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Clinical significance of change in process of brief psychodynamic therapy

The current investigation is part of a work in progress aimed to analyze the process of change and the outcome of brief psychotherapies in patients of Brazilian communitarian health units. Specifically, the current work aimed to explore a method to determine clinically meaningful change of symptoms evaluated by self-report measures, when normative data are not available. It consists in the specific use of the well-known Jacobson and Truax's method to determine the clinical significance of a treatment. To calculate the change scores and cutoffs of symptomatic measures, data from a sample of college students were used as representative of a functional population. Changes of one psychotherapeutic process were analyzed. Results suggest that clinical significance of change can be reliably determined by self-report measures. Some limitations of this method are considered.

Psychoterapy; Brief psychotherapy; Self report; Outcome and process assessment (Health Care)


Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br