Psychotherapy Research最新文献_第8页

The relationship between general psychopathology in young people with family functioning and engagement with psychotherapy. 有家庭功能的年轻人的一般精神病理与心理治疗的关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-11-18 DOI: 10.1080/10503307.2023.2281549

Vera Regina Röhnelt Ramires, Guilherme Fiorini, Fernanda Munhoz Driemeier Schmidt, Camila Piva Da Costa, Elenice Deon, Rob Saunders

{"title":"The relationship between general psychopathology in young people with family functioning and engagement with psychotherapy.","authors":"Vera Regina Röhnelt Ramires, Guilherme Fiorini, Fernanda Munhoz Driemeier Schmidt, Camila Piva Da Costa, Elenice Deon, Rob Saunders","doi":"10.1080/10503307.2023.2281549","DOIUrl":"10.1080/10503307.2023.2281549","url":null,"abstract":"Objective: to examine whether an underlying general psychopathology factor (p factor) existed in children and adolescents attending psychodynamic psychotherapy and whether this general psychopathology factor was associated with family functioning and engagement with psychotherapy.Method: Participants were 1976 children and adolescents, and their families, who sought psychodynamic psychotherapy from a community-based clinic in Southern Brazil. The Child Behavior Checklist and the Family Adaptability and Cohesion Evaluation Scales for assessing symptoms and family functioning were used, with treatment engagement data available through linked records. Confirmatory factor analytic methods examined psychopathology and regression models were constructed to examine associations.Results: A general psychopathology factor and specific internalizing and externalizing factors were identified. Higher general psychopathology scores at assessment were associated with an increased likelihood of dropout and poorer attendance compared to completing treatment. Father's educational level, living with both parents, lack of family adaptability and cohesion, and maltreatment experience were related to increased p factor severity.Conclusion: General psychopathology severity seems to contribute to child and adolescent psychotherapy outcomes, increasing the risk of non-adherence and dropout. Family difficulties and traumatic experiences may increase p factor severity. Identifying general psychopathology routinely can be crucial for developing effective treatment plans.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"957-971"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048204","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

Secret-keeping in therapy by clients who are sexually attracted to children. 被儿童性吸引的客户在治疗中的秘密。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-10-17 DOI: 10.1080/10503307.2023.2265047

Sara Jahnke, Nicholas Blagden, Ian V McPhail, Jan Antfolk

{"title":"Secret-keeping in therapy by clients who are sexually attracted to children.","authors":"Sara Jahnke, Nicholas Blagden, Ian V McPhail, Jan Antfolk","doi":"10.1080/10503307.2023.2265047","DOIUrl":"10.1080/10503307.2023.2265047","url":null,"abstract":"Objective This study investigated the reasons why pedohebephilic clients disclose their sexual attraction to children in therapy and the experiences associated with this decision among English-speaking samples. Method: The pre-registered online survey combined (1) quantitative correlational data of self-reported improvement, alliance, therapist reaction to disclosure, and the belief that mandatory reporting laws were in place, and (2) qualitative data about reasons for disclosure or no disclosure as well as perceived consequences. The sample consisted of pedohebephilic people who have been clients in therapy and have disclosed (n = 96) or not disclosed (n = 40). Results: While the disclosure and no disclosure groups did not differ in improvement or beliefs about mandatory reporting, those who had disclosed reported a stronger alliance. Clients who did not perceive the therapist's reaction as supportive reported less improvement than the no disclosure group. Thematic analysis of qualitative data identified three themes concerning motives for disclosing or not disclosing and a fourth regarding differential impacts of disclosure. Discussion: This study indicates that disclosing pedohebephilia does not in and of itself lead to improvement but is contingent on a therapist's reaction.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"941-956"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239933","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

Practice-based insights from specialized clinicians into youth suicide risk assessment and psychotherapy: A qualitative study. 专业临床医生对青少年自杀风险评估和心理治疗的实践见解：一项定性研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-09-25 DOI: 10.1080/10503307.2023.2253360

Di Simes, Ian Shochet, Kate Murray, Duncan J Gill

{"title":"Practice-based insights from specialized clinicians into youth suicide risk assessment and psychotherapy: A qualitative study.","authors":"Di Simes, Ian Shochet, Kate Murray, Duncan J Gill","doi":"10.1080/10503307.2023.2253360","DOIUrl":"10.1080/10503307.2023.2253360","url":null,"abstract":"Objective: The experience of frontline clinicians is an underutilized source of knowledge about improving youth suicide intervention. This qualitative study explored the perspectives of highly experienced, specialized mental health clinicians on the practical application of risk assessment, stabilization, and treatment and their experience of working in this practice area.Method: Data were collected from seven focus groups with 28 clinicians and analyzed using consensual qualitative research methods.Results: Four domains emerged, describing 1) youth suicide intervention as relationally focused and attachment-informed, 2) the need for flexible and tailored care balancing individual and family intervention in the context of family complexity and fractured relationships, 3) a nuanced, therapeutic approach to managing the complexity and uncertainty of adolescent suicide risk, and 4) working in youth suicide intervention as emotionally demanding and facilitated or hampered by the organizational and systems context.Conclusion: The importance of harnessing family systems and attachment-informed approaches to alliance, risk assessment, and treatment was emphasized, along with the parallel need for systemic clinician support and consideration of the potential negative consequences of administrative and risk management protocols.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"972-990"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152393","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

"Picking up the pieces": Patients' retrospective reflections of rupture resolution episodes during treatment. "收拾残局"：患者对治疗过程中破裂解决事件的回顾性反思。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-08-18 DOI: 10.1080/10503307.2023.2245128

Tal Ben David-Sela, Liat Leibovich, Yara Khoury, Clara E Hill, Sigal Zilcha-Mano

{"title":"\"Picking up the pieces\": Patients' retrospective reflections of rupture resolution episodes during treatment.","authors":"Tal Ben David-Sela, Liat Leibovich, Yara Khoury, Clara E Hill, Sigal Zilcha-Mano","doi":"10.1080/10503307.2023.2245128","DOIUrl":"10.1080/10503307.2023.2245128","url":null,"abstract":"Objective: Although theorists and researchers have stressed the importance of rupture resolution episodes for successful treatment process and outcome, little is known about patients' retrospective reflections about rupture resolution. Aim: The overarching goal of the present study was to use a mixed-method approach to examine patients' retrospective reflections on the frequency, types, and consequences of rupture resolution episodes and the association between rupture resolution episodes and patients' attachment orientation and treatment outcome. Method: Thirty-eight patients diagnosed with major depressive disorder (MDD) were interviewed, on average three years after termination, about their experiences of ruptures in short-term dynamic psychotherapy. Results: Thirty patients reported having experienced at least one rupture, with patients who showed less improvement in depressive symptoms more likely to report having had a rupture. Ruptures were judged as having been successfully resolved for 13 of these patients; suggesting that patients with a high level of attachment anxiety were less likely to be judged as having had a successful resolution. Patients whose ruptures were successfully resolved with the therapist's help reported better treatment process and outcome than patients whose ruptures were not successfully resolved. Conclusion: Results highlight the importance of hearing patients' perspectives on ruptures, rupture resolution, and treatment outcome.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"858-871"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10021315","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 meaning and feeling of the time and space between psychotherapy sessions and everyday life: Client experiences of transitions. 心理治疗和日常生活之间的时间和空间的意义和感觉：过渡的客户体验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-10-27 DOI: 10.1080/10503307.2023.2274061

Andrzej Werbart, Ulf Rådberg, Isa Holm, David Forsström, Anne H Berman

{"title":"The meaning and feeling of the time and space between psychotherapy sessions and everyday life: Client experiences of transitions.","authors":"Andrzej Werbart, Ulf Rådberg, Isa Holm, David Forsström, Anne H Berman","doi":"10.1080/10503307.2023.2274061","DOIUrl":"10.1080/10503307.2023.2274061","url":null,"abstract":"Objective: To explore how clients in psychodynamic or psychoanalytic psychotherapy, conducted in the traditional in-person setting, experience the transitions in time and space between psychotherapy sessions and everyday life.Method: Twelve semi-structured interviews were analyzed with inductive experiential thematic analysis, focusing on how the participants experience and make sense of the phenomenon in focus.Results: The participants described therapy as a sheltered space where they could be open, vulnerable, receptive, and present. Approaching and leaving psychotherapy sessions, the participants established different behavioral patterns and routines dealing with their anxieties and resistances. In this in-between area, the participants could handle interconnections and differences between therapy and everyday life. Participants stressed the clinical impact of transitions: transitions affect both therapy and everyday life; disturbed transitions have an adverse impact; transitions are insufficiently addressed in therapy.Conclusion: Transitions between therapy and life appear to be an essential but seldom recognized part of the therapy process beyond the borders of therapy sessions. Implications of these findings for psychotherapy training and practice are discussed, and a tentative transtheoretical framework for further research is proposed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"899-912"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61565530","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

Prediction of adolescent psychotherapy outcomes using youth- and caregiver-reported symptoms data. 利用青少年和照顾者报告的症状数据预测青少年心理治疗效果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-08-30 DOI: 10.1080/10503307.2024.2394187

Craig E Henderson, Grace S Woodard, Melanie Simmonds-Buckley, Maxwell Christensen, Amanda Jensen-Doss, Susan Douglas, Jaime Delgadillo

{"title":"Prediction of adolescent psychotherapy outcomes using youth- and caregiver-reported symptoms data.","authors":"Craig E Henderson, Grace S Woodard, Melanie Simmonds-Buckley, Maxwell Christensen, Amanda Jensen-Doss, Susan Douglas, Jaime Delgadillo","doi":"10.1080/10503307.2024.2394187","DOIUrl":"https://doi.org/10.1080/10503307.2024.2394187","url":null,"abstract":"Objective: We used longitudinal youth- and caregiver-reports of adolescent psychological symptoms from three samples of youth receiving mental health services in routine treatment settings to derive expected change trajectories and identify cases at risk for treatment failure.Method: Participants were 1906 youth (1053 caregivers) receiving treatment in community mental health settings, merged across three samples. The Symptoms and Functioning Severity Scale (SFSS) was used as an indicator of weekly clinical change. Multilevel modeling methods were used to develop expected change trajectories and identify cases at risk for treatment failure (not on track; NOT). Logistic regression was used to predict client improvement as a function of NOT status.Results: The SFSS was a reliable indicator of therapeutic change according to youth-reported symptoms. Caregiver reports were not as robust. Whereas predictive accuracy of NOT status yielded moderately high sensitivity in detecting improvement according to youth report, caregiver reports were not as predictive.Conclusions: The youth-reported version of the SFSS-based algorithm seems appropriate for implementation in clinical care. Future studies should search for similarly predictive measures for caregivers.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113449","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

Client resources and the prediction of therapeutic change using an interview: An exploratory study. 客户资源和利用访谈预测治疗变化：一项探索性研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-08-28 DOI: 10.1080/10503307.2024.2394191

Carina Magalhães, João Tiago Oliveira, Andreia Milhazes, Pablo Fernández-Navarro, Rui Braga, Patrícia Pinheiro, Robert A Neimeyer, Miguel M Gonçalves

{"title":"Client resources and the prediction of therapeutic change using an interview: An exploratory study.","authors":"Carina Magalhães, João Tiago Oliveira, Andreia Milhazes, Pablo Fernández-Navarro, Rui Braga, Patrícia Pinheiro, Robert A Neimeyer, Miguel M Gonçalves","doi":"10.1080/10503307.2024.2394191","DOIUrl":"https://doi.org/10.1080/10503307.2024.2394191","url":null,"abstract":"Objectives: Although psychotherapy research suggests that clients' resources are related to positive outcomes, there is a lack of clinical tools available to consider their integration into psychotherapy. In this exploratory research, we studied the feasibility of a semi-structured interview to identify resources reported by clients at the onset of therapy and the relationship between resources and therapy outcomes.Methods: Data consisted of interviews with 30 clients from a clinical trial, in which elicitation of resources and their relationship with the outcomes were the main study objectives.Results: This interview was content analyzed and both adaptative resources and maladaptive resources (dysfunctional coping strategies) were identified. The association between the adaptive resources and the evolution of outcomes throughout treatment was analyzed. Time (i.e. sessions) and resources were negatively correlated with psychological distress. Moreover, resources positively influenced the impact of time on distress.Conclusions: Clinicians should not take at face value resources that are self-reported, as they may reflect the maladaptive functioning of the client. The finding that clients with higher resources at onset have better outcomes points to the need to study how resources may be elicited effectively during therapy, and if this improves psychotherapy outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086328","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

Measuring psychotherapist functioning with the Therapist Work Involvement Scales (TWIS): reliability, factor structure, and measurement invariance. 用治疗师工作参与量表（TWIS）测量心理治疗师的功能：可靠性、因素结构和测量不变量。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-08-19 DOI: 10.1080/10503307.2024.2389857

Armin Hartmann, David E Orlinsky, M Helge Rønnestad, Ulrike Willutzki, Thomas A Schröder, Erkki Heinonen

{"title":"Measuring psychotherapist functioning with the Therapist Work Involvement Scales (TWIS): reliability, factor structure, and measurement invariance.","authors":"Armin Hartmann, David E Orlinsky, M Helge Rønnestad, Ulrike Willutzki, Thomas A Schröder, Erkki Heinonen","doi":"10.1080/10503307.2024.2389857","DOIUrl":"https://doi.org/10.1080/10503307.2024.2389857","url":null,"abstract":"Objectives: The Therapist Work Involvement Scales (TWIS) is a self-report research instrument that enables a multilayered description of psychotherapists' experiences when treating clients. The TWIS was created in a comprehensive study of close to 5,000 psychotherapists, and has been used in multiple studies. The aim of the current paper is to clarify the organization and statistical characteristics of the TWIS, and to present an updated version for longitudinal and cross-sectional research.Methods: Collection of a large sample of psychotherapy trainees made possible the use of confirmatory factor analysis (CFA) to evaluate the dimensions and structure of therapists' process experiences, assessing reliabilities, measurement invariance over gender, item statistics, and correlations with other measures to show concurrent and predictive validity.Results: The CFAs largely confirmed the factor structure of four of the five facets, and of the global super-factors. The global factors of Healing Involvement and Stressful Involvement each showed substantial correlations with therapists' attachment style and professional growth, and were used to describe four practice patterns that typify the experiences of therapists.Conclusion: The results have shown the TWIS to be a statistically sound, multidimensional research instrument enabling therapists to describe their experience in current therapeutic work.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005588","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

Unraveling the optimal balance of problem-related affective experiences and need satisfaction in cognitive-behavioral therapy: A response surface analysis. 揭示认知行为疗法中与问题相关的情感体验和需求满足之间的最佳平衡：响应面分析

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-08-09 DOI: 10.1080/10503307.2024.2385436

Nicolas Wrede, Nils F Töpfer, Gabriele Wilz

{"title":"Unraveling the optimal balance of problem-related affective experiences and need satisfaction in cognitive-behavioral therapy: A response surface analysis.","authors":"Nicolas Wrede, Nils F Töpfer, Gabriele Wilz","doi":"10.1080/10503307.2024.2385436","DOIUrl":"https://doi.org/10.1080/10503307.2024.2385436","url":null,"abstract":"Objective: Although therapists are encouraged to balance emotionally involving work on the patient's problems with need satisfaction in therapy sessions, effects of this balance have rarely been studied empirically. Hence, we examined congruence effects between problem-related affective and need-satisfying experiences in cognitive-behavioral therapy (CBT). Method: 165 distressed family caregivers rated problem-related affective experiences, need-satisfying experiences comprising self-esteem, positive interpersonal, and control experiences, as well as coping experiences after 12 CBT sessions. We examined within-person congruence effects of problem-related affective and need-satisfying experiences on subsequent coping in multilevel response surface analysis. Further, we included between-person problem-related affective and need-satisfying experiences and pretreatment depression and anxiety as moderators of within-person effects. Results: A slight predominance of self-esteem over problem-related affective experiences as well as exact correspondence between problem-related affective and both interpersonal and control experiences was most predictive of coping. Between-person moderators supported a cross-level balance heuristic of problem-related affective and self-esteem experiences. Finally, a stronger emphasis on self-esteem and interpersonal over problem-related affective experiences proved more beneficial for patients with high anxiety and low depression. Conclusions: The findings highlight the importance of balancing problem-related affective and need-satisfying experiences in CBT and provide insights into how balancing may be tailored to specific patients.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907952","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

Emotional and interpersonal states following dialectical behavioral therapy in adolescent borderline personality disorder: A proof-of-concept ecological momentary assessment outcome study. 青少年边缘型人格障碍患者接受辩证行为疗法后的情绪和人际关系状态：概念验证生态瞬间评估结果研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-08-06 DOI: 10.1080/10503307.2024.2385396

Julian Koenig, Sibille Steiner, Corinna Reichl, Marialuisa Cavelti, Ronan Zimmermann, Klaus Schmeck, Michael Kaess

{"title":"Emotional and interpersonal states following dialectical behavioral therapy in adolescent borderline personality disorder: A proof-of-concept ecological momentary assessment outcome study.","authors":"Julian Koenig, Sibille Steiner, Corinna Reichl, Marialuisa Cavelti, Ronan Zimmermann, Klaus Schmeck, Michael Kaess","doi":"10.1080/10503307.2024.2385396","DOIUrl":"https://doi.org/10.1080/10503307.2024.2385396","url":null,"abstract":"Objective: The effects of Dialectical Behavioral Therapy for Adolescents (DBT-A) on emotional and interpersonal instability were explored in adolescents exhibiting Borderline Personality Disorder (BPD) features, using ecological momentary assessment (EMA) to reduce recall bias.Method: N = 28 help-seeking female adolescents were enrolled, meeting ≥ 3 DSM-IV BPD criteria. BPD criteria, non-suicidal self-injury (NSSI), and depressive symptoms were examined pre- and post-DBT-A treatment (mean duration: 42.74 weeks, SD = 7.46). Participants maintained e-diaries pre- and post-treatment, hourly rating momentary affect, attachment to mother and best friend, and self-injury urges.Results: Interview-rated BPD symptoms decreased (χ²(1) = 5.66, p = .017), alongside reduced self-rated depression severity (χ²(1) = 9.61, p = .002). EMA data showed decreased NSSI urges (χ²(1) = 9.05, p = .003) and increased mother attachment (χ²(1) = 6.03, p = .014). However, mean affect, affective instability, mean attachment to the best friend, and attachment instability showed no significant change over time.Conclusion: DBT-A yielded limited evidence for altering momentary affective states and instability in adolescents based on EMA. Nevertheless, significant effects were observed in reducing NSSI urges and enhancing interpersonal dynamics during treatment, as assessed via EMA.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898679","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