Article Correctness Is Author's Responsibility: Elevated trait anxiety: Obstacle to progress with female clients?

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Contemporary clinicians employ progress-monitoring (PM) systems to differentiate between clients who are improving and those failing to make progress in psychotherapy. Once failing clients are identified, however, PM systems typically provide little feedback about how to adjust the provided therapy. The next step in the development of PM systems is to identify constructs that influence client progress and methods to assess these markers. Through a reanalysis of a previous study of psychotherapy progress involving 383 session ratings for 81 outpatient clients, this study examined the effect of trait anxiety on the amount and rate of client change across early sessions. Findings indicated that women with high trait anxiety evidenced smaller effect sizes and less likelihood of improvement on a measure of negative affect. Findings have implications for identification of high-trait-anxiety clients who evidence less improvement as well as treatment strategies with such individuals. (PsycINFO Database Record (c) 2019 APA, all rights reserved)