Psychotherapy Research最新文献_第3页

A Network Approach to Exploring Effects of Self-Stigma Intervention in Serious Mental Illness. 网络方法探讨自我污名化干预对严重精神疾病的影响。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-27 DOI: 10.1080/10503307.2025.2517555

Natasha A Tonge, Natasha Benfer, Clayton Brown, Amy Drapalski, Alicia Lucksted

{"title":"A Network Approach to Exploring Effects of Self-Stigma Intervention in Serious Mental Illness.","authors":"Natasha A Tonge, Natasha Benfer, Clayton Brown, Amy Drapalski, Alicia Lucksted","doi":"10.1080/10503307.2025.2517555","DOIUrl":"10.1080/10503307.2025.2517555","url":null,"abstract":"Objective: Self-stigma is a pervasive problem among individuals with serious mental illness (SMI) that can negatively affect their well-being and quality of life. Although several interventions have been developed to reduce self-stigma, there is little research into which components of these treatments relate to improvement. In this study, we used network analysis as a novel exploratory method for identifying processes contributing to change in self-stigma and related variables.Method: We compared networks of an active stigma intervention called Ending Self-Stigma (ESS) to a non-stigma intervention, and an enhanced treatment-as-usual stigma intervention. We included clinical symptoms, signs of recovery orientation, and expressions of self-stigma as nodes in the network. We examined the changes in the overall network structure of self-stigma-related variables before and after each intervention, as well as the role of individual nodes in the networks.Results: Our results suggest that the intervention did not change the structure of any networks. However, we found that psychoticism, withdrawal, alienation, and self-efficacy were important in explaining variance in stigma-related variables across interventions.Conclusion: Our findings may inspire future dismantling studies investigating the role of key factors in self-stigma interventions and supports examining changes in self-stigma-related variables as a network of interconnected features.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"797-809"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734021","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

Hope predicts long-term well-being following cognitive behavioral therapy for anxiety and related disorders. 霍普预测在认知行为疗法治疗焦虑和相关疾病后的长期健康状况。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-08-24 DOI: 10.1080/10503307.2025.2523479

Laura J Long, Nicole D Cardona, Audrey Hey, Julián Moreno, David H Barlow, Todd J Farchione

{"title":"Hope predicts long-term well-being following cognitive behavioral therapy for anxiety and related disorders.","authors":"Laura J Long, Nicole D Cardona, Audrey Hey, Julián Moreno, David H Barlow, Todd J Farchione","doi":"10.1080/10503307.2025.2523479","DOIUrl":"10.1080/10503307.2025.2523479","url":null,"abstract":"Objective: Prior research indicates that cognitive behavioral therapy (CBT) results in moderate-to-large increases in hope and well-being, though long-term treatment outcomes are less clear. This study examined whether gains in these outcomes were maintained up to 36 months after CBT and whether hope - an established change mechanism during treatment - was associated with sustained well-being during long-term follow-up when controlling for post-treatment anxiety and depression.Method: A subset of 69 participants [Mage = 30.29 (SD = 9.94) yrs, 62.32% female, 89.86% White, 89.85% Non-Hispanic/Latinx] with anxiety disorders from a randomized equivalence trial of transdiagnostic and single-diagnosis CBT protocols were re-consented into a long-term follow-up study and completed assessments every 6 months across 3 years.Results: Standardized mean gain scores and multilevel modeling (MLM) revealed no significant differences in well-being or hope between post-treatment and follow-up timepoints in either condition. MLM indicated that higher hope at the within-person (standardized γ10 = 0.26, p < .001) and between-person levels (standardized γ01 = 0.42, p < .001) were associated with greater well-being across long-term follow-up, whereas post-treatment anxiety and depression were not significant predictors.Conclusion: Findings suggest sustained increases in hope may help preserve gains in well-being up to 3 years after CBT.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"760-773"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974459","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

Identification of Potential Therapist "Missteps" in the Context of Engagement in Public Mental Health Services: Analysis of Digital Recordings and Key Informant Validation. 在参与公共精神卫生服务的背景下识别潜在治疗师的“失误”：对数字记录和关键信息验证的分析。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-09 DOI: 10.1080/10503307.2025.2521792

Hyun Seon Park, Kimberly D Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Jonathan K Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F Chorpita

{"title":"Identification of Potential Therapist \"Missteps\" in the Context of Engagement in Public Mental Health Services: Analysis of Digital Recordings and Key Informant Validation.","authors":"Hyun Seon Park, Kimberly D Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Jonathan K Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F Chorpita","doi":"10.1080/10503307.2025.2521792","DOIUrl":"10.1080/10503307.2025.2521792","url":null,"abstract":"Objective: This study aimed to characterize and validate potential therapist \"missteps,\" or inadvertent behaviors that may impact youth and family engagement in mental health services.Method: Ten misstep types were coded from 224 treatment sessions provided by 92 therapists. Rapid qualitative analysis using key informant interviews was conducted to examine insights related to the occurrence, expected impact, and perceived severity of therapist missteps as an indicator of the face validity of the missteps construct and types.Results: All 10 misstep types demonstrated good reliability (Fleiss' k = .71-.88). All 10 misstep types appeared to have face validity with key informants. Key informants posited case-, therapist-, and setting-level factors that may increase frequency of therapist missteps.Conclusion: Missteps can be reliably observed in youth psychotherapy and were deemed by community partners to be valid measures of behaviors that are potentially harmful to treatment engagement. Future directions involve exploring the impact of missteps on youth and family engagement and developing clinical supports to mitigate their occurrence and effects.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"674-688"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592694","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

Target validation in dialectical behavior therapy skills group: Emotion regulation, mindfulness, and distress tolerance as mediators of outcome. 辩证行为治疗技能组的目标验证：情绪调节、正念和痛苦容忍是结果的中介。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-02 DOI: 10.1080/10503307.2025.2522390

Maya E Amestoy, Tahira Gulamani, Amanda A Uliaszek

{"title":"Target validation in dialectical behavior therapy skills group: Emotion regulation, mindfulness, and distress tolerance as mediators of outcome.","authors":"Maya E Amestoy, Tahira Gulamani, Amanda A Uliaszek","doi":"10.1080/10503307.2025.2522390","DOIUrl":"10.1080/10503307.2025.2522390","url":null,"abstract":"Objective: There is increasing interest in identifying mediators in dialectical behavior therapy (DBT), particularly within the broader DBT framework and the specific skills taught in group-based interventions. This study examined whether three core DBT skills-emotion regulation, mindfulness, and distress tolerance- mediate the relationship between group therapy participation and borderline personality disorder (BPD) symptoms in university students. It was hypothesized that improvements in these skills would mediate treatment outcomes, reflecting their role in driving therapeutic change.Methods: Fifty-four participants were randomly assigned to a 12-week DBT or positive psychotherapy (PPT) group and completed baseline and posttreatment assessments of treatment-specific factors. Data were analyzed using mediation models to examine the relationship between treatment group and BPD symptoms, with emotion regulation, distress tolerance, and mindfulness as mediators.Results: Impulse control and access to emotion regulation strategies were significant mediators of the relationship between treatment group and BPD symptoms, with stronger effects observed in the DBT group compared to the PPT group. Additionally, acting with awareness, a mindfulness skill, was found to mediate treatment outcomes, whereas other mindfulness aspects and distress tolerance were not significant mediators.Conclusion: Results highlight the importance of targeting impulse control, emotion regulation, and acting with awareness in the treatment of BPD symptoms.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"732-743"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555366","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

When and Under What Circumstances Does Neuroticism Change in the Unified Protocol? 统一协议中的神经质在什么时候、什么情况下发生变化？

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-09 DOI: 10.1080/10503307.2025.2521779

Nicole E Stumpp, Matthew W Southward, Alexandra Hines, Madeline L Kushner, Carmen Schäuffele, Martina Fruhbauerova, Eric Bridges, Abrar Rahman, Shannon Sauer-Zavala

{"title":"When and Under What Circumstances Does Neuroticism Change in the Unified Protocol?","authors":"Nicole E Stumpp, Matthew W Southward, Alexandra Hines, Madeline L Kushner, Carmen Schäuffele, Martina Fruhbauerova, Eric Bridges, Abrar Rahman, Shannon Sauer-Zavala","doi":"10.1080/10503307.2025.2521779","DOIUrl":"10.1080/10503307.2025.2521779","url":null,"abstract":"Method: Seventy adult participants (Mage = 33.74, 67% female, 74% White) with an emotional disorder were randomized to (a) receive UP modules in an order that capitalized on their strengths, compensated for their deficits, or a standard order and (b) receive 6 or 12 sessions of treatment. We conducted piecewise hierarchical linear regression models to test if specific sequencing or duration conditions led to greater reductions in neuroticism.Results: Changes in neuroticism did not significantly differ between the treatment duration conditions over the first six sessions, however, those in the full treatment condition exhibited significantly greater reductions in neuroticism from weeks 7-12. When controlling for depressive and anxiety symptoms, there were no significant changes in neuroticism in the first six sessions. Those in the full treatment condition demonstrated significant reductions in neuroticism from sessions 7-12.Conclusion: Brief treatment may exhibit state-level changes in neuroticism, but a more extensive course may be needed for lasting trait change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"785-796"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601924","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 Initial Validation of the Therapist Ambiguity Intolerance Scale: Evidence Based on Multilevel Data and Analyses. 治疗师歧义不耐受量表的开发和初步验证：基于多层次数据和分析的证据。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-11 DOI: 10.1080/10503307.2025.2524518

Hui Xu, Zhijin Hou, Jiajia Zhu, Lan Zhang

{"title":"Development and Initial Validation of the Therapist Ambiguity Intolerance Scale: Evidence Based on Multilevel Data and Analyses.","authors":"Hui Xu, Zhijin Hou, Jiajia Zhu, Lan Zhang","doi":"10.1080/10503307.2025.2524518","DOIUrl":"10.1080/10503307.2025.2524518","url":null,"abstract":"Objective: To facilitate research on therapist factors that relate to treatment implementation and alliance building, the current study developed and validated a scale that measures therapist ambiguity intolerance.Method: Using 870 sessions from 257 clients nested within 96 therapists in a Chinese master's training program, the present study developed items for the Therapist Ambiguity Intolerance Scale (TAIS), explored its factor structure, and examined its structural and criterion validities. The analyses were conducted based on a multilevel framework.Results: The results supported a unidimensional structure at the between-client level. Although technically a bifactor model with three specific factors was favored at the within-client level, the results revealed a dominant general factor. The score of the TAIS was positively associated with therapist anxiety and negatively associated with therapist self-efficacy at both the within- and between-client levels. The TAIS score was negatively associated with client-rated working alliance at the between-client level. Additionally, the TAIS score was negatively associated with client-rated session quality at both the within- and between-client levels.Conclusions: This study offers a useful measure of therapist ambiguity intolerance for research and practice on therapy and training. It highlights the importance of handling inevitable ambiguity in therapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"702-716"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609986","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

Contextual schema therapy for social anxiety and depression symptoms-A two sessions, online, group randomized trial. 情境图式疗法对社交焦虑和抑郁症状的治疗——两个在线、组随机试验。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-17 DOI: 10.1080/10503307.2025.2523480

Simona Stefan, Paula Stroian, Liviu-Andrei Fodor, Matu Silviu, Diana Nechita, Daniel Mătiță, Mircea Mustățea, Alice Ioana, Ancuta Tamas, Eckhard Roediger

{"title":"Contextual schema therapy for social anxiety and depression symptoms-A two sessions, online, group randomized trial.","authors":"Simona Stefan, Paula Stroian, Liviu-Andrei Fodor, Matu Silviu, Diana Nechita, Daniel Mătiță, Mircea Mustățea, Alice Ioana, Ancuta Tamas, Eckhard Roediger","doi":"10.1080/10503307.2025.2523480","DOIUrl":"10.1080/10503307.2025.2523480","url":null,"abstract":"Objective: In the current randomized control trial, we tested the efficacy of a transdiagnostic, two-session Contextual Schema Therapy intervention, delivered in an online group format, for individuals with social anxiety and/or depressive symptoms and examined self-criticism and experiential avoidance as potential mediators.Method: The sample included 134 participants scoring above the 30 Liebowitz Social Anxiety Scale cut-off point and/or above 14 on the Beck Depression Inventory-II, who were randomized to either the contextual schema therapy group intervention or an online psychoeducation control group.Results: Significant reductions in social anxiety (p = 0.038, d = 0.35 at post-intervention) and depression (p = 0.015, d = 0.41 at post-intervention) and an increase in quality of life (p = 0.033, d = 0.36 at follow-up) were found in the contextual schema therapy group compared to the control group (in the absence of clustering effects), while no significant differences were found for self-criticism and experiential avoidance, the proposed mediators.Conclusions: The results support the efficacy of this brief contextual schema intervention format, while its mechanisms of change remain to be investigated further.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"744-759"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650946","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

Profiles of mentalizing in individuals with antisocial behavior: comparing state- and trait-mentalizing. 反社会行为个体的心理化特征：状态心理化与特质心理化的比较。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-03 DOI: 10.1080/10503307.2025.2517560

Brenda de Wit-de Visser, Madeleine J N Rijckmans, Jeroen K Vermunt, Matthijs J W Hamakers, Arno van Dam

{"title":"Profiles of mentalizing in individuals with antisocial behavior: comparing state- and trait-mentalizing.","authors":"Brenda de Wit-de Visser, Madeleine J N Rijckmans, Jeroen K Vermunt, Matthijs J W Hamakers, Arno van Dam","doi":"10.1080/10503307.2025.2517560","DOIUrl":"10.1080/10503307.2025.2517560","url":null,"abstract":"Objectives: Mentalizing is a crucial factor in understanding antisocial behavior. The current study focuses on mapping mentalization within a population of patients with antisocial behavior (n = 108) and compares trait and state mentalizing.Methods: Three instruments were used to assess mentalizing abilities: the Reflective Functioning Scale, an emotion recognition task, and a Virtual Reality experiment. Mentalizing profiles were determined with latent class analyses and subsequently examined their relations.Results: Patients with antisocial behavior exhibited poor mentalizing capacities. They showed problems with general mentalizing capacities, specific problems in emotion recognition and reduced emotional reactivity. Half of the participants displayed reduced trust towards others during state mentalizing, indicating imbalances between automatic and controlled mentalizing. A part of the population showed hostile attribution bias, related to increased anger and threat perception and reduced experienced trust in direct social interaction. State-mentalizing and trait-mentalizing were not related.Conclusion: The findings align with previous studies on mentalizing in individuals with antisocial personality disorder. However, this study underscores the importance of further investigating the heterogeneity of mentalizing capacity within this population, especially in comparing state- and trait mentalizing. Mapping underlying mentalizing patterns of these patients may provide directions for tailoring therapeutic interventions.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"810-828"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555365","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

Targeted Learning for Optimal Patient Assignment to Psychotherapy. 有针对性的学习，以优化患者分配到心理治疗。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-06-22 DOI: 10.1080/10503307.2025.2517567

Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenström

{"title":"Targeted Learning for Optimal Patient Assignment to Psychotherapy.","authors":"Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenström","doi":"10.1080/10503307.2025.2517567","DOIUrl":"10.1080/10503307.2025.2517567","url":null,"abstract":"Objective: Previous studies often fell short in identifying differences in treatment effects between psychotherapeutic frameworks. Instead of focusing on the overall treatment effects, we aimed to identify the effects of individually optimal treatment choice [cf. treatment personalization].Method: We used a causal-inference machine learning (i.e., targeted learning) framework to estimate effects from observational data obtained from the Finnish Psychotherapy Quality Registry, which includes adult patients diagnosed with various mental disorders (n = 2255). Our objective was to estimate the difference in average treatment outcomes between the optimal individualized treatment and a randomly allocated treatment (i.e., the average of all treatment options). Outcomes were changes in self-assessed symptom scores and clinician-assessed functioning. In addition, we estimated counterfactual total-population outcomes for psychodynamic, solution-focused, cognitive-behavioral, and integrative or cognitive-analytic therapies.Results: Compared to the average treatment effects, the counterfactual optimal treatment produced 0.28-0.29 standard deviations larger benefits for all the outcomes (confidence intervals between 0.20-0.39). Assuming all patients underwent psychotherapy within a single framework, treatment effects on symptom scores were similar across frameworks, but some differences emerged for change in therapist-assessed functioning.Conclusion: Identifying optimal treatment rules for psychotherapy frameworks is feasible and may significantly improve outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"643-657"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369374","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

Dynamic expectancies: The independent role of within-person change in outcome expectancy in predicting overall treatment outcomes in psychotherapy for depression. 动态期望：在预测抑郁症心理治疗的总体治疗结果中，预期结果的个人内部变化的独立作用。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-06-25 DOI: 10.1080/10503307.2025.2519574

Liron Rozenkrantz, Oleksandr Laskorunskyi, Sigal Zilcha-Mano, Itai Dattner

{"title":"Dynamic expectancies: The independent role of within-person change in outcome expectancy in predicting overall treatment outcomes in psychotherapy for depression.","authors":"Liron Rozenkrantz, Oleksandr Laskorunskyi, Sigal Zilcha-Mano, Itai Dattner","doi":"10.1080/10503307.2025.2519574","DOIUrl":"10.1080/10503307.2025.2519574","url":null,"abstract":"Objective: Dynamic changes in patients' outcome expectancy have been increasingly recognized as important for psychotherapy success. However, whether expectancy change predicts treatment outcomes independently of baseline expectancy, particularly in major depressive disorder (MDD), remains underexplored. This study investigated the role of expectancy change throughout treatment as an independent predictor of psychotherapy outcomes in MDD.Methods: Seventy-five patients with MDD underwent a 16-session psychotherapy treatment, during which expectancy was measured six times. Expectancy change was operationalized as the within-person slope of expectancy across sessions, while baseline expectancy was assessed prior to treatment onset. Linear regressions examined the contribution of baseline expectancy, expectancy change and their interaction to overall symptom improvement, from pre- to post-treatment.Results: A greater increase in expectancy throughout treatment predicted faster and more substantial recovery. Notably, both higher baseline expectancy and greater expectancy change independently predicted better treatment outcomes.Conclusions: These findings highlight that dynamic changes in patients' outcome expectancy predict overall symptom improvement, independently of baseline expectancy. Integrating these findings within a broader framework of belief-updating in depression, we propose that expectancy change may inform treatment progression and serve as a therapeutic target. Implications for clinical practice and future work are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"774-784"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498441","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