Psychotherapy最新文献_第5页

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 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub 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":"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) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"104-114"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","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

"I too deserve good": A qualitative exploration of corrective relational experiences in psychodynamic therapy for depression. “我也应该得到好的”：抑郁症心理动力治疗中纠正性关系体验的定性探索。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1037/pst0000607

Liat Leibovich, Abigail Sadek, Tal Ben David-Sela, Yara Khoury, Michal Malka, Nick Midgley, Sigal Zilcha-Mano

{"title":"\"I too deserve good\": A qualitative exploration of corrective relational experiences in psychodynamic therapy for depression.","authors":"Liat Leibovich, Abigail Sadek, Tal Ben David-Sela, Yara Khoury, Michal Malka, Nick Midgley, Sigal Zilcha-Mano","doi":"10.1037/pst0000607","DOIUrl":"10.1037/pst0000607","url":null,"abstract":"Corrective relational experiences (CREs) occur specifically within the therapeutic relationship and are perceived by patients as distinct and meaningful. Despite their potential importance in facilitating therapeutic change, CREs received limited theoretical, clinical, and empirical attention. The present study aimed to identify different types of CREs and to examine whether they suggest distinct mechanisms of change. Posttreatment semistructured qualitative interviews with 57 patients diagnosed with major depressive disorder following short-term supportive-expressive psychodynamic psychotherapy uncovered 21 CREs. Four ideal types were identified: experiencing empathic engagement, experiencing nonjudgmental acceptance, experiencing new understanding or insight, and experiencing encouragement and empowerment. All patients who reported a CRE also described intrapersonal growth, and most reported an improved relationship with their therapist following the CRE. Our findings highlight the enduring impact of these experiences, even years after the conclusion of therapy, providing a more nuanced understanding of how they may drive positive change in the treatment of individuals with major depressive disorder. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"24-32"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166547","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

Are some therapists more effective when they deliver one type of therapy versus another? 是否有些治疗师在提供某种类型的治疗时比另一种更有效？

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-03-01 DOI: 10.1037/pst0000614

Alice E Coyne, Michael J Constantino, Averi N Gaines, Frederik J Wienicke, Anuj H P Mehta, Michael Barkham, William B Stiles, Gillian E Hardy, Luciano Dias de Mattos Souza, Karen Jansen, Ricardo Azevedo da Silva, Érico Nobre Dos Santos, Jack J M Dekker, Jaap Peen, Henricus L Van, Zachary D Cohen, Ellen Driessen

{"title":"Are some therapists more effective when they deliver one type of therapy versus another?","authors":"Alice E Coyne, Michael J Constantino, Averi N Gaines, Frederik J Wienicke, Anuj H P Mehta, Michael Barkham, William B Stiles, Gillian E Hardy, Luciano Dias de Mattos Souza, Karen Jansen, Ricardo Azevedo da Silva, Érico Nobre Dos Santos, Jack J M Dekker, Jaap Peen, Henricus L Van, Zachary D Cohen, Ellen Driessen","doi":"10.1037/pst0000614","DOIUrl":"10.1037/pst0000614","url":null,"abstract":"Adding nuance to the between-therapist effect on patient outcomes, research has increasingly demonstrated that a given therapist can differ in their effectiveness depending on who they treat (e.g., patients with different racial/ethnic identities) and/or what they treat (e.g., patients with different presenting problems). This preregistered study examined whether individual therapists are also more or less effective depending on how they treat their patients; that is, delivering one type of therapy versus another. We did so in the context of an individual participant data meta-analysis of clinical trials that compared classes of cognitive-behavioral therapy and psychodynamic therapy for depression. The meta-analytic sample included 30 therapists who were crossed with treatment condition and 492 patients (M = 25.08 patients per therapist; SD = 15.77). Patients completed measures of depression at baseline and posttreatment. Multilevel structural equation models revealed significant variability in the within-therapist treatment condition-outcome association (p < .001), indicating that some therapists were more effective when delivering one treatment over the other. Descriptively, 53% of therapists had similar outcomes across both groups (d < .20), whereas 47% had at least a small-sized treatment-type strength (d ≥ .20; range = 0.21-0.65). Results inform the personalization of treatment usage to the individual provider's effectiveness data. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"63 1","pages":"70-78"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326779","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

Emotion regulation in short-term dynamic therapy: Attachment-moderated changes and bidirectional temporal associations with symptoms. 短期动态治疗中的情绪调节：依恋调节的变化和与症状的双向时间关联。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2025-12-04 DOI: 10.1037/pst0000610

Gershom Gwertzman, Orya Tishby

{"title":"Emotion regulation in short-term dynamic therapy: Attachment-moderated changes and bidirectional temporal associations with symptoms.","authors":"Gershom Gwertzman, Orya Tishby","doi":"10.1037/pst0000610","DOIUrl":"10.1037/pst0000610","url":null,"abstract":"This study examined changes in emotion regulation difficulties during short-term dynamic psychotherapy and their temporal relationship with symptom change, considering attachment styles as potential moderators. Sixty-three patients with mild to moderate depression and/or anxiety underwent 16 weeks of supportive-expressive therapy. Emotion regulation difficulties, symptoms, and attachment styles were assessed using self-report measures. Contrary to hypotheses, no overall improvement in emotion regulation difficulties was observed. However, patients with high attachment avoidance showed increased emotional clarity, while those with anxious attachment demonstrated greater acceptance of negative emotions over time. A deterioration in emotion regulation strategies was observed across all patients, particularly among those with avoidant attachment. Cross-lagged panel analysis revealed complex temporal dynamics: bidirectional relationships between emotion regulation and symptoms during early sessions, decoupling in intermediate sessions, and unidirectional effects (regulation predicting symptoms) in late sessions. These findings highlight the complex phase-dependent dynamics of emotion regulation change in short-term psychodynamic psychotherapy. The results emphasize the importance of considering both treatment phase and attachment styles when addressing emotion regulation difficulties in therapy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"13-23"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678494","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

Young people's perceptions of therapist interpersonal skills and alliance: How distinct are they? 年轻人对治疗师人际关系技巧和联盟的看法：它们有多不同？

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2025-12-11 DOI: 10.1037/pst0000611

Mick Cooper, Tomasz Jankowski, David Saxon, Beata Zarzycka, Michael Barkham

{"title":"Young people's perceptions of therapist interpersonal skills and alliance: How distinct are they?","authors":"Mick Cooper, Tomasz Jankowski, David Saxon, Beata Zarzycka, Michael Barkham","doi":"10.1037/pst0000611","DOIUrl":"10.1037/pst0000611","url":null,"abstract":"The aim of this study was to investigate the degree of commonality between young people's perceptions of the alliance and the therapist interpersonal skills (TIS) of empathy, unconditional positive regard, and congruence. Participants were 152 young people (aged 13-16 years old; 114 female, 70 of minoritized ethnicities) who were experiencing moderate to severe levels of emotional symptoms and participated in up to 10 sessions of school-based humanistic counseling. At 6 weeks postrandomization, TIS and the alliance were assessed using the Barrett-Lennard Relationship Inventory: Form OS-40: T-S (Student Form, Version 3) and the Working Alliance Inventory Short Form, respectively. Structural equation modeling was used to identify latent constructs. A model with two correlated second-order factors and a hierarchical model with one third-order general factor exhibited the best data fit. The general factor, which we named youth-perceived relationship quality, explained a substantial amount of variance for TIS (81%) and alliance (98%). TIS and alliance effects, treated independently, explained an additional 3% and 1.4% of variance in satisfaction with care and psychological difficulties after therapy, respectively, as compared with general youth-perceived relationship quality. While therapeutic relationship factors-in clinical practice, training, and research-are often considered distinct, we found a high degree of commonality in how young people perceived the alliance and TIS. Further research is warranted on youth-perceived relationship quality as an integrated variable in youth psychotherapy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"79-90"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744137","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

Patient experiences of long-term psychodynamic psychotherapy for mood disorders: A naturalistic semistructured interview study. 长期心理动力疗法治疗情绪障碍的患者体验：一项自然半结构化访谈研究。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1037/pst0000609

Max Moser, Angela Barrett, Patrick Luyten, Ingrid Ozols, Susanna Every-Palmer, Peter Fonagy, Chloe Campbell

{"title":"Patient experiences of long-term psychodynamic psychotherapy for mood disorders: A naturalistic semistructured interview study.","authors":"Max Moser, Angela Barrett, Patrick Luyten, Ingrid Ozols, Susanna Every-Palmer, Peter Fonagy, Chloe Campbell","doi":"10.1037/pst0000609","DOIUrl":"10.1037/pst0000609","url":null,"abstract":"Despite evidence from randomized controlled trials of long-term psychodynamic psychotherapy's (LTPP's) efficacy in treating depression, qualitative research on patient perspectives remains limited. This study aims to provide a deeper understanding of patient experiences, including perceived therapeutic mechanisms, challenges, and benefits, in LTPP. A qualitative study using naturalistic, semistructured interviews was conducted with 12 adult patients (six male, six female) from Australia and New Zealand/Aotearoa. Participants had received an average of 7.8 years of LTPP. Interviews were analyzed using reflexive thematic analysis to identify core themes related to treatment access, engagement, therapeutic change, and outcomes. Six themes were developed (a) experiences with prior treatments, (b) initial challenges in engaging with LTPP, (c) the centrality of the therapeutic relationship, (d) gaining self-insight, (e) experiences of internal change, and (f) the emotional and financial costs of long-term therapy. Participants described LTPP as a challenging yet transformative treatment, facilitating affect regulation, self-compassion, and improved interpersonal functioning. Participants attributed benefits to their LTPP treatments and emphasized the importance of a stable therapeutic relationship and insight in subjective improvement. However, they also described the process as emotionally painful and resource intensive. These findings indicate that patient experiences of LTPP are broadly consistent with psychodynamic theories of change and underscore the importance of integrating patient perspectives into psychotherapy research and policy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"1-12"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565203","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 trainee experience and client outcome: A within-person analysis of hours of experience, client order, initial client distress, and treatment length. 治疗师培训经验和客户结果：对经验小时数、客户订单、初始客户困扰和治疗时间的面对面分析。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1037/pst0000612

Saadet Zumbul, Dennis M Kivlighan

{"title":"Therapist trainee experience and client outcome: A within-person analysis of hours of experience, client order, initial client distress, and treatment length.","authors":"Saadet Zumbul, Dennis M Kivlighan","doi":"10.1037/pst0000612","DOIUrl":"10.1037/pst0000612","url":null,"abstract":"Research does not consistently support the widely held assumption that therapist trainees' skills improve with supervised experience, leading to better client outcomes. The inconsistent findings are limited by methodological constraints. Measures of therapist trainee experience (e.g., training level, years since first client contact) fail to capture clinical experience accurately. Therefore, we operationalized therapist trainees' experience as the total hours of previous client contact under clinical supervision at the time of outcome assessment. We examined how therapist trainees' client contact hours (at the within-person level), client order, initial client distress, and treatment length are associated with client distress in the subsequent week. We used dynamic structural equation modeling to analyze longitudinal data with 1,125 outcome assessments from 192 clients and 45 doctoral-level therapist trainees, collected over 16 years. Therapists received weekly individual supervision and biweekly group supervision. Results indicated that at the within-person level, therapist trainee experience was modestly associated with reduced client distress, particularly for clients with higher initial distress. At the between-person level, therapist trainees' experience had a stronger impact on outcomes in shorter treatment lengths. Findings reveal the complexity of the therapist trainee experience-client outcome relationship and suggest that the effects of therapist trainee experience are contingent on other variables. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"48-61"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906564","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

Barriers and facilitators in the implementation of routine outcome monitoring from the clinicians' perspective: A qualitative meta-analysis. 从临床医生的角度来看，实施常规结果监测的障碍和促进因素：一项定性荟萃分析。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2026-03-01 Epub Date: 2025-12-11 DOI: 10.1037/pst0000605

Klára Jonášová, Michal Čevelíček, Petr Doležal, Benjamin Aas, Tomáš Řiháček

{"title":"Barriers and facilitators in the implementation of routine outcome monitoring from the clinicians' perspective: A qualitative meta-analysis.","authors":"Klára Jonášová, Michal Čevelíček, Petr Doležal, Benjamin Aas, Tomáš Řiháček","doi":"10.1037/pst0000605","DOIUrl":"10.1037/pst0000605","url":null,"abstract":"Routine outcome monitoring (ROM) has become an increasingly utilized tool in therapeutic practice that has the potential to improve therapy outcomes. This study aimed to synthesize the findings of existing qualitative studies investigating facilitators and barriers to clinicians' implementation of ROM in their practice. A systematic search of qualitative studies on clinicians' experience with the use of ROM in mental health services was conducted via APA PsycInfo, APA PsycArticles, Medline, Web of Science, and Scopus databases. Qualitative meta-analysis was used to synthesize the findings of the primary studies. Fifty-eight studies met the inclusion criteria. The analysis resulted in 22 metacategories organized into five clusters: (a) perceived clinical relevance, (b) institutional aspects, (c) practical aspects, (d) client variables, and (e) clinicians' personal reactions. The meta-analysis revealed that the implementation of ROM into clinicians' psychotherapy practice is influenced by many factors, including practical circumstances such as the work environment, the clientele, and the chosen ROM system. Clinicians' attitude to ROM, its perceived usefulness, and their openness to receiving feedback on their work are also important variables. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"33-47"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744042","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

Tuning in: A mixed methods study evaluating clinician perceptions of measurement-based care training and their association with posttraining skills use. 调整：一项评估临床医生对基于测量的护理培训的看法及其与培训后技能使用的关联的混合方法研究。

IF 3.3 2区心理学

Psychotherapy Pub Date : 2026-03-01 DOI: 10.1037/pst0000616

Elizabeth A Penix-Smith, Kristina M Clarke-Walper, Katie L Nugent, Joshua E Wilk

{"title":"Tuning in: A mixed methods study evaluating clinician perceptions of measurement-based care training and their association with posttraining skills use.","authors":"Elizabeth A Penix-Smith, Kristina M Clarke-Walper, Katie L Nugent, Joshua E Wilk","doi":"10.1037/pst0000616","DOIUrl":"10.1037/pst0000616","url":null,"abstract":"Understanding clinician perspectives and preferences is critical to advancing measurement-based care (MBC) training and implementation efforts. Yet, clinician perceptions of these and how they relate to MBC uptake are understudied. This mixed methods study aimed to evaluate clinicians' MBC training perceptions, posttraining MBC use, and predictors of MBC uptake. Clinicians in Department of Defense settings completed surveys immediately (N = 366) and 1 month (n = 88) posttraining. Most viewed MBC training as relevant (89.5%) and useful (81.8%); similarly, most were confident using symptom (87.9%) and alliance measures (89.3%) posttraining. Whereas 65.9% consistently used symptom measures posttraining, only 26.2% consistently used alliance measures, and about half did not regularly discuss those completed measures with clients. Using Bayesian logistic regression models, MBC use was linked with higher training relevance and usefulness ratings, reporting that training materials were understood and facilitated learning, and greater knowledge and confidence using MBC. Discipline and theoretical orientation were not significantly linked. Using reflexive thematic analysis, qualitative themes included clinician feedback about MBC, using symptom and alliance measures for MBC, training and presenter characteristics, and organizational considerations. Taken together, quantitative and qualitative findings highlight a gap in using alliance measures for MBC in applied settings. This study is the first to document a link between training perceptions and MBC uptake, underscoring the need to integrate frontline clinician perspectives in MBC efforts. Quantitative and qualitative findings indicate key topics that may be important to consider to facilitate MBC training and implementation efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"63 1","pages":"91-103"},"PeriodicalIF":3.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326839","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 within- and between-therapist positive regard-outcome association in cognitive-behavioral therapy for generalized anxiety disorder. 分析广泛性焦虑障碍认知行为治疗中治疗师内部和治疗师之间积极关注与结果的关联。

IF 3.9 2区心理学

Psychotherapy Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1037/pst0000606

Anuj H P Mehta, Michael J Constantino, Alice E Coyne, Averi N Gaines, Henny A Westra, Martin M Antony

{"title":"Parsing the within- and between-therapist positive regard-outcome association in cognitive-behavioral therapy for generalized anxiety disorder.","authors":"Anuj H P Mehta, Michael J Constantino, Alice E Coyne, Averi N Gaines, Henny A Westra, Martin M Antony","doi":"10.1037/pst0000606","DOIUrl":"10.1037/pst0000606","url":null,"abstract":"Positive regard (PR)-rated from multiple perspectives across diverse psychotherapies-correlates positively with patient improvement. Yet, existing research has generally not parsed this total correlation into its within- and between-therapist components, which limits its interpretability. Thus, the present study explored (a) the association between positive regard and outcome at both the within- and between-therapist levels, (b) whether between-therapist differences in positive regard moderated the within-therapist positive regard-outcome association, and (c) whether treatment condition (cognitive-behavioral therapy [CBT] vs. CBT that integrated client-centered principles) moderated either level of the positive regard-outcome association. Adults with generalized anxiety disorder were randomly assigned to CBT alone (n = 49) or CBT integrated with motivational interviewing (MI-CBT; n = 52) to responsively address patient resistance (Westra et al., 2016). Ten therapists treated patients in CBT only, and nine distinct therapists treated patients in MI-CBT only. Patients rated therapist-offered positive regard repeatedly across 15 sessions and their worry and general distress outcomes at baseline and posttreatment. Multilevel structural equation modeling revealed a significant association between patients' experience of higher early treatment positive regard and lower posttreatment worry and general distress at the within-therapist level. There was no between-therapist association for either outcome. Additionally, neither between-therapist positive regard nor treatment condition moderated the within-therapist effect of positive regard on either outcome. Results underscore the value of therapists working to foster their patients' felt regard irrespective of the treatment they use or the general ability they have in cultivating this relational experience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"474-485"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258886","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