Psychotherapy Research最新文献_第3页

Reactivity and stability in facial expressions as an indicator of therapeutic alliance strength. 作为治疗联盟强度指标的面部表情的反应性和稳定性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-03-05 DOI: 10.1080/10503307.2024.2311777

Shachaf Tal, Tal Ben-David Sela, Tohar Dolev-Amit, Hagit Hel-Or, Sigal Zilcha-Mano

{"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":"10.1080/10503307.2024.2311777","url":null,"abstract":"Objective 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. Methods: Ninety-four patients with major depressive disorder underwent short-term treatment for depression (N = 1256 sessions). Results: 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). Conclusions: 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.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"454-468"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","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}

引用次数: 0

The development of the Epistemic Trust Rating System (ETRS). 认识信任评级系统（ETRS）的开发。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-07 DOI: 10.1080/10503307.2023.2299213

Shimrit Fisher, Timur Guralnik, Peter Fonagy, Sigal Zilcha-Mano

{"title":"The development of the Epistemic Trust Rating System (ETRS).","authors":"Shimrit Fisher, Timur Guralnik, Peter Fonagy, Sigal Zilcha-Mano","doi":"10.1080/10503307.2023.2299213","DOIUrl":"10.1080/10503307.2023.2299213","url":null,"abstract":"Objective: The present study introduces and validates the Epistemic Trust Rating System (ETRS), an observer-based measure designed to assess epistemic trust (ET) within psychotherapy. ET in psychotherapy has gained much theoretical attention as a critical component in the therapeutic context, given its inherent link to social communication. However, its empirical validation remains pending, largely due to the absence of a refined instrument to gauge ET levels within the therapy environment. Therefore, this study aimed to translate ET's theoretical construct into tangible markers within the therapeutic context.Method: One hundred eighteen patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression. Incorporating top-down theoretical considerations with bottom-up empirical observations yielded an overall ETRS score accompanied by three distinct sub-scales, each assessing a singular ET element: one gauges the patient's propensity to share; another measures the degree to which \"we-mode\" moments are achieved within the session; and the third evaluates the patient's receptiveness to learning.Results: The findings demonstrate the psychometric robustness of the ETRS, with good internal consistency, interrater reliability (ICC(1,8) = .86-.90), and convergent (r = .23-.29) and discriminant validity (r = -.10).Conclusion: The current study highlights the ETRS as a promising tool bridging theory and empirical exploration, enhancing our understanding of epistemic trust in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"412-423"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378569","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

What to think or how to think - is symptom reduction in posttraumatic symptomatology associated with change in posttraumatic cognitions or perseverative thinking? A latent change score model approach. 想什么还是怎么想--创伤后症状的减轻与创伤后认知或持久性思维的改变有关吗？潜在变化评分模型法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-27 DOI: 10.1080/10503307.2024.2316009

Kristina Meyer, Nikola Schoofs, Andrea Hildebrandt, Felix Bermpohl, Kathlen Priebe

{"title":"What to think or how to think - is symptom reduction in posttraumatic symptomatology associated with change in posttraumatic cognitions or perseverative thinking? A latent change score model approach.","authors":"Kristina Meyer, Nikola Schoofs, Andrea Hildebrandt, Felix Bermpohl, Kathlen Priebe","doi":"10.1080/10503307.2024.2316009","DOIUrl":"10.1080/10503307.2024.2316009","url":null,"abstract":"Objective: Patients with posttraumatic stress disorder (PTSD) report changes in what they think of the world and themselves, referred to as posttraumatic cognitions, and changes in how they think, reflected in increased perseverative thinking. We investigated whether pre-post therapy changes in the two aspects of thinking were associated with pre-post therapy changes in posttraumatic symptom severity.Method: 219 d clinic patients with posttraumatic stress symptoms received trauma-focused psychotherapy with cognitive behavioral and metacognitive elements. The posttraumatic cognitions inventory (PTCI), the perseverative thinking questionnaire (PTQ), and the Davidson trauma scale (DTS) were applied at two occasions, pre- and post-therapy. Using latent change score models, we investigated whether change in PTCI and change in PTQ were associated with change in DTS and its subscales. We then compared the predictive value of PTQ and PTCI in joint models.Results: When jointly modeled, change in overall DTS score was associated with change in both PTCI and PTQ. Concerning DTS subscales, reexperiencing and avoidance were significantly associated with change in PTCI, but not in PTQ.Conclusion: Results indicate that both aspects of cognition may be valuable targets of psychotherapy. A focus on posttraumatic cognitions might be called for in patients with severe reexperiencing and avoidance.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"512-527"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association of early response with the outcome of psychosomatic rehabilitation in patients with mental disorders and its link to treatment and illness beliefs-A prospective longitudinal cohort study. 精神障碍患者早期反应与心身康复结果的关联及其与治疗和疾病信念的联系--一项前瞻性纵向队列研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-21 DOI: 10.1080/10503307.2024.2316014

Rieka von der Warth, Matthias Rudolph, Jürgen Bengel, Manuela Glattacker

{"title":"The association of early response with the outcome of psychosomatic rehabilitation in patients with mental disorders and its link to treatment and illness beliefs-A prospective longitudinal cohort study.","authors":"Rieka von der Warth, Matthias Rudolph, Jürgen Bengel, Manuela Glattacker","doi":"10.1080/10503307.2024.2316014","DOIUrl":"10.1080/10503307.2024.2316014","url":null,"abstract":"Early response is considered to be an important predictor for therapy outcomes; yet little is known about its relevance in psychosomatic rehabilitation. This paper aims to describe the association of early response in psychosomatic rehabilitation, as well as the associations of early response with pre-rehabilitative factors such as illness and treatment beliefs.A longitudinal study with three measurement points was applied. Early response was defined using the percent improvement method after two weeks of treatment. Its association with therapy outcome and with illness and treatment beliefs was analyzed using multiple regression analyses.A total of 264 participants took part. Early response was a significant predictor of psychosomatic rehabilitation outcome, explaining an incremental variance of 1-30% after controlling for initial symptom burden. Illness and treatment beliefs predicted 6-20% variance in early response. Important illness beliefs referred to perceived symptoms, consequences and comprehensibility of the illness. Important treatment beliefs referred to expectations about rehabilitation structure, processes and concerns.Early response is associated with the therapy outcome of psychosomatic rehabilitation, with illness and treatment beliefs found to be associated with early response. Further research on the predictors of early response in psychosomatic rehabilitation is needed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"379-394"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933643","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

First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout. 第一印象很重要：初步评估对开始心理治疗和随后放弃治疗的影响。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-30 DOI: 10.1080/10503307.2024.2308164

Hannah Bowker, David Saxon, Jaime Delgadillo

{"title":"First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout.","authors":"Hannah Bowker, David Saxon, Jaime Delgadillo","doi":"10.1080/10503307.2024.2308164","DOIUrl":"10.1080/10503307.2024.2308164","url":null,"abstract":"Objective: This study investigated if patients' experience of an initial assessment may be associated with outcome expectations, and with subsequent treatment attendance.Method: The sample comprised n = 6051 patients with depression/anxiety disorders, nested within k = 148 assessing therapists. Multilevel modelling (MLM) was used to examine therapist effects on treatment initiation and subsequent dropout, adjusting for patient-level characteristics. We tested associations between early outcome expectancy measured at an initial assessment with attendance at a first therapy session, and with dropout after initiation. Variability in mean expectancy ratings in the caseloads of assessing therapists was examined using the intracluster correlation coefficient (ICC).Results: Therapist effects partly explained the variance in treatment initiation and dropout. Pre-treatment outcome expectations significantly predicted treatment initiation but not dropout for the subgroup of patients who started treatment. Approximately 16% of variability in mean expectancy ratings was explained by therapist effects (ICC = 0.159) after controlling for patient-level covariates.Conclusions: Patients assessed by some therapists are more likely to have higher outcome expectations, which influences their decision to initiate treatment thereafter. Once patients start therapy, early expectancy measured at assessment no longer influences their attendance, but the \"first impression\" from an initial assessment does influence their subsequent likelihood of dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"368-378"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling. 开发 "撩拨评估量表"：对治疗师在临床咨询中的 "搭讪 "行为进行客户评分的测量方法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-24 DOI: 10.1080/10503307.2024.2301948

Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq

{"title":"The development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling.","authors":"Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq","doi":"10.1080/10503307.2024.2301948","DOIUrl":"10.1080/10503307.2024.2301948","url":null,"abstract":"Objective: Addressing ethnic-cultural topics during the process of psychotherapy, i.e. broaching, is considered highly important for ethnic minority clients who consult mental health care services. Surprisingly little is known, however, about clients' perception of a therapist's broaching qualities, and how clients' mental construction of broaching translates into behavioural broaching acts a therapist may display.Method: Based on previous work and nine in-depth interviews with ethnic minority clients, a client-rated measure of therapists' broaching behaviour was developed and psychometrically evaluated in two samples. Sample 1 (N = 252 UK ethnic minority clients) was used to empirically delineate the factor structure of an initial item set. Participants were then resolicited to complete a revised item pool.Results: The empirical structure resulted in a final 25-item broaching instrument with five subscales probing into therapists' broaching behaviour. This Broaching Assessment Scale (BrAS) was validated in Sample 2 (N = 239 US ethnic minority clients). Strict measurement invariance of the factor structure was observed across the two samples and distinctive correlational patterns with therapeutic process measures were found.Conclusion: The BrAS provides new insights on how sensitivity to ethnic-cultural topics can be targeted along its concrete features, and is a promising tool for conceptualizing culturally sensitive mental healthcare assessment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"424-440"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547470","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

Emotional arousal and reflective functioning among parents participating in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents. 参与为 LGBTQ+ 年轻人及其不接受他们的父母提供的基于依恋的家庭疗法的父母的情绪唤醒和反思功能。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-06 DOI: 10.1080/10503307.2024.2309285

Yotam Strifler, Gary M Diamond

{"title":"Emotional arousal and reflective functioning among parents participating in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents.","authors":"Yotam Strifler, Gary M Diamond","doi":"10.1080/10503307.2024.2309285","DOIUrl":"10.1080/10503307.2024.2309285","url":null,"abstract":"Objective: Parents' rejection of their LGBTQ + young adults can have a negative impact on their young adult's psychological welfare, and on the young adult-parent relationship. Parents' ability to reflect on their child's pain and unmet needs is thought to evoke empathy and compassion, and reduce rejection. Empirical and clinical evidence suggest that parents' level of reflective functioning (RF) is impacted by their level of emotional arousal (EA). This study examined the association between parents' EA and RF within the context of attachment-based family therapy for nonaccepting parents and their LGBTQ+ young adults.Methods: 43 therapy sessions drawn from six different cases were coded for parental RF and EA, based on 30-second segments. This generated a total of 343 observations for analyses.Results: Hierarchal linear modeling revealed that parents' level of RF was a function of their concomitant EA, with moderate levels of arousal predicting the highest RF levels.Conclusion: Moderate EA may facilitate optimal parental reflective functioning. With nonaccepting parents, who typically present for treatment with high levels of maladaptive fear and shame, therapists would do well to assess their level of arousal and, when indicated, employ downregulating interventions before inviting them to reflect on their young adult's experience and needs.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"441-453"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698706","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 an online dialectical behavior therapy skills training in adults with attention-deficit/hyperactivity disorder: A randomized controlled trial. 在线辩证行为疗法技能培训对注意力缺陷/多动障碍成人患者的疗效：随机对照试验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-15 DOI: 10.1080/10503307.2024.2311773

Vahide Ulusoy, Işıl Bilican, Aynur Gormez

{"title":"Effectiveness of an online dialectical behavior therapy skills training in adults with attention-deficit/hyperactivity disorder: A randomized controlled trial.","authors":"Vahide Ulusoy, Işıl Bilican, Aynur Gormez","doi":"10.1080/10503307.2024.2311773","DOIUrl":"10.1080/10503307.2024.2311773","url":null,"abstract":"Objective: The current study aims to examine the efficacy of an add-on dialectical behavior therapy skills training (DBT-ST) on adult attention-deficit/hyperactivity disorder (ADHD). The DBT-ST was applied online under the pandemic conditions that occurred after the study had started.Methods: The current randomized controlled trial consists of an intervention group to whom the DBT-ST was applied in online setting and a waitlist control group who received treatment as usual (TAU). Data were collected pre-, post-, and mid-treatment. ADHD symptoms (with the sub-dimensions of inattention and hyperactivity), impulsivity, mindfulness, difficulty with emotion regulation, interpersonal effectiveness, distress tolerance, life satisfaction, functionality in daily life, and general psychological symptom levels were measured with self-report scales. The data were analyzed using mixed-design ANOVA.Results: The global ADHD, inattention, and hyperactivity symptoms of the DBT-ST group significantly decreased more than those in the TAU control group. The DBT-ST group also showed a significant decrease regarding difficulty with emotion regulation and increases in life satisfaction and functionality, though the group × time effect was not significant.Conclusion: DBT-ST was found effective against the participants' ADHD symptoms. The treatment was additionally found to improve their emotion regulation and quality of life. Further investigation is needed to investigate DBT-ST in an online setting.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"469-485"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742361","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 an 8-item version of the Real Relationship Inventory-Client form. 开发并验证 8 个项目的真实关系量表--客户表。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-03-18 DOI: 10.1080/10503307.2024.2320331

Alberto Stefana, Paolo Fusar-Poli, Eduard Vieta, Charles J Gelso, Eric A Youngstrom

{"title":"Development and validation of an 8-item version of the Real Relationship Inventory-Client form.","authors":"Alberto Stefana, Paolo Fusar-Poli, Eduard Vieta, Charles J Gelso, Eric A Youngstrom","doi":"10.1080/10503307.2024.2320331","DOIUrl":"10.1080/10503307.2024.2320331","url":null,"abstract":"Objective: To develop and validate a very brief version of the 24-item Real Relationship Inventory-Client (RRI-C) form.Method: Two independent samples of individual psychotherapy patients (Nsample1 = 700, Nsample2 = 434) completed the RRI-C along with other measures. Psychometric scale shortening involved exploratory factor analysis, item response theory analysis, confirmatory factor analysis (CFA), and multigroup CFA. Reliability and convergent and discriminant validity of the scale and subscales were also assessed.Results: The 8-item RRI-C (RRI-C-SF) preserves the two-factor structure: Genuineness (k = 4, α = .86) and Realism (k = 4, α = .87), which were correlated at r = .74. CFA provided the following fit indices for the bifactor model: X2/df = 2.16, CFI = .99, TLI = .96, RMSEA = .07, and SRMR = .03. Multigroup CFA showed that the RRI-C-SF was invariant across in-person and remote session formats. The RRI-C-SF demonstrated high reliability (α = .91); high correlation with the full-length scale (r = .96); and excellent convergent and discriminant validity with measures of other elements of the therapeutic relationship, personality characteristics, current mental health state, and demographic-clinical variables. Clinical change benchmarks were calculated to serve as valuable tools for both research and clinical practice.Conclusion: The RRI-C-SF is a reliable measure that can be used for both research and clinical purposes. It enables a nuanced assessment of the genuineness and the realism dimensions of the real relationship.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"395-411"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144385","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

An examination of therapists' professional characteristics as moderators of the effect of feedback on psychological treatment outcomes. 研究治疗师的专业特点对反馈对心理治疗结果影响的调节作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-13 DOI: 10.1080/10503307.2024.2310635

Jaime Delgadillo, Helene A Nissen-Lie, Kim De Jong, Thomas A Schröder, Michael Barkham

{"title":"An examination of therapists' professional characteristics as moderators of the effect of feedback on psychological treatment outcomes.","authors":"Jaime Delgadillo, Helene A Nissen-Lie, Kim De Jong, Thomas A Schröder, Michael Barkham","doi":"10.1080/10503307.2024.2310635","DOIUrl":"10.1080/10503307.2024.2310635","url":null,"abstract":"Feedback-informed treatment (FIT) has been shown to reduce the gap between more and less effective therapists. This study aimed to examine therapists' professional characteristics as potential moderators of the effect of feedback on treatment outcomes.The IAPT-FIT Trial was a clinical trial where therapists were randomly assigned to a FIT group or a usual care control group. Treatment response was monitored using measures of depression (PHQ-9), anxiety (GAD-7) and functional impairment (WSAS). In a secondary analysis of this trial (n = 1,835 patients; t = 67 therapists), we used multilevel modelling to examine interactions between therapists' professional characteristics (e.g., attitude towards and self-efficacy regarding feedback utilization, decision-making style, job satisfaction, burnout, difficulties in practice, coping styles, caseload size) with random allocation (FIT vs. controls) to identify moderators of the effects of feedback.Between 9.6% and 10.8% of variability in treatment outcomes was attributable to therapist effects. Therapist-level caseload sizes and external feedback propensity (EFP) moderated the effect of feedback on depression outcomes. No statistically significant main effects were found for any of the included therapist characteristics.FIT reduced variability in outcomes between therapists and was particularly effective for therapists with high EFP and larger caseloads.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"501-511"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724521","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