Psychotherapy Research最新文献

Group climate temporally precedes member improvement in emotional cultivation groups for youth. 在青少年情绪培养小组中，团体气氛暂时先于成员的改善。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2500506

Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho

{"title":"Group climate temporally precedes member improvement in emotional cultivation groups for youth.","authors":"Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho","doi":"10.1080/10503307.2025.2500506","DOIUrl":"https://doi.org/10.1080/10503307.2025.2500506","url":null,"abstract":"AbstractObjective: This study investigated group climate dynamics and their impact on social adjustment in therapy groups for youth. Method: A total of 536 children and adolescents who were significantly depressed compared to norms, participated in 95 therapy groups in Taiwanese schools. We employed dynamic structural equation modeling to analyze session-to-session associations of group engagement and conflict and their effects on weekly changes in social adjustment, as rated by group members and leaders. Results: Contrary to our hypothesis, no reciprocal association was found between engagement and social adjustment. However, previous session engagement (b = 0.81, 95% CI [0.553, 1.075]) and conflict (b = 1.14, 95% CI [0.825, 1.515]) were positively associated with current social adjustment in the current week. A negative association was identified between prior engagement and current conflict (b = -0.61, 95% CI [-0.923, -0.351]), while previous conflict positively influenced current engagement (b = 1.53, 95% CI [1.116, 2.029]), suggesting a negative feedback loop (e.g., high engagement leads to low conflict, which leads to low engagement, which leads to high conflict, which leads to high engagement) that maintains group climate stability. Conclusions: Group climate plays a crucial role in youth group therapy, influencing members' social adjustment and demonstrating a dynamic interplay that supports climate homeostasis.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis. 小组领导和成员此时此地焦点和治疗因素：一项语言调查和字数分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2506653

Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt

{"title":"Group Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis.","authors":"Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt","doi":"10.1080/10503307.2025.2506653","DOIUrl":"https://doi.org/10.1080/10503307.2025.2506653","url":null,"abstract":"Objective: Yalom (1985) believed that working in the here-and-now of the group is essential to facilitating the \"therapeutic factors\" necessary for a successful outcome. Yet, we currently lack research examining whether a here-and-now in-session focus predicts the therapeutic factors, as theorized.Methods: This study used Linguistic Inquiry and Word Count (LIWC) analysis to assess group member and leader in-session here-and-now focus by analyzing words spoken in a session.Results: The results suggest that when group leaders use more here-and-now words in a speaking turn, group members use more here-and-now words in the subsequent speaking turn. However, contrary to expectation, group leaders and group members \"matching\" on here-and-now language in a session did not predict more therapeutic factors in between sessions, but rather less social learning. Instead, how consistent or variable group members or leaders were in their here-and-now focus generally predicted more therapeutic factors.Conclusion: These results suggest that LIWC may be a promising vehicle to assess here-and-now language in group therapy sessions and that a here-and-now in-session focus has a complex relationship with the therapeutic factors.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

The association between therapist internal relational models, professional self-doubt, and coping strategies and the process and outcome of psychotherapy. 治疗师内部关系模型、专业自我怀疑、应对策略与心理治疗过程和结果的关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-27 DOI: 10.1080/10503307.2025.2506650

C F Jacobsen, L Igra, S Lunn, K-I Karstoft, J Nielsen, L Lauritzen, F Falkenström, S Poulsen

{"title":"The association between therapist internal relational models, professional self-doubt, and coping strategies and the process and outcome of psychotherapy.","authors":"C F Jacobsen, L Igra, S Lunn, K-I Karstoft, J Nielsen, L Lauritzen, F Falkenström, S Poulsen","doi":"10.1080/10503307.2025.2506650","DOIUrl":"https://doi.org/10.1080/10503307.2025.2506650","url":null,"abstract":"Objective: This study investigated whether therapists' level of professional self-doubt (PSD), in interaction with their internal relational models (i.e., their self-affiliation or attachment style), their experience level, and their professional coping strategies, impacted the alliance and symptom change in therapy.Methods: 555 clients (Mage = 42.8 years, 72.4% female) received individual psychotherapy from 54 psychologists. Associations between PSD, self-affiliation (in general and at its worst), avoidant and anxious attachment, years of experience, and constructive and avoidant-rejecting coping as predictors and moderators, and alliance or symptom change as outcomes, were analyzed using multilevel growth modeling.Results: No direct effects of PSD, and no moderated effects between PSD and the therapist's internal relational models were found. However, higher PSD and more practice experience predicted steeper alliance growth in therapy, and higher PSD and more avoidant-rejecting coping predicted lower mid-therapy symptom levels.Conclusion: PSD generally did not exert a strong influence on the psychotherapy process and outcome. However, the significant interactions between PSD and experience level and avoidant-rejecting coping suggest that PSD may relate to alliance change amongst the most seasoned practitioners or could buffer against the negative effects of more avoidant therapist behaviors. These preliminary findings may inform future research on PSD.Trial registration: ClinicalTrials.gov identifier: NCT05630560..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

How to interpret correlational process-outcome effect sizes in psychotherapy: a meta-analytic benchmark study. 如何解释心理治疗中相关过程-结果效应量：一项荟萃分析基准研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-20 DOI: 10.1080/10503307.2025.2494270

Juan Martín Gómez Penedo, Christoph Flückiger

{"title":"How to interpret correlational process-outcome effect sizes in psychotherapy: a meta-analytic benchmark study.","authors":"Juan Martín Gómez Penedo, Christoph Flückiger","doi":"10.1080/10503307.2025.2494270","DOIUrl":"https://doi.org/10.1080/10503307.2025.2494270","url":null,"abstract":"Objective: This study aims at developing empirically driven criteria for correlational effect size interpretations grounded on the actual psychotherapy process-outcome effect size distributions.Method: We performed a meta-analysis on PubMed and PsycINFO databases searching for meta-analyses reporting correlational process-outcome associations.Results: Forty-three meta-analyses met inclusion criteria, reporting 1,637 effect sizes from 859 unique studies. A four-level meta-analytic model resulted in an estimated mean effect size of r = .24 (z = .24, 95% CI[.22,.27]), significantly different from Cohen's proposed value for moderate effects (i.e.,.30), z = -.04, SE = 0.01, t(1628) = -4.17, p < .001). Percentiles derived from the models showed that Cohen's criteria were too conservative, with the 25th percentile = .12, 50th percentile = .26, and 75th percentile = .39. Based on these findings, we suggest the benchmarks .10, .25, and .40, for small, moderate, and large effect sizes. Even when using these less restrictive criteria, the majority of the correlation analyses from primary studies (81.8%) were underpowered to identify at least a moderate effect size.Conclusion: The current findings might help to enhance effect size interpretations and power calculations in psychotherapy process-outcome research. Further replications are necessary to extend these benchmarks to other areas of clinical psychology.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Mastery and motivational clarification as mediators of cognitive behavioral therapy versus exposure-based cognitive behavioral therapy for depression. 掌握和动机澄清作为认知行为治疗与暴露为基础的抑郁症认知行为治疗的中介。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-14 DOI: 10.1080/10503307.2025.2504465

Agnete Dyresen, Juan Martín Gómez-Penedo, Anna Babl, Martin Grosse Holtforth

{"title":"Mastery and motivational clarification as mediators of cognitive behavioral therapy versus exposure-based cognitive behavioral therapy for depression.","authors":"Agnete Dyresen, Juan Martín Gómez-Penedo, Anna Babl, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2504465","DOIUrl":"https://doi.org/10.1080/10503307.2025.2504465","url":null,"abstract":"Background: With the rising prevalence of major depressive disorder in the general population, understanding the mechanisms through which therapeutic interventions affect treatment outcomes is crucial. This study investigates the roles of mastery and motivational clarification as mediators of the treatment effectiveness of cognitive therapy for depression. Methods: This secondary analysis used data from a randomized controlled effectiveness trial involving 149 participants (M age = 40.7 years, SD = 11.6; 59.6% females, 40.4% males), who received a maximum of 22 sessions of either cognitive behavioral therapy (CBT) or exposure-based cognitive behavioral therapy (EBCT-R). Cross-lagged panel models were used to examine how mastery and motivational clarification mediated changes in depression severity over time. Results: The mediation paths showed a significant positive effect of therapy condition on mastery, with a larger increase for participants in the CBT condition. Mastery had a positive effect on WHO-5 well-being ratings and significantly mediated the treatment effect on well-being. Motivational clarification also had a significant positive effect on WHO-5 ratings, but did not mediate the overall treatment effect. Conclusion: Results suggest that fostering both mastery and motivational clarification within therapeutic interventions can enhance patients' well-being, with mastery specifically mediating the effects of CBT on treatment outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 adult vulnerability and parental responsiveness in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents. LGBTQ+年轻人及其不接受父母的依恋家庭治疗中的年轻人脆弱性和父母反应。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-14 DOI: 10.1080/10503307.2025.2501239

Shira Katz, Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M Diamond

{"title":"Young adult vulnerability and parental responsiveness in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents.","authors":"Shira Katz, Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M Diamond","doi":"10.1080/10503307.2025.2501239","DOIUrl":"https://doi.org/10.1080/10503307.2025.2501239","url":null,"abstract":"Objective: Young adult vulnerability is thought to elicit parental responsiveness, and parental responsiveness is thought to facilitate young adult vulnerability. These moment-by-moment in-session processes are purported core change mechanisms in attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents (ABFT-SGM). This study examined whether young adult vulnerability predicted immediately subsequent parental responsiveness, and parental responsiveness predicted immediately subsequent young adult vulnerability, and whether the frequency of such sequences predicted treatment outcome.Method: Analyses were conducted on all conjoint attachment sessions (N = 146) from 26 cases treated in an open trial of ABFT-SGM. Over 16,000 young adult speech-turns were coded for vulnerability and over 27,000 parental speech-turns were coded for responsiveness.Results: Hierarchical linear modeling revealed that young adult vulnerability predicted immediately subsequent parental responsiveness, and that parental responsiveness predicted immediately subsequent young adult vulnerability. Frequency of vulnerability-responsiveness sequences, for the most part, did not predict changes in young adults' perceived parental acceptance or rejection.Conclusions: Results support the bidirectional moment-by-moment effects of young adult vulnerability and parental responsiveness during conjoint ABFT-SGM sessions. The link between the simple frequency of vulnerability-responsiveness sequences and treatment outcome is tenuous.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Facial attractiveness increases the likelihood of choosing a psychotherapist, irrespective of sexual preferences and perceived trustworthiness. 外表的吸引力增加了选择心理治疗师的可能性，而不考虑性取向和可信赖性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-12 DOI: 10.1080/10503307.2025.2494272

Antonio Olivera-La Rosa, Alessandro Ansani, Marco Viola, Marco Marini

{"title":"Facial attractiveness increases the likelihood of choosing a psychotherapist, irrespective of sexual preferences and perceived trustworthiness.","authors":"Antonio Olivera-La Rosa, Alessandro Ansani, Marco Viola, Marco Marini","doi":"10.1080/10503307.2025.2494272","DOIUrl":"https://doi.org/10.1080/10503307.2025.2494272","url":null,"abstract":"Objectives: Existing research suggests that a psychotherapist's physical attractiveness can shape patients' initial evaluation. However, less is known about how facial attractiveness affects the decision to select one psychotherapist over another prior to therapy. In this study, conducted with a Spanish-speaking sample (N = 108, 63 females, Mage = 32.08 years, SD = 17.50), we examined whether facial attractiveness influenced the likelihood of choosing a psychotherapist and whether this effect was moderated by sexual differences.Methods: The experimental design closely replicated an online professional therapist directory to enhance ecological validity. Participants were instructed to rate the likelihood of selecting each individual as their therapist.Results: Results demonstrated that psychotherapists with attractive facial features were chosen more frequently, even when perceived trustworthiness and competence were controlled for. No significant differences were observed between profiles featuring unattractive faces and those with no profile picture. Crucially, neither the therapist's nor the patient's gender and sexual preferences (i.e., sexual attraction) moderated the observed effect.Conclusion: The findings suggest that the preference for attractiveness in therapist selection is not driven by mating intentions nor by a \"halo effect\" related to trustworthiness or competence. Practical implications for therapist selection and patient decision-making are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Evidence of Measurement Invariance in the Working Alliance Inventory Across In-Person and Videoconferencing Psychotherapy. 面对面和视频会议心理治疗工作联盟量表测量不变性的证据。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-08 DOI: 10.1080/10503307.2025.2495827

Alberto Stefana

{"title":"Evidence of Measurement Invariance in the Working Alliance Inventory Across In-Person and Videoconferencing Psychotherapy.","authors":"Alberto Stefana","doi":"10.1080/10503307.2025.2495827","DOIUrl":"https://doi.org/10.1080/10503307.2025.2495827","url":null,"abstract":"Objective: The Working Alliance Inventory-Short Revised (WAI-SR) is a self-report measure of therapeutic alliance from the patient's perspective. This study aimed to examine the factor structure of the WAI-SR and evaluate its measurement invariance across in-person and videoconferencing psychotherapy sessions.Method: The study sample consisted of 1043 adult patients. Exploratory and confirmatory factor analyses were conducted to evaluate the WAI-SR dimensions and structure. Measurement invariance was tested using multi-group confirmatory factor analysis, multiple indicator multiple causes model analysis, and item bias analysis.Results: The findings supported a three-factor structure of the WAI-SR, encompassing goal, task, and bond dimensions. Results demonstrated configural, metric, scalar, and residual invariance across in-person and videoconferencing formats. The factor structure remained consistent after accounting for patient age and gender. Additionally, no differential item functioning or bias was observed between groups. The WAI-SR exhibited excellent internal consistency and composite reliability.Conclusions: The WAI-SR is a reliable and valid tool for assessing therapeutic alliance across both in-person and videoconferencing sessions. The equivalence in measurement properties and mean scores across modalities highlights the adaptability of therapeutic alliance to virtual environments, supporting the broader use of telehealth in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Effectiveness of emotion-focused skills training (EFST) for parents: A randomized controlled trial investigating remission of mental health diagnosis and symptom reduction in children. 情绪集中技能训练（EFST）对父母的有效性：一项调查儿童心理健康诊断缓解和症状减轻的随机对照试验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-05 DOI: 10.1080/10503307.2025.2491477

Linda Severinsen, Jan Reidar Stiegler, Helene Amundsen Nissen-Lie, Ben Shahar, Thomas Bjerregaard Bertelsen, Rune Zahl-Olsen

{"title":"Effectiveness of emotion-focused skills training (EFST) for parents: A randomized controlled trial investigating remission of mental health diagnosis and symptom reduction in children.","authors":"Linda Severinsen, Jan Reidar Stiegler, Helene Amundsen Nissen-Lie, Ben Shahar, Thomas Bjerregaard Bertelsen, Rune Zahl-Olsen","doi":"10.1080/10503307.2025.2491477","DOIUrl":"https://doi.org/10.1080/10503307.2025.2491477","url":null,"abstract":"Objective: Emotion-focused skills training for parents (EFST) is a parental guidance intervention aimed at strengthening emotional bonds between parent and child and improve children's mental health. In this randomized controlled trial (RCT), EFST was compared to treatment as usual (TAU) in a Norwegian public outpatient clinic for child and adolescent mental health. The hypothesis was that EFST would be equal or superior to TAU in effectiveness on remission of diagnoses and symptomatic change for children.Method: Seventy-two clients were randomly assigned to an EFST intervention or an integrative family-based intervention (TAU). The main outcome measure was the semi-structured diagnostic interview Schedule for Affective Disorders and Schizophrenia (K-SADS-PL), administered at pretreatment and after three months. The secondary outcome was the DSM-IV version of the Strengths and Difficulties Questionnaire (SDQ). Bayesian statistical methods, including clinically informed priors, were used to compare the effectiveness of the two interventions.Results: Forty-four percent (15 of 34 clients) attained diagnostic remission in the EFST condition compared to 26 percent (10 of 38 clients) in TAU. The proportion of symptomatic decline was equivalent in both conditions.Conclusion: The results support the hypothesis that EFST was equal or superior to TAU in effectiveness in a public outpatient setting.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 randomized controlled trial of a peer and clinician led group program for borderline personality disorder. 一个随机对照试验的同伴和临床医生领导的小组项目的边缘型人格障碍。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-02 DOI: 10.1080/10503307.2025.2498430

Brin F S Grenyer, Sophie Lucas, Karlen R Barr, Adam Finch, Georgia Denmeade, Nicholas J S Day

{"title":"A randomized controlled trial of a peer and clinician led group program for borderline personality disorder.","authors":"Brin F S Grenyer, Sophie Lucas, Karlen R Barr, Adam Finch, Georgia Denmeade, Nicholas J S Day","doi":"10.1080/10503307.2025.2498430","DOIUrl":"https://doi.org/10.1080/10503307.2025.2498430","url":null,"abstract":"Objective: Remission and recovery from borderline personality disorder (BPD) is difficult, yet achievable, yet not all people benefit. Peers with lived experience of recovery from BPD as co-therapists may increase engagement, reduce stigma and strengthen hopefulness. We evaluated a peer and clinician co-led group therapy (AIR Peers) for consumers with BPD.Methods: Eighty-three participants (88% female, M age = 36yrs) were randomized into either AIR Peers therapy (n = 43) or treatment as usual (TAU; n = 40). The intervention was co-designed by people with lived experience and clinicians. It involved 12 hours of group therapy over a 6-week period (2hrs/week). Weekly topics included discussion of stigma, self-compassion, self-care, creative recovery and \"building your best life.\"Results: Intention to treat multilevel modeling analysis indicated that the AIR Peers group showed a significant reduction in BPD symptoms (primary outcome) and improvement in mental health ratings (secondary outcome), whereas no change was present in the TAU group. Self-report ratings indicated therapy success, helpfulness, and satisfaction. Quantitative and qualitative ratings of group and therapist alliance and group engagement were positive.Conclusion: Peer and clinician co-facilitated therapy groups may contribute to novel and effective approaches for people living with BPD on their recovery journey.Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12621000183886.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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