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The specific objectives were as follows: (a) to estimate the predictive value of baseline University of Rhode Island Change Assessment scale (URICA) scores (i.e., at the start of the study) as regards the risk of relapse and dropout during treatment and (b) to assess the incremental predictive ability of URICA scores, as regards the mean change produced in the clinical status of patients between the start and finish of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The relationship between the URICA and the response to treatment was analyzed by means of a pre\u2010post design applied to a sample of 191 patients who were consecutively receiving cognitive\u2010behavioral group therapy. The statistical analysis included logistic regression models and hierarchical multiple linear regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The discriminative ability of the models including the four URICA scores regarding the likelihood of relapse and dropout was acceptable (area under the receiver operating haracteristic curve: .73 and .71, respectively). No significant predictive ability was found as regards the differences between baseline and posttreatment scores (changes in R<jats:sup>2<\/jats:sup> below 5% in the multiple regression models).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The availability of useful measures of motivation to change would enable treatment outcomes to be optimized through the application of specific therapeutic interventions. \u00a9 2012 Wiley Periodicals, Inc. J. Clin. 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