Psychotherapy最新文献

Applying a theory of change approach to evaluating evidence for circle of security interventions: A systematic review. 应用变化理论方法评估安全干预圈的证据：系统回顾。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-07-21 DOI: 10.1037/pst0000592

Erinn Hawkins, Brittnee Byron, Anna Huber, Nicole Perry, Catherine McMahon, Neil W Boris

{"title":"Applying a theory of change approach to evaluating evidence for circle of security interventions: A systematic review.","authors":"Erinn Hawkins, Brittnee Byron, Anna Huber, Nicole Perry, Catherine McMahon, Neil W Boris","doi":"10.1037/pst0000592","DOIUrl":"https://doi.org/10.1037/pst0000592","url":null,"abstract":"Circle of Security (COS) interventions aim to improve parent-child relationships. Preliminary evidence of the effectiveness of COS interventions has been positive, but recent studies suggest mixed results that may be due to a lack of differentiation between different versions of COS interventions. This systematic review used a theory of change/program logic approach to summarize the evidence for COS interventions and to explore the conditions under which each protocol was most effective. A comprehensive systematic literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies administering a verified COS intervention protocol with parents/caregivers of children aged 0-8 years. Studies were coded for study design, protocol type, sample characteristics, treatment fidelity, dose, risk of bias, and type of outcome. Nineteen eligible studies were included; seven were randomized controlled trials. Studies of the higher dose protocols (i.e., COS-Intensive, COS-Intensive-Revised Hybrid, COS-Perinatal Protocol) showed promising results across primary and secondary parent outcomes, longer term relationship and child outcomes, and clinical samples. Results showed mixed evidence for the efficacy of the more scalable COS-Parenting. Reviewing studies according to the theory of change/program logic suggested three sources of variability in COS-Parenting studies compared to the higher dose COS interventions that could impact outcome: treatment dose/strategies, sample type, and treatment fidelity. Differential effectiveness of COS interventions tested in seven randomized controlled trials, two nonrandomized controlled trials, and 10 single-arm trials suggests that different COS variants may be better suited to different target populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maintaining therapeutic presence and empathy when engaging with a client's existential concerns. 在处理客户存在的问题时，保持治疗的存在感和同理心。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-07-21 DOI: 10.1037/pst0000588

Gianina Frediani, Mart De Henau, Isabelle De Pooter, Peter Rober, Siebrecht Vanhooren

{"title":"Maintaining therapeutic presence and empathy when engaging with a client's existential concerns.","authors":"Gianina Frediani, Mart De Henau, Isabelle De Pooter, Peter Rober, Siebrecht Vanhooren","doi":"10.1037/pst0000588","DOIUrl":"https://doi.org/10.1037/pst0000588","url":null,"abstract":"Research shows how therapists struggle to stay present with their clients' existential concerns. Our goal was to explore what hinders and enables therapists to stay present and engaged when existential concerns surface in the session. We invited 22 therapists (12 novice and 10 experienced) to engage in a role-play with a client expressing her existential concerns using a standardized script. Subsequently, the therapists were interviewed using a videotape-assisted recall procedure. Data were analyzed according to the descriptive-interpretive qualitative research approach. When confronted with existential themes in the session, novice therapists experienced overwhelming feelings of powerlessness and uncertainty, blocking their ability to remain open to the client's existential experiences. Lack of knowledge and encountering their own existential vulnerability were mentioned as triggers. For experienced therapists, the main challenge was to stay present while feeling impacted by the existential topic, which they managed by grounding and reanchoring themselves. Our findings support the idea that embracing one's own existential issues and being at ease with existential themes may be essential conditions for staying present and fostering an authentic therapeutic encounter. Furthermore, our findings suggest that gaining knowledge about the existential process and learning to ground and reanchor oneself are essential for therapists. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attitudes among therapists who do (or do not) implement feedback-informed treatment. 实施（或不实施）反馈治疗的治疗师的态度。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-07-10 DOI: 10.1037/pst0000587

Joanna M Drinane, Rochelle C Cassells, Scott D Miller, JiSoo Park, David Brown

{"title":"Attitudes among therapists who do (or do not) implement feedback-informed treatment.","authors":"Joanna M Drinane, Rochelle C Cassells, Scott D Miller, JiSoo Park, David Brown","doi":"10.1037/pst0000587","DOIUrl":"https://doi.org/10.1037/pst0000587","url":null,"abstract":"Studies of psychotherapy efficacy have highlighted the importance of feedback-informed treatment (FIT), which involves the routine collection of client process and outcome data to inform intervention formulation and clinical decision making. Despite the relative ease with which FIT measures can be integrated into therapeutic practices, many providers do not use these information-gathering tools. The present study analyzed survey responses from therapists whose use of FIT was systemically incentivized and structurally supported. Within this sample, two groups of providers emerged: one (n = 30) that remained engaged in the use of FIT and another (n = 19) that discontinued its use despite its implementation being facilitated. There were some significant differences between the groups. Clinicians who persisted with FIT perceived it as more valid and reported more openness to information from an outside source, whereas clinicians who disengaged from FIT endorsed more antagonistic views about measurement. In addition, clinicians who discontinued FIT reported having a greater belief in the predictive validity of their own judgments without the use of FIT data than did current FIT users. There were statistically significant differences between the two groups in terms of their reliance on intuition, but not on their feedback propensities. These findings contribute to the growing literature regarding the effect of attitudes on the use of measurement in therapy when structural barriers to implementation are reduced. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rumination in response to repugnant obsessions: Catching the sneakiest of compulsions. 对令人反感的强迫反应的反刍：捕捉最隐秘的强迫。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-07-10 DOI: 10.1037/pst0000585

Jean-Philippe Gagné, Shiu F Wong

{"title":"Rumination in response to repugnant obsessions: Catching the sneakiest of compulsions.","authors":"Jean-Philippe Gagné, Shiu F Wong","doi":"10.1037/pst0000585","DOIUrl":"https://doi.org/10.1037/pst0000585","url":null,"abstract":"Rumination is a mental process characterized by the repetitive analysis of concerns without taking concrete or helpful action. It has been shown to be transdiagnostic, contributing to the maintenance and exacerbation of symptoms across various mental disorders, including obsessive-compulsive disorder (OCD). Historically conceptualized as part of the obsessional domain due to its repetitive and intrusive qualities, rumination is now better understood as a covert compulsion-one that reinforces the overimportance of otherwise normal, unwanted intrusions, particularly in the case of repugnant obsessions. Consequently, it is crucial for clinicians to frame rumination as a mental habit or behavior in which individuals with OCD attempt to understand the causes, meaning, and consequences of their thoughts. This unproductive and time-consuming process not only amplifies intrusive doubts but also worsens mood, placing individuals at high risk for comorbid depression. This article outlines how rumination fits within the cognitive-behavioral model of OCD and, more importantly, offers practical refinements to standard cognitive-behavioral therapy interventions, drawing from evidence-based strategies for OCD and related disorders as well as from behavioral activation. The aim is to better equip clinicians with tools to effectively target rumination in OCD, particularly in presentations involving repugnant obsessions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A randomized controlled trial of emotionally focused individual therapy (EFIT) for depression and anxiety. 情绪集中个体治疗（EFIT）治疗抑郁和焦虑的随机对照试验。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-07-10 DOI: 10.1037/pst0000586

Stephanie A Wiebe, Susan M Johnson, Robert Allan, T Leanne Campbell, Paul S Greenman, David R Fairweather, Mariam Ismail, Giorgio A Tasca

{"title":"A randomized controlled trial of emotionally focused individual therapy (EFIT) for depression and anxiety.","authors":"Stephanie A Wiebe, Susan M Johnson, Robert Allan, T Leanne Campbell, Paul S Greenman, David R Fairweather, Mariam Ismail, Giorgio A Tasca","doi":"10.1037/pst0000586","DOIUrl":"https://doi.org/10.1037/pst0000586","url":null,"abstract":"Emotionally focused individual therapy (EFIT; Johnson, 2019) is a newly developed therapeutic modality. In this study, we used a randomized controlled trial (Clinical Trial Registration NCT04719780) intent-to-treat design to examine the effects of 15 sessions of EFIT in comparison with a 15-week wait-list control on general symptom distress and symptoms of depression and anxiety. Eighty-eight participants who met the diagnostic criteria for major depressive disorder and comorbid anxiety, as determined by the Anxiety and Related Disorders Interview Schedule for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, were randomized to an EFIT treatment group (n = 44) or to a wait-list control group (n = 44). Average age was 35.73 years (SD = 12.28). Sixty-three percent identified as women, and 37% identified as male. In terms of ethnicity, 73% identified as White, 1.3% as Black, 7.7% as Southeast Asian, 7.7% as East Asian, 3.8% as Latinx, and 2.6% as First Nation. Participants completed the Outcome Questionnaire-30.2, the Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression scale, and the PROMIS-Anxiety scale. Multilevel modeling results confirmed a significant difference in growth curves between the treatment group and controls on all measures. Follow-up analyses demonstrated significant reductions in symptom distress (Outcome Questionnaire-30.2) and symptoms of depression and anxiety (PROMIS-Depression and PROMIS-Anxiety) across 15 weeks. Overall, the results of this study suggest that EFIT leads to significant symptom reduction among people with depression and anxiety. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving psychotherapists' spiritual and religious competencies: Evaluation of a live videoconferencing training program. 提高心理治疗师的精神和宗教能力：一个实时视频会议培训项目的评估。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-02 DOI: 10.1037/pst0000584

P Scott Richards, Russell S Jones, Peter W Sanders

{"title":"Improving psychotherapists' spiritual and religious competencies: Evaluation of a live videoconferencing training program.","authors":"P Scott Richards, Russell S Jones, Peter W Sanders","doi":"10.1037/pst0000584","DOIUrl":"https://doi.org/10.1037/pst0000584","url":null,"abstract":"This study evaluated the effectiveness of a live videoconferencing training program in spiritually integrated psychotherapy offered by ACPE: The Standard for Spiritual Care and Education (ACPE). We used a quasi-experimental one-group pretest-posttest group design to investigate whether participants' religious/spiritual competencies (self-efficacy, attitudes, and skills) improved and whether their use of spiritual interventions increased after completing the training program. We also assessed whether their perceptions of the barriers to practicing spiritually integrated treatment in their practice setting changed after training. The research participants were 84 adult men and women from diverse spiritual backgrounds, mental health specialties, and geographic locations who completed the measures before and after the training program. A repeated measures multivariate analysis of variance and follow-up t-tests revealed that the participants' spiritual competency and usage of spiritual interventions during treatment sessions significantly increased after the training program. Most Cohen's d effect sizes were large or moderately large, indicating that the improvements were educationally and clinically meaningful. The study provides preliminary evidence that ACPE's live, videoconferencing spiritually integrated psychotherapy training program enhanced the spiritual competencies of the participating mental health and pastoral professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contribution of attachment insecurity to the role and outcome expectations of romantic partners entering couple therapy. 依恋不安全感对接受夫妻治疗的浪漫伴侣的角色和结果期望的影响。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2024-12-16 DOI: 10.1037/pst0000544

Edmund W Orlowski, Myrna L Friedlander, Lee N Johnson, Shayne R Anderson

{"title":"Contribution of attachment insecurity to the role and outcome expectations of romantic partners entering couple therapy.","authors":"Edmund W Orlowski, Myrna L Friedlander, Lee N Johnson, Shayne R Anderson","doi":"10.1037/pst0000544","DOIUrl":"10.1037/pst0000544","url":null,"abstract":"We investigated insecure attachment in relation to how actively romantic partners expect to participate in couple therapy (role expectations for self and partner) and, consequently, how much they expect to benefit from doing so (outcome expectations). Specifically, we used the mediated actor-partner interdependence model (Ledermann et al., 2011) with archived data from 297 heterosexual couples in a research-practice network (L. N. Johnson et al., 2017) who completed the Experiences in Close Relationships Scale-Short Form (Wei et al., 2007) and the Expectations and Preferences Scales for Couple Therapy (Friedlander, Muetzelfeld, et al., 2019) before their first session. Results showed acceptable model fit and a complex, dynamic interplay between gender, anxious, and avoidant attachment to partner, and pretherapy role and outcome expectations. For example, both members of the couple had lower expectations for the participation of partners who reported higher levels of attachment avoidance. Women with higher attachment anxiety also had lower role expectations for their male partners, as well as more negative outcome expectations. Whereas men with higher avoidant attachment reported lower expectations for their own role in the therapeutic process, highly anxious men expected their relationship to improve due to their own participation in the process rather than due to their partner's participation. Taken together, these results suggest that when romantic partners' interactions or descriptions of one another's behavior in the first session suggest a high level of attachment insecurity, particularly high avoidance, therapists should explain how their joint, active participation in the therapeutic process can help improve their relationship. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"243-252"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strengths use and emotional disorder symptom reduction during a transdiagnostic cognitive behavioral therapy: A random-intercept cross-lagged panel model study. 在跨诊断认知行为疗法中，优势的使用与情绪障碍症状的减轻：随机截距交叉滞后面板模型研究。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2024-11-21 DOI: 10.1037/pst0000553

Daniel Teplow, Daniella Spencer-Laitt, Laura J Long, Audrey J Hey, Julián D Moreno, Todd J Farchione

{"title":"Strengths use and emotional disorder symptom reduction during a transdiagnostic cognitive behavioral therapy: A random-intercept cross-lagged panel model study.","authors":"Daniel Teplow, Daniella Spencer-Laitt, Laura J Long, Audrey J Hey, Julián D Moreno, Todd J Farchione","doi":"10.1037/pst0000553","DOIUrl":"10.1037/pst0000553","url":null,"abstract":"Strengths use, the engagement of positive character traits in everyday contexts, is associated with both positive functioning and symptom reduction. The present study examined longitudinal relationships between strengths use and emotional disorder symptoms (anxiety, stress, and depression) during a randomized clinical trial of the Digital Unified Protocol, a transdiagnostic cognitive behavioral therapy. Participants (N = 120) completed assessments at four major time points during treatment and at 3-month follow-up. We specified three random-intercept cross-lagged panel model to capture within-person, bidirectional, time-lagged relationships between strengths use and anxiety, stress, and depression, respectively. Prospective increases in strengths use were associated with significant decreases in anxiety at all time points (β = -0.26 to -0.49), while prospective decreases in anxiety were associated with significant increases in strengths use at most time points (β = -0.25 to -0.36). Prospective increases in strengths use were associated with significant decreases in stress at most time points (β = -0.23 to -0.54), while prospective decreases in stress were associated with significant increases in strengths use at Week 4 (β = -0.21) and at follow-up (β = -0.41). Prospective increases in strengths use were associated with significant decreases in depression at Week 8 (β = -0.63) and at posttreatment (β = -0.67), while prospective decreases in depression were associated with significant increases in strengths use at most time points (β = -0.34 to -0.47). Clinical implications of findings are discussed, including the potential role of strengths use as a treatment target. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"220-234"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review of deliberate practice in psychotherapy: Definitions, operationalization, and preliminary outcomes. 心理治疗中刻意练习的系统回顾：定义、操作化和初步结果。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1037/pst0000569

Gideon Diamond, Bartosz Wlodek, Stephen Arthey, Stephen Parker

{"title":"A systematic review of deliberate practice in psychotherapy: Definitions, operationalization, and preliminary outcomes.","authors":"Gideon Diamond, Bartosz Wlodek, Stephen Arthey, Stephen Parker","doi":"10.1037/pst0000569","DOIUrl":"10.1037/pst0000569","url":null,"abstract":"Deliberate practice has been introduced to psychotherapy training to improve therapist performance. The emerging empirical evidence supporting the positive impacts of deliberate practice is complicated by confusion regarding how deliberate practice should be operationalized and applied in the psychotherapy context and wider debate about its role in developing expertise. This systematic literature review aimed to appraise and synthesize the preliminary evidence available regarding the role of deliberate practice in improving psychotherapy outcomes. We searched MEDLINE, EMBASE, APA PsycInfo, CINAHL, Web of Science, reference lists of articles, and other sources (last checked June 2023). Quantitative English language studies that examined deliberate practice interventions in psychotherapy contexts were included. Two authors independently extracted study data and assessed quality using the relevant Joanna Briggs Institute critical appraisal checklist. Randomized controlled trials were further appraised using the Cochrane risk of bias tool. Discrepancies were resolved through discussion with a third author (Stephen Arthey). Twenty studies were included. There was wide variability in how deliberate practice had been operationalized, and only three studies met the contemporary definition that experts in the field have clarified. Significant methodological limitations impacted the reliability of studies, and the evidence was too preliminary to support or refute its use. Further research is required to establish whether deliberate practice is an effective means of improving psychotherapy outcomes. This should include increased fidelity to contemporary operationalizations, more robust methodology, and more reliable measures of long-term client outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"113-131"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parsing the existential isolation-outcome association into its within- and between-patient components in naturalistic psychotherapy. 解析自然主义心理治疗中存在主义孤立-结果关联在患者内部和患者之间的成分。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-01-20 DOI: 10.1037/pst0000564

Alice E Coyne, Averi N Gaines, Clara G DeFontes, Michael J Constantino, Diego I Barcala-Delgado, James F Boswell, David R Kraus

{"title":"Parsing the existential isolation-outcome association into its within- and between-patient components in naturalistic psychotherapy.","authors":"Alice E Coyne, Averi N Gaines, Clara G DeFontes, Michael J Constantino, Diego I Barcala-Delgado, James F Boswell, David R Kraus","doi":"10.1037/pst0000564","DOIUrl":"10.1037/pst0000564","url":null,"abstract":"Complementing the oft-studied construct of interpersonal isolation, research has increasingly focused on existential isolation (EI), or the subjective feeling of separateness in one's experience. In the clinical realm, several studies have demonstrated that higher EI is associated with more severe mental health problems at a single cross-section of time. Moreover, one study showed that higher pretreatment EI predicted worse psychotherapy outcomes. However, it remains unknown whether an average level of EI across all of psychotherapy (a type of during-treatment \"trait\") and/or fluctuations in EI during psychotherapy (a type of during-treatment \"state\") relate to broader treatment outcomes. Addressing EI in this more nuanced and complex manner, the present study parsed the EI-outcome association in its between- (trait) and within-patient (state) components in the context of naturalistic outpatient psychotherapy (Constantino et al., 2021). Participants were 46 therapists treating 144 patients who provided enough EI and outcome data to establish average, longitudinal, and temporal associations across treatment. Using a random intercept cross-lagged panel model, the between-patient results showed that higher average EI was associated with worse average outcomes (standardized association = .60, p < .001). However, although within-patient EI demonstrated significant variability over time, such fluctuations were unexpectedly unrelated to subsequent changes in outcome-when accounting for prior EI and outcome changes (p = .617). The findings suggest that although EI seems to possess both traitlike and statelike qualities, the former component may have the greatest influence on treatment outcomes, whereas the latter may be more of an outcome in itself. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"235-242"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0