Clinical psychology & psychotherapy最新文献

{"title":"Frustration Intolerance Scale for Students.","authors":"Trip Simona, Bora Carmen Hortensia, Roseanu Gabriel","doi":"10.1002/cpp.70028","DOIUrl":"https://doi.org/10.1002/cpp.70028","url":null,"abstract":"<p><strong>Background: </strong>Frustration intolerance (FI) is the belief that reality should meet our desires for ease, pleasure and comfort. Although extensively studied in adults, tools for measuring FI in children and adolescents are scarce. The Frustration Intolerance Scale for Students (FISS) was developed to fill this gap. This study aimed to evaluate the FISS's structure and, through a longitudinal design, assess its psychometric properties, including reliability and validity.</p><p><strong>Methods: </strong>Confirmatory factor analysis (CFA) was conducted with a sample of 780 participants (46.30% female, Age_mean = 11.80 years). A retest was administered after 5 months to 611 participants (48.6% female, Age_mean = 12.24 years). Both testing moments assessed FI, along with externalized and internalized anger, anger duration, empathy, academic interest and self-efficacy.</p><p><strong>Results: </strong>Confirmatory factor analyses revealed that the eight-plus-one model is the optimal structure for the FISS, allowing for scores on each FI component, frustration tolerance (FT) and a general irrationality FI factor. The eight subscales and the irrationality FI factor showed good internal consistency, whereas test-retest reliability was fair, indicating some variability between administrations. Regarding convergent evidence, significant longitudinal correlations were found between internalized and externalized anger, the degree of anger and all dimensions of FI. FT was positively associated with empathy, and this pattern remained consistent over time. The scale demonstrated discriminant validity by effectively differentiating between students with low and high levels of academic interest and self-efficacy.</p><p><strong>Conclusions: </strong>The FISS is a valid and reliable tool for assessing various dimensions of frustration intolerance in children and adolescents.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70028"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-Sectional Network Analysis of Intimate Partner Violence and Suicidal Ideation Among Arab Women.","authors":"Natalie Tayim, Mohammad Nayef Ayasrah, Marei Ahmed, Rasha Mohamed Abdelrahman","doi":"10.1002/cpp.70037","DOIUrl":"https://doi.org/10.1002/cpp.70037","url":null,"abstract":"<p><strong>Introduction: </strong>The current study aimed to evaluate the relationship between intimate partner violence (IPV) and suicidal ideation among women using a network analysis approach.</p><p><strong>Method: </strong>Secondary data including 440 women (mean age ± SD = 32.78 ± 8.09) who experienced IPV in the last 6 months were used. The Revised Composite Abuse Scale-Short Form, Columbia-Suicide Severity Rating Scale and Revised Scale of Economic Abuse were used to assess IPV and suicidal ideation. Network analysis, centrality measures and bridge centrality were applied to understand the interplay between IPV and suicide risk factors.</p><p><strong>Results: </strong>The strongest association in the network analysis was found between 'Wish to be Dead' (S.1) and 'Non-Specific Active Suicidal Thoughts' (S.2) with a weight of 0.523, indicating a substantial correlation between general suicidal thoughts and particular desires to die. IPV symptoms, particularly economic exploitation and psychological abuse, showed strong links to suicidal ideation. 'Active Suicidal Ideation with Specific Plan and Intent' (S.5) was significantly related to 'Make you take out a loan or buy something on credit when you didn't want to' (EA.11) with a weight of 0.276. Additionally, centrality analysis showed that 'Wish to be Dead' (S.1) was the most central node in the network of suicidal ideation, with the highest centrality score (betweenness = 2.625).</p><p><strong>Conclusion: </strong>These findings suggest that IPV, mainly psychological abuse, plays a pivotal role in suicidal ideation among women. Mental health interventions should focus on addressing IPV-related psychological abuse. Suicide prevention efforts must integrate IPV screening into clinical practice.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70037"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network Analysis and Psychometric Properties of the Parent Version of the Screen for Child Anxiety-Related Emotional Disorders in Arabic Children (4-7 Years Old).","authors":"Mohammad Nayef Ayasrah, Ayoub Hamdan Al-Rousan, Mohamad Ahmad Saleem Khasawneh","doi":"10.1002/cpp.70029","DOIUrl":"https://doi.org/10.1002/cpp.70029","url":null,"abstract":"<p><strong>Introduction: </strong>The current paper aimed to translate psychometric properties and network structure of the Screen for Child Anxiety-Related Emotional Disorders (SCARED-P) in children aged 4 to 7 years in Arabic-speaking countries.</p><p><strong>Method: </strong>In this study, 646 Arabic-speaking parents of children aged 4 to 7 participated. Confirmatory factor analysis (CFA) was used to confirm the five-factor structure of the SCARED-P scale. Indices of reliability, test-retest reliability, convergent validity and measurement invariance were utilized. Additionally, a network perspective, which included exploratory graph analysis (EGA), was employed.</p><p><strong>Results: </strong>The results of the present study showed that the five-factor model of the SCARED-P scale was confirmed with good fit indices (χ²/df = 3.27, RMSEA = 0.059, CFI = 0.92). The scale demonstrated good internal consistency (total scale: α = 0.946, subscales: α = 0.68-0.96). Test-retest reliability over 2 weeks was satisfactory (ICC above 0.70). The convergent validity of the scale was also confirmed, as SCARED-P scores had a significant correlation with the emotional problems subscale of the SDQ (r = 0.61, p < 0.001). The emotional subscale showed the highest correlation with the generalized anxiety component (r = 0.68, p < 0.001). Additionally, the network analysis supported the five-factor model of the SCARED-P scale.</p><p><strong>Conclusion: </strong>The SCARED-P scale demonstrated excellent psychometric properties in Arabic-speaking children aged 4 to 7, with a stable five-factor structure and strong convergent validity. It suggested that this tool can be a valuable instrument for the early identification of anxiety disorders in Arab countries. This study emphasizes the importance of culturally adapted screening tools in detecting anxiety symptoms and providing opportunities for early interventions.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70029"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive Review and Meta-Analysis of Psychological and Pharmacological Treatment for Intermittent Explosive Disorder: Insights From Both Case Studies and Randomized Controlled Trials.","authors":"Fangqing Liu, Xiaoshan Yin, Wenting Jiang","doi":"10.1002/cpp.70016","DOIUrl":"https://doi.org/10.1002/cpp.70016","url":null,"abstract":"<p><p>Intermittent explosive disorder (IED) is characterized by sudden, disproportionate outbursts of anger that can severely impact individuals' quality of life, causing difficulties in maintaining relationships, issues at work or school and potential legal troubles. This study aimed to systematically review and meta-analyse the effectiveness of psychological and pharmacological treatments for IED, drawing insights from both case studies and randomized controlled trials (RCTs). A total of 12 RCTs and 14 case studies were included in this comprehensive analysis. The meta-analysis revealed that psychological treatments, particularly cognitive behavioural therapy (CBT), showed significant effectiveness in reducing aggression and achieving full remission compared to pharmacological treatments. However, the latter, notably fluoxetine, demonstrated notable efficacy in managing irritability and achieving treatment response. Subgroup analysis identified follow-up time and intervention type as significant moderators of treatment outcomes. The systematic review of case studies highlighted the successful application of deep brain stimulation (DBS) and various off-label medications, including SSRIs and mood stabilizers, in managing IED symptoms. Despite these insights, the study emphasizes the need for more robust evidence-based treatment protocols and further research into the underlying mechanisms of IED to develop targeted treatments.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70016"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Psychometric Network Structure of Social Anxiety: A Scoping Review.","authors":"Shota Noda, Motohiro Nishiuchi, Giovanbattista Andreoli, Stefan G Hofmann","doi":"10.1002/cpp.70032","DOIUrl":"https://doi.org/10.1002/cpp.70032","url":null,"abstract":"<p><p>The network approach offers a novel perspective for conceptualizing the psychopathology of social anxiety disorder (SAD). This scoping review aimed to map the existing literature on the psychometric network structures of social anxiety symptoms and identify future research directions. A total of 61 studies were identified through searches in PubMed, PsycINFO, ScienceDirect, Cochrane Library, ClinicalTrials.gov and the Open Science Framework databases, employing the keywords ('social anxiety disorder' OR 'social phobia' OR 'social anxiety') AND ('network analysis'). Of these, 10 studies examined the network structures of social anxiety symptoms in patients with SAD, 17 investigated such structures in individuals without an SAD diagnosis and 34 explored networks of other symptoms that included social anxiety symptoms. Most studies were conducted on Western and Chinese populations, underscoring the need for broader cross-cultural comparisons. The central symptoms in SAD networks were fear and anxiety related to performing and interacting with groups, engaging with strangers or unfamiliar individuals, participating in events and being the center of attention. However, the network structures of SAD and related symptoms remain underexplored, with existing studies offering only partial insights. This review emphasizes the need for future research to comprehensively assess social anxiety symptoms and adopt cross-cultural comparative designs to deepen the understanding of SAD psychopathology. These findings provide a foundation for future research on SAD utilizing network analysis.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70032"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Attachment Style, Emotion Regulation and Obsessive-Compulsive Disorder-A Preliminary Cross-Sectional Mediational Investigation of an Attachment-Based Model.","authors":"Sara Kerstine Kaya Nielsen, Anne Christine Stuart, Clas Winding, Mette Øllgaard Pedersen, Sarah Ingrid Franksdatter Daniel, Signe Vangkilde, Nicole Rosenberg, Ida Hageman, Anders Petersen, Martin Balslev Jørgensen","doi":"10.1002/cpp.70031","DOIUrl":"https://doi.org/10.1002/cpp.70031","url":null,"abstract":"<p><p>There is evidence that emotion regulation plays a role in the aetiology and maintenance of OCD, but knowledge about what impacts emotion dysregulation is limited. Attachment style is related to both emotion regulation and OCD symptoms, but the link between them has not been thoroughly studied. Examining emotion dysregulation within the context of OCD through an attachment theory framework may lead to a better understanding of the aetiology and maintenance of OCD. In the present study, we combined theoretically and empirically derived knowledge to examine the mediating role of emotion regulation between attachment dimensions (avoidance and anxiety) and OCD symptoms. One-hundred seventy-nine individuals with OCD were assessed with Experiences in Close Relationships-Revised (ECR-R), Difficulties in Emotion Regulation Scale (DERS) and Yale-Brown Obsession Compulsion Scale (Y-BOCS), and mediation analyses were conducted. Our results indicate that the association between OCD and attachment anxiety/avoidance was mediated by emotion dysregulation. The primary limitation of our study is that data are cross-sectional and, therefore, we cannot infer anything about the causal direction of these relationships. A second limitation of the study is that two of the three measures were derived from self-reported questionnaires, which may be prone to biassed reporting. Our results suggest that insecure attachment is important in OCD when taking emotion regulation into account. Thus, clinical interventions for OCD may improve by targeting attachment and difficulties related to emotion regulation. However, our findings are based on cross-sectional data that preclude conclusions relating to causal influence.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":"e70031"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Reality Interventions and Psychosocial Functioning in Schizophrenia Spectrum Disorders: A Systematic Review","authors":"Emine Ilgın Hoşgelen,&nbsp;Sinem Güneri,&nbsp;Burak Erdeniz,&nbsp;Köksal Alptekin","doi":"10.1002/cpp.70020","DOIUrl":"10.1002/cpp.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to evaluate the effectiveness of virtual reality (VR) intervention programs that aim to improve psychosocial functioning in schizophrenia spectrum disorders and evaluate the quality assessment of these studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guideline was followed to conduct this systematic review. The literature search was performed in Web of Science (WoS) and PubMed, by two independent researchers on two occasions, on 1 March 2023 and 20 August 2023. Risk of bias of the studies was evaluated by The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies met inclusion criteria, targeting social skills (<i>n</i> = 5), social cognitive skills (<i>n</i> = 7) and vocational training (<i>n</i> = 3). In these studies, a total of 292 participants enrolled in VR interventions and a total of 258 participants enrolled in control groups. In this systematic review, there were eight cohort studies, where seven were with a single-group pretreatment and posttreatment evaluation and one was with a control group, and one controlled trial and six randomized controlled trials were included. Several studies reported significant improvements in both psychosocial functioning and clinical symptoms, whereas others found improvements only in either psychosocial functioning or clinical symptoms, and still others found no improvements at all. The limitations of the studies include small sample sizes and standardized intervention methods. There is a very high variability in session duration, frequency and total treatment period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although VR intervention programs offer unique opportunities for psychosocial improvement, heterogeneity in methodologies and mixed results highlight the need for further research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Maladaptive Schemas and Dissociative Symptoms: A Systematic Review and Meta-Analysis","authors":"Lauren C. Blackman,&nbsp;Elizabeth Pizarro-Campagna,&nbsp;Pamela D. Pilkington","doi":"10.1002/cpp.70026","DOIUrl":"10.1002/cpp.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dissociation is an underresearched and important clinical construct associated with impaired functioning and poor quality of life. Improved understanding of the modifiable correlates of dissociation can inform early detection and effective treatments. The aim of this systematic review and meta-analysis was to synthesise the evidence on the associations between dissociative symptoms and early maladaptive schemas (EMSs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The reviewed studies reported unadjusted association/s between dissociative symptoms and EMS/s and were published in English in peer-reviewed journals. PsycINFO, PubMed and CINAHL Complete databases were searched on 17 April 2024, and citation searches were completed on 27 April 2024. Random-effects meta-analyses were completed to evaluate the magnitude of the associations between dissociative symptoms and each of the 18 EMSs. Methodological quality was assessed using the AXIS tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of nine cross-sectional studies published between 2001 and 2023 were included (pooled <i>N</i> = 2300). Dissociative symptoms were positively correlated with 14 of the 18 EMSs. The largest associations were with the defectiveness/shame (<i>r</i>[7] = 0.45, 95% CI [0.34, 0.56]), vulnerability to harm (<i>r</i>[5] = 0.45, 95% CI [0.30, 0.58]) and social isolation schemas (<i>r</i>[8] = 0.39, 95% CI [0.25, 0.51]). Moderate to considerable heterogeneity was present in 14 of the meta-analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The emerging findings suggest EMSs are important cognitive correlates of dissociation that warrant increased empirical attention. In particular, longitudinal research is needed to explore temporal causality. Additional research could examine whether targeting EMSs relating to feeling unlovable, isolated and vulnerable to harm can help ameliorate dissociative symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress","authors":"Laura P. Strachan,&nbsp;Georgie Paulik,&nbsp;Peter M. McEvoy","doi":"10.1002/cpp.70024","DOIUrl":"https://doi.org/10.1002/cpp.70024","url":null,"abstract":"<div>\u0000 \u0000 <p>Many trauma-affected voice hearers report comorbid posttraumatic stress and voices (auditory verbal hallucinations) that are directly (voices repeat phrases spoken by perpetrators) or indirectly (voice content and trauma are thematically similar) related to their trauma. Models of PTSD and positive symptoms of psychosis are insufficient in explaining the comorbidity between PTSD and voices, and interventions based on these models have limited effectiveness in treating voices. This study presents a model that generates novel research into the factors underlying trauma-related voices that may inform effective interventions. Maintaining factors from existing models of PTSD and positive symptoms were combined into an integrative model of trauma-related voices. Theorised relationships between factors were used to identify possible differential pathways to direct and indirect voices. An integrative, trauma-related voices (TRV) model was developed that identifies multiple causal pathways to trauma-related voices. A future research agenda is proposed to test novel hypotheses based on the integrative model. The TRV model is a practical tool for complex case conceptualisation and generates novel hypotheses that may inform more effective treatments. Future studies are needed to test elements of the TRV model and should recruit transdiagnostic samples with diverse posttraumatic stress and voice hearing symptoms.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Artificial Intelligence to Identify Effective Components of Computer-Assisted Cognitive Behavioural Therapy","authors":"Jeremy J. Coleman,&nbsp;Jesse Owen,&nbsp;Jesse H. Wright,&nbsp;Tracy D. Eells,&nbsp;Becky Antle,&nbsp;Markessa McCoy,&nbsp;Christina Signe Soma","doi":"10.1002/cpp.70023","DOIUrl":"https://doi.org/10.1002/cpp.70023","url":null,"abstract":"<div>\u0000 \u0000 <p>Although clinician-supported computer-assisted cognitive-behaviour therapy (CCBT) is well established as an effective treatment for depression and anxiety, less is known about the specific interventions used during coaching sessions that contribute to outcomes. The current study used artificial intelligence (AI) to identify specific components of clinician-supported CCBT and correlated those scores with therapy outcomes. Data from a randomized clinical trial comparing clinician-supported CCBT with treatment as usual in a primary care setting were utilized. Participants (<i>n</i> = 95) engaged in CCBT with coaching sessions. The primary outcome was the Patient Health Questionnaire (PHQ-9), with Generalized Anxiety Disorder (GAD-7), Satisfaction with Life Scale (SWLS) and Automatic Thoughts Questionnaire (ATQ) ratings as secondary outcomes, which were assessed at 12 weeks (post), 3- and 6-month follow-up. The Lyssn system utilized AI technology to code CBT techniques and common general psychotherapeutic techniques. After controlling for initial ratings, 13 Lyssn-variables were observed to be significantly associated with reducing anxiety on the GAD-7 after 12 weeks of treatment. Among the most effective CBT interventions for anxiety included the use of guided discovery, understanding, interpersonal effectiveness and agenda setting. The most beneficial intervention was the proportion of open questions across all variables. Lyssn did not identify any CBT-specific interventions significantly associated with PHQ-9, SWLS or ATQ. Therapist use of CBT-specific techniques was significantly associated with reduction of anxiety symptoms after 12 weeks, but such gains were not observed at follow up. Therapist use of open questions was observed to be the most impactful technique contributing to treatment outcomes.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}