Psychotherapy Research最新文献_第6页

Bias and accuracy in self-assessments of psychotherapeutic skills: A multi-perspective secondary analysis. 心理治疗技能自我评估的偏倚与准确性：多视角二次分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-13 DOI: 10.1080/10503307.2026.2701026

Tatjana Paunov, Florian Weck, Franziska Kühne

{"title":"Bias and accuracy in self-assessments of psychotherapeutic skills: A multi-perspective secondary analysis.","authors":"Tatjana Paunov, Florian Weck, Franziska Kühne","doi":"10.1080/10503307.2026.2701026","DOIUrl":"https://doi.org/10.1080/10503307.2026.2701026","url":null,"abstract":"Objective: Self-assessment of psychotherapeutic skills is assumed to be prone to bias. The present study aimed to investigate psychology students' ability to assess their own psychotherapeutic skills, and to compare it with the assessment from independent raters and supervisors. Method: Data from 73 psychology students were analyzed from a randomized controlled trial investigating the effect of clinical supervision on skill development. Students' basic communication skills, therapeutic alliance, and empathy were assessed by independent raters and students themselves. Supervisors assessed students' basic communication skills and empathy after supervision. A truth and bias model was applied to examine bias and accuracy in students' self-assessment. Results: Across outcomes, the results did not indicate a consistent pattern of overestimation (self-assessment bias). Students only overestimated their therapeutic alliance in comparison with independent observers, and underestimated their empathy in comparison with supervisors. Overall, students' self-assessments did not yield significant accuracy in relation to independent observer or supervisor ratings. Conclusions: Self-assessments of students in the early stages of their training may lack accuracy compared with external assessments, while the role of systematic bias needs further investigation. Future research should explore methods, such as feedback, to improve the precision of self-assessment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":3.8,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438317","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

Capturing both sides of the therapeutic dyad: A validation study of the revised rupture resolution rating system (3RSv2022). 捕获治疗二元体的两个方面：修订的破裂解决评级系统（3RSv2022）的验证研究。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-13 DOI: 10.1080/10503307.2026.2691882

Jenny L Eis, Christian Sell, Levin Laser, Günther Klug, Catherine F Eubanks, J Christopher Muran, Dorothea Huber

{"title":"Capturing both sides of the therapeutic dyad: A validation study of the revised rupture resolution rating system (3RSv2022).","authors":"Jenny L Eis, Christian Sell, Levin Laser, Günther Klug, Catherine F Eubanks, J Christopher Muran, Dorothea Huber","doi":"10.1080/10503307.2026.2691882","DOIUrl":"https://doi.org/10.1080/10503307.2026.2691882","url":null,"abstract":"Objective: This study examined the interrater reliability (IRR) and convergent validity of the revised Rupture Resolution Rating System (3RS v2022). The revision addresses prior limitations by incorporating a dyadic assessment of rupture-repair episodes and the Working-Together-Subscale (WT) as an alliance measure.Methods: We applied the 3RS v2022 to 213 audio-recorded therapy sessions from 67 patients in long-term treatment. We examined convergence with therapist-rated session quality and patients' emotional experiencing.Results: Raters achieved substantial-almost perfect IRR at the segment-level. Session-level IRR was moderate-substantial for rupture markers and fair for repair effectiveness. Supporting convergent validity, WT and repair effectiveness were positively associated with session quality, while WT predicted higher experiencing at session and segment levels, and patient withdrawal predicted lower experiencing at the session level. Crucially, withdrawal and confrontation ruptures interacted with repair effectiveness: when repairs were effective, they buffered or even reversed the otherwise negative impact of ruptures on patients' experiencing.Conclusion: This study provides evidence that the 3RS v2022 is a reliable and valid measure of rupture-repair processes. Its applicability to audio-recorded sessions broadens utility for psychotherapy research. Findings support the assumption that rupture-repair episodes are common, co-constructed phenomena, underscoring the usefulness of the 3RS v2022's dyadic assessment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":3.8,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430762","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

Dropping out of therapy in context of an RCT: a qualitative analysis. 一项随机对照试验中退出治疗的定性分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-05 DOI: 10.1080/10503307.2026.2689635

Liza Notaerts, Reitske Meganck, Ladislav Timulak

{"title":"Dropping out of therapy in context of an RCT: a qualitative analysis.","authors":"Liza Notaerts, Reitske Meganck, Ladislav Timulak","doi":"10.1080/10503307.2026.2689635","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689635","url":null,"abstract":"Objective: This study explored the multifaceted processes underlying psychotherapy dropout by conducting a multi-method qualitative analysis of logbooks, therapist reports and post-interviews of 46 cases of dropout from a randomized controlled trial.Method: The data from the 46 cases were subjected to descriptive-interpretative qualitative research to identify common themes and constructs, and to an ideal-type analysis to discover case-wise variation. This triangulation of methods facilitated the development of a layered understanding of dropout.Results: The descriptive-interpretative qualitative research produced four themes related to dropout (i.e., repetition of interpersonal patterns, intra-personal balance between gains and losses of symptoms, dropout reasons related to the RCT procedure, and therapist unresponsiveness). The ideal-type analysis differentiated six types of dropout (i.e., \"I got out of therapy what I needed,\" \"Therapy did not meet my expectations,\" \"Therapist directed towards dropout,\" \"I did not feel heard by the therapist,\" \"I am too overwhelmed by the therapy,\" \"Therapy is not practically feasible for me\").Conclusions: The similarities and differences among the cases revealed by the analyses indicate that reasons for psychotherapy dropout are layered and involve an interplay of patient, therapist, relational and contextual factors. Methodological pluralism is thus advantageous when investigating the processes influencing dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.8,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392081","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

Psychotherapist's Nonverbal Coordination Scale: Introducing a New Measurement Tool for Child Psychotherapy. 心理治疗师非语言协调量表：一种新的儿童心理治疗测量工具。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-07-28 DOI: 10.1080/10503307.2025.2535571

Zeynep Catay, Sibel Halfon, Miriam Steele, George Downing

{"title":"Psychotherapist's Nonverbal Coordination Scale: Introducing a New Measurement Tool for Child Psychotherapy.","authors":"Zeynep Catay, Sibel Halfon, Miriam Steele, George Downing","doi":"10.1080/10503307.2025.2535571","DOIUrl":"10.1080/10503307.2025.2535571","url":null,"abstract":"Objective: Current study aims to develop an observer-based rating system, Psychotherapists' Nonverbal Coordination Scale (PNC), to evaluate psychotherapists' ability to coordinate their nonverbal expression and body movement with those of the patient in child psychotherapy.Methods: PNC was implemented in a clinical trial of Mentalization Based Treatment for Children (MBT-C) involving 101 children and their 16 therapists. 269 videotaped sessions from three different time points in treatment were coded with PNC by trained coders. Sessions were also coded for affect regulation and adaptive play qualities. Child-reported therapeutic alliance and parent-reported child problem measures were collected after the sessions. Multilevel Modeling was utilized to evaluate PNC's convergent and criterion validity based on its association with these process and outcome variables.Results: Excellent inter-rater reliability was achieved among coders. PNC's convergent validity was supported through its positive correlation with the Attention Control Interventions of the MBT-C Adherence Scale. PNC total score was also found to predict better affect regulation and increased adaptive play within sessions as well as stronger therapeutic alliance and a steeper decline in symptoms.Conclusion: This study provides initial support for the use of PNC as a reliable and valid tool to evaluate therapist's skill level in nonverbal coordination.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1044-1057"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734022","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

Trust the therapists' trust: working alliance development in relation to treatment attendance and completion in intimate partner violence perpetrator group therapy. 信任治疗师的信任：亲密伴侣暴力施暴者团体治疗中与治疗出勤率和完成度相关的工作联盟发展。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-09-24 DOI: 10.1080/10503307.2025.2548501

Carola A Van Tilburg, Corine De Ruiter, Paul Lodder, Nathan Bachrach, Arno Van Dam

{"title":"Trust the therapists' trust: working alliance development in relation to treatment attendance and completion in intimate partner violence perpetrator group therapy.","authors":"Carola A Van Tilburg, Corine De Ruiter, Paul Lodder, Nathan Bachrach, Arno Van Dam","doi":"10.1080/10503307.2025.2548501","DOIUrl":"10.1080/10503307.2025.2548501","url":null,"abstract":"Objective: Intimate partner violence perpetrator (IPV) treatment interventions are traditionally associated with large dropout and low treatment adherence. Perceived working alliance is a proven predictor of treatment adherence and completion.Methods: We measured patient (N = 199) and therapist (N = 30) working alliance after every treatment session during an 18-session cognitive behavioral group therapy for IPV perpetrators. We hypothesized that patient and therapist working alliance ratings would be strongly correlated and that both patient and therapist working alliance would be positively related to session attendance and treatment completion.Results: Patient and therapist working alliance ratings remained fairly stable during the course of treatment and patients and therapists moderately agreed on their perception of their working alliance. The therapists' judgment of the working alliance strongly predicted session attendance and treatment completion, whereas the patients' working alliance ratings did not predict attendance nor completion. In line with previous studies, patients' age was positively associated with both session attendance and treatment completion.Conclusion: The findings clearly indicate the importance of a positive working alliance from the start of group IPV perpetrator treatment, and that therapists should be on the alert if they perceive the working alliance as suboptimal because it predicts poorer attendance and dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1110-1127"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139165","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

Mechanisms of cognitive-behavioral and psychodynamic interventions for anxiety sensitivity- A randomized, controlled single-session study. 焦虑敏感性的认知行为和心理动力学干预机制——一项随机、对照的单期研究。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-08-25 DOI: 10.1080/10503307.2025.2548498

Maayan Gerecht Hacohen, Amit Sharoni, Baraa Kabha, Orya Tishby, Jonathan D Huppert

{"title":"Mechanisms of cognitive-behavioral and psychodynamic interventions for anxiety sensitivity- A randomized, controlled single-session study.","authors":"Maayan Gerecht Hacohen, Amit Sharoni, Baraa Kabha, Orya Tishby, Jonathan D Huppert","doi":"10.1080/10503307.2025.2548498","DOIUrl":"10.1080/10503307.2025.2548498","url":null,"abstract":"Objective: This study utilized a single-session, randomized controlled analog design to investigate the mechanisms underlying cognitive-behavioral therapy (CBT) and psychodynamic therapy in treating anxiety sensitivity (AS). We hypothesized that changes in catastrophic interpretations of bodily sensations would predict reductions in AS in CBT, whereas improvements in panic-specific reflective functioning (pRF) would predict changes in the psychodynamic intervention (PDTp).Methods: Participants with elevated AS (N = 110; Mage = 43, 91 women) were randomized to CBT, PDTp, or a control group. Pre-to-post changes in mechanisms were examined as predictors of changes in AS at post-treatment and one-month follow-up.Results: Results partially supported the hypotheses. Catastrophic interpretations changed significantly in the CBT condition. However, pRF did not change in any group. The relationship between changes in mechanisms and AS was more complex than predicted. In CBT, reductions in AS were closely tied to changes in interpretations. Within-session, distress declined in CBT but did not consistently predict AS change. pRF change was related to AS reductions only in CBT.Conclusion: These findings highlight the clinical relevance of targeting catastrophic thinking in brief CBT for AS, and suggest that pRF may play a secondary role. Future work should test these mechanisms in clinical settings and longer treatments.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1016-1029"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974561","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

Supervised therapist and supervisor impact on client therapy outcomes. 监督治疗师和主管对来访者治疗结果的影响。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-08-21 DOI: 10.1080/10503307.2025.2548906

Heidi A Vogeler, Katie Allphin, Brett M Merrill, Lane Fischer

{"title":"Supervised therapist and supervisor impact on client therapy outcomes.","authors":"Heidi A Vogeler, Katie Allphin, Brett M Merrill, Lane Fischer","doi":"10.1080/10503307.2025.2548906","DOIUrl":"10.1080/10503307.2025.2548906","url":null,"abstract":"Objective: We examined the impact of supervisor and supervised therapist factors on client psychotherapy outcomes as measured by the Outcome Questionnaire 45.2 (OQ-45). We hypothesized that random effects would account for only a small portion of the variance in client change scores and in the trajectory of client change over time.Methods: A total of 4,691 clients, 146 supervised therapists, and 43 supervisors from a large college counseling center in the Western United States were included in the study. Hierarchical linear modeling (HLM) was used to analyze the data.Results: While random supervised therapist effects accounted for a small but significant proportion of variance in change scores, random supervisor effects were not significant. Fixed effects of initial severity and clinic type were significant predictors. This corroborated findings from the previous studies. Results of the growth model revealed time as the only significant random effect, and supervisee experience along with its interaction with time as the only significant fixed effects.Conclusion: These findings suggest that supervisees have small and unique influences on client therapy outcomes, while supervisor direct impact on client outcomes appears statistically insignificant.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1077-1086"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974552","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 perceived working alliance quality and congruence on naturalistic psychotherapy outcome: A response surface analysis. 感知工作联盟品质与一致性对自然主义心理治疗结果的影响：反应面分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-09-22 DOI: 10.1080/10503307.2025.2553636

Fanny Alexandra Dietel, Ivo Georgiev, Julia Müller, Tanja Andor, Isabelle Drenckhan, Julienne Seidemann, Heinz Holling, Nexhmedin Morina, Ulrike Buhlmann

{"title":"Effects of perceived working alliance quality and congruence on naturalistic psychotherapy outcome: A response surface analysis.","authors":"Fanny Alexandra Dietel, Ivo Georgiev, Julia Müller, Tanja Andor, Isabelle Drenckhan, Julienne Seidemann, Heinz Holling, Nexhmedin Morina, Ulrike Buhlmann","doi":"10.1080/10503307.2025.2553636","DOIUrl":"10.1080/10503307.2025.2553636","url":null,"abstract":"Objective. Patient- and therapist-reported (i.e., dyadic) working alliance evaluations have been identified as robust predictors of psychotherapy outcome. However, it remains unclear how their congruence relates to outcome and how treatment duration, a variable factor in naturalistic psychotherapy, influences this relationship. This study examined the effects of dyadic alliance judgments and their congruence on multidimensional outcomes, further assessing the role of treatment duration. Method. N = 353 outpatients undergoing cognitive behavioral therapy and their N = 95 therapists provided alliance ratings at treatment onset, with patients reporting distress, depression, and quality of life pre- and post-treatment. Polynomial regressions with response surface analyses were used to examine the relationships between alliance, congruence, and outcome, further controlling for session count. Results. Dyadic alliance ratings were moderately correlated, with patient-reported ratings exceeding those of therapists. Therapist-reported but not patient-reported alliance predicted greater reductions in depression and distress. Higher levels of jointly high alliance ratings, but not congruence, were associated with improvements in distress and depression. There were no incongruence effects. Controlling for session count yielded identical result patterns. Conclusion. These findings highlight the value of alliance ratings and their alignment in predicting psychotherapy outcome, emphasizing the need to consider their interplay, regardless of treatment duration.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1128-1141"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114743","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

Relational depth as predictor of mental health outcomes in psychotherapy: random intercept cross-lagged analyses. 关系深度作为心理治疗中心理健康结果的预测因子：随机截距交叉滞后分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-09-11 DOI: 10.1080/10503307.2025.2551073

Gina Di Malta, Joel Vos, Julian Bond, Biljana Van Rijn, Mick Cooper

{"title":"Relational depth as predictor of mental health outcomes in psychotherapy: random intercept cross-lagged analyses.","authors":"Gina Di Malta, Joel Vos, Julian Bond, Biljana Van Rijn, Mick Cooper","doi":"10.1080/10503307.2025.2551073","DOIUrl":"10.1080/10503307.2025.2551073","url":null,"abstract":"Background: Relational Depth (RD) in psychotherapy patients has been associated with positive outcomes using qualitative and correlational designs. No research has assessed whether the frequency of RD over the course of therapy can predict outcomes using a more robust longitudinal design in a clinical setting.Methods: In a UK psychotherapy clinic, 1,086 clients (501 females, 234 males, 347 \"prefer not to say,\" and 4 other) completed the Relational Depth Frequency Scale (RDFS), the Agnew Relationship Measure-5 (ARM-5, therapeutic alliance), the CORE-10 (psychological distress, primary outcome), the Patient Health Questionnaire-9 (PHQ-9) (depression), and the Generalized Anxiety Disorder-7 (GAD-7) (anxiety) at intake and then every four sessions over the course of long-term psychotherapy. Random Intercept Cross-Lagged Panel Models (RI-CLPM) were used to assess the associations between variables within participant.Results: Frequency of RD was a significant predictor of change in depression (t = -2.56, p = .010; r = -.060 medium effect size), and anxiety symptoms (t = -2.081, p = .037; r = -.050 medium effect size), but did not predict change in general psychological distress (t = -1.545, p = .122; r = -.038 small effect size). None of the outcome variables predicted future change in RDFS. The alliance was not a significant predictor of (nor predicted by) change on the three outcome variables. RDFS was a predictor of alliance (t = 3.510, p < .001; r = .103 medium to large effect size), but the alliance was not a significant predictor of RDFS.Conclusion: Experiences of relational depth between psychotherapist and client may be an important determinant of outcomes. Future research should focus on strategies for facilitating RD in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1098-1109"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041735","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

Straight, Bumpy, or Detoured: Three roads through family-based treatment for Anorexia Nervosa - a qualitative study of parents' experiences. 笔直，坎坷，还是迂回：神经性厌食症家庭治疗的三条道路——对父母经历的定性研究。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-09-23 DOI: 10.1080/10503307.2025.2554891

Signe Holm Pedersen, Stine Bay, Mette Bentz, Julie Midtgaard

{"title":"Straight, Bumpy, or Detoured: Three roads through family-based treatment for Anorexia Nervosa - a qualitative study of parents' experiences.","authors":"Signe Holm Pedersen, Stine Bay, Mette Bentz, Julie Midtgaard","doi":"10.1080/10503307.2025.2554891","DOIUrl":"10.1080/10503307.2025.2554891","url":null,"abstract":"Objective: To explore parents' experiences of Family-Based Treatment (FBT) for Anorexia Nervosa (AN). Method: Twenty semi-structured interviews with parents of young people (YP) in FBT at end of treatment (EOT), analysed via a combination of thematic and narrative analysis. Results: The analysis identified three distinct themes, starting from a shared point of crisis marked by acute concern for their child's health and urgent need for intervention. Parents then travelled different routes shaped by challenges, support, and meanings they made over time. The Straight Road reflected strong alignment with FBT; parents found the process demanding but ultimately experienced strengthened relationships through shared recovery. The Bumpy Road was defined by initial disagreements with FBT and efforts to negotiate a more collaborative role for the YP, leading to deepened family relations. The Detoured Road was shaped by misalignment with FBT, often involving unmet support needs and relational strain not fully resolved by EOT. Conclusion: Findings suggest that alignment with the principles of FBT plays a central role in shaping parental experiences. However, parents commonly described intense caregiving and strained family ties. Findings highlight the importance of assessing and supporting parental alignment with FBT, as misalignment may exacerbate caregiving strain and disrupt family dynamics.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1142-1154"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132319","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