Psychotherapy最新文献

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

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

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

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

Temporal associations between interpersonal problems and therapeutic alliance in cognitive behavioral therapy. 认知行为治疗中人际关系问题与治疗联盟的时间关联。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1037/pst0000566

Flavio Iovoli, Juan Martín Gómez Penedo, Wolfgang Lutz, Julian A Rubel

{"title":"Temporal associations between interpersonal problems and therapeutic alliance in cognitive behavioral therapy.","authors":"Flavio Iovoli, Juan Martín Gómez Penedo, Wolfgang Lutz, Julian A Rubel","doi":"10.1037/pst0000566","DOIUrl":"10.1037/pst0000566","url":null,"abstract":"Interpersonal problems have been identified as a potential risk factor for a weaker therapeutic alliance during psychotherapy, yet their temporal relationship and underlying dynamics remain unclear. To address this, the present study explores these associations during the first 20 sessions of cognitive behavioral therapy. The data from 2,123 patients undergoing treatment in an outpatient clinic were analyzed. Interpersonal problems were assessed every fifth session with the 12-item version of the Inventory of Interpersonal Problems-12, while therapeutic alliance was measured after every session with the Session Rating Scale. Temporal associations were modeled using both a random-intercept cross-lagged panel model and an autoregressive latent trajectory model with structured residuals, as they allow the differentiation of within- and between-patient components. The random-intercept cross-lagged panel model produced more reliable and interpretable estimates. At the within-patient level, contemporaneous associations were significant, indicating that higher-than-usual interpersonal problems within a session were associated with lower-than-usual experienced therapeutic alliance at the same time point (β = -.067 to -.074, p = .005). Over time, higher-than-usual interpersonal problems negatively influenced therapeutic alliance at the next assessment (β = -.052 to -.063, p = .032), while higher-than-usual therapeutic alliance predicted reductions in interpersonal problems five sessions later (β = -.051 to -.083, p = .002). These findings suggest a reciprocal dynamic between interpersonal problems and therapeutic alliance, where improvements in one construct are associated with beneficial changes in the other over time, highlighting the importance of addressing interpersonal difficulties to strengthen the therapeutic alliance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"208-219"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524053","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

Queer in college? Sexual orientation disparities in therapist effectiveness in a national sample of university counseling center clients. 大学里的同性恋？全国性大学心理咨询中心来访者性取向差异对治疗师有效性的影响。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1037/pst0000573

Joanna M Drinane, Rochelle C Cassells, Jeffrey A Hayes, JiSoo Park, Emma K Foster

{"title":"Queer in college? Sexual orientation disparities in therapist effectiveness in a national sample of university counseling center clients.","authors":"Joanna M Drinane, Rochelle C Cassells, Jeffrey A Hayes, JiSoo Park, Emma K Foster","doi":"10.1037/pst0000573","DOIUrl":"10.1037/pst0000573","url":null,"abstract":"Over the past 2 decades, a growing body of research has revealed that therapists differ in how effective they are at facilitating change depending on their clients' social identities (see Imel et al., 2011, for example). Most studies examining the phenomenon of variability within therapists' caseloads are based on the study of client race/ethnicity. However, two were recently published that found that therapists varied in the association between their clients' sexual orientation and their therapy outcomes (Cabrera et al., 2023; Drinane et al., 2022). The present study sought to replicate and expand upon these findings in a national data set composed of 78,681 clients from university counseling centers who are part of the Center for Collegiate Mental Health. We employed multilevel modeling techniques to detect within-therapist disparities based on client sexual orientation on the following three outcomes: depression scores, an index of distress, and treatment dropout. The association between sexual orientation and all three outcome variables varied significantly across therapists. The presence of sexual orientation disparities within therapist caseloads in such a large and widespread sample is concerning and highlights a need for the analysis of other demographic variables and training that might mitigate this problem. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"173-179"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670876","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

Live versus delayed supervision: A randomized controlled trial with psychology students. 实时监督与延迟监督：一项针对心理学学生的随机对照试验。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI: 10.1037/pst0000572

Ulrike Maaß, Klara Eisert, Jasmin Ghalib, Franziska Kühne, Florian Weck

{"title":"Live versus delayed supervision: A randomized controlled trial with psychology students.","authors":"Ulrike Maaß, Klara Eisert, Jasmin Ghalib, Franziska Kühne, Florian Weck","doi":"10.1037/pst0000572","DOIUrl":"10.1037/pst0000572","url":null,"abstract":"To test the hypotheses that supervision improves therapeutic skills and therapeutic alliance (Hypothesis 1) and that this effect is stronger for immediate rather than for delayed supervisory feedback (Hypothesis 2). Eighty psychology students (M = 24.29 years; 72.5% identified as female; 75.0% were studying for a bachelor's degree) conducted three consecutive sessions with a standardized patient in a simulated therapy. These students were randomly assigned to live supervision (LS) or delayed video-based supervision (DS). While the LS group received support from a supervisor during the second session, the DS group received such support after the second session. Several outcomes (students' skills, self-efficacy, fear of negative evaluation, therapeutic and supervisory alliances, and supervision quality) were assessed from different perspectives (i.e., independent raters, students, patients). From all perspectives, supervision significantly increased students' skills and self-efficacy, and the therapeutic alliance (d = 0.29-0.49, Hypothesis 1). Moreover, LS was not significantly superior to DS in any of the outcomes (Hypothesis 2). In addition, students subjectively perceived DS as more effective (d = 0.83, 95% confidence interval [0.37, 1.29]), but they identified the supervisory relationship as equally pleasant and the feedback as equally helpful in both conditions. Supervision positively influenced students' skills and self-efficacy, and the therapeutic alliance, and both LS and DS were viewed as high quality. Thus, live and delayed supervision formats have comparable effects. However, future research should further investigate the specific mechanisms through which they exert their positive influences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"253-261"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754364","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

Reliability and validity of the Emotional Processing Self-Report. 情绪加工自我报告的信度和效度。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-04-07 DOI: 10.1037/pst0000575

Hadar Fisher, Haran Sened, Fredrik Falkenström, Eshkol Rafaeli, Eran Bar Kalifa, Jeanne Watson, Dana Atzil Slonim

{"title":"Reliability and validity of the Emotional Processing Self-Report.","authors":"Hadar Fisher, Haran Sened, Fredrik Falkenström, Eshkol Rafaeli, Eran Bar Kalifa, Jeanne Watson, Dana Atzil Slonim","doi":"10.1037/pst0000575","DOIUrl":"10.1037/pst0000575","url":null,"abstract":"Deficits in emotional processing are considered to underlie a range of psychopathologies, and thus constitute a crucial target to improve mental health. Given the broad consensus on the importance of emotional processing during psychotherapy to reduce symptomology, it is surprising that there is no self-report scale designed to measure this construct. The purpose of this study was to develop the Emotional Processing Self-Report (EP-SR), a practical easy-to-use tool for assessing client emotional processing during therapeutic sessions. In Study 1, 53 items were developed according to theory and evaluated by experts. Exploratory factor analyses of the newly created EP-SR items were administered in a cross-sectional design to 124 individuals in treatment. In Study 2, multilevel exploratory factor analyses were performed on a sample of 114 patients who completed the EP-SR after each therapy session (1956 measurements). The results indicated that the EP-SR could be used to assess three independent lower order emotional processes: emotional expression, regulation, and understanding emotional meaning. In Study 3, multilevel confirmatory factor analysis was conducted on additional sample of 77 patients who completed the EP-SR after each therapy session (1,423 measurements). Results confirmed the factor structure of the EP-SR. The internal consistency, convergent, incremental, and predictive validity of the EP-SR were confirmed by showing its association with clients' process and outcome measures. The results of these three studies support the reliability and validity of the EP-SR and its clinical importance. Given its user-friendliness and strong psychometric properties, the EP-SR emerges as a good instrument to assess individuals' emotional processing. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"191-207"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804197","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 on how to combine exposure and response prevention with add-ons for the treatment of obsessive-compulsive disorder. 关于如何结合暴露和反应预防与附加治疗强迫症的系统综述。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-01-13 DOI: 10.1037/pst0000560

Divo Faustino, Rui Braga, Maria João Faria, Miguel M Gonçalves, João Tiago Oliveira

{"title":"A systematic review on how to combine exposure and response prevention with add-ons for the treatment of obsessive-compulsive disorder.","authors":"Divo Faustino, Rui Braga, Maria João Faria, Miguel M Gonçalves, João Tiago Oliveira","doi":"10.1037/pst0000560","DOIUrl":"10.1037/pst0000560","url":null,"abstract":"Exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder. However, ERP's distressful nature may be too demanding for some patients, resulting in low engagement with treatment or even dropout. The current review aimed to summarize and categorize the components of ERP plus add-on protocols. Studies were deemed eligible when an ERP treatment was combined with a psychological add-on in the treatment of adult obsessive-compulsive disorder patients. Nineteen studies fulfilled the inclusion criteria. Add-ons were divided into eight categories: acceptance and commitment therapy, cognitive therapy-based interventions, family accommodation, inhibitory learning theory strategies, inhibitory training, mindfulness-based techniques, and motivational interviewing. Studies were divided into two methods of combining ERP with an add-on: the additive and the integrative format. These types of protocols may offer a feasible way for clinicians to personalize, according to the patient's needs, an otherwise structured treatment, increasing its responsiveness. Future studies, besides studying the efficacy of these adaptations, should also assess whether clinicians who are reluctant to use exposure therapy are more willing to employ the technique in an ERP plus add-on protocol. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"132-143"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972106","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

Therapist affect focus and patient outcomes in psychodynamic therapy: An updated systematic review and meta-analysis. 心理动力治疗中治疗师影响焦点和患者结果：一项最新的系统回顾和荟萃分析。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-02-03 DOI: 10.1037/pst0000568

Marc J Diener, Mark J Hilsenroth, Evangeline Giannopoulos

{"title":"Therapist affect focus and patient outcomes in psychodynamic therapy: An updated systematic review and meta-analysis.","authors":"Marc J Diener, Mark J Hilsenroth, Evangeline Giannopoulos","doi":"10.1037/pst0000568","DOIUrl":"10.1037/pst0000568","url":null,"abstract":"In this preregistered Prospero (CRD42022334071) review, the authors updated a meta-analysis review that examined the relation between therapist facilitation of patient emotional experience/expression and outcome in psychodynamic psychotherapy. Computer, manual, and backwards searches were conducted for relevant publications, and 14 independent samples of short-term dynamic psychotherapy were included in the meta-analysis. Data analysis included calculation of an overall effect size of the relationship between therapist affect focus and outcome, statistical significance, and test for homogeneity. In addition, moderator analyses were conducted to examine the potential impact of the methodological quality of individual studies. The overall weighted average r was .265, which was statistically significant, p < .001 (k = 14; 95% confidence interval [.130, .392]), indicating that therapist affect focus was associated with greater degree of patient change over the course of psychodynamic therapy. The results were not demonstrably heterogeneous, Q(13) = 14.787, p = .321, I² = 12.085, and publication bias analyses did not indicate cause for concerns regarding the results (all ps > .05). Trim-and-fill results indicated an adjusted weighted average r of .250 (decrease of 5.660%). None of the moderator analyses examining study methodology quality were statistically significant (all ps > .10). These data indicate that therapist facilitation of patient affective experience/expression is associated with patient improvement over the course of psychodynamic psychotherapy. The size of this relation was not significantly related to methodological quality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"144-153"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080769","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