Inhaltszusammenfassung

Theoretical background: Across multiple sudden-gain studies, the predictive validity of sudden gains has been established by showing its coincidence with favorable treatment outcomes. So far, sudden gains have primarily been studied as an isolated mechanism of change in treatment trajectories. Symptom intensity among clients in routine clinical settings has been found to fluctuate highly and sudden gains among these conditions turned out to be less stable. Objective: The present study aimed t...Theoretical background: Across multiple sudden-gain studies, the predictive validity of sudden gains has been established by showing its coincidence with favorable treatment outcomes. So far, sudden gains have primarily been studied as an isolated mechanism of change in treatment trajectories. Symptom intensity among clients in routine clinical settings has been found to fluctuate highly and sudden gains among these conditions turned out to be less stable. Objective: The present study aimed to explore the existence, timing, and sequence of substantial nonlinear changes in trajectories of patients with sudden gains and sudden losses. Method: The sample consisted of 1640 outpatients from a university-based US counselling center, patients receiving 5-75 sessions. Results: Sudden gains occurred within an increased trend of substantial, early positive changes and were associated with positive treatment outcomes, especially if they happened before the 5th therapy session. The proportion of clients experiencing sudden gains was low (11%) and co-occurred with other substantial shifts; furthermore, sudden gains were highly unstable, with a reversal rate of 48%. Conclusion: In routine clinical settings, sudden gains are to be seen as one element in a sequence of various, substantial nonlinear changes, which predominately consist of improvements and occur in the early stages of treatment. » weiterlesen» einklappen

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