Department of Psychology, Boston University, Boston, MA, USA.
Psychother Res. 2012;22(5):570-8. doi: 10.1080/10503307.2012.688884. Epub 2012 May 21.
Initial symptom severity is a client characteristic associated with psychotherapy outcome, although this relationship is not well-understood. Readiness to change is a factor that may influence this relationship. This study tested readiness as a moderator of the relationship between initial severity and symptom change. Data were derived from an RCT examining the efficacy of a transdiagnostic CBT treatment. Readiness was assessed with the URICA, and symptom and functioning outcomes were assessed. Multiple regression models indicated that severity was associated with less overall change, yet readiness moderated this relationship. At higher levels of readiness, the effect of initial severity on outcome was essentially reversed; for clients with higher initial readiness, higher levels of severity were associated with greater change.
初始症状严重程度是与心理治疗结果相关的患者特征，尽管这种关系尚未得到充分理解。改变的意愿是可能影响这种关系的一个因素。本研究测试了准备状态作为初始严重程度与症状变化关系的调节因素。数据来自一项 RCT，该 RCT 检查了一种跨诊断 CBT 治疗的疗效。使用 URICA 评估准备状态，评估症状和功能结果。多元回归模型表明，严重程度与整体变化较少相关，然而准备状态调节了这种关系。在更高的准备水平下，初始严重程度对结果的影响基本相反；对于初始准备水平较高的患者，较高的严重程度与更大的变化相关。
