Psychotherapy Research最新文献_第9页

Targeted Learning for Optimal Patient Assignment to Psychotherapy. 有针对性的学习，以优化患者分配到心理治疗。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-22 DOI: 10.1080/10503307.2025.2517567

Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenstöm

{"title":"Targeted Learning for Optimal Patient Assignment to Psychotherapy.","authors":"Veera K Malkki, Suoma E Saarni, Wolfgang Lutz, Tom H Rosenstöm","doi":"10.1080/10503307.2025.2517567","DOIUrl":"10.1080/10503307.2025.2517567","url":null,"abstract":"Objective: Previous studies often fell short in identifying differences in treatment effects between psychotherapeutic frameworks. Instead of focusing on the overall treatment effects, we aimed to identify the effects of individually optimal treatment choice [cf. treatment personalization].Method: We used a causal-inference machine learning (i.e., targeted learning) framework to estimate effects from observational data obtained from the Finnish Psychotherapy Quality Registry, which includes adult patients diagnosed with various mental disorders (n = 2255). Our objective was to estimate the difference in average treatment outcomes between the optimal individualized treatment and a randomly allocated treatment (i.e., the average of all treatment options). Outcomes were changes in self-assessed symptom scores and clinician-assessed functioning. In addition, we estimated counterfactual total-population outcomes for psychodynamic, solution-focused, cognitive-behavioral, and integrative or cognitive-analytic therapies.Results: Compared to the average treatment effects, the counterfactual optimal treatment produced 0.28-0.29 standard deviations larger benefits for all the outcomes (confidence intervals between 0.20-0.39). Assuming all patients underwent psychotherapy within a single framework, treatment effects on symptom scores were similar across frameworks, but some differences emerged for change in therapist-assessed functioning.Conclusion: Identifying optimal treatment rules for psychotherapy frameworks is feasible and may significantly improve outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369374","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 climate temporally precedes member improvement in emotional cultivation groups for youth. 在青少年情绪培养小组中，团体气氛暂时先于成员的改善。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2500506

Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho

{"title":"Group climate temporally precedes member improvement in emotional cultivation groups for youth.","authors":"Li-Fei Wang, Dennis M Kivlighan, Meifen Wei, Evelyn Yan Yi Koay, Chia-Yi Ho","doi":"10.1080/10503307.2025.2500506","DOIUrl":"https://doi.org/10.1080/10503307.2025.2500506","url":null,"abstract":"AbstractObjective: This study investigated group climate dynamics and their impact on social adjustment in therapy groups for youth. Method: A total of 536 children and adolescents who were significantly depressed compared to norms, participated in 95 therapy groups in Taiwanese schools. We employed dynamic structural equation modeling to analyze session-to-session associations of group engagement and conflict and their effects on weekly changes in social adjustment, as rated by group members and leaders. Results: Contrary to our hypothesis, no reciprocal association was found between engagement and social adjustment. However, previous session engagement (b = 0.81, 95% CI [0.553, 1.075]) and conflict (b = 1.14, 95% CI [0.825, 1.515]) were positively associated with current social adjustment in the current week. A negative association was identified between prior engagement and current conflict (b = -0.61, 95% CI [-0.923, -0.351]), while previous conflict positively influenced current engagement (b = 1.53, 95% CI [1.116, 2.029]), suggesting a negative feedback loop (e.g., high engagement leads to low conflict, which leads to low engagement, which leads to high conflict, which leads to high engagement) that maintains group climate stability. Conclusions: Group climate plays a crucial role in youth group therapy, influencing members' social adjustment and demonstrating a dynamic interplay that supports climate homeostasis.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235610","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 Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis. 小组领导和成员此时此地焦点和治疗因素：一项语言调查和字数分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-05 DOI: 10.1080/10503307.2025.2506653

Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt

{"title":"Group Leader and Member Here-and-now Focus and Therapeutic Factors: A Linguistic Inquiry and Word Count Analysis.","authors":"Rayna D Markin, Dennis M Kivlighan, Cheri Marmarosh, Sabrina Ge, David Kealy, Paul L Hewitt","doi":"10.1080/10503307.2025.2506653","DOIUrl":"https://doi.org/10.1080/10503307.2025.2506653","url":null,"abstract":"Objective: Yalom (1985) believed that working in the here-and-now of the group is essential to facilitating the \"therapeutic factors\" necessary for a successful outcome. Yet, we currently lack research examining whether a here-and-now in-session focus predicts the therapeutic factors, as theorized.Methods: This study used Linguistic Inquiry and Word Count (LIWC) analysis to assess group member and leader in-session here-and-now focus by analyzing words spoken in a session.Results: The results suggest that when group leaders use more here-and-now words in a speaking turn, group members use more here-and-now words in the subsequent speaking turn. However, contrary to expectation, group leaders and group members \"matching\" on here-and-now language in a session did not predict more therapeutic factors in between sessions, but rather less social learning. Instead, how consistent or variable group members or leaders were in their here-and-now focus generally predicted more therapeutic factors.Conclusion: These results suggest that LIWC may be a promising vehicle to assess here-and-now language in group therapy sessions and that a here-and-now in-session focus has a complex relationship with the therapeutic factors.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235611","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 a new observer-rated measure to assess the real relationship in psychotherapy sessions. 开发一种新的由观察者评分的测量方法，用于评估心理治疗过程中的真实关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-06-29 DOI: 10.1080/10503307.2024.2360459

Vera Békés, Daniel S Spina, Katie Aafjes-Van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

{"title":"Development of a new observer-rated measure to assess the real relationship in psychotherapy sessions.","authors":"Vera Békés, Daniel S Spina, Katie Aafjes-Van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2360459","DOIUrl":"10.1080/10503307.2024.2360459","url":null,"abstract":"Objectives: Real relationship (RR) refers to a genuine human relationship between client and therapist, that has been found to be positively related to treatment outcome, and to predict unique variance in outcome over and above the working alliance. However, thus far, the measurement of RR has been limited to self-report. We aimed to develop an observer-rated version of the RR measure (RR-O) to assess RR in therapy sessions.Methods: We adapted items from the self-report measures to an observer rated measure, which was reviewed by RR experts. The final 24-item RR-O was rated in 540 session transcripts from 27 psychoanalytic treatments that already had existing process and outcome scores.Results: The RR-O showed good internal consistency and good interrater reliability. In hierarchical EFA, items clustered into a general RR factor, and client realism, client genuineness, therapist genuineness, and therapist realism group factors. In addition, the RR-O was positively related to another RR measure and to the therapeutic alliance.Conclusion: The RR-O shows initial reliability and validity as an observer-rated measure of the RR to be used in post-hoc psychotherapy research. Future research should clarify the relation between RR-O and treatment outcome.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"807-817"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471627","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 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub 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":"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":"793-806"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","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

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 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub 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":"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 PTSD 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":"838-851"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","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

Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time. 精神分析治疗中治疗关系的隐含关系方面：对语言风格随时间演变的研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-04-24 DOI: 10.1080/10503307.2024.2341780

Katie Aafjes-Van Doorn, Daniel S Spina, Lena Müller-Frommeyer, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

{"title":"Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time.","authors":"Katie Aafjes-Van Doorn, Daniel S Spina, Lena Müller-Frommeyer, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2341780","DOIUrl":"10.1080/10503307.2024.2341780","url":null,"abstract":"Objective: In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time.Method: In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes.Results: Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, βlinear = -0.0002, SE < .001, t = -13.04, p < .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models βSpeakerT = -0.033, SE = 0.009, t = -3.65, p < .001. Levels of rLSM did not relate to treatment outcome.Conclusion: Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"763-776"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870248","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

Clients' and therapists' parasympathetic interpersonal and intrapersonal regulation dynamics during psychotherapy for depression. 抑郁症心理治疗过程中客户和治疗师的副交感神经人际和人内调节动力。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-07-18 DOI: 10.1080/10503307.2024.2378038

Omer Goren, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schectman, Maya Wolff, Dana Atzil-Slonim

{"title":"Clients' and therapists' parasympathetic interpersonal and intrapersonal regulation dynamics during psychotherapy for depression.","authors":"Omer Goren, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schectman, Maya Wolff, Dana Atzil-Slonim","doi":"10.1080/10503307.2024.2378038","DOIUrl":"10.1080/10503307.2024.2378038","url":null,"abstract":"Objective: The literature on affective regulation in psychotherapy has traditionally relied on explicit client self-report measures. However, both clients' and therapists' affect fluctuate moment-to-moment during a session, highlighting the need for more implicit and continuous indices to better understand these dynamics. This study examined parasympathetic interpersonal and intrapersonal regulation dynamics between therapists and clients with Major Depressive Disorder during Supportive-Expressive Therapy.Method: Data were collected from 52 dyads across five preselected sessions, using the Respiratory Sinus Arrhythmia (RSA) index. We employed a longitudinal Actor-Partner Interdependence Model, with clients self-reporting their functioning level before and after each session, as the moderator.Results: Therapists' RSA at one time point negatively associated with clients' RSA at the next, and vice-versa, indicating interpersonal regulation. Clients' RSA at one time point was positively associated with their RSA at the next, indicating intrapersonal regulation. However, only interpersonal regulation was significantly moderated by clients' pre-to-post session functioning. Specifically, sessions where clients led positive dyadic RSA associations showed greater improvement in clients' functioning than those led by therapists.Conclusion: Physiological interpersonal regulation, measured by RSA, may be a catalyst for change in depression treatment. Therapists who are responsive to clients' arousal levels may help clients improve their functioning.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"748-762"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724793","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 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub 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":"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":"735-747"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","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 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub 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":"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":"710-720"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","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