Psychotherapy Research最新文献

Associations between interpersonal synchrony and clients' perception of session quality are moderated by depression severity.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-06 DOI: 10.1080/10503307.2025.2462150

Dana Stolowicz-Melman, Dana Atzil-Slonim, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schechtman, Ruth Feldman

{"title":"Associations between interpersonal synchrony and clients' perception of session quality are moderated by depression severity.","authors":"Dana Stolowicz-Melman, Dana Atzil-Slonim, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schechtman, Ruth Feldman","doi":"10.1080/10503307.2025.2462150","DOIUrl":"https://doi.org/10.1080/10503307.2025.2462150","url":null,"abstract":"Objective: Previous research has identified a complex relationship between client-therapist synchrony and therapy outcomes. We investigated the ways in which depression severity influences this relationship.Method: The sample was comprised of 30 clients undergoing a 16-session supportive-expressive dynamic therapy for depression. Client-therapist interpersonal synchrony was assessed using the Client-Therapist interpersonal Synchrony (CIB) coding system during five pre-selected sessions. After each session, the clients evaluated their satisfaction with the session. We employed multi-level modeling (MLM) to analyze the data.Results: Sessions characterized by higher levels of interpersonal synchrony were associated with better session quality, both within and between dyads. Depression severity moderated this association, such that the correlation between interpersonal synchrony and session outcome was weaker in dyads where clients reported greater depression severity.Conclusions: These findings suggest that to facilitate effective synchrony it is important to consider the clients' level of depression.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574366","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

Trauma-focused cognitive-behavioral therapy for long-term posttraumatic stress disorder, major depressive disorder and anxiety disorders in victims of terrorism: A randomized clinical trial.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-05 DOI: 10.1080/10503307.2025.2467380

Clara Gesteira, Maria Paz Garcia-Vera, Jesus Sanz, James M Shultz

{"title":"Trauma-focused cognitive-behavioral therapy for long-term posttraumatic stress disorder, major depressive disorder and anxiety disorders in victims of terrorism: A randomized clinical trial.","authors":"Clara Gesteira, Maria Paz Garcia-Vera, Jesus Sanz, James M Shultz","doi":"10.1080/10503307.2025.2467380","DOIUrl":"https://doi.org/10.1080/10503307.2025.2467380","url":null,"abstract":"Objective: A parallel randomized clinical trial evaluated the efficacy of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for victims of terrorist attacks with long-term psychopathology. Method: 120 adult Spanish victims, who met the criteria for current posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and/or anxiety disorders related to exposure to terrorist attacks that occurred 18 years ago, on average, were randomly assigned to 16 weekly sessions of TF-CBT (n = 60) or waiting list control conditions (n = 60). Results: Participants who completed TF-CBT (n = 25) experienced significant pre-post decreases in diagnostic rates and in posttraumatic stress, depression, and anxiety symptoms. Pre/post effect sizes for the TF-CBT-treated participants were large (gPCL-S = 1.25; gBDI-II = 1.03; gBAI = 1.16), and between-groups effect sizes were medium-large (gPCL-S = 0.94, gBDI-II = 0.72, gBAI = 0.95). Most TF-CBT completers (78.3% to 91.7%) achieved sub-syndromal symptom levels by post-treatment. The benefits persisted to the 6-month follow-up (n = 22). Modified intention-to-treat analyses (n = 35 vs. n = 50) confirmed the significance of the findings for PTSD and were significant but less robust for MDD and anxiety disorders. Conclusion: TF-CBT appears to be efficacious when applied to victims of terrorism with long-term psychopathology.Clinical or methodological significance of this article: TF-CBT was efficacious when applied to victims of terrorism with long-term PTSD. Results were significant but less robust for long-term MDD and anxiety disorders.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568559","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 mixed-methods evaluation of long-term outcomes after trauma-focused cognitive behavioural therapy for children subjected to family violence.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-05 DOI: 10.1080/10503307.2025.2469256

M Onsjö, U Axberg, O Hultmann, J Strand

{"title":"A mixed-methods evaluation of long-term outcomes after trauma-focused cognitive behavioural therapy for children subjected to family violence.","authors":"M Onsjö, U Axberg, O Hultmann, J Strand","doi":"10.1080/10503307.2025.2469256","DOIUrl":"https://doi.org/10.1080/10503307.2025.2469256","url":null,"abstract":"Objective: Exposure to family violence in childhood significantly increases the risk of developing severe psychiatric and physiological illnesses. Trauma-focused cognitive behavioural therapy (TF-CBT) effectively addresses trauma-related symptoms and improves overall well-being. However, knowledge of the persistence of these positive effects over time, facilitating factors, and why some children are not benefited remains limited. Furthermore, little attention has been paid to exploring children's subjective experiences. This study aimed to investigate long-term changes in trauma-related symptoms among children and youths who underwent TF-CBT due to family violence. Nine participants (M age = 16,6 years, range = 14-23; 7 girls and 2 boys) were assessed and interviewed four to five years after TF-CBT treatment.Methods: The study adopted a mixed-method approach, integrating quantitative and qualitative methods.Results: While most participants still reported being affected by the violence, most had benefited from treatment, with improvements lasting over the years. However, for those who did not report decreased symptoms, trauma symptoms persisted, accompanied by additional severe mental health problems.Conclusions: The findings underscore the importance of providing effective trauma-focused treatments such as TF-CBT and highlight the need for enhanced safety measures and parental interventions for children who do not benefit from treatment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568558","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 theory-building case study of resolving epistemic mistrust and developing epistemic trust in psychotherapy with depressed adolescents.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-04 DOI: 10.1080/10503307.2025.2473927

Elizabeth Li, Nick Midgley, Chloe Campbell, Patrick Luyten

{"title":"A theory-building case study of resolving epistemic mistrust and developing epistemic trust in psychotherapy with depressed adolescents.","authors":"Elizabeth Li, Nick Midgley, Chloe Campbell, Patrick Luyten","doi":"10.1080/10503307.2025.2473927","DOIUrl":"https://doi.org/10.1080/10503307.2025.2473927","url":null,"abstract":"Objective: Patients with epistemic mistrust struggle to view others as trustworthy sources of knowledge and often default to negative appraisals in social communication. The three communication systems theory posits that resolving epistemic mistrust involves three systems: the epistemic match, improving mentalizing, and the re-emergence of social learning outside therapy. This study aimed to empirically examine the theory to understand how epistemic trust develops in psychotherapy.Method: Using a theory-building case study approach, we analyzed therapeutic processes in six depressed adolescents (Mage = 16.58, SD = 1.17) with varying treatment outcomes. Sixty-six audiotaped psychotherapy sessions were reviewed to compare good- and poor-outcome cases, identifying patterns within therapeutic interactions.Results: Findings provide the first empirical evaluation of the three communication systems theory, offering concrete examples of how it unfolds in clinical practice and suggesting refinements in therapist and patient processes to build epistemic trust. Additional insights into the theory highlight an early \"window of opportunity\" to foster epistemic openness, the influence of environmental factors outside therapy, and the interactive nature of therapist-patient dynamics.Conclusion: This study refines the theoretical understanding of epistemic trust in psychotherapy, revealing specific therapist and patient behaviors that may facilitate its development. Implications for clinical practice and future research directions are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544170","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

Reactivity and stability in facial expressions as an indicator of therapeutic alliance strength. 作为治疗联盟强度指标的面部表情的反应性和稳定性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-03-05 DOI: 10.1080/10503307.2024.2311777

Shachaf Tal, Tal Ben-David Sela, Tohar Dolev-Amit, Hagit Hel-Or, Sigal Zilcha-Mano

{"title":"Reactivity and stability in facial expressions as an indicator of therapeutic alliance strength.","authors":"Shachaf Tal, Tal Ben-David Sela, Tohar Dolev-Amit, Hagit Hel-Or, Sigal Zilcha-Mano","doi":"10.1080/10503307.2024.2311777","DOIUrl":"10.1080/10503307.2024.2311777","url":null,"abstract":"Objective Aspects of our emotional state are constantly being broadcast via our facial expressions. Psychotherapeutic theories highlight the importance of emotional dynamics between patients and therapists for an effective therapeutic relationship. Two emotional dynamics suggested by the literature are emotional reactivity (i.e., when one person is reacting to the other) and emotional stability (i.e., when a person has a tendency to remain in a given emotional state). Yet, little is known empirically about the association between these dynamics and the therapeutic alliance. This study investigates the association between the therapeutic alliance and the emotional dynamics of reactivity and stability, as manifested in the facial expressions of patients and therapists within the session. Methods: Ninety-four patients with major depressive disorder underwent short-term treatment for depression (N = 1256 sessions). Results: Both therapist reactivity and stability were associated with the alliance, across all time spans. Patient reactivity was associated with the alliance only in a short time span (1 s). Conclusions: These findings may potentially guide therapists in the field to attenuate not only their emotional reaction to their patients, but also their own unique presence in the therapy room.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"454-468"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040678","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 development of the Epistemic Trust Rating System (ETRS). 认识信任评级系统（ETRS）的开发。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-07 DOI: 10.1080/10503307.2023.2299213

Shimrit Fisher, Timur Guralnik, Peter Fonagy, Sigal Zilcha-Mano

{"title":"The development of the Epistemic Trust Rating System (ETRS).","authors":"Shimrit Fisher, Timur Guralnik, Peter Fonagy, Sigal Zilcha-Mano","doi":"10.1080/10503307.2023.2299213","DOIUrl":"10.1080/10503307.2023.2299213","url":null,"abstract":"Objective: The present study introduces and validates the Epistemic Trust Rating System (ETRS), an observer-based measure designed to assess epistemic trust (ET) within psychotherapy. ET in psychotherapy has gained much theoretical attention as a critical component in the therapeutic context, given its inherent link to social communication. However, its empirical validation remains pending, largely due to the absence of a refined instrument to gauge ET levels within the therapy environment. Therefore, this study aimed to translate ET's theoretical construct into tangible markers within the therapeutic context.Method: One hundred eighteen patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression. Incorporating top-down theoretical considerations with bottom-up empirical observations yielded an overall ETRS score accompanied by three distinct sub-scales, each assessing a singular ET element: one gauges the patient's propensity to share; another measures the degree to which \"we-mode\" moments are achieved within the session; and the third evaluates the patient's receptiveness to learning.Results: The findings demonstrate the psychometric robustness of the ETRS, with good internal consistency, interrater reliability (ICC(1,8) = .86-.90), and convergent (r = .23-.29) and discriminant validity (r = -.10).Conclusion: The current study highlights the ETRS as a promising tool bridging theory and empirical exploration, enhancing our understanding of epistemic trust in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"412-423"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378569","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

What to think or how to think - is symptom reduction in posttraumatic symptomatology associated with change in posttraumatic cognitions or perseverative thinking? A latent change score model approach. 想什么还是怎么想--创伤后症状的减轻与创伤后认知或持久性思维的改变有关吗？潜在变化评分模型法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-27 DOI: 10.1080/10503307.2024.2316009

Kristina Meyer, Nikola Schoofs, Andrea Hildebrandt, Felix Bermpohl, Kathlen Priebe

{"title":"What to think or how to think - is symptom reduction in posttraumatic symptomatology associated with change in posttraumatic cognitions or perseverative thinking? A latent change score model approach.","authors":"Kristina Meyer, Nikola Schoofs, Andrea Hildebrandt, Felix Bermpohl, Kathlen Priebe","doi":"10.1080/10503307.2024.2316009","DOIUrl":"10.1080/10503307.2024.2316009","url":null,"abstract":"Objective: Patients with posttraumatic stress disorder (PTSD) report changes in what they think of the world and themselves, referred to as posttraumatic cognitions, and changes in how they think, reflected in increased perseverative thinking. We investigated whether pre-post therapy changes in the two aspects of thinking were associated with pre-post therapy changes in posttraumatic symptom severity.Method: 219 d clinic patients with posttraumatic stress symptoms received trauma-focused psychotherapy with cognitive behavioral and metacognitive elements. The posttraumatic cognitions inventory (PTCI), the perseverative thinking questionnaire (PTQ), and the Davidson trauma scale (DTS) were applied at two occasions, pre- and post-therapy. Using latent change score models, we investigated whether change in PTCI and change in PTQ were associated with change in DTS and its subscales. We then compared the predictive value of PTQ and PTCI in joint models.Results: When jointly modeled, change in overall DTS score was associated with change in both PTCI and PTQ. Concerning DTS subscales, reexperiencing and avoidance were significantly associated with change in PTCI, but not in PTQ.Conclusion: Results indicate that both aspects of cognition may be valuable targets of psychotherapy. A focus on posttraumatic cognitions might be called for in patients with severe reexperiencing and avoidance.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"512-527"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984227","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 of early response with the outcome of psychosomatic rehabilitation in patients with mental disorders and its link to treatment and illness beliefs-A prospective longitudinal cohort study. 精神障碍患者早期反应与心身康复结果的关联及其与治疗和疾病信念的联系--一项前瞻性纵向队列研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-21 DOI: 10.1080/10503307.2024.2316014

Rieka von der Warth, Matthias Rudolph, Jürgen Bengel, Manuela Glattacker

{"title":"The association of early response with the outcome of psychosomatic rehabilitation in patients with mental disorders and its link to treatment and illness beliefs-A prospective longitudinal cohort study.","authors":"Rieka von der Warth, Matthias Rudolph, Jürgen Bengel, Manuela Glattacker","doi":"10.1080/10503307.2024.2316014","DOIUrl":"10.1080/10503307.2024.2316014","url":null,"abstract":"Early response is considered to be an important predictor for therapy outcomes; yet little is known about its relevance in psychosomatic rehabilitation. This paper aims to describe the association of early response in psychosomatic rehabilitation, as well as the associations of early response with pre-rehabilitative factors such as illness and treatment beliefs.A longitudinal study with three measurement points was applied. Early response was defined using the percent improvement method after two weeks of treatment. Its association with therapy outcome and with illness and treatment beliefs was analyzed using multiple regression analyses.A total of 264 participants took part. Early response was a significant predictor of psychosomatic rehabilitation outcome, explaining an incremental variance of 1-30% after controlling for initial symptom burden. Illness and treatment beliefs predicted 6-20% variance in early response. Important illness beliefs referred to perceived symptoms, consequences and comprehensibility of the illness. Important treatment beliefs referred to expectations about rehabilitation structure, processes and concerns.Early response is associated with the therapy outcome of psychosomatic rehabilitation, with illness and treatment beliefs found to be associated with early response. Further research on the predictors of early response in psychosomatic rehabilitation is needed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"379-394"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933643","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

First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout. 第一印象很重要：初步评估对开始心理治疗和随后放弃治疗的影响。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-30 DOI: 10.1080/10503307.2024.2308164

Hannah Bowker, David Saxon, Jaime Delgadillo

{"title":"First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout.","authors":"Hannah Bowker, David Saxon, Jaime Delgadillo","doi":"10.1080/10503307.2024.2308164","DOIUrl":"10.1080/10503307.2024.2308164","url":null,"abstract":"Objective: This study investigated if patients' experience of an initial assessment may be associated with outcome expectations, and with subsequent treatment attendance.Method: The sample comprised n = 6051 patients with depression/anxiety disorders, nested within k = 148 assessing therapists. Multilevel modelling (MLM) was used to examine therapist effects on treatment initiation and subsequent dropout, adjusting for patient-level characteristics. We tested associations between early outcome expectancy measured at an initial assessment with attendance at a first therapy session, and with dropout after initiation. Variability in mean expectancy ratings in the caseloads of assessing therapists was examined using the intracluster correlation coefficient (ICC).Results: Therapist effects partly explained the variance in treatment initiation and dropout. Pre-treatment outcome expectations significantly predicted treatment initiation but not dropout for the subgroup of patients who started treatment. Approximately 16% of variability in mean expectancy ratings was explained by therapist effects (ICC = 0.159) after controlling for patient-level covariates.Conclusions: Patients assessed by some therapists are more likely to have higher outcome expectations, which influences their decision to initiate treatment thereafter. Once patients start therapy, early expectancy measured at assessment no longer influences their attendance, but the \"first impression\" from an initial assessment does influence their subsequent likelihood of dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"368-378"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643147","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 development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling. 开发 "撩拨评估量表"：对治疗师在临床咨询中的 "搭讪 "行为进行客户评分的测量方法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-24 DOI: 10.1080/10503307.2024.2301948

Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq

{"title":"The development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling.","authors":"Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq","doi":"10.1080/10503307.2024.2301948","DOIUrl":"10.1080/10503307.2024.2301948","url":null,"abstract":"Objective: Addressing ethnic-cultural topics during the process of psychotherapy, i.e. broaching, is considered highly important for ethnic minority clients who consult mental health care services. Surprisingly little is known, however, about clients' perception of a therapist's broaching qualities, and how clients' mental construction of broaching translates into behavioural broaching acts a therapist may display.Method: Based on previous work and nine in-depth interviews with ethnic minority clients, a client-rated measure of therapists' broaching behaviour was developed and psychometrically evaluated in two samples. Sample 1 (N = 252 UK ethnic minority clients) was used to empirically delineate the factor structure of an initial item set. Participants were then resolicited to complete a revised item pool.Results: The empirical structure resulted in a final 25-item broaching instrument with five subscales probing into therapists' broaching behaviour. This Broaching Assessment Scale (BrAS) was validated in Sample 2 (N = 239 US ethnic minority clients). Strict measurement invariance of the factor structure was observed across the two samples and distinctive correlational patterns with therapeutic process measures were found.Conclusion: The BrAS provides new insights on how sensitivity to ethnic-cultural topics can be targeted along its concrete features, and is a promising tool for conceptualizing culturally sensitive mental healthcare assessment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"424-440"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547470","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