Psychotherapy最新文献_第9页

Effectiveness of telemental health during the COVID-19 pandemic: A propensity score noninferiority analysis of outcomes. COVID-19大流行期间远程心理健康的有效性:结果的倾向评分非劣效性分析

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000472

Kiran Gurm, Bruce E Wampold, Carley Piatt, Robert Jagodzinski, Derek D Caperton, Robbie Babins-Wagner

{"title":"Effectiveness of telemental health during the COVID-19 pandemic: A propensity score noninferiority analysis of outcomes.","authors":"Kiran Gurm, Bruce E Wampold, Carley Piatt, Robert Jagodzinski, Derek D Caperton, Robbie Babins-Wagner","doi":"10.1037/pst0000472","DOIUrl":"https://doi.org/10.1037/pst0000472","url":null,"abstract":"The COVID-19 pandemic forced governments to implement a range of public health measures that disrupted the personal and professional lives of many, including an abrupt adoption of telemental health services. Using data from a nonprofit counseling practice, we tested whether telemental health services delivered during the pandemic were inferior to face-to-face services delivered prior to the pandemic. We first characterized patients seeking therapy services before and during the pandemic to ascertain whether the demographics and presenting concerns of patients pre- and during COVID-19 differed and found that pandemic patients reported greater anxiety, greater overall distress, were more likely female and not partnered, and earned less than before the pandemic. We used a propensity score matching analysis to account for these differences and investigated whether or not telemental health therapy was inferior to face-to-face therapy. Based on the propensity-matched samples (2,180 patients in each condition), telemental health services were found not to be inferior to in-person services, allaying concerns about the effectiveness of telemental health services delivered during the COVID-19 pandemic. The present study also illustrates the usefulness of propensity matching for examining treatment effects in naturalistic settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"231-236"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965617","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: 1

Efficacy of a mindfulness and compassion-based intervention in psychotherapists and their patients: Empathy, symptomatology, and mechanisms of change in a randomized controlled trial. 以正念和同情为基础的干预对心理治疗师及其患者的疗效:一项随机对照试验中的共情、症状学和改变机制。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000467

Elena Garrote-Caparrós, Óscar Lecuona, Miguel Bellosta-Batalla, Luis Moya-Albiol, Ausiàs Cebolla

{"title":"Efficacy of a mindfulness and compassion-based intervention in psychotherapists and their patients: Empathy, symptomatology, and mechanisms of change in a randomized controlled trial.","authors":"Elena Garrote-Caparrós, Óscar Lecuona, Miguel Bellosta-Batalla, Luis Moya-Albiol, Ausiàs Cebolla","doi":"10.1037/pst0000467","DOIUrl":"https://doi.org/10.1037/pst0000467","url":null,"abstract":"In recent years, mindfulness and compassion-based interventions (MCBI) have been found to beneficially influence the acquisition of essential skills in psychotherapy and are a promising way to improve relationships with patients. In this regard, new studies are needed to evaluate the effects of MCBI on psychotherapists and their patients and to analyze the influence of these effects on the processes and outcomes of psychotherapy. In this randomized controlled trial, we evaluate the efficacy of an MCBI in psychotherapists' mindfulness skills and self-reported empathy, as well as its indirect effect on patients (patient-reported psychotherapists' empathy, therapeutic bond, and symptomatology). Finally, we present a multilevel structural equation model (MSEM) to analyze the relationship between these variables in psychotherapists and their patients. A group of psychotherapists (N = 63) were randomized to an MCBI or an active control group (empathy diary). We assessed psychotherapists and their patients (N = 121) before and after the MCBI and at follow-up evaluation. Psychotherapists' results showed an increase in psychotherapeutic mindfulness skills (PMS) after the MCBI and at follow-up, whereas self-reported empathy improved at follow-up. Patients' results showed an improvement in perceived empathy, therapeutic bond, and symptomatology after the MCBI. The improvements in symptomatology were maintained for somatization and anxiety at follow-up. According to the MSEM, the increase in PMS is related to an increase in patient-reported psychotherapists' empathy, which produces an improvement in therapeutic bond and their symptomatology. These results support the benefits of introducing MCBI in psychotherapists' training to improve the psychotherapy outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"182-193"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592910","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

Examining between- and within-person effects of the self-stigma of seeking psychological help on the therapeutic working alliance: The moderating role of psychological distress. 研究寻求心理帮助的自我污名对治疗工作联盟的人际和人内影响：心理困扰的调节作用。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 Epub Date: 2023-03-23 DOI: 10.1037/pst0000482

Andrew J Seidman, David L Vogel, Daniel G Lannin

{"title":"Examining between- and within-person effects of the self-stigma of seeking psychological help on the therapeutic working alliance: The moderating role of psychological distress.","authors":"Andrew J Seidman, David L Vogel, Daniel G Lannin","doi":"10.1037/pst0000482","DOIUrl":"10.1037/pst0000482","url":null,"abstract":"The self-stigma (i.e., shame) associated with psychotherapy is a prominent barrier to seeking psychological help, but less is known about its effects after treatment begins. Evidence suggests that self-stigma may interfere with the formation of the therapeutic alliance, but no studies have examined this throughout the course of psychotherapy. Self-stigma's erosion of the alliance may be most pronounced when clients experience heightened psychological distress, but this also has not been examined. Therefore, the present study addresses these omissions among 37 clients who completed at least three therapy sessions for research credit. Participants completed measures of self-stigma and past-week symptoms of distress before each session and ratings of the working alliance after. Predictor variables were disaggregated into between-person (time-invariant or average levels) and within-person (time-variant or session-by-session changes) components to enable investigation of for whom (and under what conditions) self-stigma was associated with the therapeutic alliance. Results indicated that higher levels of self-stigma (between and within persons) predicted a worse alliance. When examined as an interaction effect alongside distress in a multilevel moderation model, higher between-person ratings of self-stigma predicted a weaker therapist-client alliance across levels (M ± 1 SD) of within-person distress. Notably, its effects became more pronounced as symptoms of distress increased, indicating a period in which clients are simultaneously most likely to need help yet least likely to feel allied with their therapist. Findings highlight the importance for therapists to simultaneously monitor and consider both average and session-by-session fluctuations in self-stigma and distress to develop and maintain the working alliance. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"206-211"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consensus on the perceived presence of transtheoretical principles of change in routine psychotherapy practice: A survey of clinicians and researchers. 对常规心理治疗实践中存在的跨理论改变原则的共识:对临床医生和研究人员的调查。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000489

Conal Twomey, Gary O'Reilly, Marvin R Goldfried

{"title":"Consensus on the perceived presence of transtheoretical principles of change in routine psychotherapy practice: A survey of clinicians and researchers.","authors":"Conal Twomey, Gary O'Reilly, Marvin R Goldfried","doi":"10.1037/pst0000489","DOIUrl":"https://doi.org/10.1037/pst0000489","url":null,"abstract":"Goldfried (1982) hypothesized that there are five transtheoretical principles of change that guide routine psychotherapy practice. This survey investigated if there is consensus on the perceived presence of these principles in the approaches of a professionally diverse pool of psychotherapy clinicians and researchers. One thousand nine hundred ninety-eight participants, aged 21-85 years (M = 50.4 years, SD = 15.59) and representing a wide variety of theoretical orientations, completed an online survey. For consensus to be indicated, 95% confidence intervals of mean agreement scores had to be above 4.0 (out of 5). Mean agreement levels in response to \"the extent to which you agree that the following principles are present in your own approach to psychotherapy\" indicated consensus for all five principles: (a) fostering hope, positive expectations, and motivation (M = 4.58; 95% CI [4.53, 4.62]); (b) facilitating the therapeutic alliance (M = 4.76; 95% CI [4.73, 4.80]); (c) increasing awareness and insight (M = 4.66; 95% CI [4.63, 4.70]); (d) encouraging corrective experiences (M = 4.44; 95% CI [4.39, 4.48]); (e) emphasizing ongoing reality testing (M = 4.15; 95% CI [4.09, 4.20]). These findings were unaffected by age, gender, working patterns, practice (clinician or researcher), and years of experience; however, consensus on the final two principles was not indicated for both psychodynamic and experiential psychotherapists. The demonstrated consensus surrounding the transtheoretical principles of change corresponds with their consistently yielded outcome associations in previous research. The combination of these evidence sources points to the importance of the principles in routine psychotherapy practice, which warrants further investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"219-224"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9585283","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: 1

The sum of competing parts: Religious and sexual identity disparities in therapist effectiveness. 竞争部分的总和:治疗师有效性中的宗教和性别认同差异。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000486

Laurice Cabrera, Joanna M Drinane, Jake Van Epps, Lauren Weitzman

{"title":"The sum of competing parts: Religious and sexual identity disparities in therapist effectiveness.","authors":"Laurice Cabrera, Joanna M Drinane, Jake Van Epps, Lauren Weitzman","doi":"10.1037/pst0000486","DOIUrl":"https://doi.org/10.1037/pst0000486","url":null,"abstract":"The discussion of the influence of culture in psychotherapy is expanding to honor and incorporate the ways identities intersect within complex social systems. Some clients present for therapy with two or more identities that are in conflict, whereby the values or needs associated with different parts of the self are at odds. The resulting tension can be a significant driver of distress. This study sought to investigate therapist variability in facilitating change with clients depending on the interaction of their sexual orientation and the role of religion in their life (RR). We analyzed the depression scores of clients (n = 1,792) who received care at a university counseling center. After controlling for clients' pretherapy depression scores, the association between their sexual orientation and their posttherapy depression varied across therapists; however, the association between their RR and posttherapy depression did not. We also found that the association between the interaction of clients' sexual orientation and RR, and posttherapy depression varied across therapists. Therefore, some therapists had clients who experienced more or less change in their depression and that variability was predicted by the identity combinations clients endorsed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"212-218"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949307","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

Group psychotherapy for chronic pain: A meta-analysis. 慢性疼痛的团体心理治疗:荟萃分析。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000485

Cameron Alldredge, Gary Burlingame, Jenny Rosendahl

{"title":"Group psychotherapy for chronic pain: A meta-analysis.","authors":"Cameron Alldredge, Gary Burlingame, Jenny Rosendahl","doi":"10.1037/pst0000485","DOIUrl":"https://doi.org/10.1037/pst0000485","url":null,"abstract":"Chronic pain is common among adults and frequently interferes with regular functioning while reducing quality of life. Though pharmacological approaches are used most frequently to treat pain-related issues, the side effects often lead to other problems. Group therapy has been used and studied for decades in treating pain although its general efficacy in this is not clear. We conducted a meta-analysis to determine group therapy's effectiveness in reducing pain intensity and improving adjacent issues. Potential randomized clinical trials were selected from various databases and included if published between 1990 and 2020, investigated group treatment's efficacy for pain-related concerns, measured pain intensity, included a comparison condition, and reported sufficient data in each trial arm at the first postassessment. We included 29 studies representing 4,571 participants in group therapy being treated for pain. The analysis yielded a significant, small effect when group was contrasted against passive control groups (g = 0.26, 95% CI [0.11, 0.41], p = .001) on the reduction of pain intensity. Two variables were found to moderate group therapy's efficacy: gender composition of groups and theoretical orientation. Although effects on reducing pain intensity are small, group psychotherapy should be considered a viable treatment option for chronic pain patients given the lower risks of side effects compared to pharmaceutical analgesics and comparable effects compared to other chronic conditions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"194-205"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949308","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: 2

The development of a comprehensive coding system for evaluating insight based on a clinical interview: The SUIP-I coding system. 基于临床访谈评估洞察力的综合编码系统的发展:SUIP-I编码系统。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000491

Lirit Yaffe-Herbst, Maya Joffe, Galit Peysachov, Aviv Nof, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Sigal Zilcha-Mano

{"title":"The development of a comprehensive coding system for evaluating insight based on a clinical interview: The SUIP-I coding system.","authors":"Lirit Yaffe-Herbst, Maya Joffe, Galit Peysachov, Aviv Nof, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Sigal Zilcha-Mano","doi":"10.1037/pst0000491","DOIUrl":"https://doi.org/10.1037/pst0000491","url":null,"abstract":"Gaining insight is considered a cornerstone of psychodynamic psychotherapy. Existing tools used to measure insight mainly include patients' self-report questionnaires and external coding of therapy sessions. To expand on the available tools, the present study developed a comprehensive coding system for the Self-Understanding of Interpersonal Patterns Scales-Interview (SUIP-I; Gibbons & Crits-Christoph, 2017). A total of 55 patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression and were interviewed using the SUIP-I at baseline. A comprehensive coding system was developed for rating the interviews, based on a Likert scale for each of the six levels of insight. The content validity, psychometric properties, and the reliability and validity of the coding system were examined. The new SUIP-I coding system demonstrated interrater reliability in the \"excellent\" range, ICC (1, 1) = .91-.97, for all the six levels, and adequate internal consistency (Cronbach's α = .81). Support for convergent validity was gained, as manifested in a significant positive association of the SUIP-I with alliance expectation and affiliation, and a significant negative association with avoidance attachment. Support for discriminant validity was also gained, as manifested in a weak, nonsignificant association between the SUIP-I and self-esteem. The proposed comprehensive coding system shows good initial reliability and validity. Research is needed to further establish the psychometric properties of the new SUIP-I coding system. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"225-230"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9586323","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 typology for the interpersonal affective focus in dynamic interpersonal therapy based on a contemporary interpersonal approach. 基于当代人际关系方法的动态人际治疗中人际情感焦点的类型学。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000462

Tara McFarquhar, Patrick Luyten, Peter Fonagy

{"title":"A typology for the interpersonal affective focus in dynamic interpersonal therapy based on a contemporary interpersonal approach.","authors":"Tara McFarquhar, Patrick Luyten, Peter Fonagy","doi":"10.1037/pst0000462","DOIUrl":"https://doi.org/10.1037/pst0000462","url":null,"abstract":"Dynamic Interpersonal Therapy (DIT) is a brief, time-limited psychodynamic individual therapy in which depressive and anxious symptoms are understood as responses to interpersonal difficulties. Problematic interpersonal representations of the self and others are conceptualized in DIT as the interpersonal affective focus (IPAF), a predominant and recurring interpersonal pattern that is connected to the symptoms and becomes the foundation of treatment. This article reports the development of a typology for classifying IPAFs, which characterizes the predominant style based on contemporary interpersonal approaches. If such a typology can be shown to have validity in a clinical setting, it could have multiple uses that would improve understanding of how DIT works and for whom it might be effective, for example, assisting the therapist in formulating the IPAF, allowing investigations of treatment outcome and process research, and informing training. An IPAF typology was developed by means of a hybrid method of qualitative analysis of transcriptions of audio recordings of DIT sessions using data from a randomized control and feasibility trial. Results revealed four themes, that is, patterns of relating, which could be described as hostile-dominant, hostile-submissive, friendly-dominant, or friendly-submissive. Limitations include the sample size and diversity, the impact of the inclusion and exclusion criteria of the pilot feasibility trial, and the clinical need to titrate the IPAF. Future research should focus on the reliability and validity of the typology and whether it can be employed in outcome and process research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"171-181"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9590999","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: 1

Supplemental Material for Consensus on the Perceived Presence of Transtheoretical Principles of Change in Routine Psychotherapy Practice: A Survey of Clinicians and Researchers 关于常规心理治疗实践中感知到的跨理论变化原则的共识补充材料:对临床医生和研究人员的调查

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-04-06 DOI: 10.1037/pst0000489.supp

引用次数: 0

Supplemental Material for Group Psychotherapy for Chronic Pain: A Meta-Analysis 慢性疼痛群体心理治疗补充材料:一项荟萃分析

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-03-13 DOI: 10.1037/pst0000485.supp

引用次数: 0