Abstract
This article focuses on an attempt to integrate stress and coping theory into a framework of evaluation research. An expanded evaluation paradigm is illustrated: This paradigm encompasses the careful study of treatment implementation and considers patients'life context factors and how they influence treatment entry, duration, and outcome. Examples of the value of this paradigm are taken from a program of research on the long-term outcome of alcoholism and depression. Implications are drawn for comprehensive assessment and diagnosis, designing and improving intervention programs, and expanding stress and coping theory.
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