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"You kind of became free again": Danish adolescents' experiences of family-based treatment for anorexia nervosa - A qualitative study. “你又自由了”:丹麦青少年神经性厌食症家庭治疗的经验——一项定性研究。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-05-07 DOI: 10.1080/10503307.2026.2662964
Signe Holm Pedersen, Mette Bentz, Stine Bay, Julie Midtgaard
{"title":"\"You kind of became free again\": Danish adolescents' experiences of family-based treatment for anorexia nervosa - A qualitative study.","authors":"Signe Holm Pedersen, Mette Bentz, Stine Bay, Julie Midtgaard","doi":"10.1080/10503307.2026.2662964","DOIUrl":"https://doi.org/10.1080/10503307.2026.2662964","url":null,"abstract":"<p><p><b>Objective</b>: To explore danish adolescents' experiences of Family-Based Treatment (FBT) for anorexia nervosa (AN). <b>Method</b>: Individual semi-structured interviews were conducted with 15 adolescents (13 females, mean age 15.8 years) at the end of treatment and analysed via inductive reflexive thematic analysis. <b>Result</b>: Three overarching themes were generated through analysis: <i>Losing Control - Gaining Freedom</i> captured adolescents' initial distress at relinquishing responsibility for renourishment to parents, later experienced as liberating, as parental oversight countered AN and restored agency. <i>The Difficult Trust</i> reflected how AN itself complicated trust, with adolescents feeling that others did not always believe or trust them. <i>From Conflict to Closeness</i> described evolving parent-child relationships, showing that early conflicts gave way to strengthened bonds, particularly with the parent who assumed primary responsibility, as collaborative engagement fostered improved communication and mutual understanding. Overall, early distress coexisted with long-term gains in autonomy and familial closeness. <b>Conclusion</b>: By the end of treatment, adolescents came to recognize the rationale and value of parental responsibility for renourishment in FBT, reporting that it facilitated recovery while strengthening relationships. The findings emphasize the importance of trust, safe therapeutic spaces, and active involvement from both parents, and highlight a need for targeted adaptations for transitional-age youth.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844098","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
Improving interpersonal skills in therapists: A waitlist-controlled trial of facilitative interpersonal and relational skills training. 提高治疗师的人际关系技能:一项促进性人际关系技能训练的候补对照试验。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-05-03 DOI: 10.1080/10503307.2026.2666652
Steffen André Fagerbakk, Heidi Brattland, Martin Schevik Lindberg, Andrew Athan McAleavey, Truls Ryum
{"title":"Improving interpersonal skills in therapists: A waitlist-controlled trial of facilitative interpersonal and relational skills training.","authors":"Steffen André Fagerbakk, Heidi Brattland, Martin Schevik Lindberg, Andrew Athan McAleavey, Truls Ryum","doi":"10.1080/10503307.2026.2666652","DOIUrl":"https://doi.org/10.1080/10503307.2026.2666652","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated a brief deliberate practice-based training program ('Facilitative Interpersonal and Relational Skills Training') aimed at enhancing therapists' facilitative interpersonal skills (FIS) in a sample of experienced clinicians.</p><p><strong>Methods: </strong>Using a waitlist-controlled design, two groups of therapists (<i>N</i> = 68) sequentially received a two-day workshop followed by two booster sessions over two months. They completed performance-based FIS assessments at three time points, along with self-reported FIS and therapist self-efficacy. Piecewise mixed-effects models tested pre-post change in each group and effects across the eight specific FIS.</p><p><strong>Results: </strong>No significant group × time interaction emerged. One group showed significant within-group improvement in FIS following training (<i>g</i> = .42, 95% CI [.15, .70], <i>p </i>= <.01), wheras the other showed a small, non-significant improvement (<i>g </i>= .21, 95% CI [-.20, .62], <i>p </i>= .31). Skill-specific analyzes indicated the largest gains in alliance-related skills, namely alliance bond capacity and rupture-repair responsiveness. No significant effects were found for self-reported FIS or therapist self-efficacy.</p><p><strong>Conclusions: </strong>Modest improvements emerged in FIS after the training, especially alliance-focused capacities. Effects were smaller than in prior trainee-trials on FIS training, likely reflecting higher baseline skill levels and limited power. Larger studies are needed to evaluate clinical impact.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822237","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
"I've built a good life for myself": A qualitative study of patient-perceived change in transference-focused psychotherapy. “我已经为自己建立了一个美好的生活”:一项以移情为中心的心理治疗中患者感知变化的定性研究。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-30 DOI: 10.1080/10503307.2026.2665695
Monika Olga Jańczak, Emilia Soroko
{"title":"\"I've built a good life for myself\": A qualitative study of patient-perceived change in transference-focused psychotherapy.","authors":"Monika Olga Jańczak, Emilia Soroko","doi":"10.1080/10503307.2026.2665695","DOIUrl":"https://doi.org/10.1080/10503307.2026.2665695","url":null,"abstract":"<p><strong>Objective: </strong>Despite growing evidence from outcome research on Transference-Focused Psychotherapy (TFP), studies focusing on patients' perspectives remain limited. This study aimed to examine how patients perceive change as a result of TFP.</p><p><strong>Method: </strong>Twelve patients (10 women, 2 men) in the advanced phase of TFP were recruited from private outpatient practices across Poland. Data were collected through semi-structured, in-depth qualitative interviews and analyzed using thematic analysis.</p><p><strong>Results: </strong>Six overarching themes were identified: (1) From distance to trust: relational transformation in the therapeutic relationship, (2) Identity integration and change in self-image, (3) Increased capacity for ambivalence in experiencing others, (4) Internal change translated into real-life relationships, (5) Symptom reduction and improved everyday functioning, and (6) Change as an ongoing, non-linear process.</p><p><strong>Conclusion: </strong>Patients described therapeutic change in TFP primarily in terms of transformations in self-other representations, increased identity integration, and relational experience rather than symptom reduction alone. These findings demonstrate how qualitative data can complement quantitative research by capturing how therapeutic change is subjectively lived and made meaningful, responding to calls to broaden the evidentiary basis of psychotherapy research beyond quantitative studies.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822228","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
Therapist- and client-rated therapeutic alliance in virtual cognitive behavioral therapy for psychosis: Correlates of alliance and associations with treatment outcomes. 精神病虚拟认知行为治疗中治疗师和客户评价的治疗联盟:联盟与治疗结果的相关性
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-26 DOI: 10.1080/10503307.2026.2661045
Stephanie M Woolridge, Nitha A Vincent, Talia Leibovitz, Shreya Jagtap, Sylvia Romanowska, Robert Aidelbaum, Jessica D'Arcey, Marie Kessaris, Hanna V Hamzai, Aqsa Zahid Ibrahim, Felicia Martins, Lynn Rutledge, Michael W Best
{"title":"Therapist- and client-rated therapeutic alliance in virtual cognitive behavioral therapy for psychosis: Correlates of alliance and associations with treatment outcomes.","authors":"Stephanie M Woolridge, Nitha A Vincent, Talia Leibovitz, Shreya Jagtap, Sylvia Romanowska, Robert Aidelbaum, Jessica D'Arcey, Marie Kessaris, Hanna V Hamzai, Aqsa Zahid Ibrahim, Felicia Martins, Lynn Rutledge, Michael W Best","doi":"10.1080/10503307.2026.2661045","DOIUrl":"https://doi.org/10.1080/10503307.2026.2661045","url":null,"abstract":"<p><strong>Objective: </strong>Therapeutic alliance (TA) is positively associated with treatment outcomes in psychological therapies for psychosis. Limited research has examined TA in virtual cognitive behavioral therapy for psychosis (vCBTp). This study investigated correlates of TA in vCBTp and associations with clinical, functional, and personal recovery outcomes.</p><p><strong>Method: </strong>Participants (N = 30) with schizophrenia-spectrum disorders received up to 26 sessions of individual vCBTp in a randomized controlled trial. Client- and therapist-rated TA was assessed at weeks 4 (Early Treatment) and 26 (Post-Treatment). Assessments were conducted at baseline, post-treatment, and six-month follow-up.</p><p><strong>Results: </strong>Therapeutic alliance did not significantly differ across raters nor sessions, except for an increase in the therapist-rated Bond subscale. At Early Treatment, no baseline variables were correlated with client-rated alliance, and only therapist years of training and years of experience were correlated with therapist-rated alliance, although in opposite directions. Neither client- nor therapist-rated TA at either Early or Post-Treatment significantly predicted clinical, functional, or personal recovery outcomes at post- or follow-up assessments.</p><p><strong>Conclusion: </strong>Therapeutic alliance can be developed and maintained in vCBTp. However, these findings highlight the complexity of this relationship between clients and clinicians and the difficulty in identifying correlates of TA and mechanisms by which it influences treatment outcomes.</p><p><p><b>Trial registration:</b> ClinicalTrials.gov identifier: NCT04752449.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785886","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 for anxiety symptoms in ADHD: A systematic review and meta-analysis with dose-response exploration. 认知行为疗法治疗ADHD患者的焦虑症状:一项系统回顾和剂量反应探索的荟萃分析。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-22 DOI: 10.1080/10503307.2026.2658745
Xin Wang, Haoran He, Jiajun Lan, Ying Guo, Yongpeng Zhang
{"title":"Cognitive behavioral therapy for anxiety symptoms in ADHD: A systematic review and meta-analysis with dose-response exploration.","authors":"Xin Wang, Haoran He, Jiajun Lan, Ying Guo, Yongpeng Zhang","doi":"10.1080/10503307.2026.2658745","DOIUrl":"https://doi.org/10.1080/10503307.2026.2658745","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize randomized evidence on the effect of cognitive-behavioral therapy (CBT) on anxiety symptoms in individuals with attention-deficit/hyperactivity disorder (ADHD), and to explore whether intervention dose parameters moderate effects.</p><p><strong>Methods: </strong>A PRISMA-guided systematic review searched PubMed, Web of Science, PsycINFO, and the Cochrane Library to June 15, 2025. Multilevel random-effects models pooled Hedges' g, and subgroup/meta-regression analyses examined the effects of comparator type and intervention dose.</p><p><strong>Results: </strong>Thirteen RCTs (n = 744). Relative to control conditions, CBT-based interventions reduced anxiety at post-treatment (t(10.00) = -2.97, SMD = -0.29, 95% CI -0.52 to -0.06, <i>P</i> = 0.014) and follow-up (t(6.34) = -4.40, SMD = -0.42, 95% CI -0.71 to -0.13, <i>P</i> = 0.004). Effects were more apparent in adults; pediatric evidence was sparse. Exploratory nonlinear dose-response analyses suggested more favorable estimated effects around 2 sessions/week, ∼50 min/session, over ∼6 weeks (∼5-9 total hours), although these study-level associations should be interpreted cautiously.</p><p><strong>Conclusions: </strong>CBT-based interventions were associated with small-to-moderate reductions in anxiety relative to control conditions in individuals with ADHD, sustained into follow-up. Future large RCTs and meta-analyses should test dose-related hypotheses and evaluate comparative specificity against other bona fide psychotherapies and medication management.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-19"},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785915","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 are we studying? Reporting practices and sample characteristics in psychotherapy research. 我们在研究谁?心理治疗研究的报告实践与样本特征。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-21 DOI: 10.1080/10503307.2026.2653991
Paula Errázuriz, Stephanie Vaccarezza, Sebastián Opazo, Danilo Moggia, Candice Fischer
{"title":"Who are we studying? Reporting practices and sample characteristics in psychotherapy research.","authors":"Paula Errázuriz, Stephanie Vaccarezza, Sebastián Opazo, Danilo Moggia, Candice Fischer","doi":"10.1080/10503307.2026.2653991","DOIUrl":"https://doi.org/10.1080/10503307.2026.2653991","url":null,"abstract":"<p><p>Psychotherapy research informs clinical practice and mental health policy. However, limited and inconsistent reporting of sample and contextual characteristics makes it difficult to determine who is represented in psychotherapy research and to assess the generalizability of findings.</p><p><strong>Objectives: </strong>To assess the reporting of PTTC characteristics (patients, therapists, treatment, and context) in psychotherapy research and to describe who is being studied.</p><p><strong>Method: </strong>Descriptive review of 100 psychotherapy studies using a standardized codebook-later used to inform a PTTC questionnaire-with independent reviewers extracting PTTC data.</p><p><strong>Results: </strong>Patients' age and gender were reported in 83.8% and 95% of studies, respectively, whereas education was reported in 46% and race in 50%. Sexual orientation (12%), SES (12%), immigration (5%), rurality (3%), and disability (2%) were rarely reported. Therapist demographics were reported infrequently, including gender (32%) and profession (35%), while years of experience were reported in 15% of studies. Treatment delivery characteristics were moderately reported (modality 56%, session frequency 50%, number of sessions 58%), whereas contextual indicators (care system 59%, level of care 24%, setting 46%) were reported inconsistently. When characterized, patients were primarily adults (97.9%), female (67.7%), urban (81.1%), and tertiary educated (79.4%); therapists were mostly female (81.0%) psychologists (46.0%) working under supervision (67.0%), with an average of 9 years of experience. The context favored individual (66.5%) outpatient treatment (78.3%), most commonly delivered in tertiary-level settings (52.1%) in Europe (46%) and North America (33%).</p><p><strong>Conclusions: </strong>Psychotherapy research overrepresents adults, women, urban residents, and tertiary-educated participants from higher-income settings. Current reporting practices obscure for whom, by whom, and under what conditions psychotherapy is most effective, limiting generalizability and clinical applicability.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785876","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
Emotion-focused therapy for distress-based psychopathology in adults: A systematic review and meta-analysis. 以情绪为中心的治疗成人痛苦精神病理:系统回顾和荟萃分析。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-19 DOI: 10.1080/10503307.2026.2650152
D Drew Whittington, Mahdieh Jafari, Nicholas C Borgogna
{"title":"Emotion-focused therapy for distress-based psychopathology in adults: A systematic review and meta-analysis.","authors":"D Drew Whittington, Mahdieh Jafari, Nicholas C Borgogna","doi":"10.1080/10503307.2026.2650152","DOIUrl":"https://doi.org/10.1080/10503307.2026.2650152","url":null,"abstract":"<p><strong>Objective: </strong>In the current study, we review and meta-analyze the existing clinical trials of emotion-focused therapy (EFT) for treating a wide variety of distress-based forms of psychopathology, including depression, generalized anxiety, posttraumatic stress disorder (PTSD), and borderline personality symptomology.</p><p><strong>Method: </strong>We conducted a systematic review and meta-analysis of existing published clinical trials through April 2025 of EFT for distress-based dysfunction.</p><p><strong>Results: </strong>We located 13 existing articles (<i>n</i> = 348 participants receiving EFT; 201 receiving control) that met inclusion criteria. Most studies examined EFT for depression, while a significant number measured anxiety as an outcome, and two examined PTSD symptoms. EFT significantly outperformed inactive controls (<i>g</i> = 1.39, 95% CI = [1.06, 1.72]) but not other psychotherapies (<i>g</i> = .28, 95% CI = [-.19, .76]). Limitations of the existing research include evidence of publication bias and a strong focus on women and White/Iranian populations. Additionally, the quality of existing research is largely poor with varying methodological problems, including small sample sizes, inadequate randomization, and failure to account for dropouts.</p><p><strong>Conclusion: </strong>EFT appears to be modestly effective for the examined concerns. Future researchers should prioritize examining EFT with more methodologically rigorous designs in more culturally and gender diverse populations.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724514","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 micro-process rating system for psychotherapeutic interventions - CBT (RPI-CBT): development and validation. 心理治疗干预的微过程评价系统-CBT (RPI-CBT):开发与验证。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-17 DOI: 10.1080/10503307.2026.2653993
J S Könitz, M I Hehlmann, C Lalk, K V Da Cunha Goncalves, T Steinbrenner, F Iovoli, F Günther, W Lutz, J A Rubel
{"title":"The micro-process rating system for psychotherapeutic interventions - CBT (RPI-CBT): development and validation.","authors":"J S Könitz, M I Hehlmann, C Lalk, K V Da Cunha Goncalves, T Steinbrenner, F Iovoli, F Günther, W Lutz, J A Rubel","doi":"10.1080/10503307.2026.2653993","DOIUrl":"https://doi.org/10.1080/10503307.2026.2653993","url":null,"abstract":"<p><strong>Objective: </strong>Psychotherapy process research examines what happens within therapy sessions to clarify how therapeutic change unfolds, a scope expanded through modern observational methods. Building on this development, the rating system systematically identifies cognitive-behavioral interventions at the micro-process level, including their duration, and frequency.</p><p><strong>Method: </strong>To determine the most precise rating interval, 67 videos from the first 24 sessions of <i>n</i> = 3 patients were analyzed using ANOVA and Tukey's post hoc tests to examine differences between three rating intervals. Additionally, 171 videos from <i>26 additional</i> patients were used to calculate Kendall's <i>W</i> to assess the inter-rater reliability. Descriptive analyses were conducted to illustrate which interventions were captured and how they could be differentiated.</p><p><strong>Results: </strong>The two-minute interval showed no loss of interventions compared to the one-minute interval and was therefore used for subsequent analyses. Inter-rater reliability reached excellent values for both scales (<i>W</i> = .906; <i>W</i> = .836), although values varied across interventions (<i>W</i> = .502 - .932; <i>W</i> = .499 - .892). Primarily, interventions from early therapeutic phases were identified and clearly distinguishable from one another.</p><p><strong>Conclusion: </strong>Overall, the RPI-CBT emerged as a reliable rating system capable of identifying and differentiating cognitive-behavioral interventions, although not all interventions were captured.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718440","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
Does attachment change serve as a theory-specific mediator of depression reduction in interpersonal psychotherapy versus cognitive behavioral therapy? 依恋改变是否在人际心理治疗和认知行为治疗中作为减少抑郁的理论特异性中介?
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-16 DOI: 10.1080/10503307.2026.2656698
Maria Abapolnikova, Alice E Coyne, Lillian Glushka, Crystal J Liu, Michael J Constantino, Leslie R Atkinson, R Michael Bagby, Paula Ravitz, Carolina McBride
{"title":"Does attachment change serve as a theory-specific mediator of depression reduction in interpersonal psychotherapy versus cognitive behavioral therapy?","authors":"Maria Abapolnikova, Alice E Coyne, Lillian Glushka, Crystal J Liu, Michael J Constantino, Leslie R Atkinson, R Michael Bagby, Paula Ravitz, Carolina McBride","doi":"10.1080/10503307.2026.2656698","DOIUrl":"https://doi.org/10.1080/10503307.2026.2656698","url":null,"abstract":"<p><strong>Objective: </strong>Although interpersonal psychotherapy (IPT) and cognitive behavioral therapy (CBT) for depression are comparably efficacious, less is known about the respective patient-level processes that help transmit their beneficial effect. Given its explicit and primary focus on attachment theory and relationship processes, it is plausible that IPT helps ameliorate depression specifically through decreasing patients' attachment insecurity. Testing this hypothesis, we examined whether IPT relative to CBT promoted greater increases in secure attachment during therapy, which in turn associated with lower posttreatment depression.</p><p><strong>Method: </strong>Eighty patients were randomly assigned to 16 sessions of IPT or CBT and completed measures of attachment style and depression throughout treatment.</p><p><strong>Results: </strong>Multilevel structural equation models revealed a small but significant increase in attachment security across the full sample (<i>d</i> = .23). However, such adaptive change was comparable in IPT and CBT and therefore did not differentially mediate the effect of treatment on depression. Yet, across both treatments, an early increase in attachment security was associated with lower posttreatment depression.</p><p><strong>Conclusion: </strong>Results support that increased attachment security early in treatment may be an important change process that is more theory-common than IPT-specific.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700001","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
Attitudes toward standardized progress measures: Development of a revised measure in China and cross-cultural validation in the United States. 对标准化进度测量的态度:中国修订测量的发展和美国的跨文化验证。
IF 3 1区 心理学
Psychotherapy Research Pub Date : 2026-04-15 DOI: 10.1080/10503307.2026.2658099
Zhuang She, Amanda Jensen-Doss, Zabin Patel-Syed, Xu Li
{"title":"Attitudes toward standardized progress measures: Development of a revised measure in China and cross-cultural validation in the United States.","authors":"Zhuang She, Amanda Jensen-Doss, Zabin Patel-Syed, Xu Li","doi":"10.1080/10503307.2026.2658099","DOIUrl":"https://doi.org/10.1080/10503307.2026.2658099","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated whether the revised factor structure of the Attitudes Towards Standardized Assessment Scales: Monitoring and Feedback (ASA-MF) could be used within Chinese professionals and to examine cross-cultural equivalence of the measure across samples in the United States and China.</p><p><strong>Method: </strong>Study 1 evaluated the ASA-MF's factor structure in two separated samples of Chinese clinicians (<i>N</i>₁ = 428, <i>N</i>2 = 400). As the hypothesized 18-item structure was not supported, we established the revised ASA-MF (ASA-MFR). Study 2 validated the ASA-MFR factor structure in a U.S. clinician sample (<i>N</i> = 455). Study 3 tested ASA-MFR's cross-national invariance using both multi-group confirmatory factor analysis (MG-CFA) and the alignment method.</p><p><strong>Results: </strong>We identified a re-scored three-factor version (i.e., <i>Perceived Benefits</i>, <i>Practical Challenges</i>, and <i>Validity Concerns</i>) with good psychometric properties across all samples. MG-CFA supported full metric invariance, indicating that the items carried comparable meanings across cultural groups. Alignment analyses further indicated approximate scalar invariance for the <i>Perceived Benefits</i> factor, allowing for meaningful mean-level comparisons. Chinese professionals reported significantly greater perceived benefits of standardized progress measures than their U.S. counterparts.</p><p><strong>Conclusions: </strong>Re-scoring the original ASA-MF using the factor structure from the ASA-MFR may be a psychometrically robust method for comparing clinician attitudes toward standardized progress measures across both the United States and China.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693001","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}
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