Emily L Mailey, Gina M Besenyi, Justin Montney, Jared Durtschi
{"title":"Mental health clients' receptiveness to and recommendations for integrating physical activity discussions into therapy: a mixed methods study.","authors":"Emily L Mailey, Gina M Besenyi, Justin Montney, Jared Durtschi","doi":"10.1080/10503307.2024.2325512","DOIUrl":"https://doi.org/10.1080/10503307.2024.2325512","url":null,"abstract":"<p><strong>Objective: </strong>The mental health benefits of physical activity are well-established. Integrating physical activity counseling into therapy would expand the reach of this evidence-based treatment for mental illness. This mixed methods study examined mental health clients' receptiveness and recommendations for effectively discussing physical activity in therapy.</p><p><strong>Methods: </strong>A diverse sample of U.S. adults in therapy (<i>N </i>= 478) completed a survey that included the open-ended question: <i>What specific recommendations would you have for your therapist to effectively discuss physical activity with you?</i> We conducted a qualitative content analysis to identify their most common recommendations.</p><p><strong>Results: </strong>Most participants indicated they would be comfortable discussing physical activity with their therapist. The content analysis resulted in 26 unique categories; most common recommendations included: provide information about what to do (<i>n </i>= 81), discuss physical activity benefits (<i>n </i>= 63), be understanding and nonjudgmental (<i>n </i>= 49), provide accountability (<i>n </i>= 41), and consider physical/mental health conditions (<i>n </i>= 35). Overarching themes emphasized making mental health central to discussions, tailoring discussions to each client, and reframing physical activity as a feasible, enjoyable activity.</p><p><strong>Conclusions: </strong>Mental health clients are open to discussing physical activity during therapy if it is approached in a supportive, understanding, and personalized way. Clients' recommendations can inform future professional development for therapists.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060803","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}
Gianluca Lo Coco, Agostino Brugnera, Laura Salerno, Angelo Compare, Giorgio A Tasca, Dennis M Kivlighan
{"title":"Group member attachment style interacts with actor and partner helping alliance to predict decreasing binge eating episodes.","authors":"Gianluca Lo Coco, Agostino Brugnera, Laura Salerno, Angelo Compare, Giorgio A Tasca, Dennis M Kivlighan","doi":"10.1080/10503307.2024.2325509","DOIUrl":"https://doi.org/10.1080/10503307.2024.2325509","url":null,"abstract":"<p><strong>Objective: </strong>An individual's attachment style may impact how they interact with their therapy group. This study examined the moderating role of a group member's attachment on the dynamic relationships between that group member's (actor) and other group members' (partner) therapeutic alliances and symptom outcomes. Method: This is a secondary analysis of data from a trial testing the outcome of emotionally-focused group therapy for binge-eating disorder. The sample consisted of 2,360 sessions nested within 118 group members who attended a 20-session treatment. Patients recorded binge eating episodes (BEE), their body weight and an alliance measure session-by-session.</p><p><strong>Results: </strong>Dynamic structural equation modelling showed decreases in BEE and weight over the therapy. When attachment style was not included in the model, higher-than-average partner's alliance scores in the previous session were related to decreases in BEE in the current session. Attachment style moderated these actor and partner effects. For patients with preoccupied attachments, higher-than-average actor alliance in the previous session was related to subsequent decreases in BEE. For patients with dismissing or disorganized attachments, higher partner alliance in the previous session was related to subsequent decreases in BEE.</p><p><strong>Conclusion: </strong>Group members' attachment characteristics can play a role in the development of alliance-outcome patterns in group therapy.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060802","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}
{"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":"https://doi.org/10.1080/10503307.2024.2311777","url":null,"abstract":"<p><p><b>Objective:</b> 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. <b>Methods:</b> Ninety-four patients with major depressive disorder underwent short-term treatment for depression (<i>N</i> = 1256 sessions). <b>Results:</b> 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). <b>Conclusions:</b> 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.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-05","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}
William Pinsof, Richard Zinbarg, Yaliu He, Jacob Goldsmith, Tara Latta, Jay Lebow
{"title":"Does the STIC measurement and feedback system improve multisystemic outcomes in individual, couple and family therapy? A randomized clinical trial","authors":"William Pinsof, Richard Zinbarg, Yaliu He, Jacob Goldsmith, Tara Latta, Jay Lebow","doi":"10.1080/10503307.2023.2283523","DOIUrl":"https://doi.org/10.1080/10503307.2023.2283523","url":null,"abstract":"In a randomized clinical trial, we evaluated whether the STIC (Systemic Therapy Inventory of Change) measurement and feedback system (MFS), the first MFS to explicitly integrate the family systems ...","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140033945","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}
Jette Echterhoff, Levente Kriston, Jan Philipp Klein, Martin Härter, Elisabeth Schramm, Lea Schumacher
{"title":"Symptom-specific improvement across therapies and their putative mediators: A mediation network intervention analysis.","authors":"Jette Echterhoff, Levente Kriston, Jan Philipp Klein, Martin Härter, Elisabeth Schramm, Lea Schumacher","doi":"10.1080/10503307.2024.2320349","DOIUrl":"https://doi.org/10.1080/10503307.2024.2320349","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated differential treatment effects on specific symptoms and their mediators for Cognitive Behavioral Analysis System of Psychotherapy (CBASP) and Supportive Psychotherapy (SP) in persistently depressed patients.</p><p><strong>Method: </strong>We conducted a Bayesian mediation network intervention analysis with data from a randomized controlled trial comparing CBASP and SP. Three networks were calculated to investigate (1) differential treatment effects on specific symptoms, (2) differential treatment effects on the potential mediators interpersonal problems and social functioning, and (3) associations between change in symptoms and change in the potential mediators.</p><p><strong>Results: </strong>First, we found no evidence that CBASP more strongly improves most depressive symptoms specifically, except minimal evidence of symptom-specific effects on sleeping problems and self-esteem. Second, no and minimal evidence for differential treatment effects on interpersonal problems and social functioning was shown, respectively. Third, interpersonal problems and social functioning were strongly related to depressive symptoms.</p><p><strong>Conclusion: </strong>While CBASP showed superior treatment effects for overall symptom severity, this treatment might not be superior in improving specific symptoms and the potential mediators interpersonal problems and social functioning. Still, interpersonal problems and social functioning seem to play an important role for depression symptoms. Future research needs to further investigate potential working mechanisms of CBASP.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT00970437.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023019","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}
Psychotherapy ResearchPub Date : 2024-03-01Epub Date: 2024-02-01DOI: 10.1080/10503307.2024.2313421
{"title":"Statement of Retraction: To be or not to be immediate with clients: The use and perceived effects of immediacy in psychodynamic/interpersonal psychotherapy.","authors":"","doi":"10.1080/10503307.2024.2313421","DOIUrl":"10.1080/10503307.2024.2313421","url":null,"abstract":"","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673313","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}
Psychotherapy ResearchPub Date : 2024-03-01Epub Date: 2024-02-01DOI: 10.1080/10503307.2024.2313423
{"title":"Statement of Retraction: Examining therapy dynamics and session outcome using differential equations model and multilevel data disaggregation.","authors":"","doi":"10.1080/10503307.2024.2313423","DOIUrl":"10.1080/10503307.2024.2313423","url":null,"abstract":"","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673312","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}
Psychotherapy ResearchPub Date : 2024-03-01Epub Date: 2023-07-05DOI: 10.1080/10503307.2023.2227757
Kate E M Duffy, Melanie Simmonds-Buckley, Rinda Haake, Jaime Delgadillo, Michael Barkham
{"title":"The efficacy of individual humanistic-experiential therapies for the treatment of depression: A systematic review and meta-analysis of randomized controlled trials.","authors":"Kate E M Duffy, Melanie Simmonds-Buckley, Rinda Haake, Jaime Delgadillo, Michael Barkham","doi":"10.1080/10503307.2023.2227757","DOIUrl":"10.1080/10503307.2023.2227757","url":null,"abstract":"<p><strong>Objective: </strong>Conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) evaluating the efficacy of individual humanistic-experiential therapies (HEPs) for depression.</p><p><strong>Method: </strong>Database searches (Scopus, Medline, and PsycINFO) identified RCTs comparing any HEP intervention with a treatment-as-usual (TAU) control or active alternative intervention for the treatment of depression. Included studies were assessed using the Risk of Bias 2 tool and narratively synthesized. Post-treatment and follow-up effect sizes were aggregated using random-effects meta-analysis and moderators of treatment effect were explored (PROSPERO: CRD42021240485).</p><p><strong>Results: </strong>Seventeen RCTs, synthesized across four meta-analyzes, indicated HEP depression outcomes were significantly better than TAU controls at post-treatment (<i>g</i> = 0.41, 95% CI [0.18, 0.65], <i>n</i> = 735), but not significantly different at follow-up (<i>g</i> = 0.14, 95% CI [-0.30, 0.58], <i>n</i> = 631). HEP depression outcomes were comparable to active treatments at post-treatment (<i>g</i> = -0.09, 95% CI [-0.26, 0.08], <i>n</i> = 2131), but significantly favored non-HEP alternative interventions at follow-up (<i>g</i> = -0.21, 95% CI [-0.35, -0.07], <i>n</i> = 1196).</p><p><strong>Conclusion: </strong>Relative to usual care, HEPs are effective in the short-term and comparable to non-HEP alternative interventions at post-treatment, but not at follow-up. However, imprecision, inconsistency, and risk of bias concerns were identified as limitations of the evidence included. Future large-scale trials of HEPs with equipoise between comparator conditions are required.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9746347","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}