University at Albany, NY, USA.
Behav Modif. 2023 Nov;47(6):1219-1241. doi: 10.1177/0145445518796202. Epub 2018 Aug 23.
Recent work has highlighted that process-outcome relationships are likely to vary depending on the client, yet much work remains to be done in the area of tailoring interventions to a given client. This naturalistic single-case analysis provides an example of augmenting a treatment protocol with "off protocol" relaxation methods, based on routinely collected outcome information to guide shared decision making. Intensive case study analyses were applied to one client with principal generalized anxiety disorder and comorbid major depressive disorder receiving transdiagnostic cognitive-behavioral therapy. The client completed two routine anxiety and depression symptom and functioning scales prior to each session of naturalistic treatment. Time series analyses were applied to the two symptom measures. Among the results, (a) significant linear decreases in anxiety and depression from baseline to posttreatment were observed; and (b) the introduction of relaxation methods had a significant impact on the course of anxiety symptom change. In conclusion, routine outcome assessment can be used to inform intervention augmentation with individual clients. Furthermore, regular assessment is needed to determine if a client may benefit from an alternative set of specific intervention strategies.
最近的研究强调，过程-结果关系可能因客户而异，但在针对特定客户定制干预措施方面仍有许多工作要做。本自然案例分析提供了一个在治疗方案中增加“非常规”放松方法的示例，这些方法是基于常规收集的结果信息来指导共同决策的。对一名患有主要广泛性焦虑症和共病重度抑郁症的接受跨诊断认知行为治疗的客户进行了深入案例研究分析。该客户在每次自然治疗疗程前完成了两次常规焦虑和抑郁症状及功能量表。对两项症状指标进行了时间序列分析。结果表明：（a）从基线到治疗后，焦虑和抑郁症状显著线性下降；（b）放松方法的引入对焦虑症状变化过程有显著影响。总之，常规结果评估可用于为个体客户提供干预措施的补充信息。此外，还需要定期评估客户是否可能受益于另一套特定的干预策略。
