Skip to main content
Log in

Patient distortion in reporting outcome: A procedure for correcting patient outcome scores

  • Published:
Group

Abstract

Outcome scores that are provided by patient report are routinely used in therapy outcome studies. Despite their popularity they are usually viewed with suspicion since they are assumed to reflect a considerable amount of distortion. Two procedures for estimating patient distortion and for creating corresponding correction factors for outcome scores are presented. When either procedure was used to correct the outcome scores of 34 outpatients from six therapy groups in a process-outcome study, a number of significant correlations emerged where none had existed previously when uncorrected scores had been used. When a third correction procedure based on social desirability was used, significant correlations did not emerge. The findings have implications for correcting patient distortion in both individual and group therapy outcome studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • BERGIN, A. E. & LAMBERT, M. J. The evaluation of therapeutic outcomes. In S. L. Garfield & A. E. Bergin (Eds.),Handbook of Psychotherapy and Behavior Change: An Empirical Analysis. New York: Wiley, 1978.

    Google Scholar 

  • CARTWRIGHT, D. S., KIRTNER, W. L. & FISKE, D. W. Method factors in changes associated with psychotherapy.Journal of Abnormal and Social Psychology, 1963, 66, 164–175.

    PubMed  Google Scholar 

  • CATTELL, R. B. & EBER, H. W.Sixteen Personality Factor Questionnaire. Champaign, IL: Institute for Personality and Ability Testing, 1956.

    Google Scholar 

  • GREEN, S. B., BURKHART, B. R. & HARRISON, W. H. Personality correlates of self-report, role-playing and in vivo measures of assertiveness.Journal of Consulting and Clinical Psychology, 1979, 47, 16–24.

    PubMed  Google Scholar 

  • GURLAND, B. J., YORKSTON, N. J., FRANK, J. D. & FLIESS, J. L. The structured and scaled interview to assess maladjustment (SSIAM): I. Description, rationale, and development.Archives of General Psychiatry, 1972, 27, 259–263.

    PubMed  Google Scholar 

  • HILL, W. F.Hill Interaction Matrix. Los Angeles: University of Southern California Youth Study Center, 1965.

    Google Scholar 

  • JACKSON, D. N.Personality Research Form Manual. Goshen, NY: Research Psychologists Press, 1967.

    Google Scholar 

  • KIESLER, D. J.The Process of Psychotherapy. Chicago: Aldine, 1973.

    Google Scholar 

  • LAMBERT, M. J.The Effects of Psychotherapy.Vol. 2. New York: Human Sciences Press, 1982.

    Google Scholar 

  • MINTZ, J., LUBORSKY, L. & CHRISTOPH, P. Measuring the outcomes of psychotherapy: Findings of the Penn psychotherapy project.Journal of Consulting and Clinical Psychology, 1979, 47, 319–334.

    PubMed  Google Scholar 

  • PIPER, W. E., DEBBANE, E. G. & GARANT, J. An outcome study of group therapy.Archives of General Psychiatry, 1977, 34, 1027–1032.

    PubMed  Google Scholar 

  • PIPER, W. E., DOAN, B. D., EDWARDS, E. M. & JONES, B. D. Cotherapy behavior, group therapy process, and treatment outcome.Journal of Consulting and Clinical Psychology, 1979, 47, 1081–1089. (a)

    PubMed  Google Scholar 

  • PIPER, W. E. & MARRACHE, M. Selecting suitable patients: Pretraining for group therapy as a method of patient selection.Small Group Behavior, 1981, 12, 459–475.

    Google Scholar 

  • PIPER, W. E., MONTVILA, R. M. & McGIHON, A. L. Process analysis in therapy groups: A behavioral sampling technique with many potential uses. In D. Upper & S. M. Ross (Eds.),Behavioral Group Therapy: An Annual Review. Champaign, IL: Research Press, 1979. (b)

    Google Scholar 

  • SPITZER, R. L., ENDICOTT, J. E. & COHEN, G. M.Psychiatric Status Schedule. New York: New York State Department of Mental Hygiene, Biometrics Research, 1967.

    Google Scholar 

  • WASKOW, I. E. & PARLOFF, M. B.Psychotherapy Change Measures. Report of the Clinical Research Branch (NIMH) Outcome Measures Project (DHEW Publication No. (ADM) 74-120). Washington, DC: U.S. Government Printing Office, 1975.

    Google Scholar 

  • WEIDER, A., WOLFF, H. G., BRODMAN, K., MITTLEMAN, B. & WECHSLER, D.Cornell Index. New York: Psychological Corporation, 1948.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Piper, W.E., Leonoff, D.J. Patient distortion in reporting outcome: A procedure for correcting patient outcome scores. Group 7, 33–42 (1983). https://doi.org/10.1007/BF01456442

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01456442

Keywords

Navigation