Relationship of satisfaction to symptom change, follow-up adjustment, and clinical significance

The relationship of client satisfaction to outcome was investigated for adult outpatients (N = 152) from 3 urban community mental health centers. Clients completed a problem self-rating and the Brief symptom Inventory (BSI) at intake, 10 weeks later, and 5 months later. Therapists' ratings of client adjustment were obtained at intake and termination. Clients' ratings of satisfaction with treatment were obtained at 10-week and 5-month follow-up. Correlations between satisfaction and client measures of outcome (client rating and BSI) based on pre-post changes, posttreatment adjustment, and Jacobson and Truax's (1991) method of measuring clinical significance were not significant. Correlations between satisfaction and therapist outcome ratings were significant but low for pre-post changes and clinical significance. The utility of client satisfaction as an outcome measure is discussed.