Psychotherapy Research最新文献_第4页

"It's like having that supervisor in the room": Examining AI as a reflective partner. “这就像在房间里有一个主管”：将AI视为一个反思的伙伴。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-09-01 Epub Date: 2025-10-13 DOI: 10.1080/10503307.2025.2569047

Elizabeth B Matthews, Dania Lerman, N Beach, Dana Wiczyk, Lauri Goldkind

{"title":"\"It's like having that supervisor in the room\": Examining AI as a reflective partner.","authors":"Elizabeth B Matthews, Dania Lerman, N Beach, Dana Wiczyk, Lauri Goldkind","doi":"10.1080/10503307.2025.2569047","DOIUrl":"10.1080/10503307.2025.2569047","url":null,"abstract":"Objective: Reflective practice is vital to high-quality therapeutic work, enabling clinicians to critically examine their professional practices. Increasing opportunities to engage in reflective processes stands to increase clinician wellbeing and thereby improve quality of care. Generative Artificial Intelligence (GAI), specifically large language models, provide new ways for clinicians to gain insight into their work. This study explores a unique unintended consequence of GAI clinical notetaking platforms, the support of reflective practice among mental health clinicians.Method: Semi structured interviews were conducted with clinicians (n = 17) to learn about their experience using GAI clinical note-taking platforms. Interviews were recorded and analyzed using a grounded theory approach to identify themes.Results: Respondents described how AI platforms functioned as a reflective partner by offering alternative clinical interpretations, lending clarity to their existing practice approach, and creating space to be more present during sessions.Conclusions: AI note-taking platforms are a feasible and scalable way to support reflective practice. Implications for clinical training and ongoing professional development are discussed, and opportunities for future research on the use of AI tools to enhance reflective practice are identified.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1306-1317"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287218","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 complexities of research ethics when therapists become research subjects: power, privacy, and professional boundaries in psychotherapy research. 当治疗师成为研究对象时，研究伦理的复杂性：心理治疗研究中的权力、隐私和专业界限。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-09-01 Epub Date: 2025-10-10 DOI: 10.1080/10503307.2025.2569828

Refael Yonatan-Leus, Gaby Shefler

{"title":"The complexities of research ethics when therapists become research subjects: power, privacy, and professional boundaries in psychotherapy research.","authors":"Refael Yonatan-Leus, Gaby Shefler","doi":"10.1080/10503307.2025.2569828","DOIUrl":"10.1080/10503307.2025.2569828","url":null,"abstract":"The focus on therapist variables and characteristics has significantly increased in psychotherapy research in recent years. While ethical considerations for patient-participants are well-established, the unique ethical dimensions of therapist-subjects remain underexplored. This theoretical paper examines three critical ethical aspects specific to therapist-participants: power dynamics in hierarchical relationships, personal-professional boundary issues, and confidentiality challenges. We analyze how these considerations manifest particularly in training contexts where researchers often hold supervisory roles over therapist-subjects (e.g., faculty supervising student-therapists). The paper explores the complex interplay between informed consent and institutional hierarchies, especially when participation may be perceived as professionally expected rather than voluntary. We examine the implications of recording and analyzing therapy sessions that expose therapists' personal characteristics and professional competencies, particularly when coded by colleagues within small professional communities. While existing ethical frameworks address research participants generally, they lack specific guidance for the unique vulnerabilities of therapists who are simultaneously research subjects and professional practitioners. We propose targeted considerations for ethical research design, including enhanced informed consent procedures, structural safeguards for managing power differentials, and privacy protections tailored to professional contexts. This theoretical exploration aims to highlight overlooked ethical complexities and guide future research practices when therapists serve as subjects in psychotherapy research.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1171-1178"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276311","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

"It's a very tricky area": Exploring the use of experiential knowledge of recovered eating disorder professionals in eating disorder treatment. “这是一个非常棘手的领域”：探索在饮食失调治疗中使用康复饮食失调专业人士的经验知识。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-09-01 Epub Date: 2025-10-16 DOI: 10.1080/10503307.2025.2569041

Charlotte A Bijkerk, Robert R J M Vermeiren, Maja Stulemeijer, Laura A Nooteboom

{"title":"\"It's a very tricky area\": Exploring the use of experiential knowledge of recovered eating disorder professionals in eating disorder treatment.","authors":"Charlotte A Bijkerk, Robert R J M Vermeiren, Maja Stulemeijer, Laura A Nooteboom","doi":"10.1080/10503307.2025.2569041","DOIUrl":"10.1080/10503307.2025.2569041","url":null,"abstract":"Objective: A substantial number of therapists in the eating disorder (ED) field have experienced an ED themselves, yet research on professionals using their personal ED experience as a therapeutic tool is scarce. This study explores the perspectives of recovered ED professionals (REDPs) who intentionally employ their experiential knowledge in ED treatment, examining its use, advantages, and challenges.Method: Semi-structured interviews were conducted with 20 REDPs using a topic list with open-ended questions based on our research aim and a previous literature review (Bijkerk et al., 2024).Results: REDPs play a key role in treatment, with self-disclosure occurring in various forms. Experiential knowledge of REDPs offers benefits like motivation, hope, and understanding, but also challenges such as potential client burden or misguidance. Successful implementation of experiential knowledge requires organizational adjustments (supervision, work guidance and adequate training) and the REDPs' responsibility to create the right conditions for using their experiential knowledge efficiently.Conclusion: Applying lived experience in practice by REDPs requires additional competence as it places these professionals into a difficult position of having to balance self-disclosure with ethical risks to clients and the risks to one's personal and professional self. Moreover, beneficial use of experiential knowledge in practice requires organizational support.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1207-1218"},"PeriodicalIF":3.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303914","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

Collaborative case formulation work in emotion focused therapy: a process microanalytic study. 情绪集中治疗中的合作案例制定工作：过程微分析研究。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-27 DOI: 10.1080/10503307.2026.2721635

Iulia Ligia Manastireanu, Robert Elliott, Susan Stephen

{"title":"Collaborative case formulation work in emotion focused therapy: a process microanalytic study.","authors":"Iulia Ligia Manastireanu, Robert Elliott, Susan Stephen","doi":"10.1080/10503307.2026.2721635","DOIUrl":"https://doi.org/10.1080/10503307.2026.2721635","url":null,"abstract":"Objectives: To better understand how case formulations are developed in client-therapist interactions, we investigated examples to identify the implicit defining characteristics of CFW and therapist response modes (TRMs) present in them.Method: Using recordings of well-known EFT therapists, we extracted all examples of CFW by client and therapist, applying open-ended qualitative process-description to identify their implicit defining characteristics. This was followed by coding TRMs used.Results: We found five defining features of collaborative CFW for therapist and client: reflective (vs. narrative), connective (vs. dealing with isolated elements), previously unspoken (vs. repeated), collaborative (vs. unilateral), and primary (vs. secondary to another activity). We also identified the TRMs present in CFW, the three most common being: empathic formulation, empathic conjecture, and empathic refocusing.Conclusion: In providing a research-based definition of CFW, we highlighted the breadth and collaborative nature of CFW. By highlighting the role of empathic conjecture and refocusing in CFW, we hope to more effectively guide therapeutic practice. Thus, this study illustrates a promising, new micro-analytic approach to studying types of therapist intervention.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833013","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 retrospective experience of therapists' self-disclosure in treatments described as successful. 回顾治疗师在成功治疗中自我表露的经验。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-22 DOI: 10.1080/10503307.2026.2721644

Liv Cohen, Bar Mizrahi, Refael Yonatan-Leus

{"title":"A retrospective experience of therapists' self-disclosure in treatments described as successful.","authors":"Liv Cohen, Bar Mizrahi, Refael Yonatan-Leus","doi":"10.1080/10503307.2026.2721644","DOIUrl":"https://doi.org/10.1080/10503307.2026.2721644","url":null,"abstract":"Objective: This study examined therapists' retrospective experiences regarding self-disclosure in successful treatments. Previous research indicates that therapeutic alliance, empathy, and integrity are crucial for treatment success, with self-disclosure serving as an additional tool for fostering meaningful therapeutic relationships. Method: A qualitative approach was employed with nineteen clinical psychologists. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Two contextual background themes emerged alongside two main findings. The contextual themes describe: (1) factors contributing to treatment success, including positive therapeutic alliance and patient characteristics such as high motivation; and (2) treatment outcomes, manifested in functional improvements and emotional changes. The main findings address: (1) considerations for employing self-disclosure, encompassing intuitive and emotion-based motives alongside structured therapeutic assessment, primarily aimed at normalizing and validating patient experiences; and (2) therapists' perceived impact on therapeutic dynamics, ranging from strengthened alliance and deepened emotional closeness to limited or unclear effects. Conclusions: Self-disclosure is a complex intervention that requires informed clinical judgment, a deep understanding of therapeutic dynamics, and careful adaptation to individual patient needs. The study underscores the need for balance between intuition and rational considerations. These findings contribute to a nuanced understanding of self-disclosure and its thoughtful application for improving treatment outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.8,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799685","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

Prediction in routine care: a naturalistic comparison of clinicians and a machine learning model for patients receiving treatment for generalised anxiety disorder. 常规护理中的预测：临床医生和接受广泛性焦虑症治疗的患者的机器学习模型的自然比较。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-13 DOI: 10.1080/10503307.2026.2715402

H Delamain, L Dolby, H Partington, C K Chu, J W Suh, J Leibowitz, S Pilling, R Saunders, J E J Buckman

{"title":"Prediction in routine care: a naturalistic comparison of clinicians and a machine learning model for patients receiving treatment for generalised anxiety disorder.","authors":"H Delamain, L Dolby, H Partington, C K Chu, J W Suh, J Leibowitz, S Pilling, R Saunders, J E J Buckman","doi":"10.1080/10503307.2026.2715402","DOIUrl":"https://doi.org/10.1080/10503307.2026.2715402","url":null,"abstract":"Objective: Approximately half of patients with generalised anxiety disorder (GAD) do not recover following psychological treatment. Accurate prognostic judgement may support clinical decision-making and planning. This study compared the predictive accuracy of clinicians and a validated machine learning model and examined factors clinicians reported using when forming predictions.Method: Clinicians from two routine psychological therapies services in the UK predicted post-treatment GAD-7 scores and categorical outcomes (reliable improvement, reliable recovery, deterioration) for 100 patients prior to treatment, providing confidence ratings and free-text explanations. Predictions were compared with those generated by a pre-trained Bayesian Additive Regression Tree model using mean absolute error (MAE), root mean squared error (RMSE), and area under the receiver operating characteristic curve (AUC). Clinician rationales were analysed thematically.Results: Among 66 patients with complete outcomes, the model showed numerically greater accuracy for post-treatment GAD-7 scores, reliable improvement, and recovery, although these differences were not statistically significant. Both approaches performed poorly for deterioration. Clinicians reported high confidence (M = 67.3%), which was unrelated to accuracy. Thematic analysis identified contextual factors such as motivation and engagement not captured in routinely collected data.Conclusion: Structured prediction models may enhance prognostic accuracy in routine psychotherapy and complement clinician judgement.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762453","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

Exploring an implicit test to measure affective outcomes in routine psychotherapy evaluations. 探索在常规心理治疗评估中测量情感结果的内隐测试。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-13 DOI: 10.1080/10503307.2026.2701029

Ricardo M Tamayo, Carmen Elvira Navia Arroyo, Daniel Espinosa-Duque

{"title":"Exploring an implicit test to measure affective outcomes in routine psychotherapy evaluations.","authors":"Ricardo M Tamayo, Carmen Elvira Navia Arroyo, Daniel Espinosa-Duque","doi":"10.1080/10503307.2026.2701029","DOIUrl":"10.1080/10503307.2026.2701029","url":null,"abstract":"Objective: Current routine outcome monitoring in psychotherapy relies heavily on self-reports. In the present study, we developed and evaluated a brief implicit measure based on the Affect Misattribution Procedure (AMP) designed to complement the CORE-OM or other ROM measures. Method: Individuals seeking psychotherapy at a university-based service (n = 109) and non-clinical undergraduate controls (n = 46) completed a self-referential Affect Misattribution Procedure and the CORE-OM. We examined group differences, associations between implicit and explicit distress, split-half reliability, and exploratory longitudinal change. Results: Implicit scores were significantly higher in the clinical than in the control group, with a small to medium effect size (g = 0.41), whereas the CORE-OM difference was large (g = 1.07). Implicit and explicit distress showed moderate convergence, and CORE-OM scores accounted for approximately 12% of the variance in AMP scores. The AMP also showed high split-half reliability (rsβ = .92) and preliminary sensitivity to therapeutic change over 12 sessions (dz = 0.54). Conclusion: These findings support the feasibility of a brief implicit task that yields a reliable and partially distinct index of self-identification related to distress, supporting its use as a complementary component for triangulation between implicit measures and explicit self-report measures within routine outcome monitoring.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725531","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

Modeling changes in distress in a psychotherapy training setting from a middle-income country: A three-level analysis. 中等收入国家心理治疗培训环境中痛苦的建模变化：三层次分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-10 DOI: 10.1080/10503307.2026.2715385

Jorge Valdiviezo-Oña, Chris Evans, Adrián Montesano, Clara Paz

{"title":"Modeling changes in distress in a psychotherapy training setting from a middle-income country: A three-level analysis.","authors":"Jorge Valdiviezo-Oña, Chris Evans, Adrián Montesano, Clara Paz","doi":"10.1080/10503307.2026.2715385","DOIUrl":"https://doi.org/10.1080/10503307.2026.2715385","url":null,"abstract":"Objective: This study explored change in distress during psychotherapy in a training setting from a middle-income country, examining client demographics and between-therapist variability.Method: Participants were 220 adults attending ≥5 sessions. Most were women (66.82%); aged 18-62 (Mean = 23.48 [22.61, 24.42], SD = 6.90). Distress was assessed with the CORE-10. Two- and three-level models with linear, quadratic, and logarithmic time functions were compared. Three-level models were fit with and without adjustment for first score, age and gender.Results: The quadratic three-level model including first score, age and gender fit best (R2 = 0.72). Higher initial distress was associated with higher symptom levels across sessions but did not moderate the rate of improvement over time. Therapist effects were small but statistically significant (longitudinal: 2.9%; pre-post: 1.4%). Pre-therapy gender differences were not statistically significant; however, men improved faster initially. Age showed no statistically significant association with pre-therapy distress.Conclusion: Clients showed early improvements that decelerated and between-therapist differences were small after accounting for baseline distress. Findings suggest that strengthening early engagement and attending to possible gender-related differences in early response may help inform service delivery in middle-income countries, although these strategies were not directly tested in the present study.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708083","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

Emotion Focused Therapy for Youth: Within-Session Sudden Gains. 青少年的情绪集中治疗：会议内的突然收益。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-08-07 DOI: 10.1080/10503307.2026.2681512

Mirisse Foroughe, Serena Darking, Alisa Torchia, Michelle Park, Lauren Arbuck

{"title":"Emotion Focused Therapy for Youth: Within-Session Sudden Gains.","authors":"Mirisse Foroughe, Serena Darking, Alisa Torchia, Michelle Park, Lauren Arbuck","doi":"10.1080/10503307.2026.2681512","DOIUrl":"https://doi.org/10.1080/10503307.2026.2681512","url":null,"abstract":"Objective: Research has found an association between sudden gains (SGs), known as rapid symptom improvements, and positive therapeutic outcomes. Experiential therapies, like Emotion Focused Therapy for Youth (EFT-Y), provide opportunities for SGs. Our study is the first to evaluate within-session SGs in EFT-Y. Method: Participants who completed treatment from a previous randomized, waitlist-control design were analysed for within-session symptom shifts. The subsample comprised 22 youth (ages 9-17), evaluating their emotion regulation (ER) and symptoms of depression. Measures were taken at eight time points: before treatment, at the beginning and end of sessions 2, 4, and 6, and after session 8. Results: Half of the participants experienced at least one SG in their ER, and 33% of participants experienced SGs in their depression symptoms. Regardless of SG status, all participants' symptoms significantly improved post-treatment. Conclusion: Within EFT-Y, rapid improvements can occur within a single session, unlike the commonly studied phenomenon of SGs between sessions. Both SG-responders and non-SG-responders showed symptom improvements during and post-treatment, suggesting that EFT-Y is an effective treatment for young clients and that SGs may provide valuable insight into key moments of transformation and therapeutic progress.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.8,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690065","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

Predicting premature treatment termination in inpatient psychotherapy: A machine learning approach. 预测住院心理治疗中的过早治疗终止：一种机器学习方法。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-31 DOI: 10.1080/10503307.2026.2710330

Marlene Engstler, Wolfgang Lutz, Brian Schwartz, Simone Jennissen, Hans-Christoph Friederich, Ulrike Dinger

{"title":"Predicting premature treatment termination in inpatient psychotherapy: A machine learning approach.","authors":"Marlene Engstler, Wolfgang Lutz, Brian Schwartz, Simone Jennissen, Hans-Christoph Friederich, Ulrike Dinger","doi":"10.1080/10503307.2026.2710330","DOIUrl":"https://doi.org/10.1080/10503307.2026.2710330","url":null,"abstract":"Objective: The study aimed to quantify types of premature treatment termination in a psychosomatic hospital and to investigate if patient characteristic at the beginning of inpatient or day-clinic treatment can predict a subsequent premature termination.Method: Routine clinical data were analysed retrospectively for N = 2017 patients. Based on treatment length and medical discharge reports, patients were categorized as premature treatment termination related to therapeutic reasons (PTT-T) or not (NPTT-T) by two independent raters. Next, two prediction models were built using random forest algorithms. Model 1 included general clinical information, model 2 additional data from self-report measures at treatment admission. Finally, a SHAP feature importance plot was calculated for each model.Results: In this study, 12.1% of the patients ended treatment prematurely related to therapeutic reasons. Model 1 predicted 29% of PTT-Ts and 95% of NPTT-Ts in the holdout sample correctly. Model 2 was able to identify 59% of PTT-Ts and 80% of NPTT-Ts. The absence of self-report measures at admission was the predictor variable with the greatest influence.Conclusion: PTT-T in inpatient treatment can substantially be predicted by routine clinical intake data, which can therefore provide a valuable source for identifying patients at risk.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":3.8,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632295","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