Psychotherapy Research最新文献_第9页

Socioeconomic status, psychotherapy duration, and return to work from disability due to common mental disorders. 社会经济地位、心理治疗持续时间以及因常见精神障碍而致残后重返工作岗位的情况。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-07-03 DOI: 10.1080/10503307.2023.2229500

Helena Leppänen, Olli Kampman, Reija Autio, Tino Karolaakso, Päivi Rissanen, Turkka Näppilä, Sami Pirkola

{"title":"Socioeconomic status, psychotherapy duration, and return to work from disability due to common mental disorders.","authors":"Helena Leppänen, Olli Kampman, Reija Autio, Tino Karolaakso, Päivi Rissanen, Turkka Näppilä, Sami Pirkola","doi":"10.1080/10503307.2023.2229500","DOIUrl":"10.1080/10503307.2023.2229500","url":null,"abstract":"Objective Low socioeconomic status (SES) is a risk factor for work disability due to common mental disorders (CMDs), one possible reason being inequal use of services. Psychotherapy is an evidence-based treatment for CMDs. This study examines socioeconomic and sociodemographic differences in psychotherapy attendance and an association of psychotherapy duration with return to work (RTW).Methods The study subjects (N = 12,263) were all Finnish citizens granted a disability pension (DP) due to CMDs in 2010-2012. Numbers of psychotherapy sessions (maximum 200) were collected from the nine-year interval around the DP grant. Socioeconomic and sociodemographic differences in psychotherapy duration (dependent variable) among DP recipients were studied using multinomial logistic regression models, likewise, the association between psychotherapy duration and RTW (dependent variable) among temporary DP recipients was examined.Results Higher SES, female gender, and younger age were positively associated with attending longer psychotherapies and surpassing the early treatment termination level (>10 sessions). Attending 11-60 psychotherapy sessions was positively associated with full RTW and partial RTW, whereas longer psychotherapies were not. Early termination was positively associated with partial RTW only.Conclusion This study demonstrates varying tendencies among CMD patients from different backgrounds to attend long rehabilitative psychotherapies, which may create inequalities in RTW.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"694-707"},"PeriodicalIF":3.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123719","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

Outcome expectations and working alliance may be more important for patients from rural areas during the transition to college life: An exploratory within-patient analysis. 在向大学生活过渡的过程中，对来自农村地区的患者而言，结果预期和工作联盟可能更为重要：患者内部的探索性分析。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-01 Epub Date: 2023-09-14 DOI: 10.1080/10503307.2023.2256461

Qiwu Sun, Chaoli Zhang, Xu Zhu, Caizhi Wu, Zhihong Ren, Fredrik Falkenström

{"title":"Outcome expectations and working alliance may be more important for patients from rural areas during the transition to college life: An exploratory within-patient analysis.","authors":"Qiwu Sun, Chaoli Zhang, Xu Zhu, Caizhi Wu, Zhihong Ren, Fredrik Falkenström","doi":"10.1080/10503307.2023.2256461","DOIUrl":"10.1080/10503307.2023.2256461","url":null,"abstract":"ABSTRACTObjective Research has given limited attention to the distinction between patients from rural and urban areas, especially concerning the frequent overlap between rural living and low socio-economic status (SES). To shed more light on this, we explored the differential treatment processes between patients from rural and urban areas.Method Seven hundred and fourteen patients recruited from a university counseling center in China filled out the questionnaires for Outcome Expectation (OE), Session Alliance Inventory (SAI) and Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) each session. Data was analyzed using the disaggregated cross-lagged panel model and the asymmetric fixed-effect model.Results The findings indicated a reciprocal within-patient relation between OE and SAI for the whole sample. SAI mediated the effect of OE on next-session CORE-OM for patients from rural areas, with a significantly greater indirect effect than for patients from the urban areas. Asymmetric effects were found for OE among patients from urban areas, for whom drops in OE predicted worse next-session CORE-OM more strongly than improvements in OE predicted improved CORE-OM.Conclusion This study provided preliminary evidence for differential OE-alliance-outcome predictions between patients with different SES and affirmed a reciprocal OE-alliance relation in a Chinese sample during the transition period of college.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"679-693"},"PeriodicalIF":3.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607916","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

Trauma-focused treatments for victims of interpersonal violence: A comparison of treatment interventions and outcomes. 针对人际暴力受害者的创伤治疗：治疗干预和结果比较。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-28 DOI: 10.1080/10503307.2024.2353890

Mariana Gonçalves, Gabriela Martinho, Bita Ghafoori

{"title":"Trauma-focused treatments for victims of interpersonal violence: A comparison of treatment interventions and outcomes.","authors":"Mariana Gonçalves, Gabriela Martinho, Bita Ghafoori","doi":"10.1080/10503307.2024.2353890","DOIUrl":"https://doi.org/10.1080/10503307.2024.2353890","url":null,"abstract":"Background: Interpersonal violence represents a critical public health issue globally, with profound psychological impacts on victims. Objective: The main objective of this study was to analyze the effectiveness of different trauma-focused therapies on mental health outcomes of victims of interpersonal violence, at a community mental health clinic. Methods: Employing a secondary data methodology, the research involves 601 participants who reported being victims of sexual assault (49.1%), domestic violence (44.3%) or sexual trafficking (6.7%). The average age of the participants was 35.54 years, with a majority being female (89.8%). Results: Initial assessments revealed distinct symptomatology among the groups; however, by the ninth therapy session, symptom severity converged across the board, surpassing threshold levels for clinical concern. No significant interaction was observed between the type of trauma-focused therapy and the specific trauma encountered, suggesting a beneficial effect of trauma-focused therapies investigated. This uniformity in therapeutic outcomes underscores the potential of trauma-focused therapies to foster psychological healing in victims of diverse forms of interpersonal violence. Conclusions: The findings advocate for the widespread adoption of trauma-focused therapeutic interventions in community settings, emphasizing their role in the recovery of victims, independent of the nature of the trauma or the specific trauma-focused therapeutic model employed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":3.9,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162139","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

Psychometric properties of the Spanish version of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) in Chile. 西班牙文版智利常规临床评估结果测量（CORE-OM）的心理计量特性。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-23 DOI: 10.1080/10503307.2024.2356195

Antonia Errázuriz, Alvaro Passi Solar, Rodrigo Beltrán, Clara Paz, Chris Evans, Guillermo De la Parra

{"title":"Psychometric properties of the Spanish version of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) in Chile.","authors":"Antonia Errázuriz, Alvaro Passi Solar, Rodrigo Beltrán, Clara Paz, Chris Evans, Guillermo De la Parra","doi":"10.1080/10503307.2024.2356195","DOIUrl":"10.1080/10503307.2024.2356195","url":null,"abstract":"Objective: To examine the psychometric properties of the Spanish version of the 34-item Clinical Outcomes in Routine Evaluation-Outcome Measure questionnaire (CORE-OM).Method: Psychometric exploration was conducted in two samples: non-clinical (n = 706) and clinical (n = 420) participants. The non-clinical sample comprised a subgroup of community members (n = 308) and students (n = 398). The clinical sample consisted of self-reported patients (n = 209) and outpatients (n = 211). The analysis included both internal and test-retest reliability, convergent validity, and principal component analysis. A reliable change index and clinical cut-off scores were established for assessing clinically significant change.Results: The Spanish CORE-OM demonstrated good internal consistency and test-retest reliability, along with satisfactory convergent validity against the 45-item Outcome Questionnaire (OQ-45.2). There were strong differentiations between the clinical and non-clinical samples and the four sample subsets. The outpatient group reported the highest scores, while the community group exhibited the lowest scores. There were no marked gender effects. All observed patterns aligned closely with the established Spanish referential data.Conclusion: Our findings provide support for the utilization of the Spanish CORE-OM as a measure for tracking psychotherapeutic progress in the context of Chile.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.9,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088959","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

Development of the Psychotherapist Character Virtues (PCV) Interview. 开发心理治疗师品德（PCV）访谈。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-22 DOI: 10.1080/10503307.2024.2352735

Pirjo Lehtovuori, Olavi Lindfors, Asko Tolvanen, Erkki Heinonen

{"title":"Development of the Psychotherapist Character Virtues (PCV) Interview.","authors":"Pirjo Lehtovuori, Olavi Lindfors, Asko Tolvanen, Erkki Heinonen","doi":"10.1080/10503307.2024.2352735","DOIUrl":"https://doi.org/10.1080/10503307.2024.2352735","url":null,"abstract":"Objective: To develop an interview-based rating method for assessing therapists' beneficial character traits and evaluate its reliability and validity.Method: The semi-structured Psychotherapist Character Virtues (PCV) interview and evaluation method, based on Erik Erikson's and Heinz Kohut's writings on 16 virtues or abilities and achievements of an adult self, was administered to 68 psychodynamic and solution-focused therapists. Inter-rater reliability was assessed based on 20 videorecorded interviews, rated by two evaluators. In a mixed-methods design, validity was investigated against (i) therapist's questionnaire-based self-reported professional and personal background characteristics and (ii) a qualitative content analysis of emotional atmosphere in the interview.Results: Interrater reliability for individual 16 virtues was acceptable (median correlation .72). From individual virtues, three principal components (Creative Will, Empathy, and Love/Care) emerged with good/excellent internal consistency (component determinacies .95, .85, and .90, respectively) and criterion validity with self-reported professional and personal characteristics. Cluster analysis of therapists' component scores yielded six different therapist character profiles. In qualitative analysis, character profiles meaningfully differed in their impact on the interview's emotional atmosphere.Conclusion: PCV appears promising for evaluating therapists' character virtues, posited to undergird therapists' sensitive attunement and responsiveness. Further research is needed on PCV's predictive validity for therapeutic relationships and outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-20"},"PeriodicalIF":3.9,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082729","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 3.9 1区心理学

Psychotherapy Research Pub 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":"https://doi.org/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":"1-17"},"PeriodicalIF":3.9,"publicationDate":"2024-05-22","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

Client preferences, therapy activities and preference-activity match as predictors of therapy outcome. 预测治疗结果的客户偏好、治疗活动和偏好-活动匹配。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-21 DOI: 10.1080/10503307.2024.2353358

Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen

{"title":"Client preferences, therapy activities and preference-activity match as predictors of therapy outcome.","authors":"Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen","doi":"10.1080/10503307.2024.2353358","DOIUrl":"https://doi.org/10.1080/10503307.2024.2353358","url":null,"abstract":"Objective: This study investigated whether distinct types of psychotherapy activities, the client's preference towards these activities prior to therapy, and the degree of match between client preferences and therapy activities, served as predictors of treatment outcomes.Methods: A total of 621 clients (Mage = 42 years, 71.7% female) received individual psychotherapy by 54 psychologists. Associations between activity preferences, therapy activities, and preference-activity match as predictors, and symptom change and treatment dropout as outcomes were analyzed using multilevel longitudinal and logistic modelling and polynomial regression models with response surface analysis.Results: No type of therapy activity or activity preference significantly predicted symptom change in therapy, while higher levels of inward orientation therapy activities predicted an increased risk of dropout. Moreover, matching and higher levels of inward orientation and affect expression activities predicted an increased risk of dropout, and matching and higher levels of outward orientation activities predicted a decreased risk of dropout. Finally, a preference-activity mismatch in affect suppression predicted an increased risk of dropout from therapy, both at higher and lower levels of affect suppression.Conclusion: Distinct types of therapy activity preferences may, especially when (mis)matched with similar levels of the same therapy activities, differentially predict particular dropout from therapy.Trial registration: ClinicalTrials.gov identifier: NCT05630560.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":3.9,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077173","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

Physiological synchronization and innovative moments in psychotherapy: A single-case study of micro-process. 心理治疗中的生理同步和创新时刻：微观过程的单例研究。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-16 DOI: 10.1080/10503307.2024.2352752

Johann R Kleinbub, Giovanna Esposito, Anna S Cutolo, Arianna Palmieri, Miguel M Gonçalves

{"title":"Physiological synchronization and innovative moments in psychotherapy: A single-case study of micro-process.","authors":"Johann R Kleinbub, Giovanna Esposito, Anna S Cutolo, Arianna Palmieri, Miguel M Gonçalves","doi":"10.1080/10503307.2024.2352752","DOIUrl":"https://doi.org/10.1080/10503307.2024.2352752","url":null,"abstract":"Objective: Interpersonal synchronization is increasingly studied as a biomarker of empathy, therapeutic alliance, and treatment outcome. However, most studies average data over sessions, leaving associations between synchrony and actual interactions largely unexplored. We aim to showcase a novel approach examining synchronization during specific micro-processes: Innovative Moments (IM) as markers of exceptions to clients' problematic patterns of meaning.Methods: Electrodermal activity was recorded over 15 sessions of a psychodynamic psychotherapy single case. Moment-to-moment patient-therapist synchrony was calculated using the Adaptive Matching Interpolated Correlations (AMICo) algorithm. The Innovative Moments Coding System was utilized to identify IMs within session transcripts with precise timing. Monte-Carlo permutation tests were conducted to examine the association between physiological synchrony and IM Levels of increasing complexity (Levels 1-3).Results: Higher-than-random synchronization emerged during Level 3 IMs (p = 0.046; d = 0.21) but not in lower Levels. Post-hoc qualitative analyses linked high synchrony to sub-processes of Level 3 IMs, such as positive contrasts and attributions for change.Conclusion: Our findings show it is possible to link moment-by-moment physiological co-regulation to theoretically identified meaning-making processes. While generalization of these observations is undue, this work demonstrates a robust and promising application of a multimodal approach to investigating psychotherapy, providing insights into both the clinical case and the theoretical model adopted.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":3.9,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960150","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

Self-efficacy, motivation, social support, and alliance as predictors of youth psychotherapy outcomes in usual care. 在常规护理中，预测青少年心理治疗结果的自我效能、动机、社会支持和联盟。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-12 DOI: 10.1080/10503307.2024.2349996

Jared S Warren, Mariah Bullock, D Nicholas Top, Gus C Salazar

{"title":"Self-efficacy, motivation, social support, and alliance as predictors of youth psychotherapy outcomes in usual care.","authors":"Jared S Warren, Mariah Bullock, D Nicholas Top, Gus C Salazar","doi":"10.1080/10503307.2024.2349996","DOIUrl":"https://doi.org/10.1080/10503307.2024.2349996","url":null,"abstract":"Objective: We examined how youth self-efficacy, motivation for treatment, social support, and therapeutic alliance relate to psychotherapy outcomes of patients receiving services at outpatient community clinics. We hypothesized that (1) these variables would increase throughout the course of therapy, (2) baseline scores would predict initial ratings of distress, (3) baseline scores would predict the rate of change in symptoms throughout treatment, and (4) changes in these variables would be associated with symptom change over the course of treatment.Method: Participants included 150 adolescents at community outpatient treatment centers. Data was collected prior to beginning treatment, and every three weeks afterward until termination. We used hierarchical linear modeling (HLM) to address our hypotheses.Results: We found that (1) youth ratings of self-efficacy, social support, and motivation increased throughout treatment, (2) initial self-efficacy and social support were associated with initial levels of distress, (3) ratings of youth self-efficacy at intake predicted its rate of change over therapy, and (4) changes in all variables during therapy were related to lower distress at termination.Discussion: Results suggest that these variables may affect the trajectory and course of treatment in community-based treatment settings. These results may have implications for treatment planning to maximize treatment effectiveness.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":3.9,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913137","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

Do patients internalize the positive regard they are offered? A dyadic test of a Rogerian condition. 患者是否会内化他们得到的积极关注？罗杰条件的二元测试。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-05-08 DOI: 10.1080/10503307.2024.2350681

Averi N Gaines, Michael J Constantino, Alice E Coyne, Barry A Farber, Nicholas J Hart, Heidi M Kmetz, Henny A Westra, Martin M Antony

{"title":"Do patients internalize the positive regard they are offered? A dyadic test of a Rogerian condition.","authors":"Averi N Gaines, Michael J Constantino, Alice E Coyne, Barry A Farber, Nicholas J Hart, Heidi M Kmetz, Henny A Westra, Martin M Antony","doi":"10.1080/10503307.2024.2350681","DOIUrl":"https://doi.org/10.1080/10503307.2024.2350681","url":null,"abstract":"Objective: Positive regard (PR) reflects a therapist's unconditional prizing of their patient, which meta-analytically correlates positively with patient improvement. However, most research has been limited to single-participant ratings of PR at a specific time, which neglects the dyadic and dynamic nature of PR (i.e., fundamental to benefitting from therapist-offered PR is that a patient internalizes it). Testing this premise, we hypothesized that therapist-offered PR at one session would predict patient-felt PR at a subsequent session (two sessions later), which would in turn predict the patient's next-session outcome (within-patient mediation).Method: Eighty-four patients with generalized anxiety disorder received cognitive-behavioral therapy with or without motivational interviewing. Therapists and patients provided postsession ratings of their offered and felt PR, respectively, at odd-numbered sessions throughout treatment. Patients rated their worry following each even-numbered session. We used multilevel structural equation modeling to test our hypothesis. We explored whether treatment condition moderated the mediational path.Results: As predicted, when a therapist regarded their patient more than usual following one session, the patient felt more regarded than usual. In turn, this internalized regard was negatively associated with worry. Treatment condition did not moderate this path.Discussion: Results support internalized positive regard as a treatment-common, ameliorative relationship process.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":3.9,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892342","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