Evidence map›Paper›PMID 39104662›Full record

ArticleClinical psychological science : a journal of the Association for Psychological Science2024

Machine-Learning-Based Prediction of Client Distress From Session Recordings.

Patty B Kuo, Michael J Tanana, Simon B Goldberg, Derek D Caperton, Shrikanth Narayanan, David C Atkins, Zac E Imel

Abstract read
In one paragraph

Article in Clinical psychological science : a journal of the Association for Psychological Science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Applying Artificial Intelligence to Expand the Measurement Tool Kit in Clinical-Psychological Science: Moving Beyond Self-Reports.Clinical psychological science : a journal of the Association for Psychological Science · 2026
    Article
  4. Review
  5. Multimodal assessments of therapist characteristics are largely unrelated to patient outcomes: A preregistered analysis.Clinical psychological science : a journal of the Association for Psychological Science · 2026
    Article
  6. Article
  7. A Framework for Automation in Psychotherapy.Current directions in psychological science · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Patty B KuoUniversity of Utah.
Michael J TananaUniversity of Utah.
Simon B GoldbergUniversity of Wisconsin, Madison.
Derek D CapertonCalgary Counselling Centre.
Shrikanth NarayananUniversity of Southern California.
David C AtkinsUniversity of Washington.
Zac E ImelUniversity of Utah.

Funding

Implementation of Technology-Based Evaluation of Motivational InterviewingR01AA018673 · NIAAA · UNIVERSITY OF WASHINGTON · PI ATKINS, DAVID CHARLES, NARAYANAN, SHRIKANTH · 2010 to 2020
$5.9M
Mindfulness training delivered via mobile health to reduce depression and anxietyK23AT010879 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI GOLDBERG, SIMON B · 2020 to 2024
$786k
Using Technology to Scale Up the Evaluation of Motivational InterviewingK02AA023814 · NIAAA · UNIVERSITY OF WASHINGTON · PI ATKINS, DAVID CHARLES · 2015 to 2019
$690k
Prediction of therapist cultural competency using Natural Language Processing (NLP) modelsF31MD014941 · NIMHD · UNIVERSITY OF UTAH · PI KUO, PATTY BEYRONG · 2020 to 2021
$91k
NCCIH NIH HHS K23 AT010879NIAAA NIH HHS K02 AA023814NIAAA NIH HHS R01 AA018673NIMHD NIH HHS F31 MD014941
6 · The paper itself

Abstract

Natural language processing (NLP) is a subfield of machine learning that may facilitate the evaluation of therapist-client interactions and provide feedback to therapists on client outcomes on a large scale. However, there have been limited studies applying NLP models to client outcome prediction that have (a) used transcripts of therapist-client interactions as direct predictors of client symptom improvement, (b) accounted for contextual linguistic complexities, and (c) used best practices in classical training and test splits in model development. Using 2,630 session recordings from 795 clients and 56 therapists, we developed NLP models that directly predicted client symptoms of a given session based on session recordings of the previous session (Spearman's rho =0.32, p<.001). Our results highlight the potential for NLP models to be implemented in outcome monitoring systems to improve quality of care. We discuss implications for future research and applications.

Indexed as

Machine learningnatural language processingoutcome predictionpsychotherapy

Identifiers

PMID39104662
PMCPMC11299859

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.