Psychotherapy Research最新文献_第3页

An updated meta-analysis of the relation between adult attachment style and working alliance. 成人依恋风格与工作联盟关系的最新荟萃分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-31 DOI: 10.1080/10503307.2024.2370344

Haruka Notsu, Rachel E Blansfield, Daniel S Spina, Kenneth N Levy

{"title":"An updated meta-analysis of the relation between adult attachment style and working alliance.","authors":"Haruka Notsu, Rachel E Blansfield, Daniel S Spina, Kenneth N Levy","doi":"10.1080/10503307.2024.2370344","DOIUrl":"https://doi.org/10.1080/10503307.2024.2370344","url":null,"abstract":"Objective: Previous meta-analyses have shown that client-rated working alliance is negatively correlated with attachment anxiety and attachment avoidance. The purpose of this study is to provide an updated meta-analysis of the relation between alliance and the two dimensions of attachment insecurity. Method: Random effects models were used to examine the relation between the working alliance and attachment anxiety and the relation between the working alliance and attachment avoidance. Results: The overall relation between alliance and attachment anxiety was r = -.09 (p = .01, k = 33, I2 = 43.7%). The overall relation between alliance and attachment avoidance was r = -.13 (p < .001, k = 33, I2 = 44.7%). There was no evidence that these relations varied across study characteristics such as client race or the number of therapists in the study. Conclusion: The results support the negative relations between client-rated alliance and both dimensions of client-rated attachment insecurity. Further research is needed to identify the factors that moderate this relationship, using a more diverse sample of study characteristics and a wider range of measures.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861316","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

Relationship between outcomes and processes in patients with chronic low back pain plus depressive symptoms: idiographic analyses within a randomized controlled trial. 慢性腰背痛加抑郁症状患者的治疗结果与治疗过程之间的关系：随机对照试验中的特异性分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-30 DOI: 10.1080/10503307.2024.2382429

Juan P Sanabria-Mazo, Iago Giné-Vázquez, Paula Cristobal-Narváez, Carlos Suso-Ribera, Azucena García-Palacios, Lance M McCracken, Steven C Hayes, Stefan G Hofmann, Joseph Ciarrochi, Juan V Luciano

{"title":"Relationship between outcomes and processes in patients with chronic low back pain plus depressive symptoms: idiographic analyses within a randomized controlled trial.","authors":"Juan P Sanabria-Mazo, Iago Giné-Vázquez, Paula Cristobal-Narváez, Carlos Suso-Ribera, Azucena García-Palacios, Lance M McCracken, Steven C Hayes, Stefan G Hofmann, Joseph Ciarrochi, Juan V Luciano","doi":"10.1080/10503307.2024.2382429","DOIUrl":"https://doi.org/10.1080/10503307.2024.2382429","url":null,"abstract":"Objective: This study explored the extent to which within-patient changes in processes targeted in Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) are associated with changes within-patient in pain intensity and depressed mood and evaluated the extent that process-outcome relationships differed between patients.Methods: An idiographic analysis embedded within a randomized controlled trial comparing ACT, BATD, and treatment-as-usual (TAU) was conducted to examine the strength of the relationship between outcomes and process variables in patients with chronic low back pain (CLBP) plus depressive symptoms. Based on data from ecological momentary assessment in patients (n = 82), the level of heterogeneity and the pooled effects of these relationships during the intervention period (70 days) were explored.Results: Overall, a high level of heterogeneity was identified in the relationship between pain intensity or depressed mood and psychological inflexibility or behavioral activation. Individual differences in the relationships between outcomes and process variables were identified in individual people during the intervention period. These individual differences appear independent of the group (ACT, BATD, and TAU) and other definable differences (responders/non-responders, completers/non-completers, and clinical depression/non-clinical depression).Conclusions: These findings suggest the potential utility of personalizing psychological interventions according to the therapeutic needs of these patients.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856837","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

Is the Norwegian stepped care model for allocation of patients with mental health problems working as intended? A cross-sectional study. 挪威为精神疾病患者提供的阶梯式护理模式是否达到预期效果？一项横断面研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-22 DOI: 10.1080/10503307.2024.2378017

Martin Schevik Lindberg, Martin Brattmyr, Jakob Lundqvist, Stian Solem, Odin Hjemdal, Eirik Roos, Ane Bjøru Fjeldsæter, Thröstur Björgvinsson, Peter Cornish, Audun Havnen

{"title":"Is the Norwegian stepped care model for allocation of patients with mental health problems working as intended? A cross-sectional study.","authors":"Martin Schevik Lindberg, Martin Brattmyr, Jakob Lundqvist, Stian Solem, Odin Hjemdal, Eirik Roos, Ane Bjøru Fjeldsæter, Thröstur Björgvinsson, Peter Cornish, Audun Havnen","doi":"10.1080/10503307.2024.2378017","DOIUrl":"https://doi.org/10.1080/10503307.2024.2378017","url":null,"abstract":"Objective: Stepped care models are frameworks for mental health care systems in several countries. According to Norwegian guidelines, individuals with mental health problems of mild severity should be treated in community mental health services, moderate severity in specialist mental health services, while complex/severe problems are often a shared responsibility. This study investigated whether patients are allocated as intended.Methods: In a cross-sectional study, 4061 outpatients recruited from community- and specialist mental health services reported demographic variables, symptoms of anxiety/depression, functional impairment, health status, and sick leave status. The community sample consisted of two subsamples: mild/moderate problems and complex problems.Results: There was substantial overlap (80%-99%) of symptoms, impairment, and health between community- and specialist mental health services. More impairment, worse health, lower age, and being male were associated with treatment at specialist level compared to community mild/moderate. Better health, being in a relationship, and lower age were associated with specialized treatment compared to community complex group.Conclusion: The limited association between treatment level and symptoms and functional impairment reveals inconsistencies between treatment guidelines and clinical practice. How the existing organization affects patient outcomes and satisfaction should be investigated further.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735347","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

A cohort study of engagement in telehealth psychotherapy versus in-person services. 一项关于远程心理治疗与面对面服务参与情况的队列研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-21 DOI: 10.1080/10503307.2024.2375231

Mary Beth Connolly Gibbons, Lang Duong, Rachel Y Chiu, Paul Crits-Christoph, Robert Gallop, David Mandell, Olga Barg, Cory F Newman, Lily A Brown, Maria A Oquendo

{"title":"A cohort study of engagement in telehealth psychotherapy versus in-person services.","authors":"Mary Beth Connolly Gibbons, Lang Duong, Rachel Y Chiu, Paul Crits-Christoph, Robert Gallop, David Mandell, Olga Barg, Cory F Newman, Lily A Brown, Maria A Oquendo","doi":"10.1080/10503307.2024.2375231","DOIUrl":"https://doi.org/10.1080/10503307.2024.2375231","url":null,"abstract":"Objective: Although telehealth psychotherapies have been studied for over 20 years, mental health services remained largely delivered in person until the COVID-19 pandemic forced clinics to reconsider the utility of telehealth psychotherapy. This study aims to compare patient engagement in in-person versus telehealth services in outpatient psychotherapy for mood and anxiety disorders.Method: A cohort investigation was conducted, using a propensity score matched sample, extracted from an electronic health record (EHR) to compare engagement in psychotherapy for 762 patients who used in-person services before the pandemic to a cohort of 762 patients who used telehealth psychotherapy after the onset of COVID-19. The authors compared cohorts on initial engagement in psychotherapy services following an initial intake, number of psychotherapy sessions attended, and the rate of missed sessions.Results: There was a 26% increase in the total number of individual psychotherapy sessions attended when the clinics transitioned to telehealth services (p < .001). In addition, patients who received telehealth psychotherapy were five times more likely to not cancel or miss any scheduled sessions (p < .001).Conclusion: These results indicate that telehealth services may result in improved treatment engagement for outpatient centers focused on brief evidence-based psychotherapies for mood and anxiety disorders.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735346","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

Clients' and therapists' parasympathetic interpersonal and intrapersonal regulation dynamics during psychotherapy for depression. 抑郁症心理治疗过程中客户和治疗师的副交感神经人际和人内调节动力。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-18 DOI: 10.1080/10503307.2024.2378038

Omer Goren, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schectman, Maya Wolff, Dana Atzil-Slonim

{"title":"Clients' and therapists' parasympathetic interpersonal and intrapersonal regulation dynamics during psychotherapy for depression.","authors":"Omer Goren, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schectman, Maya Wolff, Dana Atzil-Slonim","doi":"10.1080/10503307.2024.2378038","DOIUrl":"https://doi.org/10.1080/10503307.2024.2378038","url":null,"abstract":"Objective: The literature on affective regulation in psychotherapy has traditionally relied on explicit client self-report measures. However, both clients' and therapists' affect fluctuate moment-to-moment during a session, highlighting the need for more implicit and continuous indices to better understand these dynamics. This study examined parasympathetic interpersonal and intrapersonal regulation dynamics between therapists and clients with Major Depressive Disorder during Supportive-Expressive Therapy.Method: Data were collected from 52 dyads across five preselected sessions, using the Respiratory Sinus Arrhythmia (RSA) index. We employed a longitudinal Actor-Partner Interdependence Model, with clients self-reporting their functioning level before and after each session, as the moderator.Results: Therapists' RSA at one time point negatively associated with clients' RSA at the next, and vice-versa, indicating interpersonal regulation. Clients' RSA at one time point was positively associated with their RSA at the next, indicating intrapersonal regulation. However, only interpersonal regulation was significantly moderated by clients' pre-to-post session functioning. Specifically, sessions where clients led positive dyadic RSA associations showed greater improvement in clients' functioning than those led by therapists.Conclusion: Physiological interpersonal regulation, measured by RSA, may be a catalyst for change in depression treatment. Therapists who are responsive to clients' arousal levels may help clients improve their functioning.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724793","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

A person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy. 以人为本的跨诊断模式和模式特征方法，用于预测限时模式小组疗法的结果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-17 DOI: 10.1080/10503307.2024.2375251

M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe

{"title":"A person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy.","authors":"M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe","doi":"10.1080/10503307.2024.2375251","DOIUrl":"https://doi.org/10.1080/10503307.2024.2375251","url":null,"abstract":"Objective: This study employs a person-centered transdiagnostic approach to examine how schema and mode profiles predict symptom severity reduction in schema group therapy for patients with personality disorders and enduring clinical syndromes.Method: We analyzed symptom reduction in 248 patients across three formats of manualized, time-limited schema group therapy. Latent profile analysis and mixed multilevel modeling were used to determine the extent to which schema/mode classes predict symptom reduction, and whether the inclusion of individual schemas and modes enhances these predictions.Results: No significant differences in treatment outcomes were found across the group modalities. A three latent profile solution for schemas and modes showed external validity with clinical variables and demonstrated that declines in symptom severity varied by schema and mode class, even after adjusting for baseline symptom severity. Adding the Vulnerability to Harm schema and Vulnerable Child mode to the model increased the explained variance.Conclusion: Patients with more severe personality problems show more substantial symptom reduction. Both schema and mode profiles significantly contribute to predicting post-treatment symptom levels. Understanding these profiles may help therapists tailor interventions more effectively, consistent with Young's theoretical model.Trial registration: ISRCTN.org identifier: ISRCTN17262253.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635016","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

Direct retrospective measurement of therapeutic changes: an example using the Czech version of the Questionnaire of Personal Changes (Q-PC). 直接回顾性测量治疗变化：以捷克版个人变化问卷（Q-PC）为例。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-08 DOI: 10.1080/10503307.2024.2370357

Tomáš Řiháček, Kateřina Macková, Hynek Cígler

{"title":"Direct retrospective measurement of therapeutic changes: an example using the Czech version of the Questionnaire of Personal Changes (Q-PC).","authors":"Tomáš Řiháček, Kateřina Macková, Hynek Cígler","doi":"10.1080/10503307.2024.2370357","DOIUrl":"https://doi.org/10.1080/10503307.2024.2370357","url":null,"abstract":"Objective: The study aimed to test the psychometric properties of the Czech translation of the Questionnaire of Personal Changes (Q-PC), a measure designed for retrospective (direct) measurement of change in psychotherapy.Methods: A sample of group psychotherapy clients (N = 222) and a nonclinical sample (N = 167) sample were used. Clients in the clinical sample were administered the Q-PC in addition to several pre-post outcome measures. Confirmatory factor analysis, correlational analysis, and structural equation modeling were used to test the Q-PC's factor structure, longitudinal measurement invariance, reliability, convergent validity, sensitivity to change, and other psychometric properties.Results: The Q-PC demonstrated a unidimensional structure that was strictly invariant between two follow-up measurement waves. The measure also demonstrated excellent reliability and sensitivity to change and good convergent validity. Furthermore, it demonstrated a similar relationship to baseline severity as the pre-post outcome measures.Conclusions: The retrospective measurement of change is a promising approach that has the potential to complement the traditional pre-post measurement of change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560064","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

Direct and indirect effects of adverse and protective childhood experiences on symptom improvement in psychotherapy. 不良童年经历和保护性童年经历对心理治疗中症状改善的直接和间接影响。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-09-14 DOI: 10.1080/10503307.2023.2254917

David Kindermann, Ivo Rollmann, Maximilian Orth, Hans-Christoph Friederich, Christoph Nikendei

{"title":"Direct and indirect effects of adverse and protective childhood experiences on symptom improvement in psychotherapy.","authors":"David Kindermann, Ivo Rollmann, Maximilian Orth, Hans-Christoph Friederich, Christoph Nikendei","doi":"10.1080/10503307.2023.2254917","DOIUrl":"10.1080/10503307.2023.2254917","url":null,"abstract":"To investigate the effects of adverse and protective childhood experiences on symptom improvement in outpatient psychotherapy.We evaluated n = 648 completed outpatient psychodynamic psychotherapies. First, we estimated the rate of symptom improvement for each patient using a two-stage hierarchical linear model. We then calculated the direct and indirect influences of childhood experiences on the improvement rate using a structural equation model. Personality functioning, according to the Operationalized Psychodynamic Diagnosis system, was examined as being a possible mediating factor.The presence of adverse childhood experiences was directly associated with a slower improvement rate in psychotherapy. Moreover, a higher number of adverse childhood experiences was associated with greater impairments in the ability to communicate as one dimension of personality functioning, which in turn was associated with a slower improvement of symptoms. Protective childhood experiences were associated with fewer impairments in specific dimensions of personality functioning, but had no direct effect on the improvement rate.Adverse childhood experiences can directly influence the course of psychotherapy. In addition, the communication dimension of personality functioning appears to be a central mediator on which adverse and protective childhood experiences act antagonistically and can thus indirectly affect the improvement rate in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230025","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 Cooper-Norcross Inventory of Preferences: Measurement invariance across international datasets and languages. 库珀-诺克罗斯偏好量表：跨国际数据集和语言的测量不变性。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-09-15 DOI: 10.1080/10503307.2023.2255371

Tomáš Řiháček, Mick Cooper, Hynek Cígler, Zhuang She, Gina Di Malta, John C Norcross

{"title":"The Cooper-Norcross Inventory of Preferences: Measurement invariance across international datasets and languages.","authors":"Tomáš Řiháček, Mick Cooper, Hynek Cígler, Zhuang She, Gina Di Malta, John C Norcross","doi":"10.1080/10503307.2023.2255371","DOIUrl":"10.1080/10503307.2023.2255371","url":null,"abstract":"Objective: The Cooper-Norcross Inventory of Preferences (C-NIP) is a brief, multidimensional measure of clients' therapy preferences. This study aimed to examine the factor structure and measurement invariance of the C-NIP.Method: Fifteen datasets (N = 10,088 observations) representing the C-NIP in nine language versions were obtained from authors of psychometric studies. Confirmatory factor analysis and exploratory structural equation modeling were used to analyze the data.Results: None of the proposed models adequately fit the data. Therefore, a new model was developed that sufficiently fit most of the C-NIP version 1.1 datasets. The new model was invariant up to the strict and means levels across genders, ages, and psychotherapy experience but only up to the metric level across translations.Conclusions: The C-NIP can be used to compare men and women, people of diverse ages, and people with some vs. no experience with psychotherapy. Lower reliabilities of the C-NIP scales are a limitation.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10263580","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

Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists' attitudes and practices. 告知患者心理治疗可能产生的负面影响：瑞典临床心理学家的态度和实践调查。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-09-27 DOI: 10.1080/10503307.2023.2259064

Fanny Westin, Alexander Rozental

{"title":"Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists' attitudes and practices.","authors":"Fanny Westin, Alexander Rozental","doi":"10.1080/10503307.2023.2259064","DOIUrl":"10.1080/10503307.2023.2259064","url":null,"abstract":"Objective: The present study explored Swedish clinical psychologists' attitudes and practices of informing patients about possible negative effects of psychological treatment.Method: An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age M = 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ2, binominal regression analysis, and thematic analysis.Results: No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.Conclusion: The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137595","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