Therapist differences in symptom change with racial/ethnic minority clients

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Some psychotherapists produce better outcomes than others (Crits-Christoph & Mintz, 1991; Kraus, Castonguay, Boswell, Nordberg, & Hayes, 2011), although it has not been established whether therapists vary in their effectiveness with racial/ethnic minority (REM) clients. The importance of identifying therapist factors associated with successful outcomes for REM clients is underscored by imperatives regarding the provision of culturally competent psychotherapy (American Psychological Association, 2003; Smith, Rodriguez, & Bernal, 2011) and by research demonstrating the existence of ethnic disparities in mental health problems (Hayes, Chun-Kennedy, Edens, & Locke, 2011a) and their treatment (Harris, Edlund, & Larson, 2005). In this study, we investigated 36 therapists and 228 clients seen at a university training clinic to investigate whether differences in therapist effectiveness were a function of client ethnicity. Clients completed the Outcome Questionnaire-45 prior to each session. Multilevel modeling analyses indicated that (a) outcomes for REM and non-REM clients did not differ, (b) some therapists produced better outcomes than others, and (c) this variability was due in part to client REM status. Thus, it appears that therapists vary in their effectiveness at reducing symptoms with REM clients. Implications for training, multicultural theory, and future research are discussed.

Original languageEnglish (US)
Pages (from-to)308-314
Number of pages7
JournalPsychotherapy
Volume52
Issue number3
DOIs
StatePublished - Sep 1 2015

Fingerprint

Psychotherapy
Multilevel Analysis
Mental Health
Research
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

@article{2f13ca27e5fb4001ab37b97ba3aa7d34,
title = "Therapist differences in symptom change with racial/ethnic minority clients",
abstract = "Some psychotherapists produce better outcomes than others (Crits-Christoph & Mintz, 1991; Kraus, Castonguay, Boswell, Nordberg, & Hayes, 2011), although it has not been established whether therapists vary in their effectiveness with racial/ethnic minority (REM) clients. The importance of identifying therapist factors associated with successful outcomes for REM clients is underscored by imperatives regarding the provision of culturally competent psychotherapy (American Psychological Association, 2003; Smith, Rodriguez, & Bernal, 2011) and by research demonstrating the existence of ethnic disparities in mental health problems (Hayes, Chun-Kennedy, Edens, & Locke, 2011a) and their treatment (Harris, Edlund, & Larson, 2005). In this study, we investigated 36 therapists and 228 clients seen at a university training clinic to investigate whether differences in therapist effectiveness were a function of client ethnicity. Clients completed the Outcome Questionnaire-45 prior to each session. Multilevel modeling analyses indicated that (a) outcomes for REM and non-REM clients did not differ, (b) some therapists produced better outcomes than others, and (c) this variability was due in part to client REM status. Thus, it appears that therapists vary in their effectiveness at reducing symptoms with REM clients. Implications for training, multicultural theory, and future research are discussed.",
author = "Jeffrey Hayes and Jesse Owen and Kathleen Bieschke",
year = "2015",
month = "9",
day = "1",
doi = "10.1037/a0037957",
language = "English (US)",
volume = "52",
pages = "308--314",
journal = "Psychotherapy",
issn = "0033-3204",
publisher = "American Psychological Association Inc.",
number = "3",

}

Therapist differences in symptom change with racial/ethnic minority clients. / Hayes, Jeffrey; Owen, Jesse; Bieschke, Kathleen.

In: Psychotherapy, Vol. 52, No. 3, 01.09.2015, p. 308-314.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Therapist differences in symptom change with racial/ethnic minority clients

AU - Hayes, Jeffrey

AU - Owen, Jesse

AU - Bieschke, Kathleen

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Some psychotherapists produce better outcomes than others (Crits-Christoph & Mintz, 1991; Kraus, Castonguay, Boswell, Nordberg, & Hayes, 2011), although it has not been established whether therapists vary in their effectiveness with racial/ethnic minority (REM) clients. The importance of identifying therapist factors associated with successful outcomes for REM clients is underscored by imperatives regarding the provision of culturally competent psychotherapy (American Psychological Association, 2003; Smith, Rodriguez, & Bernal, 2011) and by research demonstrating the existence of ethnic disparities in mental health problems (Hayes, Chun-Kennedy, Edens, & Locke, 2011a) and their treatment (Harris, Edlund, & Larson, 2005). In this study, we investigated 36 therapists and 228 clients seen at a university training clinic to investigate whether differences in therapist effectiveness were a function of client ethnicity. Clients completed the Outcome Questionnaire-45 prior to each session. Multilevel modeling analyses indicated that (a) outcomes for REM and non-REM clients did not differ, (b) some therapists produced better outcomes than others, and (c) this variability was due in part to client REM status. Thus, it appears that therapists vary in their effectiveness at reducing symptoms with REM clients. Implications for training, multicultural theory, and future research are discussed.

AB - Some psychotherapists produce better outcomes than others (Crits-Christoph & Mintz, 1991; Kraus, Castonguay, Boswell, Nordberg, & Hayes, 2011), although it has not been established whether therapists vary in their effectiveness with racial/ethnic minority (REM) clients. The importance of identifying therapist factors associated with successful outcomes for REM clients is underscored by imperatives regarding the provision of culturally competent psychotherapy (American Psychological Association, 2003; Smith, Rodriguez, & Bernal, 2011) and by research demonstrating the existence of ethnic disparities in mental health problems (Hayes, Chun-Kennedy, Edens, & Locke, 2011a) and their treatment (Harris, Edlund, & Larson, 2005). In this study, we investigated 36 therapists and 228 clients seen at a university training clinic to investigate whether differences in therapist effectiveness were a function of client ethnicity. Clients completed the Outcome Questionnaire-45 prior to each session. Multilevel modeling analyses indicated that (a) outcomes for REM and non-REM clients did not differ, (b) some therapists produced better outcomes than others, and (c) this variability was due in part to client REM status. Thus, it appears that therapists vary in their effectiveness at reducing symptoms with REM clients. Implications for training, multicultural theory, and future research are discussed.

UR - http://www.scopus.com/inward/record.url?scp=84940030487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940030487&partnerID=8YFLogxK

U2 - 10.1037/a0037957

DO - 10.1037/a0037957

M3 - Article

C2 - 25365156

AN - SCOPUS:84940030487

VL - 52

SP - 308

EP - 314

JO - Psychotherapy

JF - Psychotherapy

SN - 0033-3204

IS - 3

ER -