Psychotherapy Research最新文献_第4页

Using latent profile analysis of clinical microskills to predict alliance and outcome of cognitive behavioral therapy. 应用临床微技能的潜在特征分析预测认知行为治疗的联合治疗和疗效。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-04-01 Epub Date: 2025-07-06 DOI: 10.1080/10503307.2025.2528029

Jana Schaffrath, Miriam I Hehlmann, Fabienne Mink, Danilo Moggia, Wolfgang Lutz

{"title":"Using latent profile analysis of clinical microskills to predict alliance and outcome of cognitive behavioral therapy.","authors":"Jana Schaffrath, Miriam I Hehlmann, Fabienne Mink, Danilo Moggia, Wolfgang Lutz","doi":"10.1080/10503307.2025.2528029","DOIUrl":"10.1080/10503307.2025.2528029","url":null,"abstract":"Objective: Research on clinical skills and therapy outcomes is inconsistent. This study identifies skills profiles in patient-therapist dyads and their links to outcomes.Method: Clinical microskills were assessed using the Inventory of Therapeutic Interventions and Skills (ITIS) in video-recorded therapy sessions of 194 patients treated by 32 therapists at a CBT outpatient clinic. Outcome and process measures - including distress, anxiety, depression, and alliance - were assessed at session 15. Latent profile analysis identified distinct skills profiles, and multilevel regression models examined their ability to predict outcomes.Results: Three latent skills profiles emerged: one high, one medium, and one low. Therapists shifted between profiles depending on the patient, averaging 2.4 profiles each. Higher skills profiles correlated with better alliance ratings and lower distress in session 15. Skills profiles were not linked to depressive symptoms, anxiety, or patient rated outcome.Conclusion: Therapeutic skills show state-like variability and influence the therapeutic alliance. These findings highlight the importance of examining dyadic processes to enhance therapy effectiveness.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"658-673"},"PeriodicalIF":3.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576693","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 treatment process and outcome using temporal dynamics of supervisory working alliance. 利用监督工作联盟的时间动态预测治疗过程和结果。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-12 DOI: 10.1080/10503307.2026.2634084

Yun Lu, Dennis M Kivlighan

{"title":"Predicting treatment process and outcome using temporal dynamics of supervisory working alliance.","authors":"Yun Lu, Dennis M Kivlighan","doi":"10.1080/10503307.2026.2634084","DOIUrl":"https://doi.org/10.1080/10503307.2026.2634084","url":null,"abstract":"Objective: This study examined the temporal dynamics of supervisor- and supervisee-rated supervisory working alliance (SWA) and their relations to treatment process and outcome.Method: The sample included 28 supervisory dyads participating in a total of 1709 weekly supervision sessions and rating SWA at each session. Meanwhile, 261 community clients attended psychotherapy with the supervisees, providing session evaluation and alliance ratings at each session and the Outcome Questionnaire-45 (OQ) every eighth session. We used a longitudinal actor partner interdependence model. Responsiveness was operationalized as the paths from one partner's SWA to the other partner's SWA in the following week. In-phase responsiveness is a positive path, where dyadic SWA perceptions change in the same direction. Anti-phase responsiveness is a negative path, indicating that dyadic SWA perceptions fluctuate around an equilibrium. SWA rupture and repair was operationalized as SWA variability.Results: Clients had greater OQ improvement when the supervisory dyads exhibited greater anti-phase responsiveness. Clients had higher session evaluation and greater OQ improvement when the supervisory dyads had greater SWA variability.Conclusion: Supervisors who maintain a dynamic equilibrium in response to their supervisees' SWA changes may help offer a constructive consultant perspective. SWA variability may reflect in-depth work.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445581","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

Testing the alliance rupture repair model on two cases with successful and unsuccessful rupture repair: a task analytic validation study. 联盟破裂修复模型在成功和不成功两种情况下的检验：任务分析验证研究。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-12 DOI: 10.1080/10503307.2026.2642109

Louise Ingvardsen Vemmelund, Anne-Sophie Spaanheden Moeslund, Stine Steen Høgenhaug, Ole Karkov Østergård

{"title":"Testing the alliance rupture repair model on two cases with successful and unsuccessful rupture repair: a task analytic validation study.","authors":"Louise Ingvardsen Vemmelund, Anne-Sophie Spaanheden Moeslund, Stine Steen Høgenhaug, Ole Karkov Østergård","doi":"10.1080/10503307.2026.2642109","DOIUrl":"https://doi.org/10.1080/10503307.2026.2642109","url":null,"abstract":"Objective: This study aimed to test and refine the complete alliance rupture repair model (RRM), consisting of three pathways, in short-term psychodynamic psychotherapy.Method: The validation phase of task analysis was applied in a multi-method case study design to compare therapeutic strategies in a successful repair case (SRC) and an unsuccessful repair case (URC). The Working Alliance Inventory - Short was utilized to select cases and sessions, while the revised Rupture Resolution Rating System (3RS) provided the framework for analyzing the six selected sessions.Results: The study found that pathway 1 strategies (acceptance, validation, curiosity, and engagement) were more frequently utilized in the SRC. These strategies were also linked to repair segments in both cases. Conversely, pathway 2 strategies (renegotiating tasks and goals) were employed less frequently in both cases and did not lead to successful repair. Pathway 3 strategies (exploring the rupture experience) were particularly effective in repairing the rupture in the SRC. However, in the URC, these strategies appeared to exacerbate the rupture.Conclusion: Pathway 1 strategies are crucial, serving both as an independent approach and as a foundational element for effectively implementing strategies in pathway 3, and likely in pathway 2 as well.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436683","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

Investigating the evolution of the self in psychotherapy with a mixed-method approach: A pilot study. 用混合方法研究心理治疗中自我的进化：一项初步研究。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-10 DOI: 10.1080/10503307.2026.2642111

Lorenzo Antichi, Marco Giannini, Rosapia Lauro-Grotto

{"title":"Investigating the evolution of the self in psychotherapy with a mixed-method approach: A pilot study.","authors":"Lorenzo Antichi, Marco Giannini, Rosapia Lauro-Grotto","doi":"10.1080/10503307.2026.2642111","DOIUrl":"https://doi.org/10.1080/10503307.2026.2642111","url":null,"abstract":"Objective: This pilot study aimed to assess the feasibility and informativeness of a mixed-method approach to investigate how the Self changes during psychotherapy within a Dynamic Systems Theory (DST) framework, addressing theoretical heterogeneity and the limits of conventional pre-post designs.Method: Five participants undergoing psychotherapy were scheduled to complete weekly smartphone-based diary assessments over several months (≥30 scheduled prompts). Each assessment included 11 (nomothetic) ad hoc items and 2 person-specific (idiographic) items. Responses to the Narrative Assessment Interview (NAI) were analyzed using conventional qualitative content analysis to derive person-specific items and interpret quantitative trajectories (but were not analyzed as a separate qualitative outcome). Quantitative data were analyzed using time-series methods (i.e., trend analysis and ARIMA modeling).Results: The Self exhibited various change patterns (e.g., linear, nonlinear, stationary, and non-stationary), characterized by the influence of past values (i.e., the autoregressive component) and innovations (the moving-average component). Moreover, participants exhibited different change dynamics. Therefore, the conditions required for ergodic generalization were often not met in these data.Conclusion: The mixed-methods approach was informative, capturing the complexity of Self-change. The method was feasible in a real clinical setting, but compliance and the time required to perform the analyses were critical.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391040","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 good, the hard, and the emotionally difficult: Therapist experiences delivering both protocols in a randomized controlled trial. 好的、困难的和情感上困难的：治疗师在一项随机对照试验中经历了两种方案。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-10 DOI: 10.1080/10503307.2026.2638270

Andrew Crabbe, Daragh Keogh

{"title":"The good, the hard, and the emotionally difficult: Therapist experiences delivering both protocols in a randomized controlled trial.","authors":"Andrew Crabbe, Daragh Keogh","doi":"10.1080/10503307.2026.2638270","DOIUrl":"https://doi.org/10.1080/10503307.2026.2638270","url":null,"abstract":"Objective: Randomised Control Trials play an important role in psychotherapy research and have a defining impact on mental health policy. However, relatively little research has been published investigating the experiences of therapists participating in such trials. The present paper reports on a study investigating the experiences of therapists trained to deliver both protocols within an RCT.Method: Semi-structured interviews were conducted with 9 therapists who participated in an RCT comparing Emotion-Focused Therapy (EFT) and Cognitive Behaviour Therapy (CBT) as treatments for Generalized Anxiety Disorder (GAD). Transcribed interviews were qualitatively analysed using a descriptive and interpretative framework.Results: Therapists described their experience in terms of the many positive aspects of participation, the enormous challenges of participation, and the sometimes agonizing moments of emotional difficulty. Thus, findings are reported within the domains: \"The Good,\" \"The Hard,\" and \"The Emotionally Difficult.\" Two additional domains summarize findings related to therapist experience of having to simultaneously deliver \"The Two Protocols\" and therapist-reported phenomena deemed as \"Helpful.\"Discussion: For a majority, though not all, the positive aspects of participation mitigated the challenges. Similarly, a majority, though not all, reported that having to deliver two protocols posed additional challenges but was not in and of itself a problem.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436637","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

Therapeutic alliance, self-efficacy, and agency as mechanisms of change in blended care and routine psychotherapy. 治疗联盟、自我效能和代理作为混合治疗和常规心理治疗的改变机制。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-07 DOI: 10.1080/10503307.2026.2638268

Solveig Behr, Johannes Bohn, Friederike Fenski, Leona Hammelrath, Lara Bellu, Johanna Boettcher, Christine Knaevelsrud, Carmen Schaeuffele

{"title":"Therapeutic alliance, self-efficacy, and agency as mechanisms of change in blended care and routine psychotherapy.","authors":"Solveig Behr, Johannes Bohn, Friederike Fenski, Leona Hammelrath, Lara Bellu, Johanna Boettcher, Christine Knaevelsrud, Carmen Schaeuffele","doi":"10.1080/10503307.2026.2638268","DOIUrl":"https://doi.org/10.1080/10503307.2026.2638268","url":null,"abstract":"Objective: Blended Care (BC) has emerged as a promising approach to address the growing demand for mental health treatment, but little is known about its change mechanisms and how they compare to traditional psychotherapy (PT). This study investigates therapeutic alliance, general and mental health self-efficacy, and therapeutic agency function as mechanisms of change.Methods: We conducted a secondary analysis of a randomized controlled trial (N = 1,159 patients) comparing BC to PT in routine outpatient care. Mechanism and outcome variables (mental distress, satisfaction with life) were assessed at four time points over six months. We used random-intercept cross-lagged panel models (RI-CLPM) to differentiate between- from within-person effects.Results: All constructs were associated with better outcomes. Temporal effects showed that mental health self-efficacy predicted subsequent increases in satisfaction with life, and therapeutic alliance predicted lower mental distress at specific time points. General self-efficacy showed inconsistent effects, with counterintuitive findings in the BC group, where higher self-efficacy predicted increased mental distress. Agency was mainly related to satisfaction with life. Outcomes also predicted changes in mechanisms. Differences between BC and PT were only significant for general self-efficacy.Conclusion: Our findings suggest that therapeutic change is dynamic and reciprocal. The unexpected associations in the BC group need replication.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373388","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

"I Could be Wrong": Men's passage through uncertainty and change in mentalization-based treatment for personality disorder and substance use. “我可能是错的”：男性通过不确定性和改变心理治疗人格障碍和物质使用。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-07 DOI: 10.1080/10503307.2026.2638260

Ulrik Hagen Hamre, Per Einar Binder, Elisabeth Lied Gikling, Bjarne Olsen, Morten Øvrebø, Katharina T E Morken

{"title":"\"I Could be Wrong\": Men's passage through uncertainty and change in mentalization-based treatment for personality disorder and substance use.","authors":"Ulrik Hagen Hamre, Per Einar Binder, Elisabeth Lied Gikling, Bjarne Olsen, Morten Øvrebø, Katharina T E Morken","doi":"10.1080/10503307.2026.2638260","DOIUrl":"https://doi.org/10.1080/10503307.2026.2638260","url":null,"abstract":"Objective: This study explores how men with co-occurring personality disorder (PD) and substance use disorder (SUD) experience change following mentalization-based treatment (MBT), addressing a gap in research that has primarily focused on women.Method: Semi-structured interviews were conducted with 10 men who had participated in MBT-SUD. Transcripts were analysed using reflexive thematic analysis within a hermeneutic-phenomenological framework.Results: Five interconnected themes captured participants' change experiences: (1) I could be wrong-developing cognitive flexibility and self-reflection; (2) I know what it takes-acquiring emotion regulation skills and confidence; (3) It doesn't have to be anything more-reduced interpersonal hypersensitivity; (4) I understand what others need-enhanced interpersonal awareness; and (5) Something's happened, and I don't know what-varied and sometimes ambiguous transformation. Two distinct change pathways emerged: a stepwise developmental process and a more global transformation.Conclusion: Men in MBT-SUD reported improved capacity to reflect on and differentiate between their own and others' mental states. However, change pathways varied, and not all participants experienced therapeutic benefits.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373372","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

Patients' perspective on an optimal therapeutic alliance; facilitating engagement in treatment of antisocial personality disorder. 患者对最佳治疗方案的看法促进参与治疗反社会人格障碍。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-05 DOI: 10.1080/10503307.2026.2634080

Janneke E M Aerts, Madeleine J N Rijckmans, Stefan Bogaerts, Arno Van Dam

{"title":"Patients' perspective on an optimal therapeutic alliance; facilitating engagement in treatment of antisocial personality disorder.","authors":"Janneke E M Aerts, Madeleine J N Rijckmans, Stefan Bogaerts, Arno Van Dam","doi":"10.1080/10503307.2026.2634080","DOIUrl":"https://doi.org/10.1080/10503307.2026.2634080","url":null,"abstract":"Objective: While the knowledge about developing an effective therapeutic alliance (TA) with patients diagnosed with an antisocial personality disorder (ASPD) is growing, little is known from patients' perspective. Given the important role of TA in therapy outcomes, a deeper understanding of the factors contributing to a strong TA is essential. This study aims to expand current knowledge by exploring the experiences and preferences of patients with ASPD regarding TA development.Method: A qualitative research design was employed using reflective thematic analysis. Fifteen in-depth interviews were conducted with patients diagnosed with ASPD and analyzed for recurring themes.Results: Seven themes were identified and grouped into two categories. The first category, \"Facilitators\" reflects therapeutic attitudes that align with the needs of patients with ASPD. The second category, \"Barriers to engage\" describes the difficulties patients experience in forming a TA.Conclusions: Although patients with ASPD often experience establishing a TA as challenging, TA development can be achieved when therapists adapt their approach to patients' needs. Patients want a genuine, authentic therapist who can provide a pleasant, collaborative atmosphere. By maintaining a non-judgmental and calm attitude, while adopting a firm and clear style, therapists support patients' engagement and promote TA development.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367004","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

Effects of preference alignment and client-rated attachment style on therapy: The moderating role of interpersonal synchrony. 偏好取向和客户评价依恋类型对治疗的影响：人际同步的调节作用。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-01 Epub Date: 2025-04-13 DOI: 10.1080/10503307.2025.2491479

Xiaoyan Dai, Liying Chen, Qianyi Zhou, Ya Zhang

{"title":"Effects of preference alignment and client-rated attachment style on therapy: The moderating role of interpersonal synchrony.","authors":"Xiaoyan Dai, Liying Chen, Qianyi Zhou, Ya Zhang","doi":"10.1080/10503307.2025.2491479","DOIUrl":"10.1080/10503307.2025.2491479","url":null,"abstract":"Objective: This study aims to explore whether activity-preference alignment provides unique contributions to the working alliance and counseling outcomes beyond the client-rated adult attachment style, and to examine the moderating roles of behavioral and brain synchrony in this process.Methods: Sixteen pairs of counselors and clients participated in five consecutive weekly counseling sessions. The 1st, 3rd, and 5th sessions took place offline in a near-infrared laboratory, while the 2nd and 4th sessions were conducted online via video conferencing.Results: After controlling for the client-rated adult attachment style, preference alignment showed a significant impact on symptom improvement. Specifically, preference alignment had a significant positive predictive effect on symptom improvement when counselor-guided behavioral synchronization was high. Attachment avoidance also negatively predicted the working alliance but only when client-guided brain synchronization in the temporoparietal junction was low.Conclusion: The study suggests that preference alignment provides unique insights into symptom improvement beyond client-rated attachment style alone. Counselor-guided behavioral synchrony amplifies the effect of preference differences on symptom improvement, whereas client-guided brain synchrony reduces attachment avoidance's impact on the working alliance. These findings highlight that behavioral and brain synchrony impact therapeutic outcomes differently based on who guides the process, emphasizing the need to consider both interpersonal dynamics and alignment factors in counseling.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"627-641"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991332","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 randomized controlled trial of a peer and clinician led group program for borderline personality disorder. 一个随机对照试验的同伴和临床医生领导的小组项目的边缘型人格障碍。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-03-01 Epub Date: 2025-05-02 DOI: 10.1080/10503307.2025.2498430

Brin F S Grenyer, Sophie Lucas, Karlen R Barr, Adam Finch, Georgia Denmeade, Nicholas J S Day

{"title":"A randomized controlled trial of a peer and clinician led group program for borderline personality disorder.","authors":"Brin F S Grenyer, Sophie Lucas, Karlen R Barr, Adam Finch, Georgia Denmeade, Nicholas J S Day","doi":"10.1080/10503307.2025.2498430","DOIUrl":"10.1080/10503307.2025.2498430","url":null,"abstract":"Objective: Remission and recovery from borderline personality disorder (BPD) is difficult, yet achievable, yet not all people benefit. Peers with lived experience of recovery from BPD as co-therapists may increase engagement, reduce stigma and strengthen hopefulness. We evaluated a peer and clinician co-led group therapy (AIR Peers) for consumers with BPD.Methods: Eighty-three participants (88% female, M age = 36yrs) were randomized into either AIR Peers therapy (n = 43) or treatment as usual (TAU; n = 40). The intervention was co-designed by people with lived experience and clinicians. It involved 12 hours of group therapy over a 6-week period (2hrs/week). Weekly topics included discussion of stigma, self-compassion, self-care, creative recovery and \"building your best life.\"Results: Intention to treat multilevel modeling analysis indicated that the AIR Peers group showed a significant reduction in BPD symptoms (primary outcome) and improvement in mental health ratings (secondary outcome), whereas no change was present in the TAU group. Self-report ratings indicated therapy success, helpfulness, and satisfaction. Quantitative and qualitative ratings of group and therapist alliance and group engagement were positive.Conclusion: Peer and clinician co-facilitated therapy groups may contribute to novel and effective approaches for people living with BPD on their recovery journey.Trial registrationAustralian New Zealand Clinical Trials Registry identifier: ACTRN12621000183886.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"443-454"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034207","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