Journal of Counseling Psychology最新文献

筛选
英文 中文
Service users' perspective of therapist-related unwanted events in psychotherapy-A systematic review.
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-14 DOI: 10.1037/cou0000794
Amanda C M Li,Winnie W S Mak
{"title":"Service users' perspective of therapist-related unwanted events in psychotherapy-A systematic review.","authors":"Amanda C M Li,Winnie W S Mak","doi":"10.1037/cou0000794","DOIUrl":"https://doi.org/10.1037/cou0000794","url":null,"abstract":"Despite the availability of evidence-based treatments and related studies for depression and anxiety, there is a research gap regarding therapist-related unwanted events in psychotherapy. Conducting a systematic review is essential to address such gap. This review aimed to address (a) How were therapist-related unwanted events described and measured in the literature? (b) What were the themes for therapist-related unwanted events from the perspective of service users as reported in the literature? A systematic search was conducted in Embase, MEDLINER, and APA PsycInfo databases. A total of 11,596 records were identified. Studies that provided information about therapist-related unwanted events reported by adult service users who received evidence-based treatment through face-to-face individual therapy delivered by health care professionals, therapists, or therapists in training were screened. Twenty-one quantitative studies and 26 qualitative studies were screened in for coding and analysis. Questionnaires and semistructured interviews were the most common methods capturing therapist-related unwanted events from service users' perspective. Three key themes were generated, namely, (1) therapists' skill and knowledge, (2) relationship with therapists, and (3) being hurt or harmed by therapists. This study contributes to the growing body of knowledge on therapist-related unwanted events in psychotherapy for depression and anxiety. The results of this study can be utilized to shape the creation of guidelines, training programs, and initiatives focused on improving the safety and effectiveness of psychotherapy for individuals with depression and anxiety. These findings have the potential to enhance the overall quality of care provided in psychotherapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":"26 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836600","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
I kotturå-ta, I minetgot-ta: A qualitative investigation of mental health perceptions and cultural strengths among CHamoru people.
IF 3.9 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-10 DOI: 10.1037/cou0000795
Shawntell N Pace,Tabitha Meng Rominger,Collette Chapman-Hilliard
{"title":"I kotturå-ta, I minetgot-ta: A qualitative investigation of mental health perceptions and cultural strengths among CHamoru people.","authors":"Shawntell N Pace,Tabitha Meng Rominger,Collette Chapman-Hilliard","doi":"10.1037/cou0000795","DOIUrl":"https://doi.org/10.1037/cou0000795","url":null,"abstract":"According to the U.S. Census Bureau (2020), over 1.5 million people identify as Pacific Islander, which establishes this group as one of the fastest growing cultural groups in the United States. However, this population remains underrepresented in discussions about mental health (Borrero et al., 2012) despite their overrepresentation in unaddressed mental health concerns (Seaton et al., 2019). Within this population, there is an absence of literature regarding the mental health perceptions of the Indigenous Pacific Islanders of the Northern Mariana Islands, the CHamoru people. Further, little is known about how CHamoru people use their community strengths to promote wellness. This qualitative study explores the perceptions of mental health and the unique community strengths that exist within the CHamoru community. Utilizing a grounded theory approach, a thematic analysis was conducted with data gathered from 10 semistructured interviews with eight women and two men (Mage = 34.6 years) who identified as adults of CHamoru descent. Participants identified six key themes that are central to their culture and promote overall well-being: (a) embracing historical knowledge, (b) connection to land and language, (c) cultural value of inafa'maolek, (d) cultural value of respetu, (e) spirituality, and (f) ethnic identity exploration. Our findings provide insight about the perceptions of mental health and cultural strengths among CHamoru people, providing a needed foundation for understanding how to deliver mental health services to this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":"60 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822781","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
"Girl, I think my butt gettin' big": The importance of "thickness" in music videos for Dutch Black and White women's body image.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-20 DOI: 10.1037/cou0000788
Kim Eva Dankoor, Dionne Patricia Stephens, Tom Ferdinand Maria Ter Bogt
{"title":"\"Girl, I think my butt gettin' big\": The importance of \"thickness\" in music videos for Dutch Black and White women's body image.","authors":"Kim Eva Dankoor, Dionne Patricia Stephens, Tom Ferdinand Maria Ter Bogt","doi":"10.1037/cou0000788","DOIUrl":"10.1037/cou0000788","url":null,"abstract":"<p><p>U.S. commercial women rappers often promote a \"thick hourglass\" body ideal in their music. This qualitative study, guided by social comparison theory and self-discrepancy theory, explores how 10 Black and 10 White Dutch women rap fans, aged 18-25, compared their actual body image with this ideal and the emotional consequences that result. A hybrid comparative thematic analysis revealed that both Black and White respondents view the thick ideal as dominant in women rap and part of Black culture. They consider it a standard of beauty and sexiness, when achieved naturally and not through plastic surgery. Comparing their actual body image to this ideal can evoke positive outcomes, such as body satisfaction and the motivation to work toward this ideal through exercise or by choosing clothing that better expresses it. However, it can also lead to negative body images and emotions, such as insecurity, especially when this ideal is perceived as difficult or impossible to attain, or when peers or family expect conformity to this ideal. For Black women, comparison to the thick ideal may result in more positive outcomes, and this ideal is more frequently endorsed by their social context compared with White women. These findings indicate that for rap fans, the Afrocentric thick ideal is more relevant than a Eurocentric thin ideal, highlighting the importance of developing healthy body interventions targeting gender and cultural and contextual beliefs. Further, this knowledge can increase practitioners' ability to integrate an influential media genre when working with young adults across different cultures. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"272-285"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469599","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
How full is the glass? Examining the validity of the Counseling Center Assessment of Psychological Symptoms-62 across five ethnoracial groups.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 10.1037/cou0000780
Fanghui Zhao, Jeffrey A Hayes, Rebecca A Janis, Pui-Wa Lei, Jonathan M McClain, Carlomagno C Panlilio, Louis G Castonguay, Brett E Scofield
{"title":"How full is the glass? Examining the validity of the Counseling Center Assessment of Psychological Symptoms-62 across five ethnoracial groups.","authors":"Fanghui Zhao, Jeffrey A Hayes, Rebecca A Janis, Pui-Wa Lei, Jonathan M McClain, Carlomagno C Panlilio, Louis G Castonguay, Brett E Scofield","doi":"10.1037/cou0000780","DOIUrl":"10.1037/cou0000780","url":null,"abstract":"<p><p>This study investigated various aspects of the validity of the Counseling Center Assessment of Psychological Symptoms-62 for college student clients comprising five ethnoracial groups. The Counseling Center Assessment of Psychological Symptoms-62 has demonstrated solid psychometric properties in previous studies; however, its accuracy for clients of color has received limited empirical attention. Using a sample of 307,685 clients at 137 college and university counseling centers, exploratory factor analyses were conducted for five ethnoracial groups (Asian American, Black/African American, Hispanic/Latinx, Native American, and White). Evidence of factor invariance across groups was generally strong, although several items did not have their primary loadings on expected subscales for multiple groups. Differential item functioning revealed that many of these items did not perform in a consistent manner across ethnoracial groups. Confirmatory factor analysis revealed that the overall factor structure of the Counseling Center Assessment of Psychological Symptoms-62 fit well across the five ethnoracial groups. Clinical implications and directions for future study are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"240-257"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392172","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
Gendered racism and mental health for Black men in the United States: Examining moderating factors.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 10.1037/cou0000779
Kurt J Loiseau, James R Mahalik
{"title":"Gendered racism and mental health for Black men in the United States: Examining moderating factors.","authors":"Kurt J Loiseau, James R Mahalik","doi":"10.1037/cou0000779","DOIUrl":"10.1037/cou0000779","url":null,"abstract":"<p><p>This study examined the relationship between gendered racism and psychological distress in Black men, and how racial identity and conformity to masculinity norms may moderate that relationship. Two hundred twenty-nine Black men in the United States recruited through Prolific completed the Brief Symptom Inventory-18, African American Men's Gendered Racism Stress Inventory, Cross's Racial Identity Scale, and the Conformity to Masculine Norms Inventory-30 via online survey. A series of moderated moderation analyses using Hayes' PROCESS program (Model 3) indicated that gendered racism, Black racial identity, and the two masculinity norms significantly predicted psychological distress; that several racial identity attitudes and conformity to emotional control moderated the relationship between gendered racism and psychological distress; and that emotional control moderated the moderated relationship between gendered racism, psychological distress, and some of the racial identity attitudes. These findings emphasize the importance of addressing Black men's psychological distress from an intersectional perspective suggesting that clinicians explore how Black men's experiences of negative stereotypes, their positive and negative attitudes toward their racial identity, and their conformity to masculine norms about being self-reliant and emotionally controlled co-occur to better understand sources of distress. Future research and limitations are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"223-239"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392170","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 depends on the people in the room": Black men's experiences with race-specific training in their graduate courses.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-20 DOI: 10.1037/cou0000791
Samuel T Beasley, Adrian J Hernandez, Francine Bartolome Biscocho
{"title":"\"It depends on the people in the room\": Black men's experiences with race-specific training in their graduate courses.","authors":"Samuel T Beasley, Adrian J Hernandez, Francine Bartolome Biscocho","doi":"10.1037/cou0000791","DOIUrl":"10.1037/cou0000791","url":null,"abstract":"<p><p>Drawing on semistructured interviews with 27 Black men in 23 different APA-accredited counseling psychology doctoral programs, the present study assessed Black men's perceptions of the race-specific multicultural training offered in their program's courses. Findings revealed that one theme connected to the broader climate of the program, which was labeled <i>Salience of Black Men's Identities and Sense of Safety</i>. Two themes were identified pertaining to participants' perceptions of programs' race-specific course content, including (a) <i>integration/infusion of race-specific content</i>; and (b) \"it depends on who is in the room.\" Three themes were identified with regard to participants' perceptions of programs' race-specific training process dynamics, including (a) \"it depends on who is in the room,\" which had three subthemes of <i>racial representation matters, who/what is the responsible agent?</i> and <i>differential engagement in race talk</i>, (b) <i>discussing race but not racism</i>, and (c) <i>questionable genuineness</i>. Overall, participants identified significant inconsistencies with the integration of their race-specific multicultural training via their programs' courses. These findings signal that more intentional and coordinated action is needed in counseling psychology training programs' courses to better prepare students to work with clients and communities of color. Implications for research, training, and practice are highlighted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"298-310"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469602","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
A phenomenological analysis of the psychological impact of Black women environmental activists' resistance to environmental racism.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-17 DOI: 10.1037/cou0000786
Shola Shodiya-Zeumault, Cirleen DeBlaere, Helen F Branyan
{"title":"A phenomenological analysis of the psychological impact of Black women environmental activists' resistance to environmental racism.","authors":"Shola Shodiya-Zeumault, Cirleen DeBlaere, Helen F Branyan","doi":"10.1037/cou0000786","DOIUrl":"10.1037/cou0000786","url":null,"abstract":"<p><p>Environmental racism (ER), or the disproportionate burden of environmental toxins in racially marginalized communities (e.g., Chavis, 1994), has been associated with poor mental health and well-being (e.g., Power et al., 2015). Historically, Black American women have strategized and labored to bring about environmental equity and justice in their communities and to facilitate social change (Collins, 2009). However, explorations of the impact of their resistance on their mental health outcomes are largely absent within psychological literature. This study, grounded in Black Feminist Ecological Thought, captures and outlines Black women environmental activist's perspectives on their resistance strategies and the influence of their resistance on the well-being of themselves and their communities. Implementing an interpretive phenomenological analysis, themes of (a) spanning beyond defined boundaries to resist environmental degradation; (b) the nonlinear pathways between environmental activism and well-being; and (c) intentional community as critical for persistence in environmental activism arose out of the in-depth interviews conducted. Findings can be used as a foundation for continued exploration into the psychological, emotional, and spiritual benefits of resistance to oppression among Black American women and for the inclusion of ER as an important contributor to racial stress among other forms of systemic oppression. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"258-271"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442370","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 potential harm of loss and grief narratives among families of transgender and nonbinary youth.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI: 10.1037/cou0000778
Russell B Toomey, Lizette Trujillo, Roberto L Abreu, Ari Rios Garza, Sydney Hainsworth, Zhenqiang Zhao
{"title":"The potential harm of loss and grief narratives among families of transgender and nonbinary youth.","authors":"Russell B Toomey, Lizette Trujillo, Roberto L Abreu, Ari Rios Garza, Sydney Hainsworth, Zhenqiang Zhao","doi":"10.1037/cou0000778","DOIUrl":"10.1037/cou0000778","url":null,"abstract":"<p><p>Grief and loss perspectives are frequently used in clinical and nonclinical (e.g., parent-facilitated support groups) settings to support families who are navigating awareness or disclosure of a child's diverse gender identity (i.e., as transgender or nonbinary [TNB]). Little to no research has examined the mental health consequences of TNB youth of having parents and caregivers conceptualize their child's gender transition or journey through the lens of loss and grief. Framed by minority stress theory, this study examines associations between 319 TNB youths' (ages 13-22) awareness of familial grief related to their TNB identity and their own mental health (i.e., depression, anxiety, and suicide thoughts and behaviors). Results indicate that TNB youth who experience familial grief or loss due to their TNB identity reported higher levels of anxious and depressive symptoms and were more likely to have attempted suicide. We discuss how clinicians and providers in community settings can better support TNB youth by reducing the use of a grief and loss lens in interventions with families. Clinicians and other providers are encouraged to help families integrate a child's developing gender identity and expression within the family context and to interrogate the meaning of loss of cisgender privilege for the youth and their parent and family systems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"201-210"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366278","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
Daily minority stressors, threat appraisal, and identity concealment among trauma-exposed sexual minority women and transgender and gender-diverse people. 遭受创伤的性少数群体妇女、变性人和性别多元化人群的日常少数群体压力、威胁评估和身份隐藏。
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 10.1037/cou0000782
Jillian R Scheer, Skyler D Jackson, Cory J Cascalheira, Kriti Behari, Emily C Helminen, Abigail W Batchelder, Tami P Sullivan
{"title":"Daily minority stressors, threat appraisal, and identity concealment among trauma-exposed sexual minority women and transgender and gender-diverse people.","authors":"Jillian R Scheer, Skyler D Jackson, Cory J Cascalheira, Kriti Behari, Emily C Helminen, Abigail W Batchelder, Tami P Sullivan","doi":"10.1037/cou0000782","DOIUrl":"10.1037/cou0000782","url":null,"abstract":"<p><p>Recent calls have been made to decolonize White-dominated, Western narratives around concealment (e.g., that disclosure should be prioritized) and instead to examine psychosocial factors associated with concealment. Existing literature lacks exploration into daily variations of sexual or gender identity concealment (hereafter, \"concealment\") among sexual and gender minority people, especially sexual minority women (SMW) and transgender and gender-diverse (TGD) individuals who have experienced trauma. Additionally, there is little research delving into individual characteristics, such as trait-based avoidance coping, and specific contexts, including daily minority stressors and threat appraisal, prompting trauma-exposed SMW and TGD people to conceal their identities. Addressing these gaps, we aimed to develop and test an innovative model that advances stress and coping frameworks by integrating minority stress and social safety theories. We used data from a 14-day intensive longitudinal study among 57 trauma-exposed SMW and TGD people. Minority stressors and threat appraisal were associated with concealment at both the within- and between-person levels, respectively. Trait-based general avoidance coping predicted identity concealment and moderated the link between daily minority stressors and concealment. Daily minority stressors were associated with greater concealment only among those who reported lower avoidance coping. Concealment may operate as an experiential avoidance behavior among those who habitually cope by using avoidance and as a goal-directed coping response among trauma-exposed SMW and TGD people who face acute minority stressors and report less avoidance coping. Counseling psychologists exploring the function of concealment with trauma-exposed SMW and TGD people should attend to stigma exposure, threat appraisal, and avoidance coping. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"211-222"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpersonal distress as a criterion for personalizing depression therapy.
IF 3.8 1区 心理学
Journal of Counseling Psychology Pub Date : 2025-04-01 Epub Date: 2025-02-20 DOI: 10.1037/cou0000785
Juan Martín Gómez Penedo, Galit Peysachov, Anna Babl, Sigal Zilcha-Mano
{"title":"Interpersonal distress as a criterion for personalizing depression therapy.","authors":"Juan Martín Gómez Penedo, Galit Peysachov, Anna Babl, Sigal Zilcha-Mano","doi":"10.1037/cou0000785","DOIUrl":"10.1037/cou0000785","url":null,"abstract":"<p><p>In this study, we aimed to explore interpersonal distress as a moderator of the effects of supportive treatment (ST) versus supportive expressive treatment (SET) on the therapeutic alliance and outcome in patients with depression. We drew on data from a randomized controlled trial where 100 patients were randomized to receive 16 sessions of either ST or SET. Patients completed a measure of interpersonal problems at baseline. Therapy outcome and the strength of the therapeutic alliance were measured by patient self-report, before and after each session, respectively. We conducted interactive three-level mixed effect models, accounting for the nested structure of the data, with repeated measures nested within patients, nested within therapists. The results showed significant interactive effects of treatment by baseline interpersonal problems on both the evolution of outcome and the alliance. Patients with greater interpersonal problems had a greater reduction in depressive severity and greater improvements in the alliance when treated with SET versus ST. If further replicated, the results of this study suggest that therapists of patients with depression would benefit from evaluating their interpersonal distress at baseline and incorporating this evaluation in their decision-making process regarding the most suitable intervention strategy for each individual patient. To conclude, the results of this study might enhance evidence-based treatment personalization in patients with depression using a parsimonious personalization approach. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"286-297"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469622","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信