Journal of consulting and clinical psychology最新文献

{"title":"Interrelationships of symptomatic and relational distress: Improvements in interpersonal problems predict subsequent improvement in depressive symptoms during open-ended psychotherapy for adults with depression.","authors":"Andreas Høstmælingen,Helene Amundsen Nissen-Lie,Jon Trygve Monsen,Ole André Solbakken","doi":"10.1037/ccp0000956","DOIUrl":"https://doi.org/10.1037/ccp0000956","url":null,"abstract":"OBJECTIVEDepressed patients often experience interpersonal distress. Understanding how interpersonal distress and depressive symptoms are associated may have implications for understanding the etiology and maintenance of depression, as well as for treatment. In this naturalistic psychotherapy study, we explored whether change in depressive symptoms predicted subsequent change in interpersonal distress or vice versa.METHODDepressive symptoms (depression scale of the Symptom Check List-90-Revised) and interpersonal problems (Inventory of Interpersonal Problems-64) were assessed on nine occasions, including before, during, and after treatment and at 1 and 2.5 years follow-up in a sample of 178 depressed patients receiving open-ended psychotherapy. We used latent curve modeling with structured residuals to assess possible reciprocal relations between interpersonal problems and depression, controlling for personality disorder.RESULTSThe findings showed that interpersonal distress had a slower rate of change compared to depressive symptoms, but improvements in interpersonal distress predicted subsequent improvement in depressive symptoms during psychotherapy, and this effect was stable over time. Patients with comorbid personality disorder had higher initial levels of both depression and interpersonal distress, but there were no differences in rates of change for any of the outcomes.CONCLUSIONOur results indicate that improvements in interpersonal problems may play an important role in alleviating depressive symptoms during psychotherapy. We propose that reduction of interpersonal distress is associated with increased interpersonal flexibility, which may lead to more positive responses from others, thereby contributing to a reduction in depressive symptoms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"1 1","pages":"457-470"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the matching effect: The association between preference accommodation, the working alliance, and outcome in psychotherapy.","authors":"Celia Faye Jacobsen,Fredrik Falkenström,Karen-Inge Karstoft,Libby Igra,Susanne Lunn,Jan Nielsen,Line Lauritzen,Stig Poulsen","doi":"10.1037/ccp0000955","DOIUrl":"https://doi.org/10.1037/ccp0000955","url":null,"abstract":"OBJECTIVEThis study investigated two proposed change mechanisms in preference accommodation, thought to improve psychotherapy outcomes: a direct effect of a match between clients' initial preferences and their subsequent experiences of the therapy activities, or a mediated \"matching effect\" operating through the working alliance. Furthermore, the study explored whether the effect of a preference-experience (mis)match depended on the phase of therapy or type of therapy activity.METHODThree hundred sixty-six adults (Mage = 43.2, 75% female) were seen by 50 therapists in individual psychotherapy. Cross-lagged associations between latent preference-activity discrepancies (measured by the Preference and Experience Questionnaire), working alliance (measured by the Session Alliance Inventory), and affective symptoms (measured by the Symptom Checklist-11) were analyzed using dynamic panel modeling adjusted for between-person differences.RESULTSGenerally, the clients' initial preference levels exceeded the amount of therapy activities they experienced receiving. Deviations from this general discrepancy, so that the amount of activities increased in the direction of the client's preference levels, were significantly associated with stronger alliance ratings for all activity types and across most sessions. However, no fully mediated sequence between a change in preference-experience-discrepancy, the alliance, and symptoms was found. Moreover, the direct associations between preference-experience-discrepancy and subsequent symptom change were inconsistent and indicated differences between distinct activity types and phases of therapy.CONCLUSIONSBoth direct effects and alliance effects in preference accommodation were found, but the study provides particular support for matching effects impacting the working alliance and highlights the potential of preference work in alliance development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"131 1","pages":"443-456"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of mindfulness interventions on couple relationship satisfaction: A systematic review and meta-analysis.","authors":"Andreas Voldstad,Ananda Zeas-Sigüenza,Anton Skolzkov,Mari Walthaug,Jesús Montero-Marín,Willem Kuyken","doi":"10.1037/ccp0000954","DOIUrl":"https://doi.org/10.1037/ccp0000954","url":null,"abstract":"OBJECTIVEMindfulness interventions (MIs) train nonjudgmental attention to present-moment experience and aim to improve mental health and well-being. The evidence for their effect on interpersonal relationships is promising but uncertain. This study examines the effect of MIs on couple relationship satisfaction (RS).METHODRandomized controlled trials of MIs including RS were selected based on systematic searches in Web of Science, PubMed, APA PsycInfo, Embase, Cochrane Central, ProQuest, and Google Scholar. We applied three-level meta-analysis with robust variance estimation to pool effects and multimodel approaches to explore moderators.RESULTSWe calculated 90 effect sizes (k) nested within 28 studies (K) including 6,097 participants in a couple relationship. MIs had a significant medium effect on RS with high heterogeneity (g = 0.60, 95% confidence interval [0.16, 1.04], I2 = 97 [95, 99]). The effect on RS was influenced by extreme outliers (e.g., g up to 7.48). Removing outliers resulted in a significant small effect with low heterogeneity (g = 0.21 [0.11, 0.31], I2 = 25 [0, 67], k = 85, K = 26). Effects were moderated by intervention length, baseline satisfaction, and risk of bias. There were significant effects for both clinical and community samples. The certainty of the evidence is very low due to inconsistency, imprecision, risk of bias, and suspicion of publication bias. Generalization is limited by insufficient reporting.CONCLUSIONSThis meta-analysis indicates that MIs have a consistent small effect on RS, but the quality of evidence points to the need for program theory and rigorous methodology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"30 1","pages":"427-442"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of cognitive behavioral therapies with a trauma focus for posttraumatic stress disorder: An individual participant data meta-analysis.","authors":"Simonne L Wright,Eirini Karyotaki,Marit Sijbrandij,Pim Cuijpers,Jonathan I Bisson,Davide Papola,Anke B Witteveen,Sudie E Back,Dana Bichescu-Burian,Liuva Capezzani,Marylene Cloitre,Grant J Devilly,Thomas Elbert,Marcelo Feijo Mello,Julian D Ford,Damion Grasso,Richard Gray,Moira Haller,Nigel Hunt,Rolf J Kleber,Julia König,Claire Kullack,Jonathan Laugharne,Rachel Liebman,Christopher William Lee,Jeannette Lely,John C Markowitz,Candice Monson,Mirjam J Nijdam,Sonya Norman,Miranda Olff,Tahereh Mina Orang,Luca Ostacoli,Nenad Paunovic,Eva Petkova,Rita Rosner,Maggie Schauer,Joy M Schmitz,Ulrich Schnyder,Brian Smith,Anka A Vujanovic,Yinyin Zang,Soraya Seedat","doi":"10.1037/ccp0000942","DOIUrl":"https://doi.org/10.1037/ccp0000942","url":null,"abstract":"OBJECTIVEThis individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for posttraumatic stress disorder (PTSD). Furthermore, we examined the effect of moderators on PTSD symptom severity.METHODThis study included randomized controlled trials comparing CBT-TF to an inactive or active comparison group for adults with PTSD. The primary and secondary outcomes were PTSD symptom severity and remission, respectively. Moderators included sociodemographic and clinical variables.RESULTSTwelve studies compared CBT-TF with inactive (n = 625) and 11 with active comparison conditions (n = 706). The one-stage individual participant data meta-analysis found that CBT-TF was more effective than inactive comparison conditions (β = -0.78; OR = 2.34) and not significantly different from active comparison conditions (β = 0.02; OR = 0.53) in reducing PTSD symptom severity and achieving PTSD remission, respectively. When comparing CBT-TF with inactive treatments, moderator analysis found that divorced participants had greater PTSD symptoms postintervention following CBT-TF than participants who were single, cohabitating, or married receiving CBT-TF, both in the completer (β = 0.93) and full-sample (β = 0.59) analyses. For the active treatment comparison, moderator analysis found that participants taking psychotropic medication had lower PTSD symptoms following CBT-TF than those not taking psychotropic medication in the completer analysis (β = -0.39).CONCLUSIONBased on our moderator analyses, further research is needed to understand the effect of psychotropic medication on the CBT-TF intervention process. Moreover, divorced participants with PTSD receiving CBT-TF might benefit from enhanced support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"30 1","pages":"401-426"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond total scores: Enhancing psychotherapy outcome prediction with item-level scores.","authors":"Juan Segundo Pena Loray,Miriam Ina Hehlmann,Juan Martín Gomez Penedo,Henning Schöttke,Julian A Rubel","doi":"10.1037/ccp0000957","DOIUrl":"https://doi.org/10.1037/ccp0000957","url":null,"abstract":"OBJECTIVEThis study aims at improving dropout and treatment nonresponse prevention by optimizing the performance of models for their prediction through the integration of item-level data.METHODRoutine data from 1,277 patients (Mage = 36.95, SDage = 13.64; 64.77% female) treated at Osnabrück University was used to train and evaluate 20 machine-learning algorithms and five ensemble models. Measures included sociodemographic information, Outcome Questionnaire-30, Questionnaire for the Evaluation of Psychotherapeutic Progress, Questionnaire on Emotional Well-Being, Symptom Checklist-90-R, and the Inventory of Interpersonal Problems-32. Prediction models were trained with nested cross-validation and validated in a holdout sample. SHapley Additive exPlanations values were extracted for the best resulting model.RESULTSItem-level models achieved the highest performance for both dropout (F1-Score = 0.87, Brier score = 0.0529, balanced accuracy = 0.88) and treatment nonresponse (F1-Score = 0.60, Brier score = 0.1646, balanced accuracy = 0.72) prediction. Items reflecting cognitive and bodily dimensions, respectively, emerged as key predictors.CONCLUSIONThis study demonstrates the clinical value of using item-level data to enhance predictive modeling for dropout and treatment nonresponse and the potential to provide actionable insights for clinical practice. Integrating such models into clinical feedback systems could help identify at-risk patients and reduce dropout and nonresponse rates. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"15 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for Interrelationships of Symptomatic and Relational Distress: Improvements in Interpersonal Problems Predict Subsequent Improvement in Depressive Symptoms During Open-Ended Psychotherapy for Adults With Depression","authors":"","doi":"10.1037/ccp0000956.supp","DOIUrl":"https://doi.org/10.1037/ccp0000956.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"38 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for The Effect of Mindfulness Interventions on Couple Relationship Satisfaction: A Systematic Review and Meta-Analysis","authors":"","doi":"10.1037/ccp0000954.supp","DOIUrl":"https://doi.org/10.1037/ccp0000954.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"61 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for Exploring the Matching Effect: The Association Between Preference Accommodation, the Working Alliance, and Outcome in Psychotherapy","authors":"","doi":"10.1037/ccp0000955.supp","DOIUrl":"https://doi.org/10.1037/ccp0000955.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"16 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for Beyond Total Scores: Enhancing Psychotherapy Outcome Prediction With Item-Level Scores","authors":"","doi":"10.1037/ccp0000957.supp","DOIUrl":"https://doi.org/10.1037/ccp0000957.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"70 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for Differential Effect of Early Response on Outcomes in Person-Centered Experiential Therapy and Cognitive Behavioral Therapy for the Treatment of Adult Moderate or Severe Depression","authors":"","doi":"10.1037/ccp0000948.supp","DOIUrl":"https://doi.org/10.1037/ccp0000948.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"2021 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}