Target complaints measures have been used frequently as measures of psychotherapy outcome, but lack adequate concurrent validity data and suffer a number of methodological problems. In the present study, a simplified written version of a client- and therapist-rated target complaints measure was completed along with a variety of other commonly used outcome measures on 138 clients at the beginning of psychotherapy and then at 2 months' follow-up. Although client and therapist severity ratings were positively correlated, there was some inconsistency between the content of client and therapist complaints. Strong support was found for the concurrent validity of the target complaints measures. Both client and therapist ratings of target complaints significantly correlated with measures of anxiety, psychological distress, symptom severity, and client satisfaction. However, the magnitude of the correlations suggested that target complaints measures offered unique problem information in addition to the other outcome measures and were an economical adjunct.
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References
1.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
2.
AttkissonC. C., & ZwickR. (1982). The Client Satisfaction Questionnaire: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 5, 233–237.
3.
BattleC. C.ImberS. D.Hoehn-SaricR.StoneA. R.NashE. R., & FrankJ. D. (1966). Target complaints as criteria of improvement. American Journal of Psychotherapy, 20, 184–192.
4.
BerginA. E., & GarfieldS. L. (Eds.). (1994). Handbook of psychotherapy and behavior change (4th ed.). New York: Wiley.
5.
BursteinA. G.LoucksS.RascoS., & GreenP. (1993). Presenting complaints of applicants for psychological services. Professional Psychology: Research and Practice, 24, 370–373.
6.
CookT. D., & CampbellD. T. (1979). Quasi-experimentation: Design and analysis issues for field settings. Chicago: Rand McNally.
7.
CronbachL. J., & FurbyL. (1970). How should we measure “change”—or should we?Psychological Bulletin, 74, 68–80.
8.
CummingsA. L.HallbergE. T.SlemonA., & MartinJ. (1992). Participants' memories for therapeutic events and ratings of session effectiveness. Journal of Cognitive Psychotherapy, 6, 113–124.
9.
DeaneF. P.LeathernJ., & SpicerJ. (1992). Clinical norms, reliability, and validity of the Hopkins Symptom Checklist-21. Australian Journal of Psychology, 44, 21–25.
10.
DeaneF. P.MacDonaldC.IongN., & ChamberlainK. (1993). Evaluation of a Vietnam veterans' family counseling program. Manuscript submitted for publication.
11.
DerogatisL. R. (1977). SCL-90-Revised manual-I. Baltimore: Johns-Hopkins School of Medicine.
12.
DerogatisL. R. (1978). Brief Hopkins Psychiatric Rating Scale (BHPRS). Baltimore: Johns-Hopkins School of Medicine.
13.
DormaarM.DijkmanC. I. M., & deVriesM. W. (1989). Consensus in patient-therapist interactions: A measure of the therapeutic relationship related to outcome. Psychotherapy and Psychosomatics, 51, 69–76.
14.
FarrellA. D.CamplairP. S., & McCulloughL. (1987). Identification of target complaints by computer interview: Evaluation of the Computerized Assessment System for psychotherapy evaluation and research. Journal of Consulting and Clinical Psychology, 55, 691–700.
15.
GreenD. E.WalkeyF.McCormickI., & TaylorA. J. W. (1988). Development and evaluation of a 21-item version of the Hopkins Symptom Checklist with New Zealand and United States respondents. Australian Journal of Psychology, 40, 61–70.
16.
GoldmanA., & GreenbergL. (1992). Comparison of integrated systemic and emotionally focused approaches to couples therapy. Journal of Consulting and Clinical Psychology, 60, 962–969.
17.
GuyattG. H.BermanL. B.TownsendM., & TaylorD. W. (1985). Should study subjects see their previous responses?Journal of Chronic Diseases, 38, 1003–1007.
18.
Hoehn-SaricR.FrankJ.ImberS.NashE.StoneA., & BattleC. (1964). Systematic preparation of patients for psychotherapy-I. Effects on therapy behavior and outcome. Journal of Psychiatric Research, 2, 267–281.
19.
HoglendP.SorlieT.SorbyeO.HeyerdahlO., & AmloS. (1992). Long-term changes after brief dynamic psychotherapy: Symptomatic versus dynamic assessments. Acta Psychiatrica Scandinavica, 86, 165–172.
20.
IshiyamaF. I. (1991). A Japanese refraining technique for brief social anxiety treatment: An exploratory study of cognitive and therapeutic effects of Morita Therapy. Journal of Cognitive Psychotherapy, 5, 55–70.
21.
JamesP. S. (1991). Effects of a communication training component added to an emotionally focused couples therapy. Journal of Marital and Family Therapy, 17, 263–275.
22.
LambertM. J.ChristenscnE. R., & DeJulioS. S. (Eds.). (1983). The assessment of psychotherapy outcome. New York: Wiley.
23.
LuborskyL.MintzJ.AuerbachA.ChristophP.BachrachH.ToddT.JohnsonM.CohenM., & O'BrienC. (1980). Predicting the outcomes of psychotherapy: Results of the Penn Psychotherapy Project. Archives of General Psychiatry, 37, 471–481.
24.
MintzJ., & KieslerD. J. (1982). Individualized measures of psychotherapy outcome. In KendallP. C. & ButcherJ. N. (Eds.), Handbook of research methods in clinical psychology (pp. 491–534). New York: Wiley.
25.
MintzJ.LuborskyL., & ChristophP. (1979). Measuring the outcomes of psychotherapy: Findings of the Penn Psychotherapy Project. Journal of Consulting and Clinical Psychology, 47, 319–334.
26.
NguyenT. D.AttkissonC. C., & StegnerB. L. (1984). Assessment of patient satisfaction: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6, 299–314.
27.
O'BrienR. G., & KaiserM. K. (1985). MANOVA method for analyzing repeated measures designs: An extensive primer. Psychological Bulletin, 97, 316–333.
28.
OglesB. M.LambertM. J., & MastersK. S. (1996). Assessing outcome in clinical practice. Boston: Allyn & Bacon.
29.
PollackJ.WinstonW.McCulloughL.FlegenheimerW., & WinstonB. (1990). Efficacy of brief adaptational psychotherapy. Journal of Personality Disorders, 4, 244–250.
30.
RosenD., & ZytowskiD. G. (1977). An individualized problem-oriented self-report of change as a follow-up of a university counseling service. Journal of Counseling Psychology, 24, 437–439.
31.
SloaneR. B.StaplesF. R.ChristolA. H.YorkstonN., & WhippleK. (1975). Psychotherapy versus behavior therapy. London: Harvard University Press.
32.
SorensenR. L.GorsuchR. L., & MintzJ. (1985). Moving targets: Patients' changing complaints during psychotherapy. Journal of Consulting and Clinical Psychology, 53, 49–54.
33.
SpielbergerC. D. (1983). Manual for the State-Trait Anxiety Inventory, Form Y. Palo Alto, CA: Consulting Psychologists Press.
34.
SudmanS., & BradbumN. M. (1982). Asking questions. San Francisco: Jossey-Bass.
35.
TohY-M.TanS-Y.OsburnC. D., & FaberD. E. (1994). The evaluation of a church-based lay counseling program: Some preliminary data. Journal of Psychology and Christianity, 13, 270–275.
36.
TraceyT. J. (1986). Interactional correlates of premature termination. Journal of Consulting and Clinical Psychology, 54, 784–788.
37.
WinstonA.LaikinM.PollackJ.SamstageL. W.McCulloughL., & MuranJ. C. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151, 190–194.
38.
WinstonA.PollackJ.McCulloughL.FlegenheimerW.KestenbaumR., & TrujilloM. (1991). Brief psychotherapy of personality disorders. Journal of Nervous and Mental Disease, 179, 188–193.
