Research Topics
| Paul Crits-ChristophSummaryAffiliation: University of Pennsylvania Country: USA Publications
Research Grants
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Publications
Process predictors of the outcome of group drug counselingPaul Crits-Christoph
Department of Psychiatry
J Consult Clin Psychol 81:23-34. 2013..PsycINFO Database Record (c) 2013 APA, all rights reserved)...
A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programsPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
J Subst Abuse Treat 42:301-9. 2012..These results suggest that a feedback system adapted to the treatment of substance use problems is a promising approach that should be tested in a larger randomized trial...
Prevalence of nonmedical methamphetamine use in the United StatesTodd M Durell
Eli Lilly and Company, Lilly Research Laboratories, Indianapolis, IN 46285, USA
Subst Abuse Treat Prev Policy 3:19. 2008..The goal of the current study was to use a relatively inexpensive methodology to examine the prevalence and demographic correlates of nonmedical methamphetamine use in the United States...
Mediators of outcome of psychosocial treatments for cocaine dependencePaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, PA, USA
J Consult Clin Psychol 71:918-25. 2003..In addition, a measure of beliefs about addiction developed to test mediation of outcome of cognitive therapy was found to correlate moderately with drug use outcomes in both cognitive therapy and individual drug counseling...
Dopamine transporter levels in cocaine dependent subjectsPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 650, Philadelphia, PA 19104, USA
Drug Alcohol Depend 98:70-6. 2008..DAT levels were unrelated to craving, severity of cocaine use, or duration of cocaine use, but DAT levels in the caudate and anterior putamen were significantly (p<0.05) negatively correlated with days since last use of cocaine...
A pilot study of community-friendly manual-guided drug counselingPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
J Subst Abuse Treat 37:8-16. 2009..Counselors implemented the new treatment manuals with acceptable levels of adherence and competence. Outcome results indicated that substantial change in drug use was evident, but the amount of abstinence obtained was limited...
The alliance in motivational enhancement therapy and counseling as usual for substance use problemsPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
J Consult Clin Psychol 77:1125-35. 2009..Implications of the findings for conceptualization of the alliance and for training of therapists are discussed...
A randomized controlled study of a web-based performance improvement system for substance abuse treatment providersPaul Crits-Christoph
University of Pennsylvania, Philadelphia, PA 19104, USA
J Subst Abuse Treat 38:251-62. 2010..Possible insights from these findings and alternative methods of utilizing feedback reports to enhance clinical outcomes are proposed...
Interpersonal accuracy of interventions and the outcome of cognitive and interpersonal therapies for depressionPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 3309, USA
J Consult Clin Psychol 78:420-8. 2010..The purpose of the current investigation was to examine the interpersonal accuracy of interventions in cognitive therapy and interpersonal therapy as a predictor of the outcome of treatment for patients with major depressive disorder...
Therapists as fixed versus random effects-some statistical and conceptual issues: a comment on Siemer and Joormann (2003)Paul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
Psychol Methods 8:518-23. 2003..Simulation studies conducted by Siemer and Joormann confounded bias due to small sample size and inconsistent estimates...
A generalizability theory analysis of group process ratings in the treatment of cocaine dependencePaul Crits-Christoph
University of Pennsylvania, Psychiatry, Philadelphia, USA
Psychother Res 21:252-66. 2011..The implications of the findings for the design of process-outcome studies are discussed...
Program, counselor, and patient variability in the alliance: a multilevel study of the alliance in relation to substance use outcomesPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
J Subst Abuse Treat 40:405-13. 2011..Program variability in the alliance is important to the alliance-outcome relationship in the treatment of substance abuse. Better outcomes can be achieved by improving both organizational functioning and the patient-counselor alliance...
The dependability of alliance assessments: the alliance-outcome correlation is larger than you might thinkPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, USA
J Consult Clin Psychol 79:267-78. 2011....
Combined medication and cognitive therapy for generalized anxiety disorderPaul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, United States
J Anxiety Disord 25:1087-94. 2011..Of those that receive CBT, there appears to be no additional benefit of combined treatment compared to venlafaxine XR alone...
Empirically supported psychotherapies: comment on Westen, Novotny, and Thompson-Brenner (2004)Paul Crits-Christoph
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
Psychol Bull 131:412-7, discussion 427-33. 2005..Randomized controlled trials remain the most powerful way to test notions of causal agency...
Unique and common mechanisms of change across cognitive and dynamic psychotherapiesMary Beth Connolly Gibbons
Department of Psychiatry, University of Pennsylvania, USA
J Consult Clin Psychol 77:801-13. 2009..Changes in self-understanding and compensatory skills across treatment were predictive of follow-up symptom course. Changes in self-understanding demonstrated specificity of change to dynamic psychotherapy...
Additional treatment services in a cocaine treatment study: level of services obtained and impact on outcomeMatthew Worley
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Am J Addict 17:209-17. 2008..The results suggest that during uncontrolled follow-up phases, additional non-protocol services may potentially confound the interpretation of treatment group comparisons in drug use outcomes...
Supportive-expressive dynamic psychotherapy in the community mental health system: a pilot effectiveness trial for the treatment of depressionMary Beth Connolly Gibbons
Department of Psychiatry, University of Pennsylvania, USA
Psychotherapy (Chic) 49:303-16. 2012..The Behavior and Symptom Identification Scale-24 showed that 50% of patients treated with dynamic therapy moved into a normative range compared with only 29% of patients treated with TAU...
Differential effects of treatments for chronic depression: a latent growth model reanalysisNiklaus Stulz
Department of Psychiatry, University of Pennsylvania Philadelphia, PA 19104, USA
J Consult Clin Psychol 78:409-19. 2010....
Therapist interventions in the interpersonal and cognitive therapy sessions of the Treatment of Depression Collaborative Research ProgramMary Beth Connolly Gibbons
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
Am J Psychother 56:3-26. 2002....
Can the randomized controlled trial literature generalize to nonrandomized patients?Shannon Wiltsey Stirman
Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104 6196, USA
J Consult Clin Psychol 73:127-35. 2005..The implications of these findings for future research and clinical practice are discussed...
What aspects of treatment matter to the patient in the treatment of cocaine dependence?Lynne Siqueland
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
J Subst Abuse Treat 27:169-78. 2004..Ratings of helpfulness were significantly related to retention and alliance but were largely unrelated to changes in drug use or psychiatric outcomes...
MET meets the real world: design issues and clinical strategies in the Clinical Trials NetworkKathleen M Carroll
Department of Psychiatry, Yale University School of Medicine, West Haven, CT 06516, USA
J Subst Abuse Treat 23:73-80. 2002..Issues requiring attention included the diversity in treatments offered across sites, heterogeneity in the study sample, and training of clinicians drawn from the staff of community programs to deliver the study treatments...
Therapists' adherence and competence and treatment discrimination in the NIDA Collaborative Cocaine Treatment StudyJacques P Barber
Department of Psychiatry, Center for Psychotherpay Research, University of Pennsylvania Medical School, Philadelphia 19104 3309, USA
J Clin Psychol 60:29-41. 2004..Thus, treatments were easily discriminable by the independent judges...
Changes in psychotherapy utilization among consumers of services for major depressive disorder in the community mental health systemMary Beth Connolly Gibbons
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 664, Philadelphia, PA 19104, USA
Adm Policy Ment Health 38:495-503. 2011..African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions...
The empirical status of psychodynamic therapiesMary Beth Connolly Gibbons
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Annu Rev Clin Psychol 4:93-108. 2008..Studies suggest that dynamic psychotherapy has great promise as a monotherapy for MDD and alcohol dependence and thus should be evaluated further...
Sudden gains in the treatment of generalized anxiety disorderJulie Present
University of Pennsylvania, PA, USA
J Clin Psychol 64:119-26. 2008..When defined in a parallel fashion, rates of sudden gains in GAD are similar to those found in MDD, although anxiety symptoms are highly variable...
HIV risk reduction in the National Institute on Drug Abuse Cocaine Collaborative Treatment StudyGeorge E Woody
University of Pennsylvania, Philadelphia, Pennsylvania 19106 3475, USA
J Acquir Immune Defic Syndr 33:82-7. 2003..The combination of IDC and GDC was associated with an equal or even greater reduction in HIV risk than the other treatment conditions and thus shows promise as an effective HIV prevention strategy, at least for some patients...
Are samples in randomized controlled trials of psychotherapy representative of community outpatients? A new methodology and initial findingsShannon Wiltsey Stirman
Department of Psychology, University of Pennsylvania, Philadelphia 19104 6193, USA
J Consult Clin Psychol 71:963-72. 2003..The most common reasons that patients in their sample did not match with published RCTs for psychotherapy are listed, and the implications of these findings for research and practice are discussed...
Site matters: multisite randomized trial of motivational enhancement therapy in community drug abuse clinicsSamuel A Ball
Department of Psychiatry, Yale University School of Medicine, APT Foundation, New Haven, CT 06511, USA
J Consult Clin Psychol 75:556-67. 2007..An independent evaluation of session audiotapes indicated that MET and CAU were highly and comparably discriminable across sites...
Examining differential effects of psychosocial treatments for cocaine dependence: an application of latent trajectory analysesNiklaus Stulz
Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, USA
Drug Alcohol Depend 106:164-72. 2010..However, substantial heterogeneity of patient outcomes was evident. Longitudinal data analysis techniques can be helpful in examining differential effects of psychosocial interventions on specific subpopulations of patients...
Explanatory style change in supportive-expressive dynamic therapyJacques P Barber
Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 3309, USA
J Clin Psychol 61:257-68. 2005..Furthermore, change in ASQ correlated with change in depression. There was some evidence suggesting that ASQ at termination predicted level of depression at follow-up...
Response to tryptophan depletion in major depression treated with either cognitive therapy or selective serotonin reuptake inhibitor antidepressantsMohit P Chopra
Department of Psychiatry, 3535 Market Street, Room 3023, Philadelphia, PA 19104, USA
Biol Psychiatry 55:957-9. 2004..CONCLUSIONS: The CT group was resistant to the effects of tryptophan depletion, but the SSRI group was not...
The effect of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patientsRoger D Weiss
Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA
Drug Alcohol Depend 77:177-84. 2005..Moreover, the distinction between attending meetings and actively participating in 12-step activities has not typically been examined...
Symptomatic and syndromal anxiety in chronic forms of major depression: effect of nefazodone, cognitive behavioral analysis system of psychotherapy, and their combinationPhilip T Ninan
Department of Psychiatry, Emory University School of Medicine, Atlanta, GA 30329, USA
J Clin Psychiatry 63:434-41. 2002..Among patients with a concurrent anxiety disorder, nefazodone. either alone or in combination with CBASP, improves anxiety symptoms faster than CBASP alone, independent of depressive symptom reduction...
Development and initial validation of a multi-domain self-report measure of work functioningSarah Ring-Kurtz
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
J Nerv Ment Dis 196:761-7. 2008..Changes across treatment indicated that the WHI Total and Performance scores increased significantly across psychotherapy. The WHI seems to be a reliable and valid instrument for measuring treatment related changes in work functioning...
Supportive-expressive therapy for chronic depressionDavid G Mark
University of Pennsylvania, USA
J Clin Psychol 59:859-72. 2003....
Outcome assessment via handheld computer in community mental health: consumer satisfaction and reliabilityLizabeth A Goldstein
University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, USA
J Behav Health Serv Res 38:414-23. 2011..Administration of the BASIS-24 via handheld computer may allow for efficient and sustainable outcomes assessment, adaptable research infrastructure, and maximization of clinical impact in community mental health agencies...
Psychosocial treatments for cocaine dependence: the role of depressive symptomsNiklaus Stulz
Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, USA
Drug Alcohol Depend 114:41-8. 2011..This study examined possible interrelations between drug use and depression severity among cocaine-dependent patients in psychosocial treatments for cocaine dependence...
An open clinical trial of cognitive therapy for borderline personality disorderGregory K Brown
Psychopathology Research Unit, The Department of Psychiatry, University of Pennsylvania, USA
J Pers Disord 18:257-71. 2004..Implications for further research with this difficult-to-treat patient population are discussed...
Distinguishing anxiety and depression in self-report: purification of the Beck Anxiety Inventory and Beck Depression Inventory-IINiklaus Stulz
Niklaus Stulz, Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 643, Philadelphia, PA 19104, USA
J Clin Psychol 66:927-40. 2010..Nevertheless, purified BAI and BDI-II scales might be useful for separating the effects of interventions on anxiety and depressive symptoms...
The risk of depression, anxiety, and suicidality in patients with psoriasis: a population-based cohort studyShanu Kohli Kurd
Department of Medicine, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA
Arch Dermatol 146:891-5. 2010..To determine the incidence of depression, anxiety, and suicidality in patients with psoriasis compared with the general population...
Effectiveness of HIV/STD sexual risk reduction groups for women in substance abuse treatment programs: results of NIDA Clinical Trials Network TrialSusan Tross
Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, Columbia University Medical Center, New York, NY 10032, USA
J Acquir Immune Defic Syndr 48:581-9. 2008..Because drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative...
Duloxetine in the treatment of generalized anxiety disorderSusan G Kornstein
Department of Psychiatry, Virginia Commonwealth University, PO Box 980710, Richmond, VA 23298 0710, USA
Expert Rev Neurother 9:155-65. 2009..In all acute and long-term trials, duloxetine was well-tolerated. This body of research suggests that duloxetine should be one of the options considered as a first-line treatment for GAD...
Research Grants
- COMMUNITY-FRIENDLY MANUAL GUIDED DRUG COUNSELINGPaul Crits Christoph; Fiscal Year: 2004..The data gathered from this treatment development project will inform the design of a subsequent larger study. ..
- The Process of Group Therapy for Cocaine DependencePaul Crits Christoph; Fiscal Year: 2007..Statistical solutions for addressing such "rolling" groups have yet to be developed. Our second aim is to develop a new statistical approach to the analysis of data from "rolling" groups. ..
- Patient Feedback Effectiveness StudyPaul Crits Christoph; Fiscal Year: 2007..A collaborating clinical trial application for this test of PF is being submitted by John Rotrosen, M.D., from New York University, School of Medicine. ..
- Psychotherapy for Major Depression in the CommunityPaul Crits Christoph; Fiscal Year: 2007..created will work synergistically with existing programs at Penn that focuses on psychotherapy research (Center for the Study of Psychotherapy) and mental health services research (Center for Mental Health Policy and Services Research) ..
- Combined Treatment for GADPaul Crits Christoph; Fiscal Year: 2007..Data analysis will focus on differential rate of change (mixed model analyses) for the two groups. If promising results are obtained for combined treatment, a larger more definitive trial will be planned. ..
