Counselling & Psychotherapy Research最新文献

{"title":"Haven schools: A pilot evaluation of a school-based programme to reduce anxiety in young people","authors":"Dominique Grohmann,&nbsp;Claire Banham,&nbsp;Silvana Mengoni,&nbsp;David Wellsted,&nbsp;Karen Irvine","doi":"10.1002/capr.12873","DOIUrl":"https://doi.org/10.1002/capr.12873","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to conduct a pilot evaluation of a novel six-week school-based intervention (‘Haven Schools’) on young people's psychological wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and forty-one students (ages 12–16 years) from 11 schools in England attended up to six sessions of the intervention at their school during the day. Psychological wellbeing was evaluated at each session using the overall score on the Young Person's Core-10 (YP CORE-10) outcome measure, and anxiety and self-harm were evaluated using individual questions in the YP CORE-10.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants' psychological wellbeing was significantly better at their last session compared to their first session. Anxiety and thoughts of self-harm were also significantly lower in last sessions compared to first sessions. Attendance was good, with 64% attending at least four sessions (<i>M</i> = 3.99 sessions attended).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Haven Schools programme appears to have promising initial results; however, further investigation using a control group and longer-term follow up are warranted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient Consent Statement</h3>\u0000 \u0000 <p>This was an analysis of secondary data used to evaluate the programme, and therefore did not fall within the remit required for ethical review. Each school managed the issue of parental consent differently depending on their own rules. One school felt that it was not necessary to get parental consent as they felt it could be a barrier to some young people attending as they may not want their parents to know. However, most schools sent parents of students who indicated an interest an information letter, and asked parents to email the school with consent.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110822","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}

{"title":"Rethinking psychological interventions in autism: Toward a neurodiversity-affirming approach","authors":"Sandra Graf-Kurtulus,&nbsp;Omar C. G. Gelo","doi":"10.1002/capr.12874","DOIUrl":"https://doi.org/10.1002/capr.12874","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Autism is characterised by unique patterns of social interaction, communication and repetitive behaviours, often accompanied by comorbid conditions such as mood disorders and anxiety. Standard psychological interventions, such as applied behaviour analysis (ABA) and social skill training (SST), are commonly used but remain controversial due to their focus on aligning autistic individuals with societal norms.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This paper critically evaluates standard approaches targeting core autistic traits and explores the therapeutic potential of prioritising comorbidities coherently with neurodiversity-affirming strategies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A critical analysis of clinical and empirical literature was conducted to evaluate the efficacy, ethical issues and broader implications of interventions such as ABA and SST. Particular emphasis was placed on synthesising findings relevant to mental health outcomes, autistic identity formation and the potential of neurodiversity-affirming interventions to reduce distress and promote well-being.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Standard approaches often contribute to adverse effects, such as social camouflaging and increased mental health challenges. Conversely, interventions addressing comorbid conditions such as depression and anxiety, combined with neurodiversity-affirming strategies that support autistic identity and adapt the environment, demonstrate improved mental health outcomes and greater self-acceptance.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We highlight the importance of shifting the therapeutic focus from modifying core autistic traits to addressing comorbidities while fostering a coherent autistic identity. Such a dual approach aligns with the neurodiversity paradigm and emphasises the need for interventions that enhance well-being by reducing distress caused by comorbid conditions without suppressing autistic characteristics.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Prioritising comorbid conditions while fostering autistic identity through neurodiversity-affirming strategies offers a more ethical and effective approach to improving mental health and self-acceptance in autistic individuals. This dual approach advocates for therapeutic practices that align wit","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119672","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}

{"title":"Case conceptualisations used by psychodynamic psychotherapists seeking insurance reimbursement in Germany","authors":"Susanne Singer,&nbsp;Julian Blanck,&nbsp;Ramona Böhme,&nbsp;Lena Dotzauer","doi":"10.1002/capr.12875","DOIUrl":"https://doi.org/10.1002/capr.12875","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study investigated which working models psychodynamic psychotherapists use to conceptualise their approach to working with individual patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We randomly selected 1000 samples from a larger pool of reimbursement applications clinicians submitted to health insurance providers. From these, we extracted whether one or more of the following theories were used: drive theory, object relations theory, Winnicott's, Bion's and attachment theory. We also tracked whether the concepts of the unconscious, the super-ego and regression appeared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The most frequently used theory was object relations theory, followed by drive theory. The concepts developed by Bion and Winnicott were rarely used. The following concepts did not appear in any of the reports: reverie, alpha-function, beta-elements and pathological organisation. A fifth of the reports did not mention any of the concepts investigated. Therapists trained in psychoanalysis used drive theory, object relations theory, Bion's theory and regression more often than those trained in low-frequency psychodynamic psychotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that case conceptualisations for psychodynamic therapies with adult patients nowadays most frequently cite the use of object relations theory and drive theory, whereas Bion's and Winnicott's concepts are rarely explicitly mentioned. On average, therapists trained in psychoanalysis use more theories than those with psychodynamic training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119244","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}

{"title":"Initial evaluation of an AI-augmented progress monitoring and outcome assessment","authors":"Scott T. Meier","doi":"10.1002/capr.12869","DOIUrl":"https://doi.org/10.1002/capr.12869","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Most mental health providers have yet to adopt progress monitoring and outcome assessment (PMOA) measures. Although a variety of explanations have been proposed in the literature, a key reason is the burden of time and effort necessary for clients and clinicians to complete, interpret and apply the results of PMOA measures. This evaluation explores the feasibility and initial results of employing ChatGPT to analyse clinicians' unstructured session progress notes for PMOA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a simulated patient with 17 trainee therapists, the study examined whether artificial intelligence (AI) can assist in generating thematic summaries relevant to clinical progress and outcomes. Therapists' session summaries were combined to evaluate the continuation of key clinical themes across four sessions for a simulated patient. Trainees also provided brief quantitative ratings per session about the patient's working alliance, negative affect (NA), avoidance of NA and levels of distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AI-generated results found a (a) persistent focus across sessions regarding the patient's relationship issues with an abusive caretaker, reluctance to disclose and avoidance of NA, and (b) substantial convergence between human-generated and AI-generated thematic summaries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Overall, the use of AI to analyse clinical progress notes appears feasible and psychometrically sound. By minimising resources needed by patients and clinicians to produce clinically relevant data, an AI-augmented approach can reduce a major obstacle to clinicians' adoption of PMOA measures for feedback purposes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119673","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}

{"title":"Childhood maltreatment and depression in adult patients: The mediator role of personality functioning","authors":"Stephanie Vaccarezza,&nbsp;Sebastián Opazo,&nbsp;Adrian P. Mundt,&nbsp;Alejandra Cortázar,&nbsp;Paula Errázuriz","doi":"10.1002/capr.12866","DOIUrl":"https://doi.org/10.1002/capr.12866","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118925","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}

{"title":"Exploring anxiety, uncertainty perception, treatment experiences and coping strategies: An interpretative phenomenological analysis","authors":"Aysun Parlar-Yazıcı,&nbsp;Alyson Norman,&nbsp;Alison Bacon","doi":"10.1002/capr.12872","DOIUrl":"https://doi.org/10.1002/capr.12872","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118802","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}

{"title":"Effects of humour-logotherapy tailored to rural college students: A quasi-experimental study","authors":"Eunna Do,&nbsp;Sunhee Cho","doi":"10.1002/capr.12865","DOIUrl":"https://doi.org/10.1002/capr.12865","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the effects of humour-logotherapy (HL) on meaning in life, perceived stress and depressive symptoms among rural college students in South Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Measures</h3>\u0000 \u0000 <p>The sample for a non-randomised quasi-experimental study comprised 40 college students. HL was operated in six sessions, lasted 90 min and included 10 min of humorous activities. The data were analysed using the IBM SPSS/WIN 23.0 for the <i>χ</i>² test with Fisher's exact test, a <i>t</i>-test, the Shapiro–Wilk test and a repeated measurement ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HL was effective in enhancing meaning in life (<i>F</i> = 6.52, <i>p</i> = .002) and reducing stress (<i>F</i> = 3.71, <i>p</i> = .029) and depressive symptoms (<i>F</i> = 3.26, <i>p</i> = .044). The effects of enhancing meaning in life and reducing stress persisted for 4 weeks; however, the effect of reducing depressive symptoms persisted for less than 4 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that HL can be used as an effective intervention for enhancing meaning in life, reducing stress and alleviating depression among rural college students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118801","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}

{"title":"Collaboration with clients to create journal notes: A mixed methods evaluation of a pilot intervention study in a municipality mental health services team","authors":"Kjellaug K. Myklebust,&nbsp;Helene Hoemsnes,&nbsp;Øyvind Kvello,&nbsp;Solveig Karin Bø Vatnar","doi":"10.1002/capr.12829","DOIUrl":"https://doi.org/10.1002/capr.12829","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The purpose of this study was to evaluate an intervention designed to encourage therapists in a municipality mental health services team to collaborate with their clients when writing journal notes. The team was part of a low-threshold mental health service for children, adolescents and their parents. The therapists offered individual therapeutic sessions with children, adolescents and parents, as well as family sessions. The therapists documented their encounters in the clients' electronic health records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used a convergent mixed methods design. First, the quality and quantity of documented therapist–client interactions were measured before and after the intervention using the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI). Cross-tabulation and logistic regression analyses were used to examine potential differences in the recording of therapists' approaches before and after intervention. Second, we explored the therapists' experiences of participating in this project by conducting individual in-depth interviews. Qualitative interviews were analysed by systematic text condensation. Finally, the quantitative results from assessing the journal notes were contextualised with the qualitative results from the interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of journal notes describing therapist approach and client response increased by 25% points after the intervention. In the interviews, the therapists acknowledged the intervention's relevance to their practice. However, they invited only a limited number of clients to co-create journal notes. The clients welcomed the invitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Collaborative documentation challenges established journal documentation practices and may strengthen the client's voice. This study provides suggestions for strengthening the intervention in the future full-scale studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142859867","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}

{"title":"Effects of a muscle relaxation exercise programme on test anxiety and sleep quality among fourth-year nursing students before comprehensive examination in Palestine","authors":"Mohammad Amro,&nbsp;Malakeh Z. Malak,&nbsp;Ahmad Ayed","doi":"10.1002/capr.12831","DOIUrl":"https://doi.org/10.1002/capr.12831","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is a lack of research on the effect of progressive muscle relaxation (PMR) on minimising test anxiety and enhancing sleep quality among nursing students in Arab countries, including Palestine. Therefore, this study aimed to investigate the effects of a PMR intervention programme on test anxiety and sleep quality in fourth-year nursing students before the comprehensive examination in Palestine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A one-group pre-/postdesign was conducted on a group of fourth-year nursing students before the comprehensive examination (<i>N</i> = 60) at Arab American University in Palestine. The PMR programme consisted of five sessions lasting 45 min over the course of 1 week and was implemented from the beginning of January to the end of January 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings indicated a significant difference in test anxiety pre- and post-PMR exercise (<i>t</i>_[59] = 19.3, <i>p</i> &lt; .01). Also, a significant difference was found in sleep quality before and after the PMR exercise (<i>t</i>_[59] = 15.4, <i>p</i> &lt; .01). Additionally, no difference was found in test anxiety and sleep based on age and gender pre-/post-PMR intervention programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study proposes that PMR effectively reduces test anxiety and improves sleep quality among nursing students. Therefore, the PMR programme should be incorporated as a therapeutic intervention for nursing students and students in general and particularly those suffering from test anxiety and poor sleep quality. Also, mental health counsellors and instructors can use such interventions in their therapeutic management as non-pharmacological therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862333","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}

{"title":"Reflections from LGBTQIA+ individuals of their past experiences of psychotherapy and counselling and the use of creative therapy—A qualitative study","authors":"Mark Crummy,&nbsp;Suzy Hansford","doi":"10.1002/capr.12825","DOIUrl":"https://doi.org/10.1002/capr.12825","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous literature tends to suggest that the LGBTQIA+ community face higher rates of mental disorders and illnesses. This appears to be due to minority stress as a result of the discrimination and hostility towards the community from society. In relation to psychotherapy and/or counselling, affirmative therapy has been found to be helpful; however, it is clear from the literature that the LGBTQIA+ population do not feel accepted or understood when accessing mental health support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were invited to take part in an interview consisting of open-ended questions relating to the topic of interest. Following this, a thematic analysis was completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The thematic analysis revealed four main themes: these were ‘sexuality and gender within the therapeutic relationship’, ‘desirable characteristics and attributes in a therapist’, ‘undesirable characteristics and attributes in a therapist’ and ‘creative therapy’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The results could be used to inform mental health practitioners of the importance of cultural competency in relation to the LGBTQIA+ community, as well as helping aid how to approach sexuality and/or gender in a therapeutic space. The conclusions also highlight the need for practitioners to explore context with LGBTQIA+ clients rather than solely emotion focus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study indicated that the LGBTQIA+ community prefer working with LGBTQIA+ therapists due to a shared lived experience and perceived baseline understanding of each other. It was also found that context was important for them in therapy, rather than emotion focus, and creative therapy was also shown to be useful for the community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12825","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862329","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}