Psychotherapy Research最新文献_第8页

Adherence to elements of metacognition-based therapy for schizophrenia moderates the negative association between therapist-perceived rupture intensity and the client's session evaluation. 坚持以元认知为基础的精神分裂症治疗可以调节治疗师感知的破裂强度与来访者会话评估之间的负相关。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-26 DOI: 10.1080/10503307.2026.2691884

Ilanit Hasson-Ohayon, Libby Igra, Adi Lavi-Rotenberg, Dana Atzil-Slonim

{"title":"Adherence to elements of metacognition-based therapy for schizophrenia moderates the negative association between therapist-perceived rupture intensity and the client's session evaluation.","authors":"Ilanit Hasson-Ohayon, Libby Igra, Adi Lavi-Rotenberg, Dana Atzil-Slonim","doi":"10.1080/10503307.2026.2691884","DOIUrl":"https://doi.org/10.1080/10503307.2026.2691884","url":null,"abstract":"Objective: Alliance ruptures are common in psychotherapy, and their clinical impact depends on how they are recognized and responded to. Little empirical work has examined rupture processes in psychotherapy for schizophrenia-spectrum disorders. The present study investigated whether therapists' adherence to Metacognition Insight Reflection Therapy (MERIT) elements is associated with clients' session-quality evaluations and whether adherence moderates the association between therapist-perceived alliance ruptures and client-perceived session quality.Method: Data included 610 therapy sessions from a randomized controlled trial, including 37 clients diagnosed with schizophrenia or schizoaffective disorder. Following each session, therapists rated their adherence to MERIT elements and their perceived intensity of alliance ruptures, while clients independently rated session quality. Multilevel models were used to examine within-client associations across sessions.Results: Therapists' adherence to MERIT elements was positively associated with clients' perceptions of session quality. Higher therapist-perceived rupture intensity was negatively associated with clients' session evaluations. Adherence to MERIT content elements moderated this association: when content adherence was high, therapist-perceived rupture intensity was no longer associated with poorer client-rated session quality, whereas under low adherence conditions, greater rupture intensity predicted worse session evaluations.Conclusion: Therapists experienced rupture was negatively related to clients' satisfaction, in sessions characterized by weaker therapist-rated adherence to content elements.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-10"},"PeriodicalIF":3.8,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340599","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 clinician's helpful and hindering uncertainty scale (CHUS). Development, factor structure, and initial validation. 临床医师帮助与阻碍不确定度量表（CHUS）。开发、因素结构和初始验证。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-24 DOI: 10.1080/10503307.2026.2689630

Signe Hjelen Stige, Michael Helge Rønnestad, Hanne Weie Oddli, Katie Aafjes-van Doorn, Helene Amundsen Nissen-Lie, Endre Visted

{"title":"The clinician's helpful and hindering uncertainty scale (CHUS). Development, factor structure, and initial validation.","authors":"Signe Hjelen Stige, Michael Helge Rønnestad, Hanne Weie Oddli, Katie Aafjes-van Doorn, Helene Amundsen Nissen-Lie, Endre Visted","doi":"10.1080/10503307.2026.2689630","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689630","url":null,"abstract":"Objective: The ability to tolerate incomplete knowledge, or uncertainty, is a central clinical competence, yet it is an understudied topic. The few measures of therapist uncertainty tolerance that exist require clinical experience, limiting their usefulness for tracking development through training. We present the development and initial validation of the Clinician Helpful and Hindering Uncertainty Scale (CHUS), designed for use across all stages of clinical training.Method: Based on comprehensive conceptual clarification, 68 items were constructed to reflect six facets denoting attitudes toward and dealing with uncertainty. Using confirmatory factor analysis (CFA), the measure's conceptual fit and psychometric properties were examined in a combined sample of 376 English-speaking psychotherapists and students. Construct and concurrent validity were assessed through associations with self-efficacy, intolerance of uncertainty, professional self-doubt, and coping. Qualitative interviews with 15 participants explored the potential utility of CHUS in training.Results: CFA supported a 30-item, six-factor structure. Factors showed good internal consistency (McDonald's ω = .74-.91) and expected correlations with established measures. Qualitative analyses suggested that CHUS stimulated self-reflection and was viewed as helpful for professional development.Conclusion: The CHUS shows promising initial psychometric properties and may represent a useful multidimensional measure of clinical uncertainty for research and training purposes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.8,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309973","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

Embodied movement markers of alliance ruptures in psychotherapy: A machine learning study. 心理治疗中联盟破裂的具身运动标记：一项机器学习研究。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-23 DOI: 10.1080/10503307.2026.2689627

Amit Tchizick, Aleksandr Laskorunskyi, Tohar Dolev-Amit, Galit Peysachov, Pavel Pizman, Keren Deres-Cohen, Itai Dattner, Sigal Zilcha-Mano

{"title":"Embodied movement markers of alliance ruptures in psychotherapy: A machine learning study.","authors":"Amit Tchizick, Aleksandr Laskorunskyi, Tohar Dolev-Amit, Galit Peysachov, Pavel Pizman, Keren Deres-Cohen, Itai Dattner, Sigal Zilcha-Mano","doi":"10.1080/10503307.2026.2689627","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689627","url":null,"abstract":"Objective: Alliance ruptures are central to psychotherapy process and outcome, yet therapists often fail to detect them in real time, particularly withdrawal ruptures, which tend to manifest subtly. This study examined whether machine learning applied to moment-to-moment movement dynamics during psychotherapy sessions can identify markers of alliance ruptures.Method: We analyzed 474 videotaped psychotherapy sessions from 86 dyads drawn from a randomized controlled trial for major depressive disorder. Alliance ruptures were coded using the Rupture Resolution Rating System (3RS). Patient and therapist movement was quantified using motion energy analysis across head and body regions. Two feature-engineering approaches captured temporal and spatial movement patterns associated with rupture occurrence.Results: Models showed greater discriminative performance for withdrawal ruptures (mean AUC = .73) than for confrontational ruptures (mean AUC = .56). Therapist head movements were the most robust individual marker across rupture types, whereas detecting withdrawal ruptures required integrating movement information across multiple body regions and both dyad members.Conclusion: Withdrawal ruptures leave consistent embodied signatures despite being difficult to identify in vivo. These findings advance psychotherapy process research and highlight the potential of machine learning-based movement analysis to identify behavioral and interpretable markers for alliance-focused training and supervision.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":3.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309938","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

Reducing nonsuicidal self-injury in depressed adolescents: The role of cognitive defusion as a behavioral mechanism. 减少抑郁青少年的非自杀性自伤：认知融合作为一种行为机制的作用。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-23 DOI: 10.1080/10503307.2026.2689625

Xin Yu, Tianyi Hu, Xu Chen, Hongyu Li, Wen He

{"title":"Reducing nonsuicidal self-injury in depressed adolescents: The role of cognitive defusion as a behavioral mechanism.","authors":"Xin Yu, Tianyi Hu, Xu Chen, Hongyu Li, Wen He","doi":"10.1080/10503307.2026.2689625","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689625","url":null,"abstract":"Objective: Nonsuicidal self-injury (NSSI) is prevalent among adolescents with depression, yet the mechanisms through which psychotherapy reduces NSSI remain unclear. This study evaluated the efficacy of Acceptance and Commitment Therapy (ACT) and examined whether reductions in NSSI were associated with changes in specific psychological flexibility (PF) processes.Methods: In this randomized controlled trial, 120 adolescents with comorbid depression and NSSI were assigned to ACT or treatment as usual (TAU). PF, depressive symptoms, and NSSI frequency were assessed at baseline and post-treatment. Network intervention analysis (NIA) examined treatment-related changes within the PF system. A parallel change-score structural equation model estimated indirect effects of PF processes on NSSI reduction.Results: Compared with TAU, ACT was associated with greater improvements in PF and larger reductions in depressive symptoms and NSSI. NIA indicated that treatment exposure was most strongly linked to changes in cognitive defusion and contact with the present moment. Structural modeling suggested a significant indirect effect of PF on NSSI reduction, with cognitive defusion emerging as the only specific process significantly associated with change in NSSI.Conclusion: Findings support a process-based account of ACT and identify cognitive defusion as a central mechanism of change in adolescent NSSI.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303581","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

Predictors and moderators in internet-delivered therapies for adolescent depression: Results from a randomized non-inferiority trial. 青少年抑郁症网络治疗的预测因素和调节因素：来自一项随机非劣效性试验的结果。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-23 DOI: 10.1080/10503307.2026.2686693

Jakob Mechler, Karin Lindqvist, Fredrik Falkenström, Per Carlbring, Peter Lilliengren, Gerhard Andersson, Björn Philips

{"title":"Predictors and moderators in internet-delivered therapies for adolescent depression: Results from a randomized non-inferiority trial.","authors":"Jakob Mechler, Karin Lindqvist, Fredrik Falkenström, Per Carlbring, Peter Lilliengren, Gerhard Andersson, Björn Philips","doi":"10.1080/10503307.2026.2686693","DOIUrl":"https://doi.org/10.1080/10503307.2026.2686693","url":null,"abstract":"Internet-delivered psychotherapies show promise for adolescent major depression (MDD), but little is known about which baseline characteristics predict improvement or moderate differential effects between internet-delivered cognitive-behavioral therapy (ICBT) and psychodynamic therapy (IPDT). This study examined pretreatment predictors and moderators of symptom change in a randomized trial comparing the treatments.This secondary analysis used data from a non-inferiority trial (n = 272) in which adolescents with MDD received 10 weeks of guided ICBT or IPDT. Mixed-effects models tested predictors and moderators of change in self-rated depression. Anxiety symptoms, length of depressive episode, emotion regulation, personality disorder severity, attachment, self-compassion, suicidal ideation, and baseline depression were examined as predictors and moderators.Higher self-compassion predicted steeper improvement across treatments, as the only significant predictor. Comorbid anxiety moderated outcome where higher anxiety was associated with significantly greater improvement in IPDT relative to ICBT, with no difference at average levels. At the lowest levels of anxiety, ICBT showed significantly better outcomes. No other significant moderators emerged.Findings suggest that baseline variables may influence the rate of improvement in internet-delivered therapy for adolescent MDD, as well as help guide treatment selection. Replication is needed to establish the clinical utility of these variables.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309959","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

Leveraging large language models to assess therapeutic technique diversity and its associations with the therapeutic alliance and outcome. 利用大型语言模型来评估治疗技术的多样性及其与治疗联盟和结果的关联。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-23 DOI: 10.1080/10503307.2026.2689633

Amir Eliassaf, Yael Bar-Shachar, Aya Shamir, Dana Atzil-Slonim

{"title":"Leveraging large language models to assess therapeutic technique diversity and its associations with the therapeutic alliance and outcome.","authors":"Amir Eliassaf, Yael Bar-Shachar, Aya Shamir, Dana Atzil-Slonim","doi":"10.1080/10503307.2026.2689633","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689633","url":null,"abstract":"Objective: This study employed a novel methodology that leverages a Large Language Model (LLM) to automatically detect and annotate therapists' interventions in psychotherapy transcripts, to examine therapists' Therapeutic Technique Diversity (TTD) and its associations with the working alliance and client functioning.Method: A dataset of 872 transcribed psychotherapy sessions was analyzed. Therapists' interventions were annotated using a transformer-based model. TTD was quantified using Shannon's entropy index to calculate the diversity of the interventions. Multilevel regression models examined TTD changes within sessions, within dyads (between sessions), and between dyads, and its associations with the Working Alliance Inventory (WAI) and the Outcome Rating Scale (ORS).Results: TTD significantly increased both within and between sessions. A higher TTD within-dyad was positively associated with WAI and ORS scores, although the association with ORS did not remain significant after accounting for session number. No between-dyads effects of TTD were found.Conclusion: TTD emerged as a dynamic feature of therapist behavior associated with the quality of the therapeutic alliance and treatment outcome. These findings underscore the importance of maintaining a diverse repertoire of interventions and highlight the potential of LLMs to capture granular therapeutic processes at scale.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303597","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

Synchrony in therapist's and patient's vocally encoded arousal and its association with the quality of the therapeutic relationship. 治疗师和患者声音编码唤醒的同步性及其与治疗关系质量的关联。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-22 DOI: 10.1080/10503307.2026.2689628

Stéphanie Blanc, Kevin A Hallgren, Jacques Gaume

{"title":"Synchrony in therapist's and patient's vocally encoded arousal and its association with the quality of the therapeutic relationship.","authors":"Stéphanie Blanc, Kevin A Hallgren, Jacques Gaume","doi":"10.1080/10503307.2026.2689628","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689628","url":null,"abstract":"Objective: Therapeutic relationship is a core element of brief motivational intervention (bMI). Behavioral coding is the gold standard for capturing relational factors, but it is highly time-consuming. We aimed to examine the association between vocal arousal synchrony and the quality of the therapeutic relationship.Method: This secondary analysis used 135 audio-recorded alcohol bMIs among French-speaking young adults (18-35 y.) from a randomized controlled trial. bMIs were categorized into higher and lower levels of therapist empathy, collaboration, therapeutic alliance and patient's perspective. The therapist's and patient's mean fundamental frequency of the voice (mean ƒ0) was extracted at 0.25-second intervals. Mean ƒ0 synchrony was computed at session- and minute-levels using Bayesian multilevel multivariate models and compared to higher- vs. lower-rated sessions.Results: Higher-therapist empathy and higher-therapeutic alliance sessions showed medium-to-large mean ƒ0 synchrony while lower-rated sessions showed lower nonsignificant synchrony. However, differences in the degree of synchrony between higher- and lower-rated sessions were medium-to-large but nonsignificant. We found no evidence for mean ƒ0 synchrony at the minute-level for both measures, nor at all levels for therapist collaboration and the patient's perspective.Conclusion: While the findings provide partial support for this paralinguistic feature modeling the therapist's relational skills, further research should examine under which conditions synchrony may predict relational factors.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303560","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

Couples satisfaction, relationship status, and symptom change after Gottman method couples therapy for infidelity: A dyadic analysis. 夫妻满意度、夫妻关系状态与不忠夫妻治疗后症状改变：二元分析。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-22 DOI: 10.1080/10503307.2026.2689634

Paul R Peluso, Taylor Irvine, Alexandra Marquez

{"title":"Couples satisfaction, relationship status, and symptom change after Gottman method couples therapy for infidelity: A dyadic analysis.","authors":"Paul R Peluso, Taylor Irvine, Alexandra Marquez","doi":"10.1080/10503307.2026.2689634","DOIUrl":"https://doi.org/10.1080/10503307.2026.2689634","url":null,"abstract":"Objective: Infidelity is a challenging presenting concern in couples therapy, yet relatively little outcome research has examined treatment effects using analytic approaches that account for interdependence between partners. The present study examined the pre-post changes in relationship, psychological, and infidelity-related outcomes among couples receiving Gottman Method Couples Therapy (GMCT) for infidelity, using a dyadic framework.Method: Data were drawn from 35 couples (n = 70 individuals) who completed GMCT following infidelity. Actor-Partner Interdependence Modeling (APIM) for distinguishable dyads were estimated to examine associations between partners' pre-treatment functioning and post-treatment outcomes, allowing estimation of actor effects, partner effects, and residual covariances.Results: Statistically significant pre-post improvements were observed for both partners. Partner effects emerged selectively, with IP baseline trust and commitment associated with UP post-treatment trust and commitment. Bidirectional partner effects were observed for conflict-related behaviors, including repair attempts and hostile communication. Significant residual covariances were observed for relationship satisfaction, indicating correlated change across partners.Conclusion: The observed patterns indicate that pre-post change following infidelity treatment includes both shared and partner-specific associations across relational, emotional, and behavioral domains. Dyadic analytic approaches provide a framework for characterizing treatment-associated change in couples therapy while accounting for partner interdependence.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.8,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296792","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 decision-making in ongoing psychotherapy: Negotiating frames, preferences and meaning. 正在进行的心理治疗中的共同决策：谈判框架、偏好和意义。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-18 DOI: 10.1080/10503307.2026.2682994

Jasmin Gryesten, Malene Lue Kessing, Christian Moltu, Lisa Korsbek, Stig Bernt Poulsen, Sidse Arnfred

{"title":"Shared decision-making in ongoing psychotherapy: Negotiating frames, preferences and meaning.","authors":"Jasmin Gryesten, Malene Lue Kessing, Christian Moltu, Lisa Korsbek, Stig Bernt Poulsen, Sidse Arnfred","doi":"10.1080/10503307.2026.2682994","DOIUrl":"https://doi.org/10.1080/10503307.2026.2682994","url":null,"abstract":"Objective: Shared decision-making (SDM) is pivotal in healthcare to enhance patient involvement in treatment decision-making. In mental health, SDM is increasingly also recognized as a key approach for tailoring psychotherapy to patients' individual needs. Although research on SDM in mental health care has documented the impact of SDM on patient involvement and activation, little is known about the implications of SDM in psychotherapy. Method: To investigate how SDM is enacted in the therapeutic encounter, this study draws on audio-recordings of ten SDM dialogues in psychotherapy. Patients in the age-range of 18-55 years participated in group-based Cognitive Behavioral Therapy (CBT) for depression, and took part in individual SDM sessions, during which the therapist and patient collaboratively decided on the content of individualized add-on sessions. We analyzed data through a structured qualitative approach. Results: We identified three forms of negotiations that shaped SDM in the therapeutic encounter: (1) negotiating frames; (2) negotiating preferences; and (3) negotiating meaning. Conclusion: The findings show that SDM is not straightforwardly enacted in the therapeutic dialogue. Rather, it is a complex endeavor due to the ongoing interactional process of psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273521","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

Narcissism Facets and Gelotophobia as Predictors of Early Outcomes in Group Psychotherapy for Personality Difficulties. 自恋方面和恐地症作为人格困难群体心理治疗早期结果的预测因子。

IF 3.8 1区心理学

Psychotherapy Research Pub Date : 2026-06-17 DOI: 10.1080/10503307.2026.2686683

Katarzyna Czajkowska-Łukasiewicz, Anna Zajenkowska

{"title":"Narcissism Facets and Gelotophobia as Predictors of Early Outcomes in Group Psychotherapy for Personality Difficulties.","authors":"Katarzyna Czajkowska-Łukasiewicz, Anna Zajenkowska","doi":"10.1080/10503307.2026.2686683","DOIUrl":"10.1080/10503307.2026.2686683","url":null,"abstract":"Objective: This study investigated how specific narcissistic traits and gelotophobia (fear of being laughed at) predict changes in depressive symptoms and negative affect during the first three months of treatment in individuals with personality disorders.Method: Forty-eight patients (75% female, M age = 31.76) with personality difficulties participated in group psychotherapy. Outcome variables were depressive symptoms (PHQ-9) and negative affect (PANAS-X), measured pre-intervention and after 3 months of psychotherapy. Hierarchical regressions were conducted to test the hypotheses. The analyses corrected for the nested data structure.Results: Narcissistic neuroticism significantly predicted increases in both depressive symptoms (β = -0.501, p = .005) and negative affect (β = -0.571, p = .001). Gelotophobia was correlated with symptom worsening but did not add predictive value beyond narcissistic neuroticism.Conclusion: Narcissistic neuroticism is a key predictor of early symptom deterioration in group psychotherapy. Pre-treatment assessment of this trait may help clinicians anticipate early distress and adjust therapeutic interventions accordingly.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273518","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