A multiperspective comparison of satisfaction, symptomatic change, perceived change, and end-point functioning

Measures of satisfaction have become increasingly popular as indications of psychotherapy outcome both in research and in practice. Several studies have explored the relationship between satisfaction and symptomatic change, with mixed results. The present study examines the relationship among satisfaction, symptomatic improvement, perceived change, and end-point functioning from multiple perspectives. Sixty-six clients from 2 Midwestern community mental health centers, 48 of their spouses and significant others, and their therapists participated in the study. Results indicated that satisfaction was not significantly related to symptomatic change. Satisfaction and perceived change were significantly related from all 3 perspectives. Satisfaction was also significantly related to end-point functioning from the client and significant other perspectives. The unique contribution of satisfaction data to a comprehensive outcome evaluation strategy is discussed. Researchers, administrators, and practitioners are encouraged to use satisfaction measures with a greater awareness of both their strengths and their limitations as outcome indicators.