Psychotherapy Research最新文献_第8页

Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index. 创伤后应激障碍患者的个性化治疗选择：个性化优势指数的外部验证。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-11 DOI: 10.1080/10503307.2024.2360449

James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo

{"title":"Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index.","authors":"James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo","doi":"10.1080/10503307.2024.2360449","DOIUrl":"https://doi.org/10.1080/10503307.2024.2360449","url":null,"abstract":"Objective: To test the predictive accuracy and generalisability of a personalised advantage index (PAI) model designed to support treatment selection for Post-Traumatic Stress Disorder (PTSD).Method: A PAI model developed by Deisenhofer et al. (2018) was used to predict treatment outcomes in a statistically independent dataset including archival records for N = 152 patients with PSTD who accessed either trauma-focussed cognitive behavioural therapy or eye movement desensitisation and reprocessing in routine care. Outcomes were compared between patients who received their PAI-indicated optimal treatment versus those who received their suboptimal treatment.Results: The model did not yield treatment specific predictions and patients who had received their PAI-indicated optimal treatment did not have better treatment outcomes in this external validation sample.Conclusion: This PAI model did not generalise to an external validation sample.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307168","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 3.9 1区心理学

Psychotherapy Research Pub 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":"https://doi.org/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":"1-20"},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","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

"It Felt Like I Was Being Tailored to the Treatment Rather Than the Treatment Being Tailored to Me": Patient Experiences of Helpful and Unhelpful Psychotherapy. "感觉是治疗为我量身定做，而不是治疗为我量身定做"：病人对有益和无益心理治疗的体验。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-04 DOI: 10.1080/10503307.2024.2360448

Elizabeth Li, David Kealy, Katie Aafjes-van Doorn, James McCollum, John T Curtis, Xiaochen Luo, George Silberschatz

{"title":"\"It Felt Like I Was Being Tailored to the Treatment Rather Than the Treatment Being Tailored to Me\": Patient Experiences of Helpful and Unhelpful Psychotherapy.","authors":"Elizabeth Li, David Kealy, Katie Aafjes-van Doorn, James McCollum, John T Curtis, Xiaochen Luo, George Silberschatz","doi":"10.1080/10503307.2024.2360448","DOIUrl":"https://doi.org/10.1080/10503307.2024.2360448","url":null,"abstract":"Objective: This qualitative study explores patients' experiences of psychotherapy, focusing on elements perceived as helpful or unhelpful and suggestions for improvement in the context of public mental health care.Methods: A total of 148 adults (Mean age = 32.24, SD = 9.92) who had been or are currently receiving psychological treatment from the National Health Service (NHS) responded to an online survey. The survey included open-ended questions regarding their experiences of psychotherapy, asking them to identify helpful or unhelpful aspects, and suggestions for improvement. Using thematic analysis, key themes were identified.Results: The analysis highlighted the patient's preference for personalized treatment, the importance of therapeutic alliance, the demand for depth in therapy, and life skills and agency as therapeutic outcomes. Participants suggested improvements such as more tailored approaches and stronger therapist-patient relationships, supporting an adaptable, patient-centered model.Conclusion: The study highlights challenges in public mental health services where patients might feel their specific needs are not being recognized and met and underscores the importance of personalized treatment plans that satisfy and evolve with patient needs, suggesting that therapists must be attentive and responsive to individual desires to enhance the patient experience.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248630","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

Love yourself as a therapist, doubt yourself as an institution? Therapist and institution effects on outcome, treatment length, and dropout. 爱自己的治疗师，怀疑自己的机构？治疗师和机构对疗效、治疗时间和辍学的影响。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-03 DOI: 10.1080/10503307.2024.2352749

Anne-Katharina Deisenhofer, Miriam I Hehlmann, Julian A Rubel, Wolfgang Lutz, Brian Schwartz, Anne-Kathrin Bräscher, Hanna Christiansen, Lydia Fehm, Julia A Glombiewski, Jens Heider, Sylvia Helbig-Lang, Andrea Hermann, Jürgen Hoyer, Tina In-Albon, Tania Lincoln, Jürgen Margraf, Anne Katrin Risch, Henning Schöttke, Lars Schulze, Rudolf Stark, Tobias Teismann, Julia Velten, Ulrike Willutzki, Gabriele Wilz, Michael Witthöft, Patrizia Odyniec

{"title":"Love yourself as a therapist, doubt yourself as an institution? Therapist and institution effects on outcome, treatment length, and dropout.","authors":"Anne-Katharina Deisenhofer, Miriam I Hehlmann, Julian A Rubel, Wolfgang Lutz, Brian Schwartz, Anne-Kathrin Bräscher, Hanna Christiansen, Lydia Fehm, Julia A Glombiewski, Jens Heider, Sylvia Helbig-Lang, Andrea Hermann, Jürgen Hoyer, Tina In-Albon, Tania Lincoln, Jürgen Margraf, Anne Katrin Risch, Henning Schöttke, Lars Schulze, Rudolf Stark, Tobias Teismann, Julia Velten, Ulrike Willutzki, Gabriele Wilz, Michael Witthöft, Patrizia Odyniec","doi":"10.1080/10503307.2024.2352749","DOIUrl":"https://doi.org/10.1080/10503307.2024.2352749","url":null,"abstract":"Objective: Research suggests that some therapists achieve better outcomes than others. However, an overlooked area of study is how institution differences impact patient outcomes independent of therapist variance. This study aimed to examine the role of institution and therapist differences in adult outpatient psychotherapy.Method: The study included 1428 patients who were treated by 196 therapists at 10 clinics. Two- and three-level hierarchical linear regression models were employed to investigate the effects of therapists and institutions on three dependent patient variables: (1) symptom change, (2) treatment duration, and (3) dropout. Level three explanatory variables were tested.Results: The results showed that therapist effects (TE) were significant for all three types of treatment outcome (7.8%-18.2%). When a third level (institution) was added to the model, the differences between therapists decreased, and significant institution effects (IE) were found: 6.3% for symptom change, 10.6% for treatment duration, and 6.5% for dropout. The exploratory analyses found no predictors able to explain the systematic variation at the institution level.Discussion: TE on psychotherapy outcomes remain a relevant factor but may have been overestimated in previous studies due to not properly distinguishing them from differences at the institution level.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.9,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236933","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

Therapists' perception of the working alliance, real relationship and therapeutic presence in in-person therapy versus tele-therapy. 治疗师对面对面治疗与远程治疗中的工作联盟、真实关系和治疗临场感的看法。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-04-03 DOI: 10.1080/10503307.2023.2193299

Katie Aafjes-Van Doorn, Vera Békés, Xiaochen Luo, Christopher J Hopwood

{"title":"Therapists' perception of the working alliance, real relationship and therapeutic presence in in-person therapy versus tele-therapy.","authors":"Katie Aafjes-Van Doorn, Vera Békés, Xiaochen Luo, Christopher J Hopwood","doi":"10.1080/10503307.2023.2193299","DOIUrl":"10.1080/10503307.2023.2193299","url":null,"abstract":"Objective: Although teletherapy is increasingly common, very little is known about its impact on therapeutic relationships. We aimed to examine differences between therapists' experiences of teletherapy and in-person therapy post-pandemic with regard to three variables pertinent to the therapeutic relationship: working alliance, real relationship, and therapeutic presence.Methods: In a sample of 826 practicing therapists, we examined these relationship variables, as well as potential moderators of these perceived differences including professional and patient characteristics and covid-related variables.Results: Therapists reported feeling significantly less present in teletherapy and their perceptions of the real relationship were somewhat impacted, but there were no average effects on their perceived quality of the working alliance. Perceived differences in the real relationship did not persist with clinical experience controlled. The relative reduction in therapeutic presence in teletherapy was driven by the ratings of process-oriented therapists and therapists conducting mostly individual therapy. Evidence for moderation by covid-related issues was also found, with larger perceived differences in the working alliance reported by therapists who used teletherapy because it was mandated and/or not by choice.Conclusion: Our findings might have important implications for generating awareness around the therapists' lowered sense of presence in teletherapy compared to in-person teletherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"574-588"},"PeriodicalIF":3.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297072","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

Empathy, working alliance, treatment expectancy and credibility in video and face-to-face psychotherapeutic first contact. 视频和面对面心理治疗首次接触中的移情、工作联盟、治疗预期和可信度。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-07-12 DOI: 10.1080/10503307.2023.2233685

Katrin Schoenenberg, Alexandra Martin

{"title":"Empathy, working alliance, treatment expectancy and credibility in video and face-to-face psychotherapeutic first contact.","authors":"Katrin Schoenenberg, Alexandra Martin","doi":"10.1080/10503307.2023.2233685","DOIUrl":"10.1080/10503307.2023.2233685","url":null,"abstract":"Objective Video-based therapy has been used increasingly since the onset of the COVID-19 pandemic. Yet, video-based initial psychotherapeutic contact can be problematic due to the limitations of computer-mediated communication. At present, little is known about the effects of video first contact on important psychotherapeutic processes. Method: Forty-three individuals (nvideo = 18, nface-to-face = 25) were recruited via an outpatient clinic waiting list and were randomly assigned to video or face-to-face initial psychotherapeutic sessions. Participants rated treatment expectancy before and after the session, and the therapist's empathy, working alliance, and credibility after the session and several days later. Results: Empathy and working alliance ratings of patients and therapists were high and did not differ between the two communication conditions after the appointment or at follow-up. Treatment expectancy increased to a similar extent for the video and face-to-face modalities from pre to post. Willingness to continue with video-based therapy increased in participants who had video contact, but not in those with face-to-face contact. Conclusion: This study indicates that crucial processes related to the therapeutic relationship can be initiated via video, without prior face-to-face contact. Given the limited nonverbal communication cues in video appointments, it remains unclear as to how such processes evolve.Trial registration: German Clinical Trials Register identifier: DRKS00031262..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"626-637"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9768104","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

Disclosure in psychotherapy versus in anonymous and non-anonymous online spaces. 心理治疗中的信息披露与匿名和非匿名网络空间中的信息披露。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-09-11 DOI: 10.1080/10503307.2023.2256954

Gus Mayopoulos, Barry A Farber

{"title":"Disclosure in psychotherapy versus in anonymous and non-anonymous online spaces.","authors":"Gus Mayopoulos, Barry A Farber","doi":"10.1080/10503307.2023.2256954","DOIUrl":"10.1080/10503307.2023.2256954","url":null,"abstract":"Objective The primary aim of this study was to investigate the factors affecting individuals' decisions to discuss specific personal issues in psychotherapy vs on social media, either non-anonymously or pseudonymously/anonymously.Method A heterogeneous sample of participants (N = 443) completed an online survey that included assessments of their therapy experience, attachment style, attitudes towards seeking mental healthcare, and the extent of their disclosures about personally distressing topics in therapy and online under different conditions.Results Results suggest that attachment style plays a significant role in determining individuals' likelihood of discussing personally distressing topics online and in determining the extent to which they find disclosures in therapy and in anonymous and non-anonymous online spaces to be helpful.Conclusion Clinicians may find it helpful to monitor the extent to which patients disclose personal issues online, checking as to whether patients, especially younger patients and those with avoidant and ambivalent attachment styles, view psychotherapy as an appropriate domain to disclose specific personally distressful issues.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"638-647"},"PeriodicalIF":3.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212860","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

Call me maybe? In-person vs. teletherapy outcomes among married couples. 也许打电话给我？已婚夫妇面对面治疗与远程治疗的结果对比。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-09-13 DOI: 10.1080/10503307.2023.2256465

Angela B Bradford, Lee N Johnson, Shayne R Anderson, Alyssa Banford-Witting, Quintin A Hunt, Richard B Miller, Roy A Bean

{"title":"Call me maybe? In-person vs. teletherapy outcomes among married couples.","authors":"Angela B Bradford, Lee N Johnson, Shayne R Anderson, Alyssa Banford-Witting, Quintin A Hunt, Richard B Miller, Roy A Bean","doi":"10.1080/10503307.2023.2256465","DOIUrl":"10.1080/10503307.2023.2256465","url":null,"abstract":"Objective: The objective of this study was to investigate the effectiveness of teletherapy compared to in-person couple therapy in outcomes such as couple satisfaction, sexual satisfaction, and the therapeutic alliance.Method: Data from 1157 married clients seeking couple therapy were examined. Individual growth curve models were used to analyze changes in the aforementioned outcomes, with teletherapy as a predictor. The study also examined client age and clinic type as moderators.Results: The results indicated that overall, teletherapy is as effective as in-person therapy in improving outcomes. However, there were notable differences in the development of the therapeutic alliance. The alliance improved at twice the rate in in-person therapy as in teletherapy. Clinic type was also found to be a moderator of changes in sexual satisfaction. Clients in group and private practices reported improvements in sexual satisfaction; whereas clients seen in training clinics reported decreases in sexual satisfaction.Conclusion: The study concludes that although teletherapy may be a viable alternative to in-person couple therapy, there are nevertheless differences in the development of the therapeutic alliance that warrant care and further investigation. The setting of the therapy also plays a role in the effectiveness of therapy, although not specific to therapy modality.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"611-625"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10285182","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

Therapist's warmth and competence increased positive outcome expectations and alliance in an analogue experiment. 在一项类似实验中，治疗师的热情和能力增加了积极的结果预期和联盟。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-08-02 DOI: 10.1080/10503307.2023.2241630

Anna Seewald, Winfried Rief

{"title":"Therapist's warmth and competence increased positive outcome expectations and alliance in an analogue experiment.","authors":"Anna Seewald, Winfried Rief","doi":"10.1080/10503307.2023.2241630","DOIUrl":"10.1080/10503307.2023.2241630","url":null,"abstract":"Objective: The quality of the therapeutic alliance, treatment motivation, outcome expectations (OE), and specific health behaviour predicts psychotherapy success. Therapists should be able to improve these factors to optimize outcomes. This study investigated the therapist's interpersonal behaviour to optimize alliance, motivation, OE, and health behaviour. Method: A stressed study sample (N = 465) completed an online analogue experiment. We gave participants positive information about psychotherapy effectiveness and varied the therapist's interpersonal behaviour along the dimensions of warmth and competence.Results: High (vs. low) competence and high (vs. low) warmth increased alliance, OE, and help-seeking scores, while high (vs. low) competence increased motivation to do psychotherapy. We found no effects on health behaviour.Conclusion: In contrast to previous correlational analyses, our experimental study supports the causal role of the therapist's warmth and competence and its impact on alliance, motivation, and OE. We discuss approaches for future studies and clinical implications.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"663-678"},"PeriodicalIF":3.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929326","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

Therapeutic alliance and clinical outcomes in teletherapy and in-person psychotherapy: A noninferiority study during the COVID-19 pandemic. 远程治疗和面对面心理治疗中的治疗联盟和临床结果：COVID-19大流行期间的一项非劣效性研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-07-03 DOI: 10.1080/10503307.2023.2229505

Katherine A Davis, Fanghui Zhao, Rebecca A Janis, Louis G Castonguay, Jeffrey A Hayes, Brett E Scofield

{"title":"Therapeutic alliance and clinical outcomes in teletherapy and in-person psychotherapy: A noninferiority study during the COVID-19 pandemic.","authors":"Katherine A Davis, Fanghui Zhao, Rebecca A Janis, Louis G Castonguay, Jeffrey A Hayes, Brett E Scofield","doi":"10.1080/10503307.2023.2229505","DOIUrl":"10.1080/10503307.2023.2229505","url":null,"abstract":"Objective The current study aimed to inform the varied and limited research on clinical variables in the context of teletherapy. Questions remain about the comparative quality of therapeutic alliance and clinical outcome in the context of teletherapy compared to in-person treatment.Methods We utilized a cohort design and a noninferiority statistical approach to study a large, matched sample of clients who reported therapeutic alliance as well as psychological distress before every session as part of routine clinical practice at a university counseling center. A cohort of 479 clients undergoing teletherapy after the emergence of the COVID-19 pandemic was compared to a cohort of 479 clients receiving in-person treatment before the onset of the pandemic. Tests of noninferiority were conducted to investigate the absence of meaningful differences between the two modalities of service delivery. Client characteristics were also examined as moderators of the association between modality and alliance or outcome.Results Clients receiving teletherapy showed noninferior alliance and clinical outcome when compared to clients receiving in-person psychotherapy. A significant main effect on alliance was found with regard to race and ethnicity. A significant main effect on outcome was found with regard to international student status. Significant interactions on alliance were found between cohort and current financial stress.Conclusions Study findings support the continued use of teletherapy by demonstrating commensurate clinical process and outcome. Yet, it will be important for providers to be aware of existing mental health disparities that continue to accompany psychotherapy - in person and via teletherapy. Results and findings are discussed in terms of research and clinical implications. Future directions for researching teletherapy as a viable treatment delivery method are also discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"589-600"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106096","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