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Under review

Distress Tolerance’s Time Course and Prognostic Utility in Partial Hospital Treatment

Conway, C. C., Gilbert, K. J., Beard, C., Moscardini, E., & Björgvinsson, T.

2026Empirical study

Why the timeline matters

A pre-to-post score can show that change happened, but not when it happened.

This project treats treatment as a sequence of observations rather than a single before-and-after contrast. The central problem is temporal: identifying the course of change while allowing patients to follow different paths.

What repeated measurement makes visible

A design built around timing and individual trajectories.

LevelWithin-person treatment process
DataRepeated assessments during partial hospitalization
Analytic lensTrajectories and timing of change
Clinical questionWhat repeated measurement adds beyond baseline severity

Follow the treatment arc

Treatment is a sequence, not a before-and-after snapshot.

Repeated assessment begins with a clinically meaningful starting point.

Clinical decisions inside the design

Three questions that a trajectory can answer.

  1. 01

    When in treatment does change become visible?

  2. 02

    How much do individual trajectories differ?

  3. 03

    What information is lost when change is reduced to two time points?