Psychotherapy Research最新文献

Therapist Interpersonal Skills and Outcomes for Young People.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-03 DOI: 10.1080/10503307.2025.2457398

Mick Cooper, David Saxon, Charlie Duncan, Robert Scruggs, Michael Barkham, Peter Bower, Karen Cromarty, Peter Pearce, Megan Rose Stafford

{"title":"Therapist Interpersonal Skills and Outcomes for Young People.","authors":"Mick Cooper, David Saxon, Charlie Duncan, Robert Scruggs, Michael Barkham, Peter Bower, Karen Cromarty, Peter Pearce, Megan Rose Stafford","doi":"10.1080/10503307.2025.2457398","DOIUrl":"https://doi.org/10.1080/10503307.2025.2457398","url":null,"abstract":"Objective: Our primary aim was to assess the associations between outcomes and therapist interpersonal skills (TIS) of empathy, congruence, regard, and unconditionality, as rated by young people. We also aimed to compare these associations against outcome-alliance associations, and to assess whether these associations were specific to a TIS-prioritizing therapeutic practice.Methods: Our primary sample was 167 13-16-year-olds who exhibited emotional symptoms and received up to 10 weeks of school-based humanistic counseling plus pastoral care as usual (SBHC + PCAU). Young people were predominantly female (76%), with 45% Black or other minoritized identity. We measured TIS with the Barrett Lennard Relationship Inventory; and used linear regression modeling to assess TIS associations with outcomes on psychological distress, wellbeing, and satisfaction.Results: TIS, most markedly congruence, were significantly associated with outcomes, contributing approximately 3% of change. TIS and alliance explained similar proportions of outcomes, with a model including only congruence showing the best fit on psychological distress and wellbeing. We did not find consistent evidence that the TIS-outcome association was specific to humanistic counseling.Conclusion: Therapists and lay professionals working with young people should strive to develop their interpersonal skills-particularly congruence-within the context of other relationship skills, qualities, and characteristics.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123818","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

Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-03 DOI: 10.1080/10503307.2025.2457389

Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans

{"title":"Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence.","authors":"Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans","doi":"10.1080/10503307.2025.2457389","DOIUrl":"https://doi.org/10.1080/10503307.2025.2457389","url":null,"abstract":"Background: The Clinical Outcomes in Routine Evaluation (CORE) system was launched in 1998 intended to support the development of practice-based evidence and to reduce the research/practice gap. Since then, CORE instruments have been widely used.Aims: To map the utilization of the CORE system as reflected in peer-reviewed literature.Methods: We followed the guidelines for conducting a scoping review.Results: We identified 721 papers from 1998 to 2021 citing the CORE system, with 636 of them referencing its use in clinical settings. There has been a marked increase in use of the system over that period. All CORE instruments were used at least once, spanning 39 countries and 24 languages. Papers had a broad spectrum of objectives and populations across diagnoses and settings, aligning with the authors' planned versatility for the CORE system.Conclusions: In the light of the findings, we present a guide to enhance the reporting of work utilizing the CORE system. This could be applied to all practice-based evidence data collection, CORE or otherwise.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123815","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

Development and validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-29 DOI: 10.1080/10503307.2025.2455470

Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes

{"title":"Development and validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample.","authors":"Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes","doi":"10.1080/10503307.2025.2455470","DOIUrl":"https://doi.org/10.1080/10503307.2025.2455470","url":null,"abstract":"Objective: Countertransference (CT) has been shown to interfere with therapy goals, and its management is crucial to desired treatment outcomes. As a first step, a clinician's awareness of their covert and overt CT reactions is critical to successfully managing CT. Research on CT awareness is scarce, however, mainly because of difficulties in empirically investigating and measuring this construct. In this study, we sought to develop and validate two instruments: one to measure CT feelings and one to measure CT behaviors.Method: We developed the Countertransference Feelings Awareness Measure and the Countertransference Behavior Awareness Measure, both composed of 12 items comprising 3 dimensions: dominant, hostile and distant. A sample of 245 Italian and 110 American clinicians participated in the research. Confirmatory factor analysis was conducted to verify the factor structure of the measures. Reliability and invariance analyses were conducted for both measures and both samples.Results: Factorial structure, reliability, and configural invariance across nationalities of both measures were confirmed.Conclusion: These tools should prove useful for future research, supervision, theoretical advances, and clinical application, allowing a deeper understanding of how clinicians' awareness of different elements of their CT experience impacts the outcome of therapy..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068899","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 therapy: Main results of a practice-research network study.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-27 DOI: 10.1080/10503307.2025.2454455

Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth

{"title":"Effectiveness of emotion-focused therapy: Main results of a practice-research network study.","authors":"Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2454455","DOIUrl":"https://doi.org/10.1080/10503307.2025.2454455","url":null,"abstract":"Background: Emotion-Focused Therapy is one of the evidence-based psychotherapies for a range of psychological problems. While most evidence was gained from randomized controlled studies or process research at university settings, there is a need for more outcome research conducted within practitioner-researcher networks assessing the effectiveness of Emotion-Focused Therapy in private practice.Methods: A total of N = 70 clients with a variety of psychiatric disorders have been included in the bi-national practitioner researcher network for Emotion-focused Therapy Switzerland-Germany. Symptom change was assessed using CORE-OM, BDI-II, IIP and WSAS. Therapist adherence was assessed by the self-reported version of the PCEPS. Pre-post-follow-up analyses were conducted using paired sample t-tests and hierarchical linear modeling.Results: Pre-post-assessment shows small to medium effect sizes for all outcome measures (except for interpersonal problems which did not change). Symptom reduction is maintained for CORE, BDI and WSAS, and increased for IIP at 3 and 6 months follow-up. Therapist adherence is good to excellent in this sample.Conclusions: Emotion-Focused Therapy is effective in the real-world practice, as suggested by the small to moderate effect sizes. The smaller effects found in the current study as compared to randomized controlled trials are consistent with the literature and suggest that EFT remains moderately effective when applied in a naturalistic context.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053828","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

From intuition to innovation: Empirical illustrations of multimodal measurement in psychotherapy research.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-26 DOI: 10.1080/10503307.2024.2445664

Katie Aafjes-van Doorn, Jeffrey M Girard

{"title":"From intuition to innovation: Empirical illustrations of multimodal measurement in psychotherapy research.","authors":"Katie Aafjes-van Doorn, Jeffrey M Girard","doi":"10.1080/10503307.2024.2445664","DOIUrl":"https://doi.org/10.1080/10503307.2024.2445664","url":null,"abstract":"Background: This special section underscores the potential of multimodal measurement approaches to transform psychotherapy research. A multimodal approach provides a more comprehensive understanding than any single modality (type of collected information) can provide on its own.Methods: Traditionally, clinicians and researchers have relied on their intuition, experience, and training to integrate different types of information in a psychotherapy session/treatment. Increasingly, however, computational methods offer a complementary alternative, enabling more automated, data-driven, and reproducible solutions.Results: The six empirical examples in this special section illustrate the emerging-and often interdisciplinary-methodologies, including text, audio, video, and physiological measures, that are relevant in the psychotherapy setting.Discussion: While each study addressed distinct research questions and employed unique methodologies, they all demonstrated a commitment to leveraging multimodal measurement and tackling the challenges of integrating diverse data sources.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-3"},"PeriodicalIF":2.6,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041856","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

Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2024.2445662

Hanna Aardal, Aslak Hjeltnes, Elisabeth Schanche, Yngvild Sørebø Danielsen, Petter Franer, Jan Reidar Stiegler

{"title":"Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression.","authors":"Hanna Aardal, Aslak Hjeltnes, Elisabeth Schanche, Yngvild Sørebø Danielsen, Petter Franer, Jan Reidar Stiegler","doi":"10.1080/10503307.2024.2445662","DOIUrl":"https://doi.org/10.1080/10503307.2024.2445662","url":null,"abstract":"Objective: Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) are empirically supported models for treating depression. Comparisons of the models regarding outcome exist, but no comparison of the clients' experiences of change. This study explored and compared experiences of change in CBT and EFT for major depression.Method: We conducted a comparative thematic analysis of the experiences of 28 clients after 12-18 sessions of either CBT (n = 14) or EFT (n = 14).Results: The analysis resulted in five themes reported across treatments: (1) Changing the understanding of my problems; (2) Finding a new way to relate to inner experiences; (3) Changing how I see myself; (4) Challenging problematic ways of being with others; (5) Bringing changes into everyday life. Across treatment modalities, the clients experienced the same types of changes. Compared to EFT clients, more CBT clients emphasized the importance of practicing new strategies when facing adversity in their change process. Reversely, more EFT clients emphasized getting in touch with, tolerating, and listening to their inner experiences.Conclusion: Our findings suggest that clients undergoing CBT and EFT describe changes in the same domains but show differences in how they emphasize various pathways leading to their change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030093","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

Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451329

Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn

{"title":"Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.","authors":"Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn","doi":"10.1080/10503307.2025.2451329","DOIUrl":"10.1080/10503307.2025.2451329","url":null,"abstract":"Objective: Teletherapy via videoconferencing has become common practice but has unique challenges. We aimed to develop and validate the first performance-based observer-rated measure of teletherapy skills: The Teletherapy Facilitative Interpersonal Skills Performance Task (Tele-FIS). Methods: We developed a set of 12 Tele-FIS video stimulus clips as simulations of four research-informed common therapeutic challenges in teletherapy: technology, distraction, boundaries and privacy, and emotional disconnection. A total of 153 therapists recorded interventions to the clips which were later rated on interpersonal skills. Results: The Tele-FIS performance task demonstrated good interrater reliability, internal consistency, test-retest reliability, and convergent validity. The Tele-FIS was positively associated with self-reported facilitative interpersonal skills, self-efficacy, attitudes towards technology, and observer-rated skills on a version of the FIS task that simulates in-person therapy. Therapists performed similarly on teletherapy clips of emotional disconnection and privacy issues compared to clips of in-person therapy. Therapists performed worse on Tele-FIS clips of technology and distraction challenges than in-person therapy clips. Conclusions: The Tele-FIS has potential as an assessment tool in skills training for trainees and licensed clinicians as well as future research about therapeutic work via teletherapy. Results are discussed to consider therapist skill and the use of practice-relevant materials in training.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030157","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

Correction.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2455207

引用次数: 0

Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451330

Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa

{"title":"Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.","authors":"Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa","doi":"10.1080/10503307.2025.2451330","DOIUrl":"10.1080/10503307.2025.2451330","url":null,"abstract":"Objectives: High levels of change are linked to the flexibility between immersion and distancing, as well as to higher levels of therapeutic alliance. This study aims to explore the evolution of flexibility between immersion and distancing throughout the entire therapeutic process and its relationship with therapeutic alliance and depressive symptoms in a clinical case.Method: We analyzed five sessions of a good outcome case of depression undergoing cognitive-behavioral therapy. We assessed the distancing/immersion of these sessions using the Measure of Immersed and Distanced Speech, and therapeutic alliance with the Working Alliance Inventory-Short Form. The depressive symptoms were assessed from the Beck Depression Inventory-II.Results: Flexibility and therapeutic alliance from both client's and therapist's perspectives increased throughout the therapeutic process. A strong negative correlation was found between flexibility and depressive symptoms.Conclusions: The increase in flexibility can be an adaptive pattern associated with the decrease in depressive symptoms, the increase in therapeutic alliance (from both the client's and the therapist's perspective), and therapeutic success.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025186","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

Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety. 脑间可塑性作为心理治疗中的一种改变机制：一项关注考试焦虑的概念证明。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-20 DOI: 10.1080/10503307.2025.2451798

Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory

{"title":"Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety.","authors":"Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory","doi":"10.1080/10503307.2025.2451798","DOIUrl":"https://doi.org/10.1080/10503307.2025.2451798","url":null,"abstract":"Objective.: There is a growing consensus that interpersonal processes are key to understanding psychotherapy. How might that be reflected in the brain? Recent research proposes that inter-brain synchrony is a crucial neural component of interpersonal interaction. The current proof-of-concept study examines, for the first time, therapist-patient inter-brain synchrony measurement during multiple sessions. To guide the design of future studies, we performed a precursory test in a small sample of the association between inter-brain synchrony and therapeutic change, hypothesizing that it would gradually increase over therapy, reflecting inter-brain plasticity.Method.: We scanned 18 therapy sessions of participants (N = 8) who underwent a 6-session test anxiety treatment. We measured therapist and patient brain activity using functional near-infrared spectroscopy (fNIRS) and assessed perceived session quality, wellbeing, symptoms, and therapeutic alliance every session.Results.: In this proof-of-concept sample inter-brain synchrony gradually increased over treatment, and was associated with reduced symptoms, improved wellbeing and perceived session quality, but not with a stronger therapeutic alliance. fNIRS imaging had no discernable adverse effects.Conclusion.: Our findings demonstrate that fNIRS imaging during psychotherapy is a feasible and viable research method and that inter-brain plasticity should be a candidate for future research on biological mechanisms underlying therapeutic change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014033","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