Within- and between-session changes of in-session reflective functioning of mothers in dyadic parent-infant psychotherapy.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Research Pub Date : 2025-04-01 Epub Date: 2024-03-14 DOI:10.1080/10503307.2024.2323617
Anna Katharina Georg, Lea Amelie Kasper, Andreas B Neubauer, Maximilian Selic, Svenja Taubner
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引用次数: 0

Abstract

This study investigated if in-session reflective functioning (RF) of mothers improved between and within sessions of brief dyadic focused parent-infant psychotherapy (fPIP) for the treatment of regulatory disorders in infants.

In-session RF was coded for 44 therapy sessions from N = 11 mothers randomly selected from a RCT on the efficacy of fPIP as part of secondary analyses. A new rating system distinguished self-focused and child-focused in-session RF. Cumulative ordinal regression models were applied to analyze the dynamics of in-session RF within and across sessions, controlling for word count of each statement.

While in-session RF improved significantly within sessions, between-session RF improved significantly only in the second session compared to the first with a significant decrease observed in the last session. Child-focused in-session RF was significantly lower than self-focused in-session RF at the beginning of the sessions but improved significantly stronger than self-focused in-session RF during sessions.

In-session RF (particularly in child-focused statements) can be regarded as a dynamic change process relevant within each session of dyadic fPIP. Improvements made on a session-by-session basis may not be maintained until the next session. Implications for practitioners and in-session RF research are discussed.

母亲在亲子心理治疗中的反思功能在疗程内和疗程间的变化。
本研究调查了母亲的会话反思功能(RF)是否在治疗婴儿调节障碍的简短的双亲-婴儿心理治疗(fPIP)疗程之间和疗程之内得到改善。会话反思功能是从一项关于fPIP疗效的RCT研究中随机抽取的N = 11名母亲的44个疗程进行编码,作为二次分析的一部分。新的评级系统区分了自我关注和儿童关注的会话中RF。累积序数回归模型用于分析疗程内和疗程间RF的动态变化,并对每项陈述的字数进行了控制。虽然疗程内RF在疗程内有显著改善,但疗程间RF仅在第二次疗程比第一次疗程有显著改善,在最后一次疗程观察到显著下降。以儿童为中心的会话内射频在会话开始时明显低于以自我为中心的会话内射频,但在会话过程中,以儿童为中心的会话内射频的改善明显强于以自我为中心的会话内射频。在每个疗程中取得的改善可能无法维持到下一个疗程。本文讨论了对实践者和会话中 RF 研究的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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