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Effect of matching therapists to patients vs assignment as usual on adult psychotherapy outcomes

JAMA Jun 14, 2021

Constantino MJ, Boswell JF, Coyne AE, et al. - Via performing a 2-arm, double-blind randomized clinical trial including 48 therapists and 218 outpatients, researchers sought to ascertain if assignment of patients to therapists with empirically determined strengths in treating the patients’ specific mental health problem(s) (ie, measurement-based matching) can aid in improving the outcomes of naturalistic psychotherapy compared with case assignment as usual. Measurement-based matching promoted significantly greater reductions in patients’ general symptomatic and functional impairment, global psychological distress, and domain-specific impairment on patients’ most enhanced presenting problem over 16 weeks postintake. Overall findings revealed improvement in mental health care in correlation with prospectively assigning patients to empirically good-fitting therapists, which needs minimal disruptions within a mental health care system.

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