liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Are Therapists Uniformly Effective Across Patient Outcome Domains? A Study on Therapist Effectiveness in Two Different Treatment Contexts
University of Oslo, Norway.
University of Wisconsin Madison, WI USA.
University of Wisconsin Madison, WI USA.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
Show others and affiliations
2016 (English)In: Journal of counseling psychology, ISSN 0022-0167, E-ISSN 1939-2168, Vol. 63, no 4, 367-378 p.Article in journal (Refereed) PublishedText
Abstract [en]

As established in several studies, therapists differ in effectiveness. A vital research task now is to understand what characterizes more or less effective therapists, and investigate whether this differential effectiveness systematically depends on client factors, such as the type of mental health problem. The purpose of the current study was to examine whether therapists are universally effective across patient outcome domains reflecting different areas of mental health functioning. Data were obtained from 2 sites: the Research Consortium of Counseling and Psychological Services in Higher Education (N = 5,828) in the United States and from primary and secondary care units (N = 616) in Sweden. Outcome domains were assessed via the Outcome Questionnaire-45 (Lambert et al., 2004) and the CORE-OM (Evans et al., 2002). Multilevel models with observations nested within patients were used to derive a reliable estimate for each patients change (which we call a multilevel growth d) based on all reported assessment points. Next, 2 multilevel confirmatory factor analytic models were fit in which these effect sizes (multilevel ds) for the 3 subscales of the OQ-45 (Study 1) and 6 subscales of CORE-OM (Study 2) were indicators of 1 common latent factor at the therapist level. In both data sets, such a model, reflecting a global therapist effectiveness factor, yielded large factor loadings and excellent model fit. Results suggest that therapists effective (or ineffective) within one outcome domain are also effective within another outcome domain. Tentatively, therapist effectiveness can thus be conceived of as a global construct.

Place, publisher, year, edition, pages
AMER PSYCHOLOGICAL ASSOC , 2016. Vol. 63, no 4, 367-378 p.
Keyword [en]
therapist effects; therapist uniformity; multilevel factor analysis
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-130661DOI: 10.1037/cou0000151ISI: 000380110100001PubMedID: 27124549OAI: oai:DiVA.org:liu-130661DiVA: diva2:954160
Available from: 2016-08-20 Created: 2016-08-19 Last updated: 2016-08-20

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Falkenström, FredrikHolmqvist, Rolf
By organisation
PsychologyFaculty of Arts and Sciences
In the same journal
Journal of counseling psychology
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 26 hits
ReferencesLink to record
Permanent link

Direct link