The psychosocial treatments interview for anxiety disorders: A method for assessing psychotherapeutic procedures in anxiety disorders
ABSTRACT The authors report on development, reliability, and findings of the Psychosocial Treatments Interview (PTI) to assess treatments reported by patients in a naturalistic study of the longitudinal course of anxiety disorders. The PTI ascertains frequency of different types of psychosocial treatments, based on patients' reports. The PTI showed good internal consistency and very good interrater reliability. At first 6-month follow-up, the most common modalities were supportive, medication discussion, and dynamic intervention. Combinations were common. Delivery of treatments differed by site. Overall, the PTI fills a methodological need for the assessment of the treatments reported by patients in naturalistic follow-up studies.
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- "Adequate reliability has been demonstrated for the CASA (Farmer, Angold, & Burns, 1994). The Psychosocial Treatments Interview (PTI: Steketee et al., 1997) assesses participant perception of techniques used in psychotherapy. The PTI was adapted to assess for a greater number of CBT techniques. "
ABSTRACT: This study tested a cognitive-behavioral treatment protocol for adolescents with a co-occurring alcohol or other drug use disorder (AOD) and suicidality in a randomized clinical trial. Forty adolescents (Mage = 15 years; 68% female, 89% White) and their families recruited from an inpatient psychiatric hospital were randomly assigned to an integrated outpatient cognitive-behavioral intervention for co-occurring AOD and suicidality (I-CBT) or enhanced treatment as usual (E-TAU). Primary measures include the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Suicide Ideation Questionnaire, Columbia Impairment Scale, Timeline Followback, Rutgers Alcohol Problem Index, and Rutgers Marijuana Problem Index. Assessments were completed at pretreatment as well as 3, 6, 12, and 18 months postenrollment. In intent-to-treat analyses, I-CBT was associated with significantly fewer heavy drinking days and days of marijuana use relative to E-TAU but not with fewer drinking days. Those randomized to I-CBT in comparison to E-TAU also reported significantly less global impairment as well as fewer suicide attempts, inpatient psychiatric hospitalizations, emergency department visits, and arrests. Adolescents across groups showed equivalent reductions in suicidal ideation. I-CBT for adolescents with co-occurring AOD and suicidality is associated with significant improvement in both substance use and suicidal behavior, as well as markedly decreased use of additional health services including inpatient psychiatric hospitalizations and emergency department visits. Further testing of integrated protocols for adolescent AOD and suicidality with larger and more diverse samples is warranted.Journal of Consulting and Clinical Psychology 12/2011; 79(6):728-39. DOI:10.1037/a0026074 · 4.85 Impact Factor
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- "Joyce, & McCallum, 2000; Orlinsky & Howard, 1966; Trijsburg et al., 2002). A smaller number of measures call on clients to give their perceptions of the interventions in therapy (Bøgwald, 2001; R. Elliott, 1999; Hilsrenroth et al., 2005; Ogrodniczuk et al., 2000; Orlinsky & Howard, 1966; Silove, Parker, & Manicavasagar, 1990; Steketee et al., 1997). "
ABSTRACT: The Multitheoretical List of Therapeutic Interventions (MULTI) assesses interventions from eight different psychotherapy orientations (behavioral, cognitive, dialectical-behavioral, interpersonal, person centered, psychodynamic, process-experiential, and common factors) and from the perspective of clients, therapists, and observers. The internal consistency for the subscales was moderate to high. Split-half reliability was moderate for clients and low to moderate for therapists and untrained observers. Interrater reliability for the subscales was low for untrained raters but moderate for psychotherapy-knowledgeable raters. A model of the MULTI subscales representing different psychotherapy orientations fit the data adequately but not parsimoniously in a confirmatory factor analysis. MULTI subscale levels successfully predicted sessions of different psychotherapy orientations. The MULTI seems to be a promising tool to investigate the interventions that occur in different psychotherapies.Psychotherapy Research 01/2009; 19(1):96-113. DOI:10.1080/10503300802524343 · 1.75 Impact Factor
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- "In this report, we focus on receipt of a serotonin-reuptake inhibitor (SRI) or cognitive behavioral therapy (CBT) because there is empirical evidence of their efficacy for BDD (Hollander et al., 1999; Neziroglu & Khemlani-Patel, 2002; Phillips et al., 2002). Treatment data were obtained using: 1) the reliable Psychosocial Treatment Inventory (Steketee et al., 1997), which determined subjects' perceptions of types of psychotherapy modalities (e.g., cognitive or behavioral) they received, and 2) the Longitudinal Interval Follow-Up Evaluation (LIFE), a semi-structured interview and rating system that records treatment received in longitudinal studies of mental disorders (Keller et al., 1987). Adequacy of SRI trials for BDD were defined as described elsewhere (Phillips et al., 2006b). "
ABSTRACT: Cross-sectional/retrospective studies indicate that individuals with body dysmorphic disorder (BDD) have markedly impaired psychosocial functioning. However, no study has prospectively examined functioning in BDD. In this study, which is to our knowledge the first prospective study of the course of BDD, psychosocial functioning was assessed at baseline and over 1-3 years (mean=2.7+/-0.9 years) of follow-up with the Global Assessment of Functioning scale (GAF), Social and Occupational Functioning Scale (SOFAS), and LIFE-RIFT (Range of Impaired Functioning Tool). Psychosocial functioning was poor during the follow-up period. Functioning remained stably poor over time on the SOFAS and LIFE-RIFT, although there was a trend for a gradual and slight improvement on the GAF over time. The cumulative probability of attaining functional remission on the GAF (score>70 for at least 2 consecutive months) during the follow-up period was only 5.7%. On the SOFAS, the cumulative probability of attaining functional remission (score>70 for at least 2 consecutive months) was 10.6%. BDD severity significantly predicted functioning on the GAF (p=0.0012), SOFAS (p=0.0017), and LIFE-RIFT (p=0.0015). A trend for a time-by-BDD severity interaction was found on the GAF (p=0.033) but not the SOFAS or LIFE-RIFT. More delusional BDD symptoms also predicted poorer functioning on all measures, although this finding was no longer significant when controlling for BDD severity. Functioning was not predicted, however, by age, gender, BDD duration, or a personality disorder. In conclusion, psychosocial functioning was poor over time, and few subjects attained functional remission. Greater BDD severity predicted poorer functioning.Journal of Psychiatric Research 08/2008; 42(9):701-7. DOI:10.1016/j.jpsychires.2007.07.010 · 4.09 Impact Factor