Psychotherapy Research最新文献_第7页

The why, the how, and the what next: A qualitative investigation of premature termination from psychotherapy. 为什么，怎么做，接下来要做什么：心理治疗过早终止的定性调查。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-09-17 DOI: 10.1080/10503307.2025.2551067

Lauren M Lipner, Michael Katz, Ktora Tzor, Adi Amar, Refael Yonatan-Leus

{"title":"The why, the how, and the what next: A qualitative investigation of premature termination from psychotherapy.","authors":"Lauren M Lipner, Michael Katz, Ktora Tzor, Adi Amar, Refael Yonatan-Leus","doi":"10.1080/10503307.2025.2551067","DOIUrl":"10.1080/10503307.2025.2551067","url":null,"abstract":"Objective: This qualitative study investigated the complex phenomenon of premature termination from psychotherapy, exploring the reasons for patients' decisions to end therapy, their methods of communicating this decision, and the subsequent long-term impact on their willingness to engage in future mental health treatment.Method: Data were collected through semi-structured interviews with 14 Israeli adults who had prematurely and unilaterally terminated individual, in-person psychotherapy. An iterative content analysis approach was used for data analysis.Results: Key themes identified as precipitating termination included unmet expectations, difficulties in the therapeutic alliance, negative therapist behaviors, logistical and financial barriers, and experiences of emotional overwhelm. Patients communicated termination through disappearance, phone notification, or explicit discussion during a session. Immediate responses varied from therapist non-contact to insistence on continuation, with patients experiencing relief or negative affect. Long-term impacts highlighted a general reluctance to seek future therapy, though some reported corrective therapeutic experiences.Conclusion: These findings underscore the critical importance of addressing patient expectations, fostering robust therapeutic alliances, and navigating termination discussions with sensitivity and respect for patient autonomy to improve treatment engagement and outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1155-1169"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081959","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 change in the treatment of major depressive disorder with metacognitive therapy and behavioral activation - a random intercept cross-lagged panel and mediation analyses. 元认知疗法和行为激活治疗重度抑郁症的改变机制——随机截点交叉滞后面板和中介分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-07-15 DOI: 10.1080/10503307.2025.2530543

Anja Schaich, Maya Antia-Frese, Carlotta Gebauer, Gina Schippmann, Nele Assmann, Kamila Jauch-Chara, Daniel Alvarez-Fischer, Jan P Klein, Eva Fassbinder

{"title":"Mechanisms of change in the treatment of major depressive disorder with metacognitive therapy and behavioral activation - a random intercept cross-lagged panel and mediation analyses.","authors":"Anja Schaich, Maya Antia-Frese, Carlotta Gebauer, Gina Schippmann, Nele Assmann, Kamila Jauch-Chara, Daniel Alvarez-Fischer, Jan P Klein, Eva Fassbinder","doi":"10.1080/10503307.2025.2530543","DOIUrl":"10.1080/10503307.2025.2530543","url":null,"abstract":"Objectives: Metacognitive Therapy (MCT) and Behavioural Activation (BA) are effective treatments for depression. This exploratory study aimed to investigate proposed mechanisms and mediators of change in MCT and BA.Method: Data were used from 122 patients randomized to six months of treatment with either MCT or BA for depression. Analyses were based on monthly assessments of the Quick Inventory of Depressive Symptoms (QIDS-SR16), Major Depressive Disorder Scale (MDD-S, for MCT-specific variables), and Behavioral Activation for Depression Scale (BADS, for BA-specific variables).Results: Random intercept cross-lagged panel models (RI-CLPMs) indicated bidirectional relationships between most of the proposed mechanism variables and outcomes. Linear mixed models revealed greater changes in the MDD-S variables rumination time, dysfunctional coping strategies, and negative metacognitions in the MCT condition. RI-CLPM mediation analyses suggested that the subscales avoidance, rumination time, and negative metacognitions of the MDD-S mediate the relationship between treatment condition and depressive symptoms.Conclusion: Our results suggest that the examined variables are change mechanisms in the treatment of depression. They also suggest that the effect of MCT might be mediated by changes in rumination. If confirmed in further studies, it might emerge that targeting these change mechanisms can increase the effectiveness of depression treatments.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1030-1043"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643891","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

Targeting mechanisms of change as a path to precision psychotherapy for community settings. 以改变机制为目标，为社区提供精确的心理治疗。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-08-25 DOI: 10.1080/10503307.2025.2545284

Nili Solomonov

{"title":"Targeting mechanisms of change as a path to precision psychotherapy for community settings.","authors":"Nili Solomonov","doi":"10.1080/10503307.2025.2545284","DOIUrl":"10.1080/10503307.2025.2545284","url":null,"abstract":"There have been exciting advancements in mechanisms of change research, but most innovations are rarely applied in community settings. Growing depression rates and clinician shortage call for a significant change in the field. I suggest that mechanisms of change research is a promising path to develop precision psychotherapies for the community. I focus on five key problems and possible solutions to advance psychotherapy through mechanisms research: (1) Depression is heterogeneous and patients' profiles vary. Identifying each patient's unique mechanism can inform precision psychotherapies that target this mechanism; (2) research often relies on self-reports, limiting precision. A multimodal approach with objective measures (e.g., brain, behaviors, voice, language) can improve precise measurement of mechanisms and guide personalization; (3) there is a need for simplified first-line treatments that community therapists can deliver. Simplified psychotherapies and digital interventions can target key mechanisms, enhancing efficacy and cost-effectiveness; (4) methods and technologies are evolving rapidly, no single lab can encompass all necessary expertise. Interdisciplinary collaborations can accelerate mechanisms research; (5) insights from mechanisms research are rarely applied due to academia-clinical practice disconnect. Research-practice networks can develop and tailor targeted psychotherapies for underserved communities. Taken together, discovering key mechanisms of change can improve psychotherapy precision, efficacy and effectiveness in real-world settings.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1005-1015"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974590","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

Leveraging large language models to identify microcounseling skills in psychotherapy transcripts. 利用大型语言模型来识别心理治疗记录中的微咨询技巧。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-08-16 DOI: 10.1080/10503307.2025.2539405

Karin Hammerfald, Fabian Schmidt, Vladimir Vlassov, Henrik Haaland Jahren, Ole André Solbakken

{"title":"Leveraging large language models to identify microcounseling skills in psychotherapy transcripts.","authors":"Karin Hammerfald, Fabian Schmidt, Vladimir Vlassov, Henrik Haaland Jahren, Ole André Solbakken","doi":"10.1080/10503307.2025.2539405","DOIUrl":"10.1080/10503307.2025.2539405","url":null,"abstract":"Objective: Microcounseling skills are fundamental to effective psychotherapy, yet manual coding is time- and resource-intensive. This study explores the potential of large language models (LLMs) to automate the identification of these skills in therapy sessions. Method: We fine-tuned GPT-4.1 on a set of psychotherapy transcripts annotated by human coders. The model was trained to classify therapist utterances, generate explanations for its decisions, and propose alternative responses. The pipeline included transcript preprocessing, dialogue segmentation, and supervised fine-tuning. Results: The model achieved solid performance (Accuracy: 0.78; Precision: 0.79; Recall: 0.78; F1: 0.78; Specificity: 0.77; Cohen's κ: 0.69). It reliably detected common and structurally distinct skills but struggled with more nuanced skills that rely on understanding implicit relational dynamics. Conclusion: Despite limitations, fine-tuned LLMs have potential for enhancing psychotherapy research and clinical practice by providing scalable, automated coding of therapist skills.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1058-1076"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859785","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

Factors associated with treatment retention and symptom trajectories for veterans in dialectical behavior therapy. 退伍军人辩证行为治疗中治疗保留及症状轨迹的相关因素。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-07-01 Epub Date: 2025-10-09 DOI: 10.1080/10503307.2025.2556843

Chelsea Cawood, Alison Schreiber, Elizabeth Jean Duraney

{"title":"Factors associated with treatment retention and symptom trajectories for veterans in dialectical behavior therapy.","authors":"Chelsea Cawood, Alison Schreiber, Elizabeth Jean Duraney","doi":"10.1080/10503307.2025.2556843","DOIUrl":"10.1080/10503307.2025.2556843","url":null,"abstract":"Objective: There is limited research examining factors associated with Dialectical Behavior Therapy (DBT) treatment retention among veterans, who are of critical interest given higher rates of suicide and borderline personality disorder (BPD). This study examined factors related to DBT treatment retention and BPD symptom trajectories among veterans.Methods: Participants were veterans enrolled in a comprehensive DBT program. 145 veterans presented to the program, and 115 veterans were deemed eligible and enrolled. The relationships between mental health care utilization, suicide-related factors, military-related trauma, and demographic variables with treatment retention and BPD symptom trajectories were examined.Results: Older adults were more likely to complete at least a portion of treatment, and veterans with higher education were more likely to complete treatment. Regarding treatment outcomes, a past year suicide attempt was associated with heightened baseline BPD symptoms and sharper reductions in BPD symptoms. Having a recent emergency room visit was associated with sharper reductions in BPD symptoms.Conclusions: These results begin the work of identifying factors associated with treatment retention and outcomes in this high-risk population-with the aim of informing research focused on understanding who is the most likely to benefit from DBT, as well as identifying potential factors to inform DBT program processes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1087-1097"},"PeriodicalIF":3.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253150","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

Are current interventions effective in alleviating multidimensional perfectionism in children and adolescents? A meta-analytic review. 当前的干预措施在缓解儿童和青少年的多维完美主义方面是否有效？荟萃分析综述。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-29 DOI: 10.1080/10503307.2026.2681513

Andrea Fuster, María Vicent, María Pérez-Marco, Carolina Gonzálvez

{"title":"Are current interventions effective in alleviating multidimensional perfectionism in children and adolescents? A meta-analytic review.","authors":"Andrea Fuster, María Vicent, María Pérez-Marco, Carolina Gonzálvez","doi":"10.1080/10503307.2026.2681513","DOIUrl":"https://doi.org/10.1080/10503307.2026.2681513","url":null,"abstract":"Objective: The first aim of this study was to conduct a systematic and meta-analysis review considering both single-group interventions and controlled design to determine the effectiveness of interventions designed to reduce overall perfectionism, its two higher-order factors (Perfectionistic Strivings and Perfectionistic Concerns), and its dimensions measured separately. The second aim was to determine the relevance of moderators in terms of effectiveness.Method: A systematic search process was performed in the Web of Science, Scopus, PsycINFO, and Psicodoc databases, using a common search strategy.Results: A total of 33 studies were found. The interventions demonstrated clinical effectiveness with small to moderate effect sizes, except for the baseline-to-post-intervention measures of Perfectionistic Concerns, Socially prescribed perfectionism, and Personal standards. Scale type was found to be a significant moderator of Perfectionistic Concerns, Socially prescribed perfectionism, Perfectionistic Strivings, and Self-oriented perfectionism. The country was found to be significant for Perfectionistic Strivings and Self-oriented perfectionism. The treatment goal was only revealed to be significant for Concerns over mistakes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-19"},"PeriodicalIF":3.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354474","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 microprocess clinical discrimination in psychodynamic psychotherapy: A vignette-based approach with expert consensus and sensitivity to structured exposure. 评估心理动力心理治疗中的微过程临床歧视：基于专家共识和结构化暴露敏感性的小片段方法。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-29 DOI: 10.1080/10503307.2026.2689632

Rony Kapel Lev-Ari, Doron Amsalem, Ido Lurie, Dikla Rapoport, Shlomo Mendlovic

{"title":"Assessing microprocess clinical discrimination in psychodynamic psychotherapy: A vignette-based approach with expert consensus and sensitivity to structured exposure.","authors":"Rony Kapel Lev-Ari, Doron Amsalem, Ido Lurie, Dikla Rapoport, Shlomo Mendlovic","doi":"10.1080/10503307.2026.2689632","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689632","url":null,"abstract":"Objective: This study examined the development of a vignette-based instrument to assess therapists' microprocess-level clinical discrimination, the ability to identify and differentiate moment-to-moment psychological dynamics within therapeutic dialogue. Addressing a gap in psychotherapy process research, we evaluated whether this capacity can be systematically articulated and measured using a structured, dimensional framework.Method: Fifty-three participants (36 trainees, 17 experienced clinicians) completed a vignette-based questionnaire before and after structured exposure to the Dimensional Model, which organizes moment-to-moment therapeutic processes. A nonrandomized pre-post design assessed sensitivity to short-term changes in evaluative judgments. The instrument was developed through expert consensus and administered in parallel forms.Results: Discrimination scores and confidence increased from pre- to post-assessment. Experts showed higher baseline performance, whereas trainees demonstrated larger gains, resulting in comparable post-assessment scores. Participants also reported increased reliance on explicit and reflective judgment processes.Conclusions: The findings support the feasibility of assessing microprocess-level clinical discrimination using a structured, vignette-based approach and suggest that such discrimination can be systematically measured. The instrument further demonstrates sensitivity to short-term changes in participants' evaluative judgments following structured exposure. The dimensional framework may offer a useful organizing structure for the articulation and interpretation of vignette-based assessments, warranting further longitudinal and ecological.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354430","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

Preventive intervention with mentalization-based treatment for parents of young children with parenting difficulties in China: An RCT of lighthouse parenting program. 以心理治疗为基础的预防干预对中国有育儿困难的幼儿父母：灯塔育儿计划的随机对照试验。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-27 DOI: 10.1080/10503307.2026.2692604

Ruoshi Hu, Anna Georg, Svenja Taubner

{"title":"Preventive intervention with mentalization-based treatment for parents of young children with parenting difficulties in China: An RCT of lighthouse parenting program.","authors":"Ruoshi Hu, Anna Georg, Svenja Taubner","doi":"10.1080/10503307.2026.2692604","DOIUrl":"https://doi.org/10.1080/10503307.2026.2692604","url":null,"abstract":"Objectives: This study evaluated the efficacy of a culturally adapted version of the Lighthouse Parenting Programme (LPP) in reducing parenting stress and preventing childhood and early adolescence mental health difficulties in the Chinese context. It further assessed the program's feasibility and acceptability.Methods: Sixty-four parents of children aged 4-14 years, reporting elevated parenting stress (PSI ≥ 85), were randomly assigned to an LPP immediate intervention group (n = 30) or a waitlist control group (n = 34). Assessments of parenting stress, child behavioral difficulties and temperament, parental personality functioning, mentalizing, self-efficacy, mental health, and parent-child relationship quality were conducted at baseline, post-intervention/waitlist, and at a 3-month follow-up. Participant satisfaction was also measured.Results: Relative to controls, the LPP group showed greater pre-to-post improvements across multiple domains (all p < .05), including parenting stress, child behavioral difficulties, child temperament, parental self-efficacy, personality functioning, mental health, and parent-child relationship quality. These gains appeared to be maintained at 3-month follow-up. Participant satisfaction was also high.Conclusion: The culturally adapted LPP was associated with reduced parenting stress and lower early mental health risks in Chinese children, providing preliminary evidence for its feasibility and efficacy in this cultural context.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340630","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

Examining specificity in psychotherapy: Open/hidden administration of alliance in experimentally induced guilt. 心理治疗的特异性检验：实验诱发内疚的联盟的公开/隐藏管理。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-27 DOI: 10.1080/10503307.2026.2686684

Emil Kane Nissen, Theresa Zehnder, Clara Wehlage, Jens Gaab

{"title":"Examining specificity in psychotherapy: Open/hidden administration of alliance in experimentally induced guilt.","authors":"Emil Kane Nissen, Theresa Zehnder, Clara Wehlage, Jens Gaab","doi":"10.1080/10503307.2026.2686684","DOIUrl":"10.1080/10503307.2026.2686684","url":null,"abstract":"Objective: Placebo-controlled trials face significant challenges in psychotherapy research due to difficulties in creating credible placebo conditions and the inability of blinding therapists. We tested the open/hidden administration as an alternative approach to differentiate between specific and nonspecific treatment effects.Method: 68 healthy subjects were randomized to receive one session of person-centered therapy to implement therapeutic alliance either with their knowledge (open; n = 23), without their knowledge (hidden; n = 22), or no treatment (control; n = 23) following experimental guilt induction. The primary outcome was guilt responses after the guilt induction. Secondary outcomes were shame, pride, and affect responses. We hypothesized that both alliance conditions would reduce guilt compared to control, with no difference between alliance conditions.Results: Control participants showed significantly higher guilt responses than alliance conditions (p < .001, d = 1.07), whereas guilt did not differ significantly between open and hidden conditions (p = 0.810, d = 0.07). Similar patterns emerged for shame and pride, but not for affect.Conclusion: These results provide evidence that the open/hidden administration offers a novel approach to test the specificity of treatment components in psychotherapy research. Furthermore, our findings indicate that the therapeutic alliance is effective regardless of the provision of a treatment rationale.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340650","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 effect of a self-compassion focused integrated treatment on adolescent non suicidal self-injury: A randomized controlled trial. 以自我同情为中心的综合治疗对青少年非自杀性自伤的影响：一项随机对照试验。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-26 DOI: 10.1080/10503307.2026.2689626

Yixin Hu, Xiao Wu, Yifei Yang, Fanjia Su, Muze Li, Dawei Wang

{"title":"The effect of a self-compassion focused integrated treatment on adolescent non suicidal self-injury: A randomized controlled trial.","authors":"Yixin Hu, Xiao Wu, Yifei Yang, Fanjia Su, Muze Li, Dawei Wang","doi":"10.1080/10503307.2026.2689626","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689626","url":null,"abstract":"Objective: Treatments for adolescent non-suicidal self-injury (NSSI) primarily focus on reducing self-injury behaviors directly, which remain limited in efficacy. Here, we propose a self-compassion-focused integrated training (SCFIT) project to reduce adolescent NSSI through three components: developing self-differentiation abilities of adolescents to block potential threats arising from depleting family environments, conducting self-compassion training to repair positive personal resources, and providing brief DBT skills training to directly alleviate NSSI.Methods: An additive component control design was conducted to test the treatment effect of SCFIT on 165 adolescents with NSSI. Mediation models further examined whether changes in self-compassion and self-differentiation served as mechanisms of this effect.Results: The results showed that compared with the DBT only group, there were more considerable reductions in self-injury behaviors (β = -1.16, p < 0.001) and depression symptoms (β = -0.37, p = 0.006) and significant improvements in psychological well-being (β = 2.51, p < 0.001) in the SCFIT group over the 8-week intervention, and the effects remained significant at 1-month follow-up. Mediation analyses indicated that changes in self-compassion and self-differentiation mediated the impact of intervention on changes in both NSSI and depression symptoms.Conclusions: The SCFIT project effectively reduced adolescent NSSI through blocking, repairing, and alleviating processes, offering encouraging and comprehensive evidence for future NSSI treatment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340648","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