An Exploration of Intervention Augmentation in a Single Case.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Behavior Modification Pub Date : 2023-11-01 Epub Date: 2018-08-23 DOI:10.1177/0145445518796202
James F Boswell, Carly M Schwartzman
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引用次数: 2

Abstract

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.

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单例介入增强的探索。
最近的工作强调,过程-结果关系可能因客户而异,但在为特定客户量身定制干预措施方面仍有许多工作要做。这种自然主义的单一病例分析提供了一个例子,根据常规收集的结果信息,用“非协议”放松方法来增强治疗方案,以指导共同决策。对一名接受跨诊断认知行为治疗的主要广泛性焦虑症和合并症重度抑郁障碍患者进行了深入的病例分析。在每次自然治疗之前,客户完成了两个常规的焦虑和抑郁症状和功能量表。将时间序列分析应用于两种症状测量。在这些结果中,(a)从基线到治疗后,观察到焦虑和抑郁显著线性下降;(b)放松方法的引入对焦虑症状的变化过程有显著影响。总之,常规结果评估可用于告知个别客户的干预强化。此外,还需要定期评估,以确定客户是否可以从一套替代的具体干预策略中受益。
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来源期刊
Behavior Modification
Behavior Modification PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
27
期刊介绍: For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.
期刊最新文献
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