Mikkel Eielsen, Pål Gunnar Ulvenes, Linne Melsom, Bruce E Wampold, Jan Ivar Røssberg, Filip Myhre, Øystein Sørensen, Susanna Memmen Rasch, Allan Abbass
{"title":"Development and psychometric evaluation of a screening instrument for cognitive perceptual disruption (Copeds) in psychotherapy patients.","authors":"Mikkel Eielsen, Pål Gunnar Ulvenes, Linne Melsom, Bruce E Wampold, Jan Ivar Røssberg, Filip Myhre, Øystein Sørensen, Susanna Memmen Rasch, Allan Abbass","doi":"10.1080/10503307.2025.2495773","DOIUrl":"https://doi.org/10.1080/10503307.2025.2495773","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive perceptual disruption (CPD) is an emotion regulation mechanism described in intensive short-term dynamic psychotherapy (ISTDP) that distinguishes fragile patients from resistant ones. CPD functions as an involuntary avoidance-based mechanism that prevents engagement with distressing emotions, making its identification crucial for guiding treatment. Currently, CPD assessment relies solely on clinical psychodiagnostic evaluation, with no available psychometric instruments. This study introduces a cognitive perceptual disruption screening instrument (Copeds), a self-report measure designed to identify CPD and assist in treatment planning for emotion-focused therapies.</p><p><strong>Method: </strong>A cross-sectional study was conducted to develop Copeds, evaluate its ability to distinguish between fragile and resistant patients, and examine its preliminary psychometric properties. 112 outpatients underwent clinical psychodiagnostic evaluation and completed Copeds. Regularized regression techniques, receiver operating characteristic (ROC) analysis, and analyses of internal consistency and sensitivity/specificity were performed.</p><p><strong>Results: </strong>The final instrument contained 19 psychometric items that strongly discriminated between fragile and resistant patients. ROC analysis yielded an area under the curve (AUC) value of 0.88. Sensitivity was 91.4%<b>,</b> and specificity was 76.4%.</p><p><strong>Conclusion: </strong>The study provides promising initial evidence for Copeds as a reliable instrument with strong classification accuracy, supporting its potential use in clinical assessment and treatment planning for emotion-focused therapies.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024802","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}
Nina R Schwarzbach, Rink Hoekstra, Anika Poppe, Theo K Bouman, Gerdina H M Pijnenborg
{"title":"When theory and therapy part ways-A scoping review of the science-to-practice gap.","authors":"Nina R Schwarzbach, Rink Hoekstra, Anika Poppe, Theo K Bouman, Gerdina H M Pijnenborg","doi":"10.1080/10503307.2025.2488019","DOIUrl":"https://doi.org/10.1080/10503307.2025.2488019","url":null,"abstract":"<p><strong>Objective: </strong>In this review, we explore challenges and factors related to the scientist-practitioner gap in psychotherapy.</p><p><strong>Methods: </strong>We systematically reviewed the literature and conducted a qualitative thematic analysis describing the science-to-practice gap. We summarized various definitions and identified themes related to the science-to-practice gap in psychotherapy.</p><p><strong>Results: </strong>Specific to psychotherapists, factors such as more scientific education, a cognitive-behavioral school orientation, and personal preferences reduce the gap. Moreover, as contextual factors, institutional support, incentives for employing evidence-based interventions, and supportive working environments foster more adherence to the principles of Evidence-Based Mental Health (EBMH). There are concerns about the validity and applicability of research evidence for clinical practice, including criticism of rigid research methodology that neglects the individuality of the therapeutic relationship, patients, and treatment complexity. Various epistemological assumptions influence the gap between science and practice. In addition to identifying strategies for bridging the gap, such as dialogue and collaboration between scientists and practitioners, we included a historical examination of the codes showing the trends of different themes over time.</p><p><strong>Conclusion: </strong>We encourage dialogue between research and practice, a discussion on research priorities, clinical perspectives, diverse methodologies, individualized treatments, therapist practices, and policy incentives.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051620","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}
Martin Schevik Lindberg, Jakob Lundqvist, Martin Brattmyr, Stian Solem, Odin Hjemdal, Eirik Roos, Thröstur Björgvinsson, Peter Cornish, Audun Havnen
{"title":"Treatment and prevention of common mental health problems: comparisons of four low-intensity interventions in a community outpatient setting.","authors":"Martin Schevik Lindberg, Jakob Lundqvist, Martin Brattmyr, Stian Solem, Odin Hjemdal, Eirik Roos, Thröstur Björgvinsson, Peter Cornish, Audun Havnen","doi":"10.1080/10503307.2025.2485165","DOIUrl":"https://doi.org/10.1080/10503307.2025.2485165","url":null,"abstract":"<p><p><b>Objective:</b> Low-intensity interventions based on cognitive behavioral therapy are often used to scale up treatment volumes for common mental health problems. However, mode of delivery could have implications for outcomes. <b>Methods:</b> This was an observational study of adults seeking treatment in a naturalistic setting of outpatient community mental health services (<i>N</i> = 897). Depending on their problem description, patients were allocated to four different low-intensity interventions: group psychoeducation, group therapies, guided self-help, and one-to-one consultations. Pre-to posttreatment changes on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Work- and Social Adjustment Scale (WSAS) were estimated using linear mixed-effects models and propensity score weighted analyses. <b>Results:</b> The proportion of patients achieving clinically significant change (CSC), and time used to achieve CSC varied between interventions, with guided self-help showing the highest rates of CSC (53-66%, <i>d</i> = 0.62-1.04) and group psychoeducation being most time-effective intervention. For subclinical patients, guided self-help had the lowest rates of reliable deterioration (0-8%). <b>Conclusion:</b> Low-intensity interventions within routine community mental health care have acceptable outcomes. Mode of delivery appears to be important for rates of CSC, therapist time investment, and prevention of deterioration. Future studies should investigate which low-intensity interventions work for whom.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016950","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}
Skye Fitzpatrick, Sonya Varma, Jenna Traynor, Elizabeth A Earle, Ruth Vanstone, Lindsay Fulham, Kamya Goenka, Michelle J Blumberg, Lindsay Wyatt, Ashley N Siegel, Alyssa A Di Bartolomeo, Nikoo Norouzian, Jessica Burdo, Naomi Ennis, Alison Carney, Omega Luxor, Ravina Sankar, Candice Monson, Rachel Liebman
{"title":"A pilot and feasibility study of Sage: A couple therapy for borderline personality disorder.","authors":"Skye Fitzpatrick, Sonya Varma, Jenna Traynor, Elizabeth A Earle, Ruth Vanstone, Lindsay Fulham, Kamya Goenka, Michelle J Blumberg, Lindsay Wyatt, Ashley N Siegel, Alyssa A Di Bartolomeo, Nikoo Norouzian, Jessica Burdo, Naomi Ennis, Alison Carney, Omega Luxor, Ravina Sankar, Candice Monson, Rachel Liebman","doi":"10.1080/10503307.2025.2491478","DOIUrl":"https://doi.org/10.1080/10503307.2025.2491478","url":null,"abstract":"<p><p><b>Objective:</b> Borderline personality disorder (BPD) is characterized by emotion dysregulation and relationship dysfunction. However, the majority of BPD treatments provide individually-focused treatment and do not target relationship functioning or include significant others. The current paper presents the primary and secondary outcomes from an uncontrolled trial of Sage, a manualized conjoint treatment for people with BPD and their intimate partners that targets BPD, relationship conflict, and partner mental health simultaneously. <b>Method:</b> Sixteen couples wherein one member has BPD and elevated suicidal ideation/chronic and frequent suicidal/self-injurious behavior were enrolled in the 12-session Sage protocol. Measures of BPD severity (including suicidal ideation, suicidal/self-injurious behaviors, and emotion dysregulation) and relationship outcomes were collected at pre-, mid-, and post-intervention, and three-month follow-up. <b>Results:</b> Self-reported BPD severity, suicidal ideation, and emotion dysregulation and interview-rated frequency of suicidal and self-injurious behaviors improved from baseline to follow-up. No changes were observed in relationship outcomes or informant-reported BPD severity and suicidal ideation. <b>Conclusions:</b> These findings suggest that Sage may aid in improving BPD pathology with moderate to large effect sizes. The lack of improvements in relationship outcomes may be due to the relatively high relationship functioning observed in couples at baseline, but more testing is needed.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT04737252..</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992398","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}
Mathea Fretheim Walle, Maria Härter Langvik, Reidar Schei Jessen, Line Indrevoll Stänicke
{"title":"Sharing, carrying, and tolerating the pain - A meta-synthesis of clinicians' experiences from working with adolescents who self-harm.","authors":"Mathea Fretheim Walle, Maria Härter Langvik, Reidar Schei Jessen, Line Indrevoll Stänicke","doi":"10.1080/10503307.2025.2481604","DOIUrl":"https://doi.org/10.1080/10503307.2025.2481604","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to review and synthesise qualitative studies of the subjective experiences of clinicians working with adolescents (11-18 years of age) who self-harm.</p><p><strong>Method: </strong>We conducted a systematic literature search and included 14 studies in a meta-synthesis, applying Noblit and Hare's (1988) [<i>Meta-ethnography - synthesizing qualitative studies</i>. SAGE Publications] seven analytical steps for meta-ethnography.</p><p><strong>Results: </strong>The meta-synthesis resulted in three meta-themes that narrate a process of the emotional experiences of being in a professional relationship with adolescents who self-harm: (1) \"Sharing the pain - The relationship as a vehicle to help, understand, and protect\"; (2) \"Carrying the pain - Self-harm evokes strong feelings\"; and (3) \"Tolerating the pain - To show a way out\".</p><p><strong>Conclusion: </strong>Working with self-harm may represent a challenging balance for clinicians between exploring the pain in the therapeutic relationship, while also managing their own ability to tolerate the difficult emotions in this work.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064932","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":"Effects of preference alignment and client-rated attachment style on therapy: The moderating role of interpersonal synchrony.","authors":"Xiaoyan Dai, Liying Chen, Qianyi Zhou, Ya Zhang","doi":"10.1080/10503307.2025.2491479","DOIUrl":"https://doi.org/10.1080/10503307.2025.2491479","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore whether activity-preference alignment provides unique contributions to the working alliance and counseling outcomes beyond the client-rated adult attachment style, and to examine the moderating roles of behavioral and brain synchrony in this process.</p><p><strong>Methods: </strong>Sixteen pairs of counselors and clients participated in five consecutive weekly counseling sessions. The 1st, 3rd, and 5th sessions took place offline in a near-infrared laboratory, while the 2nd and 4th sessions were conducted online via video conferencing.</p><p><strong>Results: </strong>After controlling for the client-rated adult attachment style, preference alignment showed a significant impact on symptom improvement. Specifically, preference alignment had a significant positive predictive effect on symptom improvement when counselor-guided behavioral synchronization was high. Attachment avoidance also negatively predicted the working alliance but only when client-guided brain synchronization in the temporoparietal junction was low.</p><p><strong>Conclusion: </strong>The study suggests that preference alignment provides unique insights into symptom improvement beyond client-rated attachment style alone. Counselor-guided behavioral synchrony amplifies the effect of preference differences on symptom improvement, whereas client-guided brain synchrony reduces attachment avoidance's impact on the working alliance. These findings highlight that behavioral and brain synchrony impact therapeutic outcomes differently based on who guides the process, emphasizing the need to consider both interpersonal dynamics and alignment factors in counseling.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991332","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":"Integrating religion and spirituality with psychotherapy in a religiously diverse nation-A mixed methods study on client attitudes and experiences in Singapore.","authors":"Xiangbin Lin, Jonathan E Ramsay, Joanna Barlas","doi":"10.1080/10503307.2025.2487061","DOIUrl":"https://doi.org/10.1080/10503307.2025.2487061","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to investigate clients' perspectives on the integration of religion/spirituality (R/S) with psychotherapy in Singapore, a religiously diverse nation. It was hypothesized that clients would report R/S integration to have a positive impact (H1), initiate R/S discussions (H2), and their R/S and perception of the religious context would be associated with their attitudes towards R/S integrated psychotherapy (H3). A cross-sectional mixed-methods design was employed. <b>Methods:</b> Participants were 275 Singapore psychotherapy clients (52.3% male, 46.9% female, 8% non-binary/third gender). Mean age was 34.93 years (<i>SD</i> = 9.95). Participants completed a questionnaire comprised of demographical items, psychotherapy experiences, various R/S-related measures and qualitative questions on considerations and opinions on R/S integrated psychotherapy. <b>Results:</b> Clients reported that R/S integrated psychotherapy (RSIP) had a positive impact and that they were the main initiator. Considering R/S as supportive during adversity and perceptions of the religious context were associated with attitudes towards integration. Unexpectedly, R/S diversity appeared to have a facilitatory effect on RSIP. Qualitative findings revealed client's experiences and perspectives, including their expectations towards therapists. <b>Conclusions:</b> These findings highlight the importance of therapists' R/S competency. In R/S diverse contexts, therapists may require greater sensitivity, openness, and the ability to work with clients holding diverse R/S beliefs.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812408","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}
Gabor Aranyi, Elke Humer, Human-Friedrich Unterrainer, Martin Kuska, Lisa Winter, Marina Zeldovich
{"title":"The German version of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM): Factorial validity, internal consistency, and gender differences in a large outpatient sample.","authors":"Gabor Aranyi, Elke Humer, Human-Friedrich Unterrainer, Martin Kuska, Lisa Winter, Marina Zeldovich","doi":"10.1080/10503307.2025.2485154","DOIUrl":"https://doi.org/10.1080/10503307.2025.2485154","url":null,"abstract":"<p><strong>Objective: </strong>The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is a pantheoretical mental health assessment instrument that has been translated into over 50 languages. Despite its widespread international use in clinical practice and research, the psychometric properties of CORE-OM require further investigation.</p><p><strong>Method: </strong>We explored and tested the factorial validity of the German version of CORE-OM in a large adult clinical outpatient sample (<i>N</i> = 4355) using exploratory and confirmatory factor analysis. Internal consistency and correlations of the four CORE-OM domains (Well-being, Problems, Functioning, and Risk) across gender identities are presented.</p><p><strong>Results: </strong>While no model satisfied all fit criteria in confirmatory analyses, the three-factor structure derived from exploratory factor analysis outperformed the theoretically favored four-domain solution. Internal consistency was overall acceptable with Well-being scoring slightly lower than the other scales. Non-binary respondents had statistically significantly higher average Risk scores then men and women.</p><p><strong>Conclusion: </strong>Our findings support the reliability of CORE-OM and lend limited support to its factorial structure in a large German-speaking sample, and emphasize the importance of considering diverse gender identities in mental health assessment. The analyses further indicate a need for refinement in the scoring of CORE-OM in various cultural contexts.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781686","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}
Jana Bommer, Wolfgang Lutz, Anne-Katharina Deisenhofer
{"title":"Assessing clinical micro-skills in deliberate practice exercises: validation of the clinical micro-skill training (CMST) scale.","authors":"Jana Bommer, Wolfgang Lutz, Anne-Katharina Deisenhofer","doi":"10.1080/10503307.2025.2485156","DOIUrl":"https://doi.org/10.1080/10503307.2025.2485156","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a video rating instrument designed to assess transtheoretical clinical micro-skills within deliberate practice (DP) exercises.</p><p><strong>Method: </strong>The Clinical Micro-Skill Training (CMST) Scale was developed based on three established therapeutic competence measures and refined by expert clinician input. The instrument was then applied by trainee psychotherapists to rate <i>N</i> = 433 videos from <i>N</i> = 59 training candidates, who responded to simulated patient statements as if they were the therapist in that situation. Descriptive results, internal consistency, inter-rater reliability, item structure, convergent and discriminant validity were examined.</p><p><strong>Results: </strong>The CMST demonstrated good reliability, with an internal consistency of <i>ω</i> = .82 and inter-rater reliability of <i>ICC</i> = .73 for the total score. Exploratory factor analysis revealed three factors-Interpersonal Competence, Communication Competence, and Process and Time Management. The CMST also exhibited satisfactory convergent and discriminant validity.</p><p><strong>Conclusion: </strong>The CMST demonstrates feasibility, reliability, validity, and efficiency in the assessment of therapeutic micro-skills. Its multidimensional structure allows for a nuanced approach, moving beyond mean scores to evaluate and target specific competence facets for improvement. However, its predictive validity for treatment outcomes remains to be explored in future studies.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774520","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 : 2025-04-01Epub Date: 2024-04-08DOI: 10.1080/10503307.2024.2335520
Jia Luo, Peng-Chong Wang, Fan-Qiang Meng, Xiang-Yun Yang, Yan-Bo Zhang, Si Zu, Fei-Huan Cui, Roger Mk Ng, Zhan-Jiang Li
{"title":"Cognitive-behavioral therapy for patients with somatoform disorders: A pilot preliminary randomized controlled trial.","authors":"Jia Luo, Peng-Chong Wang, Fan-Qiang Meng, Xiang-Yun Yang, Yan-Bo Zhang, Si Zu, Fei-Huan Cui, Roger Mk Ng, Zhan-Jiang Li","doi":"10.1080/10503307.2024.2335520","DOIUrl":"10.1080/10503307.2024.2335520","url":null,"abstract":"<p><p><b>Background and objective:</b> Cognitive-behavioral therapy (CBT) for somatoform disorders (SFDs) is understudied in China. Western findings may not be applicable to Chinese culture. This preliminary study evaluated the efficacy of CBT for patients in China, relative to treatment-as-usual (TAU). <b>Methods:</b> Seventy patients with SFDs randomly received either combined CBT and TAU (CBT + TAU), or TAU alone between January 2018 to May 2019. The CBT + TAU group received 12 weekly individual 50-minute CBT sessions. Participants were blindly assessed at 4 timepoints (baseline, week 6, end of treatment: week 12; 12 weeks post-treatment: week 24) using the following outcome measures: SQSS (Self-screening Questionnaire for Somatic Symptoms); PHQ-15 (Patient-Health-Questionnaire-15) and the WI (Whiteley Index); GAD-7 (General Anxiety Disorder-7); HAMD-17 (Hamilton Depression Rating Scale-17); Family Burden Interview Schedule (FBIS); Sheehan Disability Scale (SDS); and the Short Form of Quality-of-Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF). The primary endpoint was the difference between the SQSS total score at week 24 and the baseline. A mixed model for repeated measures was used to analyze inter- and intra-group changes from the baseline. <b>Results:</b> At week 24, The least-squares mean (LSM) change of the total score on the SQSS was -18.87 points and -9.69 points, respectively in the CBT + TAU group and in the TAU group (LSM difference, -9.18 points; 95% confidence interval, -15.72 to -2.64; <i>P </i>= 0.0068). At week 24, the LSM changes from baseline in the WI, HAMD, PHQ15, FBIS and SDS total scores were significantly different between the two groups, however, there was no significant difference in the Q-LES-Q-SF. The SQSS of group effect sizes were 0.63 at 24 weeks. The dropout rates of the CBT + TAU and TAU groups were comparable (22.9% and 19.3%). <b>Conclusions:</b> These preliminary findings suggest that CBT may be helpful for improving the symptoms of patients with SFDs in China.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"668-678"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874906","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}