Psychotherapy Research最新文献_第8页

Exploring the factor structure of a Chinese version of the CORE-OM: Insights from network approach and bifactor modeling. 探索中文版 CORE-OM 的因素结构：网络方法和双因素模型的启示。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-05-03 DOI: 10.1080/10503307.2024.2344829

Xuyang Deng, Yu Wang, Dan Zhi, Liuqing Xu, Zhongquan Li

{"title":"Exploring the factor structure of a Chinese version of the CORE-OM: Insights from network approach and bifactor modeling.","authors":"Xuyang Deng, Yu Wang, Dan Zhi, Liuqing Xu, Zhongquan Li","doi":"10.1080/10503307.2024.2344829","DOIUrl":"10.1080/10503307.2024.2344829","url":null,"abstract":"Objective: The Clinical Outcomes in Routine Evaluation (CORE-OM) is a measure of clinical outcomes that has been widely used in mental health research. Nevertheless, the exploration of the factor structure of the CORE-OM yields diverse results. This study aims to explore the factor structure with an innovative method known as exploratory graph analysis (EGA) and supplemented with bifactor modeling.Method: A Chinese version of the CORE-OM was administrated to a total of 1361 clinical college students. We first examined the factor structure of the CORE-OM using EGA, and then compared the model derived by EGA with other models using CFA to find the most reasonable model.Results: The result of EGA indicated a four-factor model of CORE-OM. The CFA further suggested a bifactor model with a four-factor structure combined with a general factor. The bifactor modeling suggested a significant proportion of shared variance among the variables was attributed to the general factor. The four-factor bifactor model exhibited a satisfactory fit to the data.Conclusion: The results confirm the robustness and parsimonious nature of a four-factor bifactor model for the Chinese version of CORE-OM. It is suitable for measuring intrapersonal psychological distress, positive emotions, interpersonal problems, and risk-related issues among the Chinese population.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1030-1041"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group schema therapy for personality disorders: Systematic review, research agenda and treatment implications. 人格障碍的团体模式疗法：系统回顾、研究议程和治疗意义。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-06-11 DOI: 10.1080/10503307.2024.2361451

Mikaela Tracy, Erika Penney, Alice R Norton

{"title":"Group schema therapy for personality disorders: Systematic review, research agenda and treatment implications.","authors":"Mikaela Tracy, Erika Penney, Alice R Norton","doi":"10.1080/10503307.2024.2361451","DOIUrl":"10.1080/10503307.2024.2361451","url":null,"abstract":"Objective: There are significant temporal and financial barriers for individuals with personality disorders (PD) receiving evidence-based psychological treatments. Emerging research indicates Group Schema Therapy (GST) may be an accessible, efficient, and cost-effective PD intervention, however, there has been no synthesis of the available evidence to date. This review therefore aimed to investigate the efficacy of GST for PDs by systematically synthesizing available literature. Method: Five electronic databases were screened with resulting studies subjected to a specific eligibility criteria, which yielded fourteen relevant studies. Characteristics were extracted and methodological quality rigorously assessed. Results: Strong support was evidenced for GST's ability to reduce Cluster B and C symptomology, particularly for Borderline and Avoidant PD. GST appeared to improve global symptom severity, quality of life and functional capacity, as well as treatment targets such as schemas and modes. Conclusion: Although not without limitations and a moderate risk of bias, the current body of evidence supports GST as a potential solution to current service deficits in economical and evidence-based care for individuals with PD. Implications for treatment and future research are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"884-903"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307167","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

Efficacy of systemic therapy on adults with depressive disorders: A meta-analysis. 系统疗法对成人抑郁症患者的疗效：荟萃分析

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-05-22 DOI: 10.1080/10503307.2024.2352741

Andreas Vossler, Martin Pinquart, Liz Forbat, Peter Stratton

{"title":"Efficacy of systemic therapy on adults with depressive disorders: A meta-analysis.","authors":"Andreas Vossler, Martin Pinquart, Liz Forbat, Peter Stratton","doi":"10.1080/10503307.2024.2352741","DOIUrl":"10.1080/10503307.2024.2352741","url":null,"abstract":"Objective: This meta-analysis evaluates the efficacy of systemic therapy approaches on adult clients with depressive disorders.Methods: The illness-specific systematic review updates a previous meta-analysis on the efficacy of systemic therapy on psychiatric disorders in adulthood. It integrates the results of 30 randomized controlled trials (RCTs) comparing systemic psychotherapy for depression with an untreated control group or alternative treatments. Studies were identified through systematic searches in relevant electronic databases and cross-referencing. A random-effects model calculated weighted mean effect sizes for each type of comparison (alternative treatments, control group with no alternative treatment/waiting list) on two outcomes (depressive symptoms change, drop-out rates).Results: On average, systemic interventions show larger improvements in depressive symptoms compared to no-treatment controls at post-test (g = 1.09) and follow-up (g = 1.23). Changes do not significantly differ when comparing systemic interventions with alternative treatments (post-test g = 0.25; follow-up g = 0.09). Results also vary, in part, by participant age, publication year, and active control condition.Conclusion: This meta-analysis indicates the potential benefits of systemic interventions for adult patients with depression. Future randomized clinical trials in this area should enhance study quality and include relational and other relevant outcome measures.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"867-883"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082730","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 cohort study of engagement in telehealth psychotherapy versus in-person services. 一项关于远程心理治疗与面对面服务参与情况的队列研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-07-21 DOI: 10.1080/10503307.2024.2375231

Mary Beth Connolly Gibbons, Lang Duong, Rachel Y Chiu, Paul Crits-Christoph, Robert Gallop, David Mandell, Olga Barg, Cory F Newman, Lily A Brown, Maria A Oquendo

{"title":"A cohort study of engagement in telehealth psychotherapy versus in-person services.","authors":"Mary Beth Connolly Gibbons, Lang Duong, Rachel Y Chiu, Paul Crits-Christoph, Robert Gallop, David Mandell, Olga Barg, Cory F Newman, Lily A Brown, Maria A Oquendo","doi":"10.1080/10503307.2024.2375231","DOIUrl":"10.1080/10503307.2024.2375231","url":null,"abstract":"Although telehealth psychotherapies have been studied for over 20 years, mental health services remained largely delivered in person until the COVID-19 pandemic forced clinics to reconsider the utility of telehealth psychotherapy. This study aims to compare patient engagement in in-person versus telehealth services in outpatient psychotherapy for mood and anxiety disorders.A cohort investigation was conducted, using a propensity score matched sample, extracted from an electronic health record (EHR) to compare engagement in psychotherapy for 762 patients who used in-person services before the pandemic to a cohort of 762 patients who used telehealth psychotherapy after the onset of COVID-19. The authors compared cohorts on initial engagement in psychotherapy services following an initial intake, number of psychotherapy sessions attended, and the rate of missed sessions.There was a 26% increase in the total number of individual psychotherapy sessions attended when the clinics transitioned to telehealth services (p < .001). In addition, patients who received telehealth psychotherapy were five times more likely to not cancel or miss any scheduled sessions (p < .001).These results indicate that telehealth services may result in improved treatment engagement for outpatient centers focused on brief evidence-based psychotherapies for mood and anxiety disorders.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"990-1000"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11746968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735346","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

Using clinician and patient input to assess utility, accuracy, efficiency, and therapeutic implementation of a new data-driven digital therapeutic for personalized clinical eating disorder treatment: Awaken digital guide. 利用临床医生和患者的意见，评估用于个性化临床饮食失调治疗的新型数据驱动数字疗法的实用性、准确性、效率和治疗实施情况：唤醒数字指南。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-06-25 DOI: 10.1080/10503307.2024.2360445

Christina Ralph-Nearman, Jesse Rae, Cheri A Levinson

{"title":"Using clinician and patient input to assess utility, accuracy, efficiency, and therapeutic implementation of a new data-driven digital therapeutic for personalized clinical eating disorder treatment: Awaken digital guide.","authors":"Christina Ralph-Nearman, Jesse Rae, Cheri A Levinson","doi":"10.1080/10503307.2024.2360445","DOIUrl":"10.1080/10503307.2024.2360445","url":null,"abstract":"Objective: Eating disorders (EDs) take a life every 52 minutes and treatments are ineffective for ∼50% of individuals. Though EDs are heterogeneous illnesses, current evidence-based treatments take a \"one-size-fits-all\" approach. Network-Informed Personalized Treatment is a new promising treatment for EDs, but clinician-patient-friendly software tools are needed to integrate this guidance system into routine treatment. Adoption is key for impact, necessitating the inclusion of clinicians in the software development. The current pilot assessed a new data-driven clinician-guidance therapeutic.Method: A two-part pilot was analyzed for quantitative (0-not at all to 10-extremely) and qualitative input on user perception through quantitative and open-ended prompted questions evaluating using personalizing ED treatment with the Awaken Digital Guide therapeutic.Results: Results demonstrated that clinicians in a focus group (N = 9) and clinician/patient dyads within implementation (N = 10) endorsed improved efficiency, effectiveness, self-awareness, and accuracy using Awaken Digital Guide compared to current treatment as suggested by quantitative and qualitative results. Both clinicians and patients rated the tool positively (6.8-9.6/5.8-8.6, respectively) with an average rating of good and excellent.Conclusion: Findings suggest that ED-specialized clinicians desire data-driven guidance on personalizing ED treatment. Users perceive Awaken Digital Guide therapeutic with potential to increase collaboration, motivation, efficiency, and effectiveness of ED personalized treatment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"945-958"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451905","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

Evaluation of symptom network density as a predictor of treatment outcome of inpatient psychotherapy. 评估症状网络密度对住院心理治疗疗效的预测作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-06-26 DOI: 10.1080/10503307.2024.2365235

Hanna M Deflorin, Mara S Söker, Stephanie Bauer, Markus Moessner

{"title":"Evaluation of symptom network density as a predictor of treatment outcome of inpatient psychotherapy.","authors":"Hanna M Deflorin, Mara S Söker, Stephanie Bauer, Markus Moessner","doi":"10.1080/10503307.2024.2365235","DOIUrl":"10.1080/10503307.2024.2365235","url":null,"abstract":"AbstractObjective: The network approach implies that the persistence of a mental disorder is rooted in a dense causal interconnection of symptoms. This study attempts to replicate and generalize previous findings in support of the assumption that higher density predicts poorer outcomes. The study examines the predictive value of network density at admission for recovery after inpatient treatment. Method: N = 1375 adult patients with various forms of mental illness were classified as recovered (28%) versus not recovered (72%) after inpatient treatment. Recovery was defined as clinically significant improvement in impairment from admission to discharge. Networks of transdiagnostic symptoms at the time of admission were estimated. Network density, measured by global strength d, was compared between the recovered and not recovered groups using a permutation test. Results: Global strength at the time of admission tended to be higher in the No-Recovery group (d = 10.83) than the Recovery group (d = 7.53) but the association was not significant (p = .12). Similar results were found after controlling for group size and symptom severity. Conclusion: The predictive value of network density for treatment outcomes remains unclear. There might be structural differences between the groups that the current measure of network density does not adequately represent.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"981-989"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459969","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 person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy. 以人为本的跨诊断模式和模式特征方法，用于预测限时模式小组疗法的结果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-01 Epub Date: 2024-07-17 DOI: 10.1080/10503307.2024.2375251

M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe

{"title":"A person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy.","authors":"M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe","doi":"10.1080/10503307.2024.2375251","DOIUrl":"10.1080/10503307.2024.2375251","url":null,"abstract":"Objective: This study employs a person-centered transdiagnostic approach to examine how schema and mode profiles predict symptom severity reduction in schema group therapy for patients with personality disorders and enduring clinical syndromes.Method: We analyzed symptom reduction in 248 patients across three formats of manualized, time-limited schema group therapy. Latent profile analysis and mixed multilevel modeling were used to determine the extent to which schema/mode classes predict symptom reduction, and whether the inclusion of individual schemas and modes enhances these predictions.Results: No significant differences in treatment outcomes were found across the group modalities. A three latent profile solution for schemas and modes showed external validity with clinical variables and demonstrated that declines in symptom severity varied by schema and mode class, even after adjusting for baseline symptom severity. Adding the Vulnerability to Harm schema and Vulnerable Child mode to the model increased the explained variance.Conclusion: Patients with more severe personality problems show more substantial symptom reduction. Both schema and mode profiles significantly contribute to predicting post-treatment symptom levels. Understanding these profiles may help therapists tailor interventions more effectively, consistent with Young's theoretical model.Trial registration: ISRCTN.org identifier: ISRCTN17262253.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"904-917"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635016","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 usefulness of combining topic modelling and statistical analysis to investigate the therapeutic process: A single case study. 结合主题模型和统计分析来调查治疗过程的有用性：一个个案研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-27 DOI: 10.1080/10503307.2025.2500504

Davide Liccione, Luisa Siciliano

{"title":"The usefulness of combining topic modelling and statistical analysis to investigate the therapeutic process: A single case study.","authors":"Davide Liccione, Luisa Siciliano","doi":"10.1080/10503307.2025.2500504","DOIUrl":"https://doi.org/10.1080/10503307.2025.2500504","url":null,"abstract":"Objective: This study examines whether patterns in the movement of topics during psychotherapy sessions can provide psychotherapists with actionable insights for single-case analysis. It utilizes both statistical models and AI-driven tools to uncover these dynamics.Method: We transcribed a completed psychotherapy session comprising 26 sessions. First, common topics across all therapies were identified, and then expert psychotherapists labelled each conversational turn of this selected psychotherapy. As determined by the experts, the topic dynamics were analysed using Generalized Additive Mixed Models (GAMMs), which captured non-linear trends and hierarchical structures within the data. Subsequently, these trajectories, as identified by the experts, were compared with the topics extracted in an unsupervised manner using a topic modelling algorithm, called Latent Dirichlet Allocation (LDA).Results: Our findings confirm that topic trajectory analysis reliably indicates therapeutic progress. Specifically, topics related to suffering (SPS) decreased over time, while topics concerning therapeutic refiguration and insight (TRI) increased, reflecting clinical improvement.Conclusion: The study demonstrates that both GAMMs and LDA are useful tools to see how the topics in specific psychotherapy are modified their occurrence during the therapeutic work. Combining classical methods of statistical analysis and AI-driven topic analysis enhances the sensitivity of assessments, providing insights into how the psychotherapy work changes across sessions.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reinventing fatherhood -exploring men' experiences of participating in emotion-focused skills training. 重塑父亲身份——探索男性参与情感技能培训的经验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-27 DOI: 10.1080/10503307.2025.2494747

Nadia Ansar, Signe Hjelen Stige, Selma Marie Pedersen Engeset, Benedicte Nilsen, Elisabeth Schanche, Aslak Hjeltnes

引用次数: 0

Dynamic expectancies: The independent role of within-person change in outcome expectancy in predicting overall treatment outcomes in psychotherapy for depression. 动态期望：在预测抑郁症心理治疗的总体治疗结果中，预期结果的个人内部变化的独立作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-25 DOI: 10.1080/10503307.2025.2519574

Liron Rozenkrantz, Oleksandr Laskorunskyi, Sigal Zilcha-Mano, Itai Dattner

{"title":"Dynamic expectancies: The independent role of within-person change in outcome expectancy in predicting overall treatment outcomes in psychotherapy for depression.","authors":"Liron Rozenkrantz, Oleksandr Laskorunskyi, Sigal Zilcha-Mano, Itai Dattner","doi":"10.1080/10503307.2025.2519574","DOIUrl":"https://doi.org/10.1080/10503307.2025.2519574","url":null,"abstract":"Objective: Dynamic changes in patients' outcome expectancy have been increasingly recognized as important for psychotherapy success. However, whether expectancy change predicts treatment outcomes independently of baseline expectancy, particularly in major depressive disorder (MDD), remains underexplored. This study investigated the role of expectancy change throughout treatment as an independent predictor of psychotherapy outcomes in MDD.Methods: Seventy-five patients with MDD underwent a 16-session psychotherapy treatment, during which expectancy was measured six times. Expectancy change was operationalized as the within-person slope of expectancy across sessions, while baseline expectancy was assessed prior to treatment onset. Linear regressions examined the contribution of baseline expectancy, expectancy change and their interaction to overall symptom improvement, from pre- to post-treatment.Results: A greater increase in expectancy throughout treatment predicted faster and more substantial recovery. Notably, both higher baseline expectancy and greater expectancy change independently predicted better treatment outcomes.Conclusions: These findings highlight that dynamic changes in patients' outcome expectancy predict overall symptom improvement, independently of baseline expectancy. Integrating these findings within a broader framework of belief-updating in depression, we propose that expectancy change may inform treatment progression and serve as a therapeutic target. Implications for clinical practice and future work are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0