The fit of patient coping style and treatment focus has been suggested as a factor that improves treatment outcome. This meta-analysis of twelve carefully selected studies tested this hypothesis. A weighted, mean effect size (d) of .55 was found in favor of a fit between externalizing patients and symptom focused-treatment or, alternatively, internalizing patients and insight-focused treatment. This effect is considered to be strong and suggests that nondiagnostic patient factors, like coping style, are important considerations in the selection of effective therapies. Clinical examples and clinical recommendations are provided.
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