Psychotherapy Research最新文献

"Now we can think about it together" - A thematic analysis of what characterizes (in)effective supervision sessions for novice CBT supervisees.

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-10-07 DOI: 10.1080/10503307.2025.2569042

Tatjana Paunov, Florian Weck, Franziska Kühne

{"title":"\"Now we can think about it together\" - A thematic analysis of what characterizes (in)effective supervision sessions for novice CBT supervisees.","authors":"Tatjana Paunov, Florian Weck, Franziska Kühne","doi":"10.1080/10503307.2025.2569042","DOIUrl":"https://doi.org/10.1080/10503307.2025.2569042","url":null,"abstract":"Objective: Clinical supervision is considered an important aspect of therapist training. However, little is known about which elements of supervision impact on therapist skills. The current study used a qualitative approach to identify patterns of (in)effective supervision sessions for novice CBT supervisees.Method: Sixteen supervision sessions were selected, based on deviant case sampling from a larger randomized controlled trial investigating the effect of clinical supervision for psychology students. Nine effective and seven ineffective supervision sessions were chosen, based on changes in independently assessed competence and alliance scores from pre- to post-supervision. Transcripts of these sessions were analyzed using thematic analysis.Results: The analysis yielded four themes, each structured into two sub-themes: Shaping Supervision through Supervisee Agency, The Supervisor as a Tailor, Co-Constructing Supervision, and Creating a Space to Learn. Effective supervision sessions were characterized by supervisees working actively on their individual goals, the use of a variety of supervisory techniques tailored to the supervisees' needs, a collaborative exchange at eye level, and a supportive and empowering atmosphere.Conclusion: Our analysis identified theoretically and clinically relevant processes in supervision that may foster novice CBT supervisees' skills. It emphasizes the potential of personalized approaches, building on a supportive atmosphere.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245601","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

Who determines the outcome? A three-level meta-analysis on systemic therapy in children and adolescents. 谁决定结果？儿童和青少年全身治疗的三水平荟萃分析。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-10-06 DOI: 10.1080/10503307.2025.2565236

Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Robin Gräfenkämper, Martina Zemp, Christina Hunger-Schoppe

{"title":"Who determines the outcome? A three-level meta-analysis on systemic therapy in children and adolescents.","authors":"Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Robin Gräfenkämper, Martina Zemp, Christina Hunger-Schoppe","doi":"10.1080/10503307.2025.2565236","DOIUrl":"https://doi.org/10.1080/10503307.2025.2565236","url":null,"abstract":"Objective: Systemic therapy (ST) is a well-established treatment approach to reduce symptoms, yet its effects across outcome domains, informants, and assessment methods remain underexplored.Method: We conducted a systematic literature review in multiple databases (PsycINFO, Pubmed, Embase, Cochrane CENTRAL), including RCT-studies comparing ST with a psychosocial control treatment for diagnosed children or adolescents. We conducted a three-level meta-analysis. Risk of bias was assessed using an adaptation for psychotherapy.Results: Overall, we included 44 studies, 370 effect sizes, and 4617 families. The overall effect size was small but significant (g = .16, CI [.09, .23], p < .0001). Contrary to expectations, informants and assessment methods were no significant moderators. Effects were comparable across outcome domains including family functioning (g = .12), caregivers' psychopathology (g = .12) and patient symptoms (g = .19). Outcomes were mostly based on self-report symptom questionnaires, limiting interpretability.Conclusion: Findings support that ST improves family functioning and caregivers' psychopathology, underscoring the need for more diverse outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240117","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

Cognitive behavioral therapy and emotion-focused therapy for depression in a routine care setting: A randomized controlled pilot trial. 认知行为疗法和情绪集中疗法在日常护理中的应用：一项随机对照试验。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-10-01 DOI: 10.1080/10503307.2025.2560935

Hanna Aardal, Elisabeth Schanche, Aslak Hjeltnes, Yngvild Sørebø Danielsen

{"title":"Cognitive behavioral therapy and emotion-focused therapy for depression in a routine care setting: A randomized controlled pilot trial.","authors":"Hanna Aardal, Elisabeth Schanche, Aslak Hjeltnes, Yngvild Sørebø Danielsen","doi":"10.1080/10503307.2025.2560935","DOIUrl":"https://doi.org/10.1080/10503307.2025.2560935","url":null,"abstract":"Objective: This pilot randomized controlled trial (RCT) aimed to preliminarily assess the efficacy and acceptability of Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) in short-term treatment of depression within a Norwegian mental health program. The study also addresses procedural elements relevant for future research development.Method: In a parallel two-arm RCT, 111 participants (mean age: 42, 70.6% female) with major depression were randomly allocated to 9-18 sessions of either CBT (n = 55) or EFT (n = 56). Five participants in CBT and four in EFT withdrew their consent, resulting in final sample sizes of CBT (n = 50) and EFT (n = 52). Self-reported depressive symptoms (BDI-II) were measured post-session and at 3-, 6-, and 12-month follow-ups. Data were analyzed using multilevel modeling.Results: The results showed a significant improvement in symptoms from start to follow-up, as measured by the BDI-II (d = 0.56; 95% CI: 0.45, 0.66). No significant differences were found between conditions; however, the small sample size prevents definitive conclusions about possible differences. Drop-out was low (Total: 6.31%; CBT: 10.91%, EFT: 1.79%).Conclusion: Our findings support the efficacy and acceptability of CBT and EFT in short-term treatment of depression in a Norwegian setting.Trial registration: ClinicalTrials.gov identifier: NCT04690946..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200825","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

Clients' perceptions of therapist dishonesty. 来访者对治疗师不诚实的看法。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-29 DOI: 10.1080/10503307.2025.2561887

Catherine Crumb, Barry A Farber, Hannah Ades

{"title":"Clients' perceptions of therapist dishonesty.","authors":"Catherine Crumb, Barry A Farber, Hannah Ades","doi":"10.1080/10503307.2025.2561887","DOIUrl":"https://doi.org/10.1080/10503307.2025.2561887","url":null,"abstract":"Objective: Although honesty is valued highly within psychotherapeutic work, therapists, like individuals in any interpersonal situation, are occasionally dishonest. The primary objective of this study was to explore clients' perceptions of therapist dishonesty, including their views on whether and under what circumstances therapist dishonesty is acceptable.Methods: Participants (N = 566) were clients currently engaged in psychotherapy who completed an online Qualtrics survey (Clients' Assessment of Tact, Concealment, and Honesty; CATCH) and the Working Alliance Inventory.Results: Most clients perceived their therapists to have been somewhat dishonest at least once during their treatment and believed it acceptable for their therapists to be dishonest about several topics, including their frustration or disappointment in clients. Clients who had a stronger working alliance perceived less therapist dishonesty and were more likely to view dishonesty as acceptable; these findings did not vary significantly by age, gender, race, or education level.Conclusion: Clinical education on the varied nature and ethics of therapist dishonesty is indicated and ought to include discussion of instances in which less-than-complete honesty may be advisable, as well as its potential detrimental effects. Clinical training might well focus on beginning therapists' awareness of how their occasional dishonesty, including therapeutic tact, affects clients.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187273","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

Trust the therapists' trust: working alliance development in relation to treatment attendance and completion in intimate partner violence perpetrator group therapy. 信任治疗师的信任：亲密伴侣暴力施暴者团体治疗中与治疗出勤率和完成度相关的工作联盟发展。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-24 DOI: 10.1080/10503307.2025.2548501

Carola A van Tilburg, Corine de Ruiter, Paul Lodder, Nathan Bachrach, Arno van Dam

{"title":"Trust the therapists' trust: working alliance development in relation to treatment attendance and completion in intimate partner violence perpetrator group therapy.","authors":"Carola A van Tilburg, Corine de Ruiter, Paul Lodder, Nathan Bachrach, Arno van Dam","doi":"10.1080/10503307.2025.2548501","DOIUrl":"https://doi.org/10.1080/10503307.2025.2548501","url":null,"abstract":"Objective: Intimate partner violence perpetrator (IPV) treatment interventions are traditionally associated with large dropout and low treatment adherence. Perceived working alliance is a proven predictor of treatment adherence and completion.Methods: We measured patient (N = 199) and therapist (N = 30) working alliance after every treatment session during an 18-session cognitive behavioral group therapy for IPV perpetrators. We hypothesized that patient and therapist working alliance ratings would be strongly correlated and that both patient and therapist working alliance would be positively related to session attendance and treatment completion.Results: Patient and therapist working alliance ratings remained fairly stable during the course of treatment and patients and therapists moderately agreed on their perception of their working alliance. The therapists' judgment of the working alliance strongly predicted session attendance and treatment completion, whereas the patients' working alliance ratings did not predict attendance nor completion. In line with previous studies, patients' age was positively associated with both session attendance and treatment completion.Conclusion: The findings clearly indicate the importance of a positive working alliance from the start of group IPV perpetrator treatment, and that therapists should be on the alert if they perceive the working alliance as suboptimal because it predicts poorer attendance and dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139165","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

Straight, Bumpy, or Detoured: Three roads through family-based treatment for Anorexia Nervosa - a qualitative study of parents' experiences. 笔直，坎坷，还是迂回：神经性厌食症家庭治疗的三条道路——对父母经历的定性研究。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-23 DOI: 10.1080/10503307.2025.2554891

Signe Holm Pedersen, Stine Bay, Mette Bentz, Julie Midtgaard

{"title":"Straight, Bumpy, or Detoured: Three roads through family-based treatment for Anorexia Nervosa - a qualitative study of parents' experiences.","authors":"Signe Holm Pedersen, Stine Bay, Mette Bentz, Julie Midtgaard","doi":"10.1080/10503307.2025.2554891","DOIUrl":"https://doi.org/10.1080/10503307.2025.2554891","url":null,"abstract":"Objective: To explore parents' experiences of Family-Based Treatment (FBT) for Anorexia Nervosa (AN).Method: Twenty semi-structured interviews with parents of young people (YP) in FBT at end of treatment (EOT), analysed via a combination of thematic and narrative analysis.Results: The analysis identified three distinct themes, starting from a shared point of crisis marked by acute concern for their child's health and urgent need for intervention. Parents then travelled different routes shaped by challenges, support, and meanings they made over time. The Straight Road reflected strong alignment with FBT; parents found the process demanding but ultimately experienced strengthened relationships through shared recovery. The Bumpy Road was defined by initial disagreements with FBT and efforts to negotiate a more collaborative role for the YP, leading to deepened family relations. The Detoured Road was shaped by misalignment with FBT, often involving unmet support needs and relational strain not fully resolved by EOT.Conclusion: Findings suggest that alignment with the principles of FBT plays a central role in shaping parental experiences. However, parents commonly described intense caregiving and strained family ties. Findings highlight the importance of assessing and supporting parental alignment with FBT, as misalignment may exacerbate caregiving strain and disrupt family dynamics.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132319","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

Effects of perceived working alliance quality and congruence on naturalistic psychotherapy outcome: A response surface analysis. 感知工作联盟品质与一致性对自然主义心理治疗结果的影响：反应面分析。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-22 DOI: 10.1080/10503307.2025.2553636

Fanny Alexandra Dietel, Ivo Georgiev, Julia Müller, Tanja Andor, Isabelle Drenckhan, Julienne Seidemann, Heinz Holling, Nexhmedin Morina, Ulrike Buhlmann

{"title":"Effects of perceived working alliance quality and congruence on naturalistic psychotherapy outcome: A response surface analysis.","authors":"Fanny Alexandra Dietel, Ivo Georgiev, Julia Müller, Tanja Andor, Isabelle Drenckhan, Julienne Seidemann, Heinz Holling, Nexhmedin Morina, Ulrike Buhlmann","doi":"10.1080/10503307.2025.2553636","DOIUrl":"https://doi.org/10.1080/10503307.2025.2553636","url":null,"abstract":"Objective: Patient- and therapist-reported (i.e., dyadic) working alliance evaluations have been identified as robust predictors of psychotherapy outcome. However, it remains unclear how their congruence relates to outcome and how treatment duration, a variable factor in naturalistic psychotherapy, influences this relationship. This study examined the effects of dyadic alliance judgments and their congruence on multidimensional outcomes, further assessing the role of treatment duration.Method: N = 353 outpatients undergoing cognitive behavioral therapy and their N = 95 therapists provided alliance ratings at treatment onset, with patients reporting distress, depression, and quality of life pre- and post-treatment. Polynomial regressions with response surface analyses were used to examine the relationships between alliance, congruence, and outcome, further controlling for session count.Results: Dyadic alliance ratings were moderately correlated, with patient-reported ratings exceeding those of therapists. Therapist-reported but not patient-reported alliance predicted greater reductions in depression and distress. Higher levels of jointly high alliance ratings, but not congruence, were associated with improvements in distress and depression. There were no incongruence effects. Controlling for session count yielded identical result patterns.Conclusion: These findings highlight the value of alliance ratings and their alignment in predicting psychotherapy outcome, emphasizing the need to consider their interplay, regardless of treatment duration.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114743","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 why, the how, and the what next: A qualitative investigation of premature termination from psychotherapy. 为什么，怎么做，接下来要做什么：心理治疗过早终止的定性调查。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-17 DOI: 10.1080/10503307.2025.2551067

Lauren M Lipner, Michael Katz, Ktora Tzor, Adi Amar, Refael Yonatan-Leus

{"title":"The why, the how, and the what next: A qualitative investigation of premature termination from psychotherapy.","authors":"Lauren M Lipner, Michael Katz, Ktora Tzor, Adi Amar, Refael Yonatan-Leus","doi":"10.1080/10503307.2025.2551067","DOIUrl":"https://doi.org/10.1080/10503307.2025.2551067","url":null,"abstract":"Objective: This qualitative study investigated the complex phenomenon of premature termination from psychotherapy, exploring the reasons for patients' decisions to end therapy, their methods of communicating this decision, and the subsequent long-term impact on their willingness to engage in future mental health treatment.Method: Data were collected through semi-structured interviews with 14 Israeli adults who had prematurely and unilaterally terminated individual, in-person psychotherapy. An iterative content analysis approach was used for data analysis.Results: Key themes identified as precipitating termination included unmet expectations, difficulties in the therapeutic alliance, negative therapist behaviors, logistical and financial barriers, and experiences of emotional overwhelm. Patients communicated termination through disappearance, phone notification, or explicit discussion during a session. Immediate responses varied from therapist non-contact to insistence on continuation, with patients experiencing relief or negative affect. Long-term impacts highlighted a general reluctance to seek future therapy, though some reported corrective therapeutic experiences.Conclusion: These findings underscore the critical importance of addressing patient expectations, fostering robust therapeutic alliances, and navigating termination discussions with sensitivity and respect for patient autonomy to improve treatment engagement and outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081959","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

Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms? 与认知行为疗法相比，哪些情绪调节策略在接受和承诺疗法治疗焦虑症状的结果中起中介作用？

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-16 DOI: 10.1080/10503307.2025.2556836

Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox

{"title":"Which emotion regulation strategies are mediating the outcome of acceptance and commitment therapy compared to cognitive-behaviour therapy in the treatment of anxiety symptoms?","authors":"Philip Spinhoven, Vivian Kraaij, Nadia Garnefski, Ernst Bohlmeijer, Maartje Witlox","doi":"10.1080/10503307.2025.2556836","DOIUrl":"https://doi.org/10.1080/10503307.2025.2556836","url":null,"abstract":"Objective: To examine multiple emotion regulation strategies as mediators in ACT compared to CBT for anxiety. It was hypothesized that augmenting acceptance and reducing suppression, distraction, and perseverative thinking would mediate the effect of ACT compared to CBT. Cognitive reappraisal was included as a competitive mediator.Method: Data were collected as part of a randomized controlled trial comparing ACT and CBT in a sample of 314 older adults with anxiety symptomatology. Participants filled in self-report questionnaires assessing anxiety symptom severity (Generalized Anxiety Disorder-2) and the putative mediators a total of five times over the course of treatment. Latent growth curve models, parallel process models, random intercept-cross lagged panel models, and autoregressive latent trajectory models were used to model the hypothesized prospective and mediational relationship.Results: ACT differentially affected acceptance, suppression, and distraction, and changes in all mediators (except acceptance) showed significant cross-sectional associations with outcome. Only cognitive reappraisal predicted subsequent anxiety levels and vice versa, irrespective of treatment. However, none of the emotion regulation variables mediated the effect of ACT.Conclusions: The discrepancy with previous positive findings on emotion regulation as a mediator may be attributed to earlier studies not using a longitudinal design and analysis on the within-person level.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076178","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

Navigating under pressure: psychotherapists' experiences in a randomized controlled trial of posttraumatic stress disorder related to childhood maltreatment. 在压力下导航：心理治疗师在与儿童虐待相关的创伤后应激障碍的随机对照试验中的经验。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-09-12 DOI: 10.1080/10503307.2025.2541706

Nina Marin, Fatima Nöske, Manfred E Beutel, Andrea Hermann, Jürgen Hoyer, Christine Knaevelsrud, Iris-T Kolassa, Johannes Kruse, Falk Leichsenring, Helen Niemeyer, Simone Salzer, Karoline Sauer, Marie Siebert, Visal Tumani, Kerstin Weidner, Jörn Von Wietersheim, Christiane Steinert

{"title":"Navigating under pressure: psychotherapists' experiences in a randomized controlled trial of posttraumatic stress disorder related to childhood maltreatment.","authors":"Nina Marin, Fatima Nöske, Manfred E Beutel, Andrea Hermann, Jürgen Hoyer, Christine Knaevelsrud, Iris-T Kolassa, Johannes Kruse, Falk Leichsenring, Helen Niemeyer, Simone Salzer, Karoline Sauer, Marie Siebert, Visal Tumani, Kerstin Weidner, Jörn Von Wietersheim, Christiane Steinert","doi":"10.1080/10503307.2025.2541706","DOIUrl":"10.1080/10503307.2025.2541706","url":null,"abstract":"Objective: Randomized controlled trials (RCTs) are considered essential for establishing the efficacy of psychotherapies. However, these settings present practical challenges and conflicts, which have contributed to a gap between science and practice. To date little is known about how psychotherapists experience participation in RCTs and why they are hesitant to engage, therefore, we aimed to explore these issues.Method: This qualitative study is nested in a multicenter RCT within the ENHANCE research network, comparing two trauma-focused psychotherapies for adults with posttraumatic stress disorder related to childhood maltreatment (PTSD-CM). Interviews were conducted with study therapists from either cognitive behavioral or psychodynamic backgrounds and were analyzed using critical-constructivist Grounded Theory methodology.Results: Analysis revealed one core category, centering around the pressure and negative emotions that therapists experienced and their attempts to manage the challenges triggering these feelings. Four clusters contributed to this core category: (1) negotiating tension between study protocol and patients' needs, (2) struggling with short-term treatment-manuals, (3) facing insecurities of deviating from everyday practice, and (4) developing greater trauma competence, given that participation in the study was subjectively experienced as successful.Conclusion: Results underscore the importance of balancing research requirements with therapeutic flexibility and highlight the need for intensive training, particularly in PTSD-CM contexts.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041783","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