AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献_第5页

The Impact of Text Engagement in a Brief, Technology-Enhanced Adjunctive Intervention for Youth Suicide Risk and Depression. 文本参与对青少年自杀风险和抑郁的简短、技术增强辅助干预的影响。

IF 1.7

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-09-26 DOI: 10.1176/appi.psychotherapy.20240065

Natalia Macrynikola, Katherine M Tezanos, Jackson Doerr, Nazaret Suazo, Leanna Villareal, Laura Whiteley, Shirley Yen

{"title":"The Impact of Text Engagement in a Brief, Technology-Enhanced Adjunctive Intervention for Youth Suicide Risk and Depression.","authors":"Natalia Macrynikola, Katherine M Tezanos, Jackson Doerr, Nazaret Suazo, Leanna Villareal, Laura Whiteley, Shirley Yen","doi":"10.1176/appi.psychotherapy.20240065","DOIUrl":"10.1176/appi.psychotherapy.20240065","url":null,"abstract":"Objective: Brief, technology-enhanced interventions can increase treatment access while effectively addressing widespread clinical problems, such as major depression and suicidal thoughts and behavior, among young adults. Understanding the extent to which the digital components of these innovative interventions contribute to outcomes is key to realizing their potential. This study investigated whether text engagement enhances the effectiveness of a brief, adjunctive intervention, Skills to Enhance Positivity (STEP).Methods: Thirty-five young adults in outpatient treatment received the STEP intervention, which was hypothesized to reduce depression and suicidal ideation by engaging the transdiagnostic mechanism of positive affect. Text engagement was examined as a predictor of positive affect, depressive symptoms, and suicidal ideation at posttest and follow-up, with baseline scores controlled. The authors also examined associations of text engagement with baseline clinical and demographic variables.Results: A significant effect was found for text engagement on positive affect, and a trend toward a significant effect was found for text engagement on depressive symptoms. No significant effect was found for suicidal ideation.Conclusions: Findings add to a growing body of literature suggesting that light-touch, low-cost technology enhancements, such as text messaging, may enhance the impact of therapeutic interventions. Future research with larger sample sizes is essential to better understand when, how, and for whom such light-touch enhancements may increase intervention effectiveness.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"12-18"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12718554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pixar's Inside Out as a Dialectical Behavior Therapy-Informed Intervention for Adults. 皮克斯的《头脑外转》作为成年人的辩证行为治疗知情干预。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-08-27 DOI: 10.1176/appi.psychotherapy.20250001

Katie Brazaitis, Adriana C Stetson

引用次数: 0

Evaluating the Efficacy of ChatGPT-3.5 Versus Human-Delivered Text-Based Cognitive-Behavioral Therapy: A Comparative Pilot Study. 评估ChatGPT-3.5与人类提供的基于文本的认知行为疗法的疗效：一项比较试点研究。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-08-18 DOI: 10.1176/appi.psychotherapy.20240070

Sebastian Acevedo, Esha Aneja, Douglas J Opler, Pamela Valera, Eric Jarmon

{"title":"Evaluating the Efficacy of ChatGPT-3.5 Versus Human-Delivered Text-Based Cognitive-Behavioral Therapy: A Comparative Pilot Study.","authors":"Sebastian Acevedo, Esha Aneja, Douglas J Opler, Pamela Valera, Eric Jarmon","doi":"10.1176/appi.psychotherapy.20240070","DOIUrl":"10.1176/appi.psychotherapy.20240070","url":null,"abstract":"Objective: The aim of this study was to compare the effectiveness of an artificial intelligence (AI) therapist (ChatGPT-3.5) and a human therapist in delivering text-based cognitive-behavioral therapy (CBT). Cognitive Therapy Rating Scale (CTRS) scores and qualitative responses from participants were used to assess ChatGPT-3.5's capabilities within the limitations of this deployment.Methods: A cross-sectional survey was administered to 208 mental health professionals and trainees, 75 of whom completed the study. Participants assessed two text-based CBT transcripts (AI therapist and human therapist) using the CTRS and provided qualitative feedback. Both the AI therapist and the human therapist were presented with identical clinical scenarios to ensure consistency.Results: The human therapist outperformed ChatGPT-3.5 across most CTRS domains (α=0.001). More than half (52%) of the respondents rated the human therapist's agenda setting highest, with a score of 6, compared with 28% who gave this rating to ChatGPT-3.5. In elicited feedback, 29% rated the human therapist as highly effective (score=6), whereas only 9% rated ChatGPT-3.5 similarly (p<0.001). The human therapist also scored higher on guided discovery (24% vs. 12%, p<0.001). ChatGPT-3.5 was rated similarly to the human therapist in understanding the patient's internal reality (36% vs. 19%, p=0.004) but was often seen as less personalized and more rigid.Conclusions: The findings suggest that although ChatGPT-3.5 may complement human-based therapy, this specific implementation of AI lacked the depth required for stand-alone use. These findings, however, cannot be generalized to all AI-based therapy because the study did not account for the diverse ways therapy can be delivered.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"4-11"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Psychotherapy Services Into Primary Care. 将心理治疗服务纳入初级保健。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-08-27 DOI: 10.1176/appi.psychotherapy.20240060

Katherine Lee, Dane Mauer-Vakil

引用次数: 0

How Patients Guide Therapy: A Pilot Study on the Development and Reliability of the Patient Coaching Rating System. 患者如何指导治疗：患者指导评分系统的发展和可靠性的试点研究。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-09-26 DOI: 10.1176/appi.psychotherapy.20250009

Elizabeth Li, James McCollum, David Kealy, Matthew R Baity, George Silberschatz

{"title":"How Patients Guide Therapy: A Pilot Study on the Development and Reliability of the Patient Coaching Rating System.","authors":"Elizabeth Li, James McCollum, David Kealy, Matthew R Baity, George Silberschatz","doi":"10.1176/appi.psychotherapy.20250009","DOIUrl":"10.1176/appi.psychotherapy.20250009","url":null,"abstract":"Objective: Patient coaching refers to patient-initiated communication that helps therapists understand therapy goals, maladaptive beliefs, personal challenges, and preferred therapeutic approaches. Despite its theoretical significance, empirical research remains limited, with a few recent studies relying on labor-intensive methods involving extensive training of raters and detailed case analysis. To support broader empirical research, this study introduces the Patient Coaching Rating System (PCRS) to assess two dimensions of patient coaching: information coaching (what and why) and direction coaching (how).Methods: Seven raters used the PCRS to rate 22 segments from an early psychotherapy session. Each segment was rated on two dimensions-information coaching and direction coaching-with a 0-4 scale.Results: The raters achieved interrater reliability scores of 0.86 for information coaching and 0.68 for direction coaching. Whereas information coaching demonstrated excellent reliability, direction coaching showed moderate to good reliability, highlighting the need for further refinement of the coding manual.Conclusions: This pilot study provides a structured method for assessing patient coaching and represents an initial step toward facilitating empirical investigation within therapy sessions.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"42-45"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where Have All the Supervisors Gone? Practical Tips for Recruiting Psychotherapy Supervisors. 监工都到哪里去了？招募心理治疗主管的实用技巧。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-08-18 DOI: 10.1176/appi.psychotherapy.20240049

Aimee Murray, Donna Sudak, David R Topor, Anne E Ruble, Amber Frank

{"title":"Where Have All the Supervisors Gone? Practical Tips for Recruiting Psychotherapy Supervisors.","authors":"Aimee Murray, Donna Sudak, David R Topor, Anne E Ruble, Amber Frank","doi":"10.1176/appi.psychotherapy.20240049","DOIUrl":"10.1176/appi.psychotherapy.20240049","url":null,"abstract":"Psychotherapy supervision is an essential aspect of psychiatric residency training, and it is critical in supporting the identity of a psychiatrist as a psychotherapist. However, the number of faculty available to provide psychotherapy supervision, especially in specific modalities, such as psychodynamic psychotherapy, has been significantly reduced. Furthermore, the number of practicing psychiatrists is anticipated to decline, narrowing the supervision pool. Recruiting and retaining psychotherapy supervisors has also become more challenging as compensation models emphasize relative value units. This article describes strategies for developing a robust psychotherapy supervisor pool and helping graduate psychiatric educators to manage the economic, malpractice, and credentialing challenges that the present climate entails. These strategies include recruiting both internally and externally, recruiting supervisors from other disciplines, training advanced residents to supervise, incentivizing external supervisors, and developing a shared curriculum. The development of these relationships and resources will allow training programs to continue to provide outstanding supervision.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"32-36"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation Determinants and Outcomes of a Telehealth-Delivered Depression Prevention Program. 远程医疗抑郁症预防项目的实施决定因素和结果。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI: 10.1176/appi.psychotherapy.20250005

Molly Davis, Amy So, Gillian C Dysart, Karen T G Schwartz, Rebecca M Kanine, Jason D Jones, Courtney Benjamin Wolk, Jami F Young

{"title":"Implementation Determinants and Outcomes of a Telehealth-Delivered Depression Prevention Program.","authors":"Molly Davis, Amy So, Gillian C Dysart, Karen T G Schwartz, Rebecca M Kanine, Jason D Jones, Courtney Benjamin Wolk, Jami F Young","doi":"10.1176/appi.psychotherapy.20250005","DOIUrl":"10.1176/appi.psychotherapy.20250005","url":null,"abstract":"Objective: The goal of this study was to evaluate the implementation of a school-based, telehealth-delivered depression prevention program (interpersonal psychotherapy-adolescent skills training).Methods: Adolescents in ninth or 10th grade (N=14), school counselors and other student support staff (N=14), and school and district administrators (N=14) from schools that were included in a larger randomized controlled trial completed hour-long, semistructured qualitative interviews.Results: A content analysis, involving a combination of a priori codes from implementation science frameworks and codes derived from transcripts of the interviews, demonstrated that the prevention program was generally viewed as helpful and relevant. Moreover, the importance of mental health programming in the school setting was recognized. Nonetheless, key barriers to implementation were noted, including limited time and resources in the schools, technology challenges, and perceptions from some counselors that the program was more structured than was their typical practice.Conclusions: The results elucidated key factors to consider for optimizing future efforts to implement evidence-based mental health programs in schools and other community settings.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"19-26"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Touch in Psychedelic Therapy: Perspectives From a Survey of Practitioners in Research Settings. 触觉在致幻剂治疗中的作用：来自研究机构从业者调查的观点。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-12-15 Epub Date: 2025-05-06 DOI: 10.1176/appi.psychotherapy.20240025

David A Bender, Sandeep M Nayak, Joshua S Siegel, David J Hellerstein, Baris C Ercal, Eric J Lenze

{"title":"The Role of Touch in Psychedelic Therapy: Perspectives From a Survey of Practitioners in Research Settings.","authors":"David A Bender, Sandeep M Nayak, Joshua S Siegel, David J Hellerstein, Baris C Ercal, Eric J Lenze","doi":"10.1176/appi.psychotherapy.20240025","DOIUrl":"10.1176/appi.psychotherapy.20240025","url":null,"abstract":"Objective: Psychedelic therapies are promising new treatment options in psychiatry. Including the use of physical touch as part of treatment is an area of debate. This study aimed to characterize the viewpoints of practitioners on the use of touch in psychedelic therapy.Methods: An anonymous survey was distributed via e-mail to the contacts listed on ClinicalTrials.gov for trials of psilocybin and lysergic acid diethylamide, via e-mail to personal contacts of the current authors, and through snowball sampling. Survey items focused on topics related to the facilitation of psychedelic treatments. The survey included Likert-scale, free-response, and demographic items.Results: Forty respondents completed the survey. The respondents had overseen an average of 41.4 psychedelic sessions (range 2-200 sessions), had varying educational backgrounds (doctorate in medicine or osteopathic medicine, 43%; other degree, 58%), and were affiliated with ≥16 institutions worldwide. Seventy percent of the respondents agreed that therapeutic touch was a crucial component of psychedelic therapy, although a majority felt that specific forms of touch (bodywork, 63%; full-body contact, 98%) were inappropriate. Free-response analysis indicated that 96% of the respondents supported touch of the patient's hand and 58% supported touching of the shoulder. Unprompted, 63% of respondents emphasized the importance of consent.Conclusions: Classical psychedelic practitioners in research settings believed that physical touch is an important part of psychedelic therapy. However, they also emphasized the importance of professional boundaries. These findings may inform the future practice of psychedelic therapy.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"224-230"},"PeriodicalIF":2.5,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychotherapy, Politics, and the Limits of Professionalism. 心理治疗、政治和专业主义的极限。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-12-15 Epub Date: 2025-05-23 DOI: 10.1176/appi.psychotherapy.20240066

Jordan A Conrad

引用次数: 0

Mood Lifters for Bipolar Disorder: A Feasibility Study Investigating a Peer-Led Adjunctive Intervention for Bipolar Disorder. 双相情感障碍的情绪提升剂：一项探讨同伴主导双相情感障碍辅助干预的可行性研究。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-12-15 Epub Date: 2025-06-03 DOI: 10.1176/appi.psychotherapy.20240056

Elena L Pokowitz, Haonan Ye, Melvin G McInnis, Patricia J Deldin, Lisa A O'Donnell

{"title":"Mood Lifters for Bipolar Disorder: A Feasibility Study Investigating a Peer-Led Adjunctive Intervention for Bipolar Disorder.","authors":"Elena L Pokowitz, Haonan Ye, Melvin G McInnis, Patricia J Deldin, Lisa A O'Donnell","doi":"10.1176/appi.psychotherapy.20240056","DOIUrl":"10.1176/appi.psychotherapy.20240056","url":null,"abstract":"Objective: Current treatment approaches for bipolar disorder work to improve symptoms while preventing relapse. However, quality of life (QoL) is often not addressed, and many individuals struggle to reach stability and recovery. This study aimed to investigate the capacity for adjunctive sources of care that promote evidence-based skills and peer support to improve functioning and QoL for individuals with bipolar disorder.Methods: Eighteen participants with bipolar disorder completed a 16-week, peer-led Mood Lifters for Bipolar Disorder (ML-BD) program as a part of this uncontrolled feasibility trial. Measures of feasibility, acceptability, and appropriateness were collected at the end of the program. Symptoms of depression and mania, in addition to QoL, were measured before and after program completion.Results: ML-BD was considered generally feasible, acceptable, and appropriate by participants. Quantitative and qualitative data showed high satisfaction with ML-BD, although dropout rates and qualitative feedback were key areas for improvement. Exploratory analyses showed that participants experienced significant increases in QoL. Symptoms of depression and mania remained statistically similar from pre- to posttreatment.Conclusions: ML-BD is an adjunctive source of care that is potentially feasible, acceptable, and appropriate for individuals with bipolar disorder. It may support symptom management and improve QoL. Future studies should optimize this program on the basis of stakeholder feedback and investigate its formal efficacy in broader samples.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"244-250"},"PeriodicalIF":2.5,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0