outcome. As expected, the algorithm detected a significant proportion of couples who did not benefit from couple therapy at Session 3, but prediction was substantially improved at Session 4 so that eventual outcome was accurately predicted for 70% of couples, with little improvement of prediction thereafter. More sophisticated algorithms might enhance prediction accuracy, and a trial of the effects of therapy progress feedback on couple therapy outcome is needed.
Keyword Couple therapy
Feedback
Marital therapy
Outcome
Progress monitoring
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
 
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