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Correction to Goldberg et al. (2016).
Journal of Counseling Psychology ( IF 5.088 ) Pub Date : 2023-07-01 , DOI: 10.1037/cou0000666


Reports an error in "Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting" by Simon B. Goldberg, Tony Rousmaniere, Scott D. Miller, Jason Whipple, Stevan Lars Nielsen, William T. Hoyt and Bruce E. Wampold (Journal of Counseling Psychology, 2016[Jan], Vol 63[1], 1-11). The article (https://doi.org/10.1037/cou0000131), had an error in the Method section in the Early termination section under the Variables heading. The coding was reversed in the sentence "Patients received a code of 0 (early termination) or 1 (nonearly termination) on this dichotomous variable" and should have read "Patients received a code of 1 (early termination) or 0 (nonearly termination) on this dichotomous variable." The online version of this article has been corrected. (The following abstract of the original article appeared in record 2015-58774-001.) Objective: Psychotherapy researchers have long questioned whether increased therapist experience is linked to improved outcomes. Despite numerous cross-sectional studies examining this question, no large-scale longitudinal study has assessed within-therapist changes in outcomes over time. METHOD The present study examined changes in psychotherapists' outcomes over time using a large, longitudinal, naturalistic psychotherapy data set. The sample included 6,591 patients seen in individual psychotherapy by 170 therapists who had on average 4.73 years of data in the data set (range = 0.44 to 17.93 years). Patient-level outcomes were examined using the Outcome Questionnaire-45 and a standardized metric of change (prepost d). Two-level multilevel models (patients nested within therapist) were used to examine the relationship between therapist experience and patient prepost d and early termination. Experience was examined both as chronological time and cumulative patients seen. RESULTS Therapists achieved outcomes comparable with benchmarks from clinical trials. However, a very small but statistically significant change in outcome was detected indicating that on the whole, therapists' patient prepost d tended to diminish as experience (time or cases) increases. This small reduction remained when controlling for several patient-level, caseload-level, and therapist-level characteristics, as well as when excluding several types of outliers. Further, therapists were shown to vary significantly across time, with some therapists showing improvement despite the overall tendency for outcomes to decline. In contrast, therapists showed lower rates of early termination as experience increased. CONCLUSIONS Implications of these findings for the development of expertise in psychotherapy are explored. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

对戈德堡等人的更正。(2016)。

报告了 Simon B. Goldberg、Tony Rousmaniere、Scott D. Miller、Jason Whipple、Stevan Lars Nielsen、William T. Hoyt 和 Bruce 所著的“心理治疗师会随着时间和经验而进步吗?临床环境中结果的纵向分析”中的错误E. Wampold(咨询心理学杂志,2016 年 [1 月],第 63 卷[1],1-11)。该文章 (https://doi.org/10.1037/cou0000131) 在“变量”标题下的“提前终止”部分的“方法”部分中存在错误。句子“患者在此二分变量上收到的代码为 0(提前终止)或 1(非提前终止)”中的编码被颠倒,应为“患者收到的代码为 1(提前终止)或 0(非提前终止)”在这个二分变量上。” 本文的网络版本已更正。(以下原始文章摘要出现在记录 2015-58774-001 中。) 目的:心理治疗研究人员长期以来一直质疑增加治疗师经验是否与改善结果相关。尽管有大量横断面研究探讨了这个问题,但还没有大规模的纵向研究评估治疗师内部随着时间的推移结果的变化。方法 本研究使用大型、纵向、自然主义心理治疗数据集检查了心理治疗师的结果随时间的变化。该样本包括由 170 名治疗师进行个体心理治疗的 6,591 名患者,他们的数据集中平均有 4.73 年的数据(范围 = 0.44 至 17.93 年)。使用结果问卷 45 和标准化变化指标(prepost d)检查患者水平的结果。两级多级模型(患者嵌套在治疗师内)用于检查治疗师经验与患者治疗前和提前终止之间的关系。经验按照时间顺序和累计患者进行了检查。结果 治疗师取得的结果与临床试验的基准相当。然而,检测到结果有一个非常小但具有统计显着性的变化,表明总体而言,随着经验(时间或病例)的增加,治疗师的患者预置倾向于减少。当控制了几个患者层面、病例数量层面和治疗师层面的特征,以及排除几种类型的异常值时,这种小幅减少仍然存在。此外,治疗师被证明随着时间的推移差异很大,尽管结果总体呈下降趋势,但一些治疗师仍表现出改善。相比之下,随着经验的增加,治疗师的提前终止率较低。结论 探讨了这些发现对心理治疗专业知识发展的影响。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-07-01
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