Psychotherapy Research最新文献_第6页

Group schema therapy: The temporal relationship between early maladaptive schemas and global psychological distress. 团体模式疗法：早期适应不良模式与整体心理困扰之间的时间关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2023-12-18 DOI: 10.1080/10503307.2023.2292151

Marianne van Tatenhove, David Koppers, Jaap Peen, Jack J M Dekker

{"title":"Group schema therapy: The temporal relationship between early maladaptive schemas and global psychological distress.","authors":"Marianne van Tatenhove, David Koppers, Jaap Peen, Jack J M Dekker","doi":"10.1080/10503307.2023.2292151","DOIUrl":"10.1080/10503307.2023.2292151","url":null,"abstract":"Schema therapy is an effective treatment for personality disorders (PDs). The theory of schema therapy assumes that the decrease of global psychological distress is mediated by change in Early Maladaptive Schemas. The few studies that have investigated a temporal relationship have produced contradictory results. This study examined the temporal relationship between changes in Early Maladaptive Schemas and global psychological distress in Group Schema Therapy (GST) for patients with personality disorders.Assessments were made of 115 patients at baseline, after 20, 40 and after 60 sessions of treatment. We used the Young Schema Questionnaire (YSQ) to measure the severity of Early Maladaptive Schemas and the Symptom Check List-90 Revisited (SCL-90R) to measure global psychological distress. Linear mixed model analyzes were used to examine the temporal relationship between the initial phase (0-20 and 0-40 sessions) and the later phase (40-60 sessions).Change in Early Maladaptive Schemas does not precede change in global psychological distress. Conversely, global psychological distress does not precede change in Early Maladaptive Schemas; the improvement in both indicators is concurrent.In this study, we could not confirm that the decrease of Early Maladaptive Schemas precedes decrease of global psychological distress. We found a concurrent relationship.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"296-305"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812374","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

Decoding emotions: Exploring the validity of sentiment analysis in psychotherapy. 解码情感：探索情感分析在心理治疗中的有效性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-02-28 DOI: 10.1080/10503307.2024.2322522

Steffen T Eberhardt, Jana Schaffrath, Danilo Moggia, Brian Schwartz, Martin Jaehde, Julian A Rubel, Tobias Baur, Elisabeth André, Wolfgang Lutz

{"title":"Decoding emotions: Exploring the validity of sentiment analysis in psychotherapy.","authors":"Steffen T Eberhardt, Jana Schaffrath, Danilo Moggia, Brian Schwartz, Martin Jaehde, Julian A Rubel, Tobias Baur, Elisabeth André, Wolfgang Lutz","doi":"10.1080/10503307.2024.2322522","DOIUrl":"10.1080/10503307.2024.2322522","url":null,"abstract":"Objective: Given the importance of emotions in psychotherapy, valid measures are essential for research and practice. As emotions are expressed at different levels, multimodal measurements are needed for a nuanced assessment. Natural Language Processing (NLP) could augment the measurement of emotions. The study explores the validity of sentiment analysis in psychotherapy transcripts.Method: We used a transformer-based NLP algorithm to analyze sentiments in 85 transcripts from 35 patients. Construct and criterion validity were evaluated using self- and therapist reports and process and outcome measures via correlational, multitrait-multimethod, and multilevel analyses.Results: The results provide indications in support of the sentiments' validity. For example, sentiments were significantly related to self- and therapist reports of emotions in the same session. Sentiments correlated significantly with in-session processes (e.g., coping experiences), and an increase in positive sentiments throughout therapy predicted better outcomes after treatment termination.Discussion: Sentiment analysis could serve as a valid approach to assessing the emotional tone of psychotherapy sessions and may contribute to the multimodal measurement of emotions. Future research could combine sentiment analysis with automatic emotion recognition in facial expressions and vocal cues via the Nonverbal Behavior Analyzer (NOVA). Limitations (e.g., exploratory study with numerous tests) and opportunities are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"174-189"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984226","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

Improved outcomes for depressed elder abuse victims with video-delivered psychotherapy during COVID-19. 在 COVID-19 期间，通过视频传输心理疗法改善了老年虐待抑郁症患者的治疗效果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2023-12-18 DOI: 10.1080/10503307.2023.2292743

Isabel Rollandi, Samprit Banerjee, Yuqing Qiu, Olivia Fiallo, Tobi Abramson, Jaquelin Berman, Nili Solomonov, Jo Anne Sirey

{"title":"Improved outcomes for depressed elder abuse victims with video-delivered psychotherapy during COVID-19.","authors":"Isabel Rollandi, Samprit Banerjee, Yuqing Qiu, Olivia Fiallo, Tobi Abramson, Jaquelin Berman, Nili Solomonov, Jo Anne Sirey","doi":"10.1080/10503307.2023.2292743","DOIUrl":"10.1080/10503307.2023.2292743","url":null,"abstract":"Objective: There is a lack of evidence-based scalable therapies for elder abuse victims, with no current remotely delivered tailored psychotherapy. The purpose of this manuscript is to (a) examine the effectiveness of a brief therapy for depression for elder abuse victims, and (b) to compare remote intervention delivery via phone or video to the traditional in-person delivery.Method: PROTECT, Providing Options to Elderly Clients Together, is a brief therapy developed in collaboration with partners at the Department for the Aging (DFTA) of New York City. During the COVID-19 outbreak, PROTECT delivery shifted from in-person to phone or video delivery. Depression severity was tracked using the Patient Health Questionaire-9 (PHQ-9). Reduction in depression severity was evaluated using a linear mixed effects model with non-inferiority test to compare the effectiveness of video vs in-person delivery of PROTECT.Results: PROTECT reduced depression (average 5.15 PHQ-9 points). Video and phone delivery were non-inferior to in-person delivery. The video group completed therapy more quickly than the in-person group and had a more rapid improvement in depression symptoms.Conclusions: PROTECT therapy delivered remotely reduces depression among diverse elder abuse victims. Video delivery of PROTECT could increase reach and scalability to serve more vulnerable older depressed victims.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"306-318"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample. 在意大利和美国临床医生样本中反移情感觉和行为意识测量的发展和验证。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-29 DOI: 10.1080/10503307.2025.2455470

Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes

{"title":"Development and validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample.","authors":"Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes","doi":"10.1080/10503307.2025.2455470","DOIUrl":"https://doi.org/10.1080/10503307.2025.2455470","url":null,"abstract":"Objective: Countertransference (CT) has been shown to interfere with therapy goals, and its management is crucial to desired treatment outcomes. As a first step, a clinician's awareness of their covert and overt CT reactions is critical to successfully managing CT. Research on CT awareness is scarce, however, mainly because of difficulties in empirically investigating and measuring this construct. In this study, we sought to develop and validate two instruments: one to measure CT feelings and one to measure CT behaviors.Method: We developed the Countertransference Feelings Awareness Measure and the Countertransference Behavior Awareness Measure, both composed of 12 items comprising 3 dimensions: dominant, hostile and distant. A sample of 245 Italian and 110 American clinicians participated in the research. Confirmatory factor analysis was conducted to verify the factor structure of the measures. Reliability and invariance analyses were conducted for both measures and both samples.Results: Factorial structure, reliability, and configural invariance across nationalities of both measures were confirmed.Conclusion: These tools should prove useful for future research, supervision, theoretical advances, and clinical application, allowing a deeper understanding of how clinicians' awareness of different elements of their CT experience impacts the outcome of therapy..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of emotion-focused therapy: Main results of a practice-research network study. 情绪聚焦治疗的有效性：一项实践-研究网络研究的主要结果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-27 DOI: 10.1080/10503307.2025.2454455

Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth

{"title":"Effectiveness of emotion-focused therapy: Main results of a practice-research network study.","authors":"Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2454455","DOIUrl":"https://doi.org/10.1080/10503307.2025.2454455","url":null,"abstract":"Background: Emotion-Focused Therapy is one of the evidence-based psychotherapies for a range of psychological problems. While most evidence was gained from randomized controlled studies or process research at university settings, there is a need for more outcome research conducted within practitioner-researcher networks assessing the effectiveness of Emotion-Focused Therapy in private practice.Methods: A total of N = 70 clients with a variety of psychiatric disorders have been included in the bi-national practitioner researcher network for Emotion-focused Therapy Switzerland-Germany. Symptom change was assessed using CORE-OM, BDI-II, IIP and WSAS. Therapist adherence was assessed by the self-reported version of the PCEPS. Pre-post-follow-up analyses were conducted using paired sample t-tests and hierarchical linear modeling.Results: Pre-post-assessment shows small to medium effect sizes for all outcome measures (except for interpersonal problems which did not change). Symptom reduction is maintained for CORE, BDI and WSAS, and increased for IIP at 3 and 6 months follow-up. Therapist adherence is good to excellent in this sample.Conclusions: Emotion-Focused Therapy is effective in the real-world practice, as suggested by the small to moderate effect sizes. The smaller effects found in the current study as compared to randomized controlled trials are consistent with the literature and suggest that EFT remains moderately effective when applied in a naturalistic context.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053828","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

Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression. 共同的还是不同的改变途径？抑郁症认知行为疗法和情绪聚焦疗法的来访者改变体验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2024.2445662

Hanna Aardal, Aslak Hjeltnes, Elisabeth Schanche, Yngvild Sørebø Danielsen, Petter Franer, Jan Reidar Stiegler

{"title":"Shared or different pathways to change? Clients' experiences of change in cognitive behavioral therapy and emotion-focused therapy for depression.","authors":"Hanna Aardal, Aslak Hjeltnes, Elisabeth Schanche, Yngvild Sørebø Danielsen, Petter Franer, Jan Reidar Stiegler","doi":"10.1080/10503307.2024.2445662","DOIUrl":"https://doi.org/10.1080/10503307.2024.2445662","url":null,"abstract":"Objective: Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT) are empirically supported models for treating depression. Comparisons of the models regarding outcome exist, but no comparison of the clients' experiences of change. This study explored and compared experiences of change in CBT and EFT for major depression.Method: We conducted a comparative thematic analysis of the experiences of 28 clients after 12-18 sessions of either CBT (n = 14) or EFT (n = 14).Results: The analysis resulted in five themes reported across treatments: (1) Changing the understanding of my problems; (2) Finding a new way to relate to inner experiences; (3) Changing how I see myself; (4) Challenging problematic ways of being with others; (5) Bringing changes into everyday life. Across treatment modalities, the clients experienced the same types of changes. Compared to EFT clients, more CBT clients emphasized the importance of practicing new strategies when facing adversity in their change process. Reversely, more EFT clients emphasized getting in touch with, tolerating, and listening to their inner experiences.Conclusion: Our findings suggest that clients undergoing CBT and EFT describe changes in the same domains but show differences in how they emphasize various pathways leading to their change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030093","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

Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task. 评估远程治疗中的治疗师技能：远程促进人际技能任务的发展和验证。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451329

Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn

{"title":"Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.","authors":"Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn","doi":"10.1080/10503307.2025.2451329","DOIUrl":"10.1080/10503307.2025.2451329","url":null,"abstract":"Objective: Teletherapy via videoconferencing has become common practice but has unique challenges. We aimed to develop and validate the first performance-based observer-rated measure of teletherapy skills: The Teletherapy Facilitative Interpersonal Skills Performance Task (Tele-FIS). Methods: We developed a set of 12 Tele-FIS video stimulus clips as simulations of four research-informed common therapeutic challenges in teletherapy: technology, distraction, boundaries and privacy, and emotional disconnection. A total of 153 therapists recorded interventions to the clips which were later rated on interpersonal skills. Results: The Tele-FIS performance task demonstrated good interrater reliability, internal consistency, test-retest reliability, and convergent validity. The Tele-FIS was positively associated with self-reported facilitative interpersonal skills, self-efficacy, attitudes towards technology, and observer-rated skills on a version of the FIS task that simulates in-person therapy. Therapists performed similarly on teletherapy clips of emotional disconnection and privacy issues compared to clips of in-person therapy. Therapists performed worse on Tele-FIS clips of technology and distraction challenges than in-person therapy clips. Conclusions: The Tele-FIS has potential as an assessment tool in skills training for trainees and licensed clinicians as well as future research about therapeutic work via teletherapy. Results are discussed to consider therapist skill and the use of practice-relevant materials in training.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030157","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

Correction. 修正。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2455207

引用次数: 0

Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance. 沉浸和距离的灵活性：与抑郁症状的关系和治疗联盟。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451330

Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa

{"title":"Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.","authors":"Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa","doi":"10.1080/10503307.2025.2451330","DOIUrl":"10.1080/10503307.2025.2451330","url":null,"abstract":"Objectives: High levels of change are linked to the flexibility between immersion and distancing, as well as to higher levels of therapeutic alliance. This study aims to explore the evolution of flexibility between immersion and distancing throughout the entire therapeutic process and its relationship with therapeutic alliance and depressive symptoms in a clinical case.Method: We analyzed five sessions of a good outcome case of depression undergoing cognitive-behavioral therapy. We assessed the distancing/immersion of these sessions using the Measure of Immersed and Distanced Speech, and therapeutic alliance with the Working Alliance Inventory-Short Form. The depressive symptoms were assessed from the Beck Depression Inventory-II.Results: Flexibility and therapeutic alliance from both client's and therapist's perspectives increased throughout the therapeutic process. A strong negative correlation was found between flexibility and depressive symptoms.Conclusions: The increase in flexibility can be an adaptive pattern associated with the decrease in depressive symptoms, the increase in therapeutic alliance (from both the client's and the therapist's perspective), and therapeutic success.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025186","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

Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety. 脑间可塑性作为心理治疗中的一种改变机制：一项关注考试焦虑的概念证明。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-20 DOI: 10.1080/10503307.2025.2451798

Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory

{"title":"Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety.","authors":"Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory","doi":"10.1080/10503307.2025.2451798","DOIUrl":"https://doi.org/10.1080/10503307.2025.2451798","url":null,"abstract":"Objective.: There is a growing consensus that interpersonal processes are key to understanding psychotherapy. How might that be reflected in the brain? Recent research proposes that inter-brain synchrony is a crucial neural component of interpersonal interaction. The current proof-of-concept study examines, for the first time, therapist-patient inter-brain synchrony measurement during multiple sessions. To guide the design of future studies, we performed a precursory test in a small sample of the association between inter-brain synchrony and therapeutic change, hypothesizing that it would gradually increase over therapy, reflecting inter-brain plasticity.Method.: We scanned 18 therapy sessions of participants (N = 8) who underwent a 6-session test anxiety treatment. We measured therapist and patient brain activity using functional near-infrared spectroscopy (fNIRS) and assessed perceived session quality, wellbeing, symptoms, and therapeutic alliance every session.Results.: In this proof-of-concept sample inter-brain synchrony gradually increased over treatment, and was associated with reduced symptoms, improved wellbeing and perceived session quality, but not with a stronger therapeutic alliance. fNIRS imaging had no discernable adverse effects.Conclusion.: Our findings demonstrate that fNIRS imaging during psychotherapy is a feasible and viable research method and that inter-brain plasticity should be a candidate for future research on biological mechanisms underlying therapeutic change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014033","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