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dc.contributor.author
Gómez Penedo, Juan Martín
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dc.contributor.author
Constantino, Michael J.
dc.contributor.author
Coyne, Alice E.
dc.contributor.author
Westra, Henny A.
dc.contributor.author
Antony, Martin M.
dc.date.available
2019-06-03T19:37:42Z
dc.date.issued
2017-10
dc.identifier.citation
Gómez Penedo, Juan Martín; Constantino, Michael J.; Coyne, Alice E.; Westra, Henny A.; Antony, Martin M.; Markers for context-responsiveness: Client baseline interpersonal problems moderate the efficacy of two psychotherapies for generalized anxiety disorder; American Psychological Association Inc.; Journal of Consulting and Clinical Psychology; 85; 10; 10-2017; 1000-1011
dc.identifier.issn
1939-2117
dc.identifier.uri
http://hdl.handle.net/11336/77554
dc.description.abstract
Objective: To follow-up a randomized clinical trial that compared the acute and long-term efficacy of 15 sessions of cognitive-behavioral therapy (CBT) versus CBT integrated with motivational interviewing (MI) for severe generalized anxiety disorder (GAD; Westra, Constantino, & Antony, 2016), we (a) characterized the sample's baseline interpersonal problems, and (b) analyzed the role of several theory-relevant problems as moderators of the comparative treatment effects on outcome. Method: We first compared clients' (N = 85) baseline interpersonal problems profile to a general clinical sample. We next conducted piecewise, 2-level growth models to analyze the interactive effects of treatment condition and the hypothesized interpersonal problem indices of nonassertiveness (ranging from low to high), exploitability (ranging from low to high on this specific combination of nonassertiveness and friendliness), and overall agency (ranging from more problems of being too submissive to more problems of being too domineering, including friendly or hostile variants) on acute and follow-up worry reduction. Finally, we conducted hierarchical generalized linear models to examine these interactive effects on the likelihood of achieving clinically meaningful worry reduction across follow-up. Results: As expected, the GAD clients evidenced more nonassertive and exploitable interpersonal problems than the general clinical sample. Also as predicted, clients with more problematic nonassertiveness and low overall agency in their relationships had greater follow-up worry reduction in MI-CBT versus CBT, including to a clinically significant degree for the agency by treatment interaction. Conclusions: GAD-specific interpersonal problems can serve as contextual markers for integrative treatment selection and planning.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
American Psychological Association Inc.
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Cognitive-Behavioral Therapy
dc.subject
Context-Responsive Psychotherapy Integration
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Gad
dc.subject
Interpersonal Problems
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Motivational Interviewing
dc.subject.classification
Psicología
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dc.subject.classification
Psicología
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dc.subject.classification
CIENCIAS SOCIALES
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dc.title
Markers for context-responsiveness: Client baseline interpersonal problems moderate the efficacy of two psychotherapies for generalized anxiety disorder
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-05-22T14:14:36Z
dc.journal.volume
85
dc.journal.number
10
dc.journal.pagination
1000-1011
dc.journal.pais
Estados Unidos
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dc.journal.ciudad
Washington
dc.description.fil
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires; Argentina
dc.description.fil
Fil: Constantino, Michael J.. University of Massachusetts Amherst; Estados Unidos
dc.description.fil
Fil: Coyne, Alice E.. University of Massachusetts Amherst; Estados Unidos
dc.description.fil
Fil: Westra, Henny A.. University of York; Reino Unido
dc.description.fil
Fil: Antony, Martin M.. Ryerson University; Reino Unido
dc.journal.title
Journal of Consulting and Clinical Psychology
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1037/ccp0000233
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://psycnet.apa.org/doiLanding?doi=10.1037%2Fccp0000233
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