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.
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.
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.
CATTELL, R. B. & EBER, H. W.Sixteen Personality Factor Questionnaire. Champaign, IL: Institute for Personality and Ability Testing, 1956.
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.
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.
HILL, W. F.Hill Interaction Matrix. Los Angeles: University of Southern California Youth Study Center, 1965.
JACKSON, D. N.Personality Research Form Manual. Goshen, NY: Research Psychologists Press, 1967.
KIESLER, D. J.The Process of Psychotherapy. Chicago: Aldine, 1973.
LAMBERT, M. J.The Effects of Psychotherapy.Vol. 2. New York: Human Sciences Press, 1982.
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.
PIPER, W. E., DEBBANE, E. G. & GARANT, J. An outcome study of group therapy.Archives of General Psychiatry, 1977, 34, 1027–1032.
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)
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.
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)
SPITZER, R. L., ENDICOTT, J. E. & COHEN, G. M.Psychiatric Status Schedule. New York: New York State Department of Mental Hygiene, Biometrics Research, 1967.
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.
WEIDER, A., WOLFF, H. G., BRODMAN, K., MITTLEMAN, B. & WECHSLER, D.Cornell Index. New York: Psychological Corporation, 1948.
Author information
Authors and Affiliations
Rights 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
Issue Date:
DOI: https://doi.org/10.1007/BF01456442