Abstract
The Youth Counseling Impact Scale (YCIS) is an empirically validated treatment progress measure that assesses youths’ perceptions of the short term effectiveness of therapy. Since its initial publication, the original 10-item measure has been shortened to ease measurement burden and revised to include a question about a youth’s insight into his or her strengths. The current study describes the development of the revised YCIS (v.2) and evaluates its psychometric properties. Additionally, this study examines whether the YCIS (v.2) total score or subscale scores change over time and investigates whether there are gender or age differences for youths’ perceptions of the impact of therapy. Results found the revised version obtained comparable information to that of the original measure, and that the revised version retained the factor structure of the original model with one primary general factor of Counseling Impact and two secondary factors (Insight and Change). Results also suggested that while the YCIS (v.2) total score and Change subscale score did not change linearly over the course of treatment, the Insight subscale score showed a small but significant linear increase over time. No significant differences in YCIS scores based on youth age or gender were found. The implication of these findings, the clinical and empirical utility of this measure, and its limitations are discussed.
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Addis, M. E., & Jacobson, N. S. (1996). Reasons for depression and the process and outcome of cognitive—Behavioral psychotherapies. Journal of Consulting and Clinical Psychology, 64, 1417–1424.
Alfano, C. A., Pina, A. A., Villalta, I. K., Beidel, D. C., Ammerman, R. T., & Crosby, L. E. (2009). Mediators and moderators of outcome in the behavioral treatment of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 945–953.
American Psychological Association, & Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285.
Andrich, D. (1978). A rating formulation for ordered response categories. Psychometrika, 43, 561–573.
Athay, M. M., Riemer, M., & Bickman, L. (2012). The Symptoms and Functioning Severity Scale (SFSS): Psychometric evaluation and differences among youth, caregiver, and clinician ratings over time. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-012-0403-2.
Bickman, L., Kelley, S., Breda, C., Vides de Andrade, A. R., & Riemer, M. (2011). Effects of routine feedback to clinicians on youth mental health outcomes: A randomized cluster design. Psychiatric Services, 62, 1423–1429.
Bickman, L., Riemer, M., Kelley, S., Tempesti, T., Brannan, A., Athay, M., et al. (2010). Manual of the peabody treatment progress battery. Nashville, TN: Vanderbilt University.
Bickman, L., Riemer, M., Lambert, E., Kelley, S., Breda, C., Dew, S., et al. (2007). Manual of the Peabody treatment progress battery [Electronic version]. Nashville, TN: Vanderbilt University.
Bockting, C. L. H., Spinhoven, P., Koeter, M. W. J., Wouters, L. F., Visser, I., & Schene, A. H. (2006). Differential predictors of response to preventive cognitive therapy in recurrent depression: A 2-year prospective study. Psychotherapy and Psychosomatics, 75, 229–236.
Browne, M. W. C., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.
Bussell, J. R. (2001). Exploring the role of therapy process and outcome in interventions that target adolescent identity and intimacy. Dissertation Abstracts International: Section B: The Sciences and Engineering, 61(10-B), 5553.
Clarkin, J., & Levy, K. (2004). The influence of client variables on psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 194–226). New York: Wiley.
Curry, J., Rohde, P., Simons, A., Silva, S., Vitiello, B., Kratochvil, C., et al. (2006). Predictors and moderators of acute outcome in the Treatment for Adolescents with Depression Study (TADS). Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1427–1439.
Dunne, A., Thompson, W., & Leitch, R. (2000). Adolescent males’ experience of the counselling process. Journal of Adolescence, 23, 79–93.
Durlak, J. A., Fuhrman, T., & Lampman, C. (1991). Effectiveness of cognitive-behavior therapy for maladapting children: A meta-analysis. Psychological Bulletin, 110, 204–214.
Elliott, R. (1985). Helpful and nonhelpful events in brief counseling interviews: An empirical taxonomy. Journal of Counseling Psychology, 32, 307–322.
Elliott, R., & Wexler, M. (1994). Measuring the impact of sessions in process-experiential therapy of depression: The session impacts scale. Journal of Counseling Psychology, 41, 166–174.
Embretson, S. E. (1996). The new rules of measurement. Psychological Assessment, 8, 341–349.
Eugster, S. L., & Wampold, B. E. (1996). Systematic effects of participant role on evaluation of the psychotherapy session. Journal of Consulting and Clinical Psychology, 64, 1020–1028.
Forgatch, M. S., & Patterson, G. R. (2010). Parent Management Training—Oregon Model: An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 159–178). New York: Guilford.
Garcia, A. M., Sapyta, J. J., Moore, P. S., Freeman, J. B., Franklin, M. E., March, J. S., et al. (2010). Predictors and moderators of treatment outcome in the Pediatric Obsessive Compulsive Treatment Study (POTS I). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 1024–1033.
Garland, A. F., Hawley, K. M., Brookman-Frazee, L., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 505–514.
Gaynor, S. T., Weersing, V. R., Kolko, D. J., Birmaher, B., Heo, J., & Brent, D. A. (2003). The prevalence and impact of large sudden improvements during adolescent therapy for depression: A comparison across cognitive-behavioral, family, and supportive therapy. Journal of Consulting and Clinical Psychology, 71, 386–393.
Handwerk, M. L., Huefner, J. C., Smith, G. L., Clopton, K., Hoff, K. E., & Lucas, C. P. (2006). Gender differences in adolescents in residential treatment. American Journal of Orthopsychiatry, 76, 312–324.
Hansen, N. B., & Lambert, M. J. (2003). An evaluation of the dose–response relationship in naturalistic treatment settings using survival analysis. Mental Health Services Research, 5, 1–12.
Harkness, A., & Lillienfeld, S. O. (1997). Individual differences science for treatment planning: Personality traits. Psychological Assessment, 9, 349–360.
Harmon, S. C., Lambert, M. J., Smart, D. M., Hawkins, E., Nielsen, S. L., Slade, K., et al. (2007). Enhancing outcome for potential treatment failures: Therapist-client feedback and clinical support tools. Psychotherapy Research, 17, 379–392.
Hayes, A. M., Laurenceau, J. P., Feldman, G., Strauss, J. L., & Cardaciotto, L. A. (2007). Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy. Clinical Psychology Review, 27, 715–723.
Henggeler, S. W. (1999). Multisystemic therapy: An overview of clinical procedures, outcomes, and policy implications. Child and Adolescent Mental Health, 4, 2–10.
Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61(4), 561–573.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
Janzen, J., Fitzpatrick, M., & Drapeau, M. (2008). Processes involved in client-nominated relationship building incidents: Client attachment, attachment to therapist, and session impact. Psychotherapy: Theory, Research, Practice, Training, 45, 377–390.
Ji, P. Y. (2002). The role of attachment status in predicting longitudinal relationships between session-impact events and the working alliance within an adolescent client population. Dissertation Abstracts International: Section B: The Sciences and Engineering, 62(12-B), 5966.
Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63, 146–159.
Kellett, S., Clarke, S., & Matthews, L. (2006). Session impact and outcome in group psychoeducative cognitive behavioural therapy. Behavioural and Cognitive Psychotherapy, 35, 335–342.
King, R., Bambling, M., Reid, W., & Thomas, I. (2006). Telephone and online counselling for young people: A naturalistic comparison of session outcome, session impact and therapeutic alliance. Counselling & Psychotherapy Research, 6, 175–181.
Kolden, G. G. (1996). Change in early sessions of dynamic therapy: Universal processes and the generic model of psychotherapy. Journal of Consulting and Clinical Psychology, 64, 489–496.
Kolden, G. G., Chisholm-Stockard, S. M., Strauman, T. J., Tierney, S. C., Mullen, E. A., & Schneider, K. L. (2006). Universal session-level change processes in an early session of psychotherapy: Path models. Journal of Consulting and Clinical Psychology, 74, 327–336.
Kolden, G. G., & Howard, K. I. (1992). An empirical test of the generic model of psychotherapy. Journal of Psychotherapy Practice & Research, 1, 225–236.
Kolden, G. G., Strauman, T. J., Gittleman, M., Halverson, J. L., Heerey, E., & Schneider, K. L. (2000). The Therapeutic Realizations Scale—Revised (TRS-R): Psychometric characteristics and relationship to treatment process and outcome. Journal of Clinical Psychology, 56(9), 1207–1220.
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38, 357–361.
Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., et al. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology & Psychotherapy, 9, 91–103.
Laurenceau, J. P., Hayes, A. M., & Feldman, G. C. (2007). Some methodological and statistical issues in the study of change processes in psychotherapy. Clinical Psychology Review, 27, 682–695.
Le Grange, D., Lock, J., Agras, W. S., Moye, A., Bryson, S. W., Jo, B., et al. (2012). Moderators and mediators of remission in family-based treatment and adolescent focused therapy for Anorexia Nervosa. Behaviour Research and Therapy, 50, 85–92.
Linacre, J. (2007). Winsteps Rasch measurement (Version 3.64.2). Chicago, IL: MESA Press.
Mallinckrodt, B. (1994). Session impact in counseling process research: Comment on Elliott and Wexler (1994) and Stiles et al. (1994). Journal of Counseling Psychology, 41, 186–190.
Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450.
Maton, K. I., Schellenbach, C. J., Leadbeater, B. J., & Solarz, A. L. (Eds.). (2004). Investing in children, youth, families, and communities: Strengths-based research and policy. Washington, D.C.: American Psychological Association.
Ogles, B. M., Lambert, M. J., & Fields, S. A. (2002). Essentials of outcome assessment. New York: Wiley.
Ogrodniczuk, J. S., Piper, W. E., Joyce, A. S., & McCallum, M. (2001). Effect of patient gender on outcome in two forms of short-term individual psychotherapy. Journal of Psychotherapy Practice Research, 10, 69–78.
Orlinsky, D. E., & Howard, K. I. (1967). The good therapy hour: Experiential correlates of patients’ and therapists’ evaluations of therapy sessions. Archives of General Psychiatry, 16, 621–632.
Orlinsky, D. E., Roonestad, M., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 307–389). New York: Wiley.
Owens, E. B., Hinshaw, S. P., Kraemer, H. C., Arnold, L. E., Abikoff, H. B., Cantwell, D. P., et al. (2003). Which treatment for whom for ADHD? Moderators of treatment response in the MTA. Journal of Consulting and Clinical Psychology, 71, 540–552.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1114.
Reise, S. P., & Waller, N. G. (2009). Item response theory and clinical measurement. Annual Review of Clinical Psychology, 5, 27–48.
Reynolds, S., Stiles, W. B., Barkham, M., Shapiro, D. A., Hardy, G. E., & Rees, A. (1996). Acceleration of changes in session impact during contrasting time-limited psychotherapies. Journal of Consulting and Clinical Psychology, 64, 577–586.
Riemer, M., Williams, N. J., & Kearns, M. A. (unpublished manuscript). Caregiver reports on youth counseling impact: Description and psychometric evaluation of the Youth Counseling Impact Scale—Caregiver Version.
Riemer, M., Athay, M. M., Bickman, L., Breda, C., Kelley, S. D., & Vides de Andrade, A. (2012). The Peabody Treatment Progress Battery: History and methods for developing a comprehensive measurement battery for youth mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-012-0404-1.
Riemer, M., & Kearns, M. A. (2010). Description and psychometric evaluation of the Youth Counseling Impact Scale. Psychological Assessment, 22, 259–268.
Schmitt, J. S., & Di Fabio, R. P. (2004). Reliable change and minimum important difference (MID) proportions facilitated group responsiveness comparisons using individual threshold criteria. Journal of Clinical Epidemiology, 57, 1008–1018.
Shirk, S. R., & Karver, M. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review. Journal of Consulting and Clinical Psychology, 71, 452–464.
Shirk, S. R., Karver, M. S., & Brown, R. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy, 48, 17–24.
Southam-Gerow, M. A., Kendall, P. C., & Weersing, V. R. (2001). Examining outcome variability: Correlates of treatment response in a child and adolescent anxiety clinic. Journal of Clinical Child Psychology, 30, 422–436.
Spek, V., Nyklícek, I., Cuijpers, P., & Pop, V. (2008). Predictors of outcome of group and internet-based cognitive behavior therapy. Journal of Affective Disorders, 105, 137–145.
Stiles, W. B. (1980). Measurement of the impact of psychotherapy sessions. Journal of Consulting and Clinical Psychology, 48, 176–185.
Stiles, W. B., Reynolds, S., Hardy, G. E., Rees, A., Barkham, M., & Shapiro, D. A. (1994). Evaluation and description of psychotherapy sessions by clients using the Session Evaluation Questionnaire and the Session Impacts Scale. Journal of Counseling Psychology, 41, 175–185.
Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894–904.
Tang, T. Z., DeRubeis, R. J., Beberman, R., & Pham, T. (2005). Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73, 168–172.
Tang, T. Z., Luborsky, L., & Andrusyna, T. (2002). Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive-behavioral therapy? Journal of Consulting and Clinical Psychology, 70, 444–447.
Thomas, J. M., & Guskin, K. A. (2001). Disruptive behavior in young children: What does it mean? Journal of the American Academy of Child and Adolescent Psychiatry, 40, 44–51.
Timulak, L. (2010). Significant events in psychotherapy: An update of research findings. Psychology and Psychotherapy: Theory, Research and Practice, 83, 421–447.
Weisz, J. R., Weiss, B., Han, S. S., Granger, D. A., & Morton, T. (1995). Effects of psychotherapy with children and adolescents revisited: A meta-analysis of treatment outcome studies. Psychological Bulletin, 117, 450–468.
Wright, B. D., & Linacre, J. M. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions, 8, 370.
Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.
Acknowledgments
This research was supported by NIMH grants R01-MH068589 and 4264600201 awarded to Leonard Bickman.
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Kearns, M.A., Athay, M.M. & Riemer, M. Measuring Youths’ Perceptions of Counseling Impact: Description, Psychometric Evaluation, and Longitudinal Examination of the Youth Counseling Impact Scale v.2. Adm Policy Ment Health 39, 104–117 (2012). https://doi.org/10.1007/s10488-012-0414-z
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DOI: https://doi.org/10.1007/s10488-012-0414-z