Applying Treatment Outcome Research in Clinical Practice: Techniques for Adapting Interventions to the Real World

Overview

Journal Child Adolesc Ment Health

Specialties Pediatrics
Psychology

Date 2020 Aug 16

PMID 32797542

Citations 7

Authors

Jennifer K Connor-Smith

John R Weisz

Affiliations

Soon will be listed here.

Abstract

Despite the growing literature on empirically supported therapies, these interventions are rarely used in clinical settings. Although researchers lament the poor transfer of techniques from controlled trials to clinics, little has been written to guide the adaptation of manualised treatments for real-life clinical practice. The goal of this paper is to provide suggestions for the clinical use of research-tested treatments, with specific examples from the treatment of child depressive disorders. Strategies for applying manuals flexibly, adapting treatments to address comorbidity, attending to individual differences, and overcoming training obstacles are highlighted.

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References

Addis M, Krasnow A . A national survey of practicing psychologists' attitudes toward psychotherapy treatment manuals. J Consult Clin Psychol. 2000; 68(2):331-9. DOI: 10.1037//0022-006x.68.2.331. View

Asarnow J, Jaycox L, Tompson M . Depression in youth: psychosocial interventions. J Clin Child Psychol. 2001; 30(1):33-47. DOI: 10.1207/S15374424JCCP3001_5. View

Brent D, Holder D, Kolko D, Birmaher B, Baugher M, Roth C . A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Arch Gen Psychiatry. 1997; 54(9):877-85. DOI: 10.1001/archpsyc.1997.01830210125017. View

Burns B, Hoagwood K, Mrazek P . Effective treatment for mental disorders in children and adolescents. Clin Child Fam Psychol Rev. 2001; 2(4):199-254. DOI: 10.1023/a:1021826216025. View

Clarke G, Rohde P, Lewinsohn P, Hops H, Seeley J . Cognitive-behavioral treatment of adolescent depression: efficacy of acute group treatment and booster sessions. J Am Acad Child Adolesc Psychiatry. 1999; 38(3):272-9. DOI: 10.1097/00004583-199903000-00014. View

Goldfried M, Wolfe B . Toward a more clinically valid approach to therapy research. J Consult Clin Psychol. 1998; 66(1):143-50. DOI: 10.1037//0022-006x.66.1.143. View

Henggeler S, Melton G, Brondino M, Scherer D, Hanley J . Multisystemic therapy with violent and chronic juvenile offenders and their families: the role of treatment fidelity in successful dissemination. J Consult Clin Psychol. 1997; 65(5):821-33. DOI: 10.1037//0022-006x.65.5.821. View

Huey Jr S, Henggeler S, Brondino M, Pickrel S . Mechanisms of change in multisystemic therapy: reducing delinquent behavior through therapist adherence and improved family and peer functioning. J Consult Clin Psychol. 2000; 68(3):451-67. View

Kazdin A, Bass D, Ayers W, Rodgers A . Empirical and clinical focus of child and adolescent psychotherapy research. J Consult Clin Psychol. 1990; 58(6):729-40. DOI: 10.1037//0022-006x.58.6.729. View

10.

Kendall P . Treating anxiety disorders in children: results of a randomized clinical trial. J Consult Clin Psychol. 1994; 62(1):100-10. DOI: 10.1037//0022-006x.62.1.100. View

11.

Kendall P, Chu B . Retrospective self-reports of therapist flexibility in a manual-based treatment for youths with anxiety disorders. J Clin Child Psychol. 2000; 29(2):209-20. DOI: 10.1207/S15374424jccp2902_7. View

12.

Kovacs M . Presentation and course of major depressive disorder during childhood and later years of the life span. J Am Acad Child Adolesc Psychiatry. 1996; 35(6):705-15. DOI: 10.1097/00004583-199606000-00010. View

13.

Lambert W, Salzer M, Bickman L . Clinical outcome, consumer satisfaction, and ad hoc ratings of improvement in children's mental health. J Consult Clin Psychol. 1998; 66(2):270-9. DOI: 10.1037//0022-006x.66.2.270. View

14.

Lewinsohn P, Clarke G . Psychosocial treatments for adolescent depression. Clin Psychol Rev. 1999; 19(3):329-42. DOI: 10.1016/s0272-7358(98)00055-5. View

15.

Lewinsohn P, Hops H, Roberts R, Seeley J, Andrews J . Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. J Abnorm Psychol. 1993; 102(1):133-44. DOI: 10.1037//0021-843x.102.1.133. View

16.

Lochman J, Burch P, Curry J, Lampron L . Treatment and generalization effects of cognitive-behavioral and goal-setting interventions with aggressive boys. J Consult Clin Psychol. 1984; 52(5):915-6. DOI: 10.1037//0022-006x.52.5.915. View

17.

Mufson L, Weissman M, Moreau D, Garfinkel R . Efficacy of interpersonal psychotherapy for depressed adolescents. Arch Gen Psychiatry. 1999; 56(6):573-9. DOI: 10.1001/archpsyc.56.6.573. View

18.

Nathan P, Stuart S, Dolan S . Research on psychotherapy efficacy and effectiveness: between Scylla and Charybdis?. Psychol Bull. 2000; 126(6):964-81. DOI: 10.1037/0033-2909.126.6.964. View

19.

Reinecke M, Ryan N, DuBois D . Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 1998; 37(1):26-34. DOI: 10.1097/00004583-199801000-00013. View

20.

Rohde P, Clarke G, Lewinsohn P, Seeley J, Kaufman N . Impact of comorbidity on a cognitive-behavioral group treatment for adolescent depression. J Am Acad Child Adolesc Psychiatry. 2001; 40(7):795-802. DOI: 10.1097/00004583-200107000-00014. View