Client resources and the prediction of therapeutic change using an interview: An exploratory study.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-08-28 DOI:10.1080/10503307.2024.2394191

Carina Magalhães, João Tiago Oliveira, Andreia Milhazes, Pablo Fernández-Navarro, Rui Braga, Patrícia Pinheiro, Robert A Neimeyer, Miguel M Gonçalves

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引用次数: 0

Abstract

Objectives: Although psychotherapy research suggests that clients' resources are related to positive outcomes, there is a lack of clinical tools available to consider their integration into psychotherapy. In this exploratory research, we studied the feasibility of a semi-structured interview to identify resources reported by clients at the onset of therapy and the relationship between resources and therapy outcomes.

Methods: Data consisted of interviews with 30 clients from a clinical trial, in which elicitation of resources and their relationship with the outcomes were the main study objectives.

Results: This interview was content analyzed and both adaptative resources and maladaptive resources (dysfunctional coping strategies) were identified. The association between the adaptive resources and the evolution of outcomes throughout treatment was analyzed. Time (i.e. sessions) and resources were negatively correlated with psychological distress. Moreover, resources positively influenced the impact of time on distress.

Conclusions: Clinicians should not take at face value resources that are self-reported, as they may reflect the maladaptive functioning of the client. The finding that clients with higher resources at onset have better outcomes points to the need to study how resources may be elicited effectively during therapy, and if this improves psychotherapy outcomes.

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客户资源和利用访谈预测治疗变化：一项探索性研究。

目的：尽管心理治疗研究表明，求助者的资源与积极的治疗结果有关，但目前缺乏可用于考虑将其纳入心理治疗的临床工具。在这项探索性研究中，我们研究了半结构式访谈的可行性，以确定客户在治疗开始时报告的资源，以及资源与治疗结果之间的关系：数据包括对一项临床试验中 30 名客户的访谈，研究的主要目标是了解资源及其与疗效之间的关系：结果：对访谈内容进行了分析，确定了适应性资源和不适应性资源（功能失调的应对策略）。研究分析了适应性资源与整个治疗过程中结果演变之间的关系。时间（即疗程）和资源与心理困扰呈负相关。此外，资源对时间对心理困扰的影响有正向影响：临床医生不应轻信自我报告的资源，因为这些资源可能反映了求助者的适应不良功能。研究发现，开始治疗时拥有较高资源的求助者会获得更好的治疗效果，这表明有必要研究如何在治疗过程中有效激发资源，以及这是否会改善心理治疗的效果。

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 PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

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.