resumeang: Evaluated the clinical status of 121 adult patients (mean age 38 yrs) at admission and discharge from a psychiatric day-treatment unit in order to identify factors predictive of change and to assess the therapeutic outcomes of the treatments employed. Validated translations of the Health-Sickness Rating Scale, the Helping Alliance Questionnaire, the Clinical Evaluation Profile, and the Commitment Scale were developed and validated. Ss with personality disorders benefitted the most from group therapy, whereas the reverse situation was observed for patients with neurotic disorders. For schizophrenic patients, the most important factor of change was their commitment to the environment of the hospital. With respect to the "outcome equivalence paradox", it was revealed that therapeutic approach was not predictive of outcome, whereas commitment to therapy was significantly predictive and further differentiated the therapeutic approaches. (PsycINFO Database Record (c) 2000 APA, all rights reserved). |