Importance of treating individually assessed response classes in the amelioration of depression*
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2009, Behaviour Research and TherapyCitation Excerpt :In a study of patient-matched behavioral couples therapy, acute outcome was similar for individualized and standard protocols, however, long-term outcome suggested additional benefits of the individualized program (Jacobson et al., 1989). Similar results have been noted in some studies of treatments targeted for particular patient characteristics (e.g., McKnight, Nelson, Hayes, & Jarrett, 1984; Ost, Jerremalm, & Johansson, 1981); however, other individualized protocols have demonstrated worse outcome relative to standard protocols (e.g., Schulte, Kunzel, Pepping, & Schute-Bahrenberg, 1992) or similar outcomes (e.g., Mersch, Emmelkamp, Bogels, & van der Sleen, 1989; Mersch, Emmelkamp, & Lips, 1991; Nelson-Gray, Herbert, Herbert, Sigmon, & Brannon, 1990). Project MATCH, a large multi-site trial examining the utility of matching treatment for alcohol dependence based on pre-treatment patient characteristics initially reported only an effect of patient matching to treatment as a function of initial psychiatric severity on outcome (Project MATCH, 1997); however further analyses suggested that certain patient characteristics may be associated with better outcome from certain treatments (Witkiewitz, van der Mass, Hufford, & Marlatt, 2007).
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This research was conducted as the first author's Master's thesis. We thank the Research Council of the University of North Carolina at Greensboro for Grant 0-2-110-218-xxxxx-7417, and Anita Baker, Suzanne Brannon, Margaret Dick, Brenda Keech, Molly Marvin, Lisa McDaniel, Marc Mullins, Terry Olson, Regina Pierce, and Keith Rowe who served as experimental assistants. Portions of this paper were presented at the meeting of the Association for Advancement of Behavior Therapy, Washington, DC, December 1983.