Psychotherapy Research最新文献

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The usefulness of combining topic modelling and statistical analysis to investigate the therapeutic process: A single case study. 结合主题模型和统计分析来调查治疗过程的有用性:一个个案研究。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-27 DOI: 10.1080/10503307.2025.2500504
Davide Liccione, Luisa Siciliano
{"title":"The usefulness of combining topic modelling and statistical analysis to investigate the therapeutic process: A single case study.","authors":"Davide Liccione, Luisa Siciliano","doi":"10.1080/10503307.2025.2500504","DOIUrl":"https://doi.org/10.1080/10503307.2025.2500504","url":null,"abstract":"<p><strong>Objective: </strong>This study examines whether patterns in the movement of topics during psychotherapy sessions can provide psychotherapists with actionable insights for single-case analysis. It utilizes both statistical models and AI-driven tools to uncover these dynamics.</p><p><strong>Method: </strong>We transcribed a completed psychotherapy session comprising 26 sessions. First, common topics across all therapies were identified, and then expert psychotherapists labelled each conversational turn of this selected psychotherapy. As determined by the experts, the topic dynamics were analysed using Generalized Additive Mixed Models (GAMMs), which captured non-linear trends and hierarchical structures within the data. Subsequently, these trajectories, as identified by the experts, were compared with the topics extracted in an unsupervised manner using a topic modelling algorithm, called Latent Dirichlet Allocation (LDA).</p><p><strong>Results: </strong>Our findings confirm that topic trajectory analysis reliably indicates therapeutic progress. Specifically, topics related to suffering (SPS) decreased over time, while topics concerning therapeutic refiguration and insight (TRI) increased, reflecting clinical improvement.</p><p><strong>Conclusion: </strong>The study demonstrates that both GAMMs and LDA are useful tools to see how the topics in specific psychotherapy are modified their occurrence during the therapeutic work. Combining classical methods of statistical analysis and AI-driven topic analysis enhances the sensitivity of assessments, providing insights into how the psychotherapy work changes across sessions.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512617","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
Reinventing fatherhood -exploring men' experiences of participating in emotion-focused skills training. 重塑父亲身份——探索男性参与情感技能培训的经验。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-27 DOI: 10.1080/10503307.2025.2494747
Nadia Ansar, Signe Hjelen Stige, Selma Marie Pedersen Engeset, Benedicte Nilsen, Elisabeth Schanche, Aslak Hjeltnes
{"title":"Reinventing fatherhood -exploring men' experiences of participating in emotion-focused skills training.","authors":"Nadia Ansar, Signe Hjelen Stige, Selma Marie Pedersen Engeset, Benedicte Nilsen, Elisabeth Schanche, Aslak Hjeltnes","doi":"10.1080/10503307.2025.2494747","DOIUrl":"10.1080/10503307.2025.2494747","url":null,"abstract":"<p><strong>Objective: </strong>This study examines fathers' experiences of participating in Emotion-Focused Skills Training (EFST). Method: The study is based on transcribed interviews with five men (<i>M</i> = 48 years) who participated in EFST. We analyzed the data using reflexive Thematic Analysis.</p><p><strong>Results: </strong>We identified five main themes: (1) Breach of expectations in the face of the program; (2) The group created a sense of community and normalization; (3) The program strengthened cohesion with partner; (4) Gaining better understanding of own emotional and behavioral patterns; and (5) Accessing concrete skills made it possible to be a father in new ways.</p><p><strong>Conclusion: </strong>The findings show how the men experienced participation in EFST as both demanding and rewarding, with therapy-initiated processes expanding the perception of who they could be and what the role as a father and partner could entail.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512616","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 2.6 1区 心理学
Psychotherapy Research Pub 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":"https://doi.org/10.1080/10503307.2025.2519574","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","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
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 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-22 DOI: 10.1080/10503307.2025.2517567
Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenstöm
{"title":"Targeted Learning for Optimal Patient Assignment to Psychotherapy.","authors":"Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenstöm","doi":"10.1080/10503307.2025.2517567","DOIUrl":"10.1080/10503307.2025.2517567","url":null,"abstract":"<p><strong>Objective: </strong>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].</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Identifying optimal treatment rules for psychotherapy frameworks is feasible and may significantly improve outcomes.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-06-22","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
Group climate temporally precedes member improvement in emotional cultivation groups for youth. 在青少年情绪培养小组中,团体气氛暂时先于成员的改善。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2500506
Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho
{"title":"Group climate temporally precedes member improvement in emotional cultivation groups for youth.","authors":"Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho","doi":"10.1080/10503307.2025.2500506","DOIUrl":"https://doi.org/10.1080/10503307.2025.2500506","url":null,"abstract":"<p><p><b>Abstract</b><b>Objective:</b> This study investigated group climate dynamics and their impact on social adjustment in therapy groups for youth. <b>Method:</b> A total of 536 children and adolescents who were significantly depressed compared to norms, participated in 95 therapy groups in Taiwanese schools. We employed dynamic structural equation modeling to analyze session-to-session associations of group engagement and conflict and their effects on weekly changes in social adjustment, as rated by group members and leaders. <b>Results:</b> Contrary to our hypothesis, no reciprocal association was found between engagement and social adjustment. However, previous session engagement (<i>b</i> = 0.81, 95% CI [0.553, 1.075]) and conflict (<i>b</i> = 1.14, 95% CI [0.825, 1.515]) were positively associated with current social adjustment in the current week. A negative association was identified between prior engagement and current conflict (<i>b</i> = -0.61, 95% CI [-0.923, -0.351]), while previous conflict positively influenced current engagement (<i>b</i> = 1.53, 95% CI [1.116, 2.029]), suggesting a negative feedback loop (e.g., high engagement leads to low conflict, which leads to low engagement, which leads to high conflict, which leads to high engagement) that maintains group climate stability. <b>Conclusions:</b> Group climate plays a crucial role in youth group therapy, influencing members' social adjustment and demonstrating a dynamic interplay that supports climate homeostasis.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235610","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
Group Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis. 小组领导和成员此时此地焦点和治疗因素:一项语言调查和字数分析。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2506653
Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt
{"title":"Group Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis.","authors":"Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt","doi":"10.1080/10503307.2025.2506653","DOIUrl":"https://doi.org/10.1080/10503307.2025.2506653","url":null,"abstract":"<p><strong>Objective: </strong>Yalom (1985) believed that working in the here-and-now of the group is essential to facilitating the \"therapeutic factors\" necessary for a successful outcome. Yet, we currently lack research examining whether a here-and-now in-session focus predicts the therapeutic factors, as theorized.</p><p><strong>Methods: </strong>This study used <i>Linguistic Inquiry and Word Count</i> (LIWC) analysis to assess group member and leader in-session here-and-now focus by analyzing words spoken in a session.</p><p><strong>Results: </strong>The results suggest that when group leaders use more here-and-now words in a speaking turn, group members use more here-and-now words in the subsequent speaking turn. However, contrary to expectation, group leaders and group members \"matching\" on here-and-now language in a session did not predict more therapeutic factors in between sessions, but rather less social learning. Instead, how consistent or variable group members or leaders were in their here-and-now focus generally predicted more therapeutic factors.</p><p><strong>Conclusion: </strong>These results suggest that LIWC may be a promising vehicle to assess here-and-now language in group therapy sessions and that a here-and-now in-session focus has a complex relationship with the therapeutic factors.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235611","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 of a new observer-rated measure to assess the real relationship in psychotherapy sessions. 开发一种新的由观察者评分的测量方法,用于评估心理治疗过程中的真实关系。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-06-29 DOI: 10.1080/10503307.2024.2360459
Vera Békés, Daniel S Spina, Katie Aafjes-Van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron
{"title":"Development of a new observer-rated measure to assess the real relationship in psychotherapy sessions.","authors":"Vera Békés, Daniel S Spina, Katie Aafjes-Van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2360459","DOIUrl":"10.1080/10503307.2024.2360459","url":null,"abstract":"<p><strong>Objectives: </strong>Real relationship (RR) refers to a genuine human relationship between client and therapist, that has been found to be positively related to treatment outcome, and to predict unique variance in outcome over and above the working alliance. However, thus far, the measurement of RR has been limited to self-report. We aimed to develop an observer-rated version of the RR measure (RR-O) to assess RR in therapy sessions.</p><p><strong>Methods: </strong>We adapted items from the self-report measures to an observer rated measure, which was reviewed by RR experts. The final 24-item RR-O was rated in 540 session transcripts from 27 psychoanalytic treatments that already had existing process and outcome scores.</p><p><strong>Results: </strong>The RR-O showed good internal consistency and good interrater reliability. In hierarchical EFA, items clustered into a general RR factor, and client realism, client genuineness, therapist genuineness, and therapist realism group factors. In addition, the RR-O was positively related to another RR measure and to the therapeutic alliance.</p><p><strong>Conclusion: </strong>The RR-O shows initial reliability and validity as an observer-rated measure of the RR to be used in post-hoc psychotherapy research. Future research should clarify the relation between RR-O and treatment outcome.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"807-817"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471627","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
Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time. 精神分析治疗中治疗关系的隐含关系方面:对语言风格随时间演变的研究。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-04-24 DOI: 10.1080/10503307.2024.2341780
Katie Aafjes-Van Doorn, Daniel S Spina, Lena Müller-Frommeyer, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron
{"title":"Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time.","authors":"Katie Aafjes-Van Doorn, Daniel S Spina, Lena Müller-Frommeyer, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2341780","DOIUrl":"10.1080/10503307.2024.2341780","url":null,"abstract":"<p><strong>Objective: </strong>In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time.</p><p><strong>Method: </strong>In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes.</p><p><strong>Results: </strong>Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, <i>β<sub>linear </sub></i>= -0.0002, <i>SE</i> < .001, <i>t</i> = -13.04, <i>p</i> < .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models <i>β<sub>SpeakerT</sub></i> = -0.033, <i>SE</i> = 0.009, <i>t</i> = -3.65, <i>p</i> < .001. Levels of rLSM did not relate to treatment outcome.</p><p><strong>Conclusion: </strong>Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"763-776"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870248","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
Love yourself as a therapist, doubt yourself as an institution? Therapist and institution effects on outcome, treatment length, and dropout. 爱自己的治疗师,怀疑自己的机构?治疗师和机构对疗效、治疗时间和辍学的影响。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-06-03 DOI: 10.1080/10503307.2024.2352749
Anne-Katharina Deisenhofer, Miriam I Hehlmann, Julian A Rubel, Wolfgang Lutz, Brian Schwartz, Anne-Kathrin Bräscher, Hanna Christiansen, Lydia Fehm, Julia A Glombiewski, Jens Heider, Sylvia Helbig-Lang, Andrea Hermann, Jürgen Hoyer, Tina In-Albon, Tania Lincoln, Jürgen Margraf, Anne Katrin Risch, Henning Schöttke, Lars Schulze, Rudolf Stark, Tobias Teismann, Julia Velten, Ulrike Willutzki, Gabriele Wilz, Michael Witthöft, Patrizia Odyniec
{"title":"Love yourself as a therapist, doubt yourself as an institution? Therapist and institution effects on outcome, treatment length, and dropout.","authors":"Anne-Katharina Deisenhofer, Miriam I Hehlmann, Julian A Rubel, Wolfgang Lutz, Brian Schwartz, Anne-Kathrin Bräscher, Hanna Christiansen, Lydia Fehm, Julia A Glombiewski, Jens Heider, Sylvia Helbig-Lang, Andrea Hermann, Jürgen Hoyer, Tina In-Albon, Tania Lincoln, Jürgen Margraf, Anne Katrin Risch, Henning Schöttke, Lars Schulze, Rudolf Stark, Tobias Teismann, Julia Velten, Ulrike Willutzki, Gabriele Wilz, Michael Witthöft, Patrizia Odyniec","doi":"10.1080/10503307.2024.2352749","DOIUrl":"10.1080/10503307.2024.2352749","url":null,"abstract":"<p><p><b>Objective:</b> Research suggests that some therapists achieve better outcomes than others. However, an overlooked area of study is how institution differences impact patient outcomes independent of therapist variance. This study aimed to examine the role of institution and therapist differences in adult outpatient psychotherapy.<b>Method:</b> The study included 1428 patients who were treated by 196 therapists at 10 clinics. Two- and three-level hierarchical linear regression models were employed to investigate the effects of therapists and institutions on three dependent patient variables: (1) symptom change, (2) treatment duration, and (3) dropout. Level three explanatory variables were tested. <b>Results:</b> The results showed that therapist effects (TE) were significant for all three types of treatment outcome (7.8%-18.2%). When a third level (institution) was added to the model, the differences between therapists decreased, and significant institution effects (IE) were found: 6.3% for symptom change, 10.6% for treatment duration, and 6.5% for dropout. The exploratory analyses found no predictors able to explain the systematic variation at the institution level. <b>Discussion:</b> TE on psychotherapy outcomes remain a relevant factor but may have been overestimated in previous studies due to not properly distinguishing them from differences at the institution level.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"793-806"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236933","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
Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index. 创伤后应激障碍患者的个性化治疗选择:个性化优势指数的外部验证。
IF 2.6 1区 心理学
Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-06-11 DOI: 10.1080/10503307.2024.2360449
James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo
{"title":"Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index.","authors":"James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo","doi":"10.1080/10503307.2024.2360449","DOIUrl":"10.1080/10503307.2024.2360449","url":null,"abstract":"<p><strong>Objective: </strong>To test the predictive accuracy and generalisability of a personalised advantage index (PAI) model designed to support treatment selection for Post-Traumatic Stress Disorder (PTSD).</p><p><strong>Method: </strong>A PAI model developed by Deisenhofer et al. (2018) was used to predict treatment outcomes in a statistically independent dataset including archival records for <i>N </i>= 152 patients with PTSD who accessed either trauma-focussed cognitive behavioural therapy or eye movement desensitisation and reprocessing in routine care. Outcomes were compared between patients who received their PAI-indicated optimal treatment versus those who received their suboptimal treatment.</p><p><strong>Results: </strong>The model did not yield treatment specific predictions and patients who had received their PAI-indicated optimal treatment did not have better treatment outcomes in this external validation sample.</p><p><strong>Conclusion: </strong>This PAI model did not generalise to an external validation sample.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"838-851"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307168","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
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