Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESDose Effect in Child Psychotherapy: Outcomes Associated With Negligible Treatment
Section snippets
Data
This study uses data from the FBEP (Bickman et al., 1995). The FBEP total sample includes 984 treated military-dependent children, aged 5 to 17 years. In the FBEP, 58% (N = 574) of cases were treated at the demonstration site, a comprehensive continuum of care at Fort Bragg, North Carolina, and 410 cases at the comparison sites, traditional mental health care at Fort Campbell, Kentucky, and Fort Stewart, Georgia. The FBEP continuum was part of a $94 million project which asked whether a
Client Characteristics
Table 2 shows client characteristics for cases with negligible and more-than-negligible treatment based on Howard's 8-session criterion. Children with negligible treatment showed less average disturbance on the CBCL, YSR, and CAFAS, although such differences were generally not significant (see adjusted p values).
Next we compared 1-year improvement (12-month difference scores) for CBCL, YSR, CAFAS, and GLOF to test the hypothesis that children receiving substantial treatment had better outcomes.
Summary of Results
This study compared children receiving negligible versus substantial amounts of outpatient psychotherapy on 4 outcomes (2 problem checklists and 2 ratings of functioning). A GLOF rating showed a univariate significant dose effect for 2 of 4 definitions of negligible treatment, as did a parent-reported problem score (CBCL) in 1 of 4 analyses, but these results did not meet the significance criteria for multiple tests. After properly controlling for multiple testing, the longitudinal analysis of
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This research was supported by NIMH grant R01MH-46136 to Dr. Bickman.