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DOES PROBLEM SOLVING ABILITY PREDICT THERAPY OUTCOME IN A CLINICAL SETTING?

Published online by Cambridge University Press:  23 October 2001

Stirling Moorey ,
Christoph Holting ,
Peter Hughes ,
Peter Knynenberg  and
Albert Michael
Stirling Moorey
Affiliation:
South London and the Maudsley Trust, London, U.K.
Christoph Holting
Affiliation:
South London and the Maudsley Trust, London, U.K.
Peter Hughes
Affiliation:
City & Hackney Community Services Trust, London, U.K.
Peter Knynenberg
Affiliation:
St Ann's Hospital, London, U.K.
Albert Michael
Affiliation:
West Suffolk Hospital, Bury St Edmunds, U.K.
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Abstract

This study tested the use of a problem solving measure (The Problem Solving Scale: Center for Cognitive Therapy, 1988) as a predictor of outcome in patients receiving cognitive behaviour therapy (CBT) in an NHS psychotherapy service. Lower scores at assessment on the Problem Solving Scale (PSS) were predicted to be associated with poorer outcome for all diagnoses (but particularly depression) and higher dropout. The PSS predicted outcome for depressed patients receiving CBT, but not anxious patients or patients with other disorders. Poorer problem solving was not associated with dropout from therapy. Components of the scale that were most closely correlated with global outcome seemed to reflect the behavioural activation and cognitive restructuring skills taught in CBT for depression. Since this is the second study to connect PSS scores with outcome in depression (Scott, Harrington, House, & Ferrier, 1996), the possibility that aspects of learned resourcefulness are relevant to patients' suitability for CBT remains alive, and further research in this area is indicated.

Keywords

Cognitive behaviour therapyprediction of outcomeproblem solvingdepressionlearned resourcefulness
Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 29 , Issue 4 , October 2001 , pp. 485 - 495
Copyright
© 2001 British Association for Behavioural and Cognitive Psychotherapies

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