Psychotherapy最新文献_第2页

Dyadic working alliance, therapist insight skills, and client outcomes: Longitudinal mediation analyses. 二元工作联盟、治疗师洞察力技能和客户结果：纵向中介分析。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-01-13 DOI: 10.1037/pst0000562

Lydia HaRim Ahn, Dennis M Kivlighan, Clara E Hill, Dan McNeish

{"title":"Dyadic working alliance, therapist insight skills, and client outcomes: Longitudinal mediation analyses.","authors":"Lydia HaRim Ahn, Dennis M Kivlighan, Clara E Hill, Dan McNeish","doi":"10.1037/pst0000562","DOIUrl":"10.1037/pst0000562","url":null,"abstract":"A number of studies have shown an association between therapist skills (particularly insight skills) and the working alliance, but few studies have examined the directionality of this relationship. In addition, studies have used either the client or therapist report of the working alliance rather than a dyadic perspective. Thus, we examined whether (a) dyadic insight skills are indirectly related to client outcome through the working alliance and (b) the dyadic working alliance is indirectly related to client outcome through insight skills. The dyadic working alliance was measured as a latent, dyadic average of both the client and therapists' reports of the working alliance. Therapist use of insight skills was operationalized via the use of skills such as interpretations, immediacies, challenges, and disclosures of insight. We used dynamic structural equation modeling to analyze longitudinal data in long-term, psychodynamic treatment. Results indicated that at the within-client level, the use of insight skills was associated with the working alliance in the next session, and the working alliance was associated with therapist use of insight skills in the next session; however, there were no mediation effects. However, at the between-client level, the pathway from working alliance at T-1 to therapist use of insight skills at T-2 to client outcome at T-3 was significant but only for clients in longer term treatments. Findings reveal the importance of the working alliance as a signal for therapists to use insight skills for client improvement in long-term, psychodynamic therapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"180-190"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972107","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

We do this till we heal us: Black mental health professionals' experiences working with Black patients suffering from racial trauma. 我们这样做，直到我们治愈自己：黑人心理健康专业人员与遭受种族创伤的黑人患者一起工作的经历。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2024-12-12 DOI: 10.1037/pst0000554

Eric M Brown, Autumn Cabell, Robert Gatabazi, Jiayi Gong, Diana Moran, Zoe Sudan, Tara Kyaw, Laurel Ardini, Emily Heo, Christine Dapaah-Afriyie, Sara Kazemi

{"title":"We do this till we heal us: Black mental health professionals' experiences working with Black patients suffering from racial trauma.","authors":"Eric M Brown, Autumn Cabell, Robert Gatabazi, Jiayi Gong, Diana Moran, Zoe Sudan, Tara Kyaw, Laurel Ardini, Emily Heo, Christine Dapaah-Afriyie, Sara Kazemi","doi":"10.1037/pst0000554","DOIUrl":"10.1037/pst0000554","url":null,"abstract":"The objective of this study was to examine the experiences and expertise of Black mental health professionals (BMHPs) who work with Black racial trauma across the lifespan. Authors conducted a qualitative study with a critical-ideological paradigm as the methodology of this study. Twenty-five BMHPs (psychologists and counselors) were interviewed about their experiences working with Black clients suffering from racial trauma. Four superordinate themes were identified in the analysis of the data describing (a) how BMHPs define racial trauma and the effects they see racial trauma having on Black persons, (b) how BMHPs work to alleviate the symptoms of racial trauma, (c) the toll that working with racial trauma takes on their own well-being as BMHPs, and (d) ways BMHPs engage in restorative practices in order to continue to engage in the work of healing within the Black community. BMHPs report a strong sense of calling to work with Black persons suffering from racial trauma. They also report joy in their work, yet the complexity of working with racial trauma can be emotionally exhausting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"154-163"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819101","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

Faultlines do not always cause faults: Identity-based faultlines, therapeutic factors, and outcome in Chinese counseling groups. 断层并不总是导致错误：基于身份的断层，治疗因素，以及中国咨询小组的结果。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1037/pst0000567

Junjie Wu, Yue Chen, Yun Lu

{"title":"Faultlines do not always cause faults: Identity-based faultlines, therapeutic factors, and outcome in Chinese counseling groups.","authors":"Junjie Wu, Yue Chen, Yun Lu","doi":"10.1037/pst0000567","DOIUrl":"10.1037/pst0000567","url":null,"abstract":"Subgroups in group therapy have long been considered an important concern. In this study, we examined how identity-based faultlines (i.e., the likelihood of splitting into subgroups based on member demographic information; Meyer & Glenz, 2013) would moderate the link between therapeutic factors and the reduction of psychological distress. Using data from 26 Chinese counseling groups comprising 141 group members (52.34% women, Mage = 22.41), we investigated the relations between identity-based faultlines (group level), early therapeutic factors (member level, measured at Session 2), and group members' psychological distress (member level). Results from the two-level linear regression model indicated that being in a group with higher identity-based faultlines did not directly predict members' symptom reduction. Furthermore, high faultline seemed to facilitate rather than impede group process, such that a member's perceived helpfulness of the group process (therapeutic factors) in early group more strongly predicted symptom reduction in high-faultline groups and that members with higher levels of pregroup psychological distress reported more symptom reduction in high-faultline groups. Our findings provided new evidence that identity-based faultlines could also have positive effects on group therapy. We discussed the implications of identity-based faultlines in the Chinese context. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"164-172"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670874","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

Spiritual struggles drive psychological distress in psychotherapy: Replication of findings using a practice-research network. 精神斗争导致心理治疗中的心理困扰：使用实践研究网络的研究结果的复制。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-05-15 DOI: 10.1037/pst0000581

Joseph M Currier, Ryon C McDermott, Peter Sanders, P Scott Richards

{"title":"Spiritual struggles drive psychological distress in psychotherapy: Replication of findings using a practice-research network.","authors":"Joseph M Currier, Ryon C McDermott, Peter Sanders, P Scott Richards","doi":"10.1037/pst0000581","DOIUrl":"https://doi.org/10.1037/pst0000581","url":null,"abstract":"Longitudinal evidence indicates struggles with spirituality/religion (S/R; e.g., feeling distant or abandoned by God, guilty for not attaining standards of moral perfection, judged by one's family or community) may cause distress and hinder recovery from mental health challenges. However, research has not examined temporal associations between spiritual struggles and psychological distress in spiritually integrated psychotherapies (SIPs). In total, 175 practitioners of SIPs from 38 clinics and other settings in a practice-research network assessed these outcomes with 1,404 clients over the first 6 weeks of treatment (Time 1 [Weeks 1-2], Time 2 [Weeks 3-4], and Time 3 [Weeks 5-6]). In keeping with findings from other samples (e.g., Cowden et al., 2022, 2024; Currier et al., 2015, 2018), cross-lagged panel analyses across the three time points revealed spiritual struggles predicted clients' psychological distress at the next interval rather than vice versa. Specifically, whereas psychological distress was not predictive of later spiritual struggles, clients who were struggling with their S/R at Time 2 were generally more psychologically distressed at Time 3. Further, the positive prospective association between spiritual struggles at Time 1 and psychological distress at Time 3 was mediated by the severity of spiritual struggles at Time 2. In combination, these findings affirm spiritual struggles drive many clients' depression, anxiety, and other symptoms over the course of SIPs. As such, clinicians will ideally cultivate foundational knowledge and skills about the darker side of S/R that might prepare them to address their clients' spiritual struggles throughout the treatment process when clinically indicated. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080031","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

Context matters: Leveraging therapists' session evaluations to optimize technical adjustments and enhance client outcomes. 环境问题：利用治疗师的会话评估来优化技术调整和提高客户的结果。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-05-12 DOI: 10.1037/pst0000579

Mira An, Sangida Akter, Dennis M Kivlighan

{"title":"Context matters: Leveraging therapists' session evaluations to optimize technical adjustments and enhance client outcomes.","authors":"Mira An, Sangida Akter, Dennis M Kivlighan","doi":"10.1037/pst0000579","DOIUrl":"https://doi.org/10.1037/pst0000579","url":null,"abstract":"Operationalizing technical flexibility as session-to-session adjustments in therapist techniques, this study explored the context-dependent aspects of its effects on treatment outcomes. Specifically, we focused on how session-to-session adjustments in therapist techniques have different influences on subsequent client outcomes depending on the therapist-rated quality of the previous session. We used data collected from 3,970 sessions conducted by 17 doctoral student therapists in a university clinic, where 132 adult community clients received individual psychodynamic psychotherapy. The extents of session-to-session technique adjustment were measured by Euclidean distance scores representing the difference between techniques (i.e., explore, insight, and action skills) used in two adjacent sessions. Dynamic structural equation modeling was used to examine temporal relationships among client-rated therapist technical adjustments, therapist-rated previous session quality, and client functioning. When therapists evaluated their previous sessions as lower than usual in quality, moderate adjustments were associated with worse-than-usual client functioning in the current week, compared to sticking to previous techniques or making significant adjustments. When the therapist-rated previous session quality as higher than usual, more technical adjustments from the previous sessions were associated with better current week client functioning. The implications and limitations of the present study were discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005887","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

Training clinicians to deliver spiritual psychotherapy for inpatient, residential, and intensive treatment (SPIRIT). 培训临床医生为住院病人、住院病人和强化治疗（SPIRIT）提供精神治疗。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-05-05 DOI: 10.1037/pst0000577

David H Rosmarin, Caroline C Kaufman

{"title":"Training clinicians to deliver spiritual psychotherapy for inpatient, residential, and intensive treatment (SPIRIT).","authors":"David H Rosmarin, Caroline C Kaufman","doi":"10.1037/pst0000577","DOIUrl":"https://doi.org/10.1037/pst0000577","url":null,"abstract":"We designed and implemented a multimodal training program for clinicians in how to deliver spiritual psychotherapy for inpatient, residential, and inpatient treatment (SPIRIT), a group-based, spiritually integrated psychotherapy for acute psychiatric settings. The overall goals for this project were to facilitate competency in spiritually integrated psychotherapy among clinicians and meeting established needs for spiritual psychotherapy among patients presenting for acute psychiatric treatment. Our training program in SPIRIT includes the following elements: (a) a training manual, (b) 80-min training video, (c) brief competency exam, and (d) practice component involving the provision of SPIRIT to at least 12 groups of patients. This article provides an overview of the training program and describes its initial dissemination with a multidisciplinary cohort of 17 clinicians within the Massachusetts General Brigham health system, who collectively provided treatment to over 700 diagnostically, demographically, and religiously diverse patients. We also provide preliminary feedback from select clinicians about their experience in the training program, areas for future development, and implications for training clinicians in evidence-based spiritual psychotherapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042564","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

Actor-partner outcome expectation-alliance associations in naturalistic psychotherapy. 自然主义心理治疗中的行为者-伴侣结果期望-联盟关联。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-05-05 DOI: 10.1037/pst0000580

Averi N Gaines, Alice E Coyne, Ashleigh N Frank, Michael J Constantino, James F Boswell, David R Kraus

{"title":"Actor-partner outcome expectation-alliance associations in naturalistic psychotherapy.","authors":"Averi N Gaines, Alice E Coyne, Ashleigh N Frank, Michael J Constantino, James F Boswell, David R Kraus","doi":"10.1037/pst0000580","DOIUrl":"https://doi.org/10.1037/pst0000580","url":null,"abstract":"Meta-analyses indicate that patient outcome expectation (OE) and therapeutic alliance quality each correlate positively with improvement across diverse psychotherapies. Moreover, research demonstrates that these constructs relate to one another, including higher OE correlating with better subsequent alliance. However, notable gaps in this area remain. First, most studies that have examined the OE-alliance association have done so from the patient perspective only, despite both constructs having dyadic properties. Second, few studies have examined the connection between these two constructs longitudinally to capture their dynamic interrelations. Third, few studies have parsed OE-alliance links into their within- and between-dyad components, masking interpretability. Finally, most studies derive from controlled trials for specific diagnoses, limiting generalizability. Addressing these gaps, we tested the dyadic, dynamic, and statistically parsed associations among patient and therapist OE and alliance in naturalistic psychotherapy. Patients and therapists rated OE and alliance quality across up to 16 weeks of treatment. For dyads with the requisite data (N = 111 patients nested within 37 therapists), we used a multilevel actor-partner interdependence model that simultaneously tested all within- and between-dyad actor and partner effects of OE on alliance quality. At the within-dyad level, there were no significant actor or partner effects. At the between-dyad level, there were no significant partner effects, but there was a positive OE-alliance actor effect for both patients and therapists. Results suggest that community-based therapists may consider attending most to each participant's average level of OE across therapy (vs. fluctuations) when forecasting its influence on their own overall relationship experience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012391","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

Spiritual competency training in mental health and multicultural orientation and contemplative awareness: An evaluation of two training approaches with psychotherapists. 心理健康、多元文化取向和冥想意识中的精神能力训练：心理治疗师对两种训练方法的评价。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-04-17 DOI: 10.1037/pst0000578

Daniel Gutierrez, Stephanie Dorais, Jennifer Niles

{"title":"Spiritual competency training in mental health and multicultural orientation and contemplative awareness: An evaluation of two training approaches with psychotherapists.","authors":"Daniel Gutierrez, Stephanie Dorais, Jennifer Niles","doi":"10.1037/pst0000578","DOIUrl":"https://doi.org/10.1037/pst0000578","url":null,"abstract":"The current literature for the various mental health professions is replete with studies demonstrating the critical importance of addressing spiritual and religious concerns in mental health treatment, yet many clinicians remain untrained in spiritual and religious competence. In recent years, researchers have developed training programs to support clinicians' understanding of how spirituality influences mental health and provided resources for how clinicians can address it with clients. The present study investigates the effectiveness of two online training programs, Spiritual Competency Training in Mental Health (SCT-MH) and a contemplative pedagogy-based program called Multicultural Orientation and Contemplative Awareness (MOCA), in enhancing spiritual and religious competence among counselors. We conducted a three-parallel-arm randomized controlled trial with a sample of practicing counselors to compare the SCT-MH (n = 10), MOCA (n = 15), and a wait-list control group (n = 29). We recruited our sample from state licensure boards for mental health practitioners, alumni listservs for counseling programs, and social media marketing. Additionally, the study examined the explanatory role of cultural humility on spiritual competence over time. Linear mixed modeling revealed a significant interaction between group and time, demonstrating that the SCT-MH group had a large effect and MOCA had a moderate effect in improving clinicians' total spiritual competence score compared with the control group. The findings suggest that both SCT-MH and MOCA can effectively enhance spiritual competence in counselors and cultural humility plays a significant role in this development. Implications and recommendations for implementation are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043483","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 multifaceted outpatient treatment model for mood and anxiety disorders designed to optimize both treatment outcomes and access to care. 情绪和焦虑障碍的多方面门诊治疗模式，旨在优化治疗结果和获得护理。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-04-07 DOI: 10.1037/pst0000576

Mary Beth Connolly Gibbons, Jeremy Tyler, Paul Crits-Christoph, Mario Cristancho, Juliette Galbraith, Rachel Y Chiu, Lang A Duong, Maria A Oquendo

{"title":"A multifaceted outpatient treatment model for mood and anxiety disorders designed to optimize both treatment outcomes and access to care.","authors":"Mary Beth Connolly Gibbons, Jeremy Tyler, Paul Crits-Christoph, Mario Cristancho, Juliette Galbraith, Rachel Y Chiu, Lang A Duong, Maria A Oquendo","doi":"10.1037/pst0000576","DOIUrl":"https://doi.org/10.1037/pst0000576","url":null,"abstract":"Despite the availability of evidence-based psychosocial and pharmacologic interventions for mental health concerns, access to care remains suboptimal. We present a time-efficient mental health treatment program designed to improve overall community access to evidence-based care. Quality of care within the time-efficient model was prioritized by focusing on a multifaceted program of evidence-based interventions and facilitating connections to long-term care when needed. We present the results of a proof-of-concept open trial that indicates that access to care can be improved while maintaining quality mental health services. The Time-Efficient, Evidence-Based, Accessible, Multidisciplinary approach includes time-limited care provided by a team of psychotherapists, psychiatrists, nurse practitioners, and case managers working in pods, supported by measurement-based care, to develop individualized treatment plans. We used data from the electronic health record to evaluate (a) access to care, (b) engagement, and (c) treatment outcomes for an initial sample of 1,726 patients. Patients waited on average 17 days to see a therapist and 20 days to see a psychopharmacologist. Patients received on average 10 sessions of psychotherapy and four medication management sessions. Fifty-seven percent remained in treatment for at least 3 months. Patients demonstrated large improvements in depression (d = 1.18) and anxiety (d = 1.20) with small to moderate effects for improvements in functioning (d = 0.40). By capitalizing on a package of evidence-based interventions delivered with equitable time limits, the Time-Efficient, Evidence-Based, Accessible, Multidisciplinary clinic demonstrates initial access while yielding good engagement in services and moderate to large treatment effects. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804183","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

Promoting recovery and prevention simultaneously through peer providers to reduce the impact of childhood sexual abuse: Acceptability, feasibility, and fidelity of an integrated intervention model. 通过同伴提供者同时促进康复和预防以减少儿童性虐待的影响：综合干预模式的可接受性、可行性和保真性。

IF 2.6 2区心理学

Psychotherapy Pub Date : 2025-04-07 DOI: 10.1037/pst0000571

RaeAnn E Anderson, Nili Gesser, Victoria-Jane Welk, Kimberly Tom, Samantha C Holmes

{"title":"Promoting recovery and prevention simultaneously through peer providers to reduce the impact of childhood sexual abuse: Acceptability, feasibility, and fidelity of an integrated intervention model.","authors":"RaeAnn E Anderson, Nili Gesser, Victoria-Jane Welk, Kimberly Tom, Samantha C Holmes","doi":"10.1037/pst0000571","DOIUrl":"https://doi.org/10.1037/pst0000571","url":null,"abstract":"Childhood sexual abuse (CSA) affects approximately 30% of American children assigned female at birth. CSA often has a negative impact on survivors, leading to poorer mental health and an increased risk of subsequent sexual victimization. The current proof-of-concept study sought to examine the acceptability, feasibility, and fidelity of a peer-facilitated, online, one-time group intervention model to simultaneously promote recovery and prevent further victimization. We developed a brief intervention model drawing from components of previously tested protocols (i.e., expressive writing, interpersonal skills). Undergraduate students were trained as facilitators. We conducted online group sessions via Zoom with -three to seven participants per group (n = 40 in k = 10 groups). Participants were women (95.7%) or assigned female at birth nonbinary (4.3%) aged 17-30 who had experienced CSA. They were surveyed pre- and postintervention regarding acceptability. Qualitatively, feedback on the group intervention was very positive. Quantitatively, participants reported feeling more comfortable asking someone to stop sexual advances (M = 4.32/5.0), reported a desire to continue using skills learned (M = 4.56/5.0), and felt comfortable working with the peer providers (M = 4.63/5.0). From the participant-feasibility perspective, 100% of participants reported some level of postintervention skill practice during the one-week follow-up. The average, dichotomous, fidelity rating was 84.9%. Our findings indicate that an online group intervention facilitated by peers to improve health after CSA is acceptable, feasible, and meets minimal fidelity standards. Further development and refinement of this intervention model are warranted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804195","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