Journal of Counseling Psychology最新文献_第9页

Members' goal orientation and working alliance in group therapy: A response surface analysis. 小组治疗中成员的目标取向和工作联盟：反应面分析。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI: 10.1037/cou0000722

Martin Kivlighan, Gerta Bardhoshi, Kun Wang, Christopher Anders, Sigal Zilcha-Mano

{"title":"Members' goal orientation and working alliance in group therapy: A response surface analysis.","authors":"Martin Kivlighan, Gerta Bardhoshi, Kun Wang, Christopher Anders, Sigal Zilcha-Mano","doi":"10.1037/cou0000722","DOIUrl":"10.1037/cou0000722","url":null,"abstract":"Research suggests that a client's achievement goal orientation and alliance are important for positive treatment outcomes. However, it is currently unknown how a member's goal orientation and alliance in tandem relate to members' improvement in group therapy, despite conceptual wisdom regarding the additive effect of a high alliance and a mastery or approach goal orientation. Therefore, this study sought to examine the congruence between members' goal orientation and the member-group alliance on members' perceived improvement in group therapy. Data for this study came from 99 clients across 10 interpersonal process groups. Polynomial regression and response surface analysis were used to test the congruent and discrepant effects of members' goal orientation (i.e., approach-performance, avoidance-performance, and mastery orientation) and group alliance on their perceived improvement in group therapy. As hypothesized, members who reported congruent high group alliance and high mastery orientation or approach orientation compared to congruent low alliance and low mastery or approach orientation reported high levels of improvement in group therapy. Regarding discrepant effects, discrepant high alliance and low avoidance orientation compared to low alliance and high avoidance was positively related to improvement in group therapy, and discrepant high alliance and low approach orientation compared to low alliance and high approach was positively related to improvement in group therapy. Last, discrepant high alliance and low mastery and low alliance and high mastery were positively related to improvement in group therapy, suggesting a compensatory effect between mastery orientation and alliance on improvement. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"179-189"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736403","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 iBelong Scale: Construction and validation of a measure of racial-ethnic-cultural belonging. iBelong 量表：构建并验证种族-民族-文化归属感量表。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-04-01 Epub Date: 2024-01-25 DOI: 10.1037/cou0000716

B Andi Lee, Helen A Neville

{"title":"The iBelong Scale: Construction and validation of a measure of racial-ethnic-cultural belonging.","authors":"B Andi Lee, Helen A Neville","doi":"10.1037/cou0000716","DOIUrl":"10.1037/cou0000716","url":null,"abstract":"The purpose of this study was to develop a measure of racial-ethnic-cultural (REC) belonging for Black, Indigenous, and other people of color (BIPOC). The iBelong Scale was designed to assess the multidimensional components of REC belonging across diverse BIPOC groups. The scale was constructed based on a grounded conceptual framework of REC belonging, and the initial pool of items received feedback from community members and content experts. Validation of the iBelong Scale comprised data from 808 BIPOC participants collected across three interrelated studies for the purposes of initial validation, construct validity, and test-retest reliability. In Study 1, an exploratory factor analysis yielded a 25-item scale with five factors: (a) Home, (b) Connection, (c) Authenticity, (d) REC Thriving, and (e) Self-Definition. Results from Study 2's confirmatory factor analysis indicated that the five-factor model was an acceptable fit of the data and the best fit among competing models. Measurement invariance was assessed, and results indicated that the iBelong Scale measures REC belonging similarly across differing BIPOC groups. The iBelong Scale was related to a range of measures in theoretically expected ways, including positive associations with general belonging, racial/ethnic identity, and general well-being, and negative associations with loneliness and REC nonbelonging. Findings from Study 3 indicated the test-retest reliability of the iBelong Scale over a 2-week period. Limitations of the studies and implications for research and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"139-154"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565096","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

Patient attachment and reflective functioning as predictors for therapist in-session feelings. 患者依恋和反思功能是治疗师在治疗过程中产生情感的预测因素。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI: 10.1037/cou0000726

Fredrik Falkenström, Jonatan Bjerén, Fredrik Björklund, Rolf Holmqvist, Annika Ekeblad

{"title":"Patient attachment and reflective functioning as predictors for therapist in-session feelings.","authors":"Fredrik Falkenström, Jonatan Bjerén, Fredrik Björklund, Rolf Holmqvist, Annika Ekeblad","doi":"10.1037/cou0000726","DOIUrl":"10.1037/cou0000726","url":null,"abstract":"Therapists' in-session feelings in psychotherapy can be seen as indications of the development of the therapeutic relationship and the therapeutic process. To manage them appropriately, it is important to know to what extent they may be influenced by patients' pretreatment characteristics. This study aims to improve the understanding of therapists' emotional reactions in the psychotherapeutic setting by investigating if patients' pretreatment mentalization ability and attachment style predicted therapist in-session feelings. In a sample of 87 therapy dyads treated with interpersonal psychotherapy and cognitive behavioral therapy for depression, patient attachment was measured using self-reported Experiences in Close Relationships (ECR) and mentalization using Reflective Functioning (RF). ECR and RF were hypothesized to predict therapist feelings measured by the Feeling Word Checklist-24 at different treatment phases over the full course of treatment. Treatment method, patient age, gender, and pretreatment depression were evaluated as potential confounders. Multilevel modeling was used to analyze the data. Lower RF in patients predicted more negative therapist feelings in the mid- to late-treatment phases and less positive feelings in the late-treatment phase. Self-reported attachment anxiety or avoidance did not predict therapist feelings. Findings indicate that patients' ability to mentalize is important to consider when conducting psychotherapy, as it can influence therapists' feelings in the therapeutic process. Limitations of the present study's approach are discussed, and directions for future research are considered. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"190-201"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736404","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

Perceptions and barriers about mental health services among Pacific Islanders: An interpretative phenomenological analysis. 太平洋岛民对心理健康服务的看法和障碍：解释现象学分析。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-03-01 DOI: 10.1037/cou0000719

Elizabeth A Cutrer-Párraga, G E Kawika Allen, Erica Ellsworth Miller, Melia Fonoimoana Garrett, Hokule'a Conklin, Cynthia Noelani Franklin, Abigail Norton, Cameron Hee, Benjamin K Coffey

{"title":"Perceptions and barriers about mental health services among Pacific Islanders: An interpretative phenomenological analysis.","authors":"Elizabeth A Cutrer-Párraga, G E Kawika Allen, Erica Ellsworth Miller, Melia Fonoimoana Garrett, Hokule'a Conklin, Cynthia Noelani Franklin, Abigail Norton, Cameron Hee, Benjamin K Coffey","doi":"10.1037/cou0000719","DOIUrl":"10.1037/cou0000719","url":null,"abstract":"Every year, millions of Americans do not receive needed mental health (MH) services. Although Pacific Islanders (PI) have a high need for MH services, this group has the lowest rate of MH care help seeking. This is especially concerning as the rate of suicide has been increasing within the PI community. This study explored how Pacific Islanders think about MH supports, including their attitudes toward and perceptions of barriers to receiving MH services. An interpretative phenomenological analysis focus group study was conducted with cross-generational Pacific Islanders residing in one western state. The findings include (a) PI perceptions that MH help seeking results in family burdensomeness, stigma, and shame; (b) negotiating PI social customs and beliefs related to MH help seeking, care, and support; and (c) PI mistrust of institutional resources. These themes seemed to interact with each other and create perpetuate barriers which prevent help-seeking behaviors. Clinical and research implications will be provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":"71 2","pages":"89-103"},"PeriodicalIF":3.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906657","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

Attaining decent work among Chinese rural migrants: Exploring the roles of psychological ownership and proactive personality within the psychology of working theory. 中国农村移民获得体面工作：探索工作心理学理论中心理所有权和积极主动人格的作用。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-03-01 Epub Date: 2024-02-01 DOI: 10.1037/cou0000713

Jie Shen, Bingtao Zhang, Wenyuan Huang

{"title":"Attaining decent work among Chinese rural migrants: Exploring the roles of psychological ownership and proactive personality within the psychology of working theory.","authors":"Jie Shen, Bingtao Zhang, Wenyuan Huang","doi":"10.1037/cou0000713","DOIUrl":"10.1037/cou0000713","url":null,"abstract":"Testing an adapted psychology of working theory (PWT) model (PWT; Duffy et al., 2016), this study examined how and when contextual constraints affect the ability of Chinese rural migrant workers () to attain decent work. Surveying a sample of 510 employed Chinese rural migrants at two time points, this study revealed that economic constraints and daily discrimination were indirectly related to attaining decent work through the mediating factors of work volition and psychological ownership over work. In addition, proactive personality moderated the relationships between daily discrimination and economic constraints and the two mediators. The results contribute to better understanding Chinese rural migrant workers' work experience, refining the PWT and enriching the literature on the underlying mechanisms and moderating factors associated with decent work attainment. The research results call for policy and social change to lessen economic constraints and discrimination at the macro level and organizational commitment to employee-oriented human resource management and counseling interventions to improve the quality of the work lives of rural migrant workers. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"126-137"},"PeriodicalIF":3.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651958","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 often should I meditate? A randomized trial examining the role of meditation frequency when total amount of meditation is held constant. 我应该多久冥想一次？一项随机试验研究了在冥想总量不变的情况下冥想频率的作用。

IF 3.8 1区心理学

Journal of Counseling Psychology Pub Date : 2024-03-01 DOI: 10.1037/cou0000725

Kevin M Riordan, Otto Simonsson, Corrina Frye, Nathan J Vack, Jane Sachs, Dan Fitch, Robin I Goldman, Evelyn S Chiang, Cortland J Dahl, Richard J Davidson, Simon B Goldberg

{"title":"How often should I meditate? A randomized trial examining the role of meditation frequency when total amount of meditation is held constant.","authors":"Kevin M Riordan, Otto Simonsson, Corrina Frye, Nathan J Vack, Jane Sachs, Dan Fitch, Robin I Goldman, Evelyn S Chiang, Cortland J Dahl, Richard J Davidson, Simon B Goldberg","doi":"10.1037/cou0000725","DOIUrl":"10.1037/cou0000725","url":null,"abstract":"Meditation apps are the most commonly used mental health apps. However, the optimal dosing of app-delivered meditation practice has not been established. We examined whether the distribution of meditation practices across a day impacted outcomes in a distressed population. We investigated the effects of meditation practice frequency in a 2-week compassion-based meditation intervention delivered via the Healthy Minds Program app. Undergraduates with clinically elevated depression and/or anxiety (N = 351) were randomized to a massed (one 20-min meditation per day) or distributed condition (two 10-min meditations per day). Psychological distress (primary outcome; composite of depression and anxiety), experiential avoidance, fear of missing out, loneliness, and self-compassion were assessed pre- and post-intervention. Psychological distress, loneliness, and informal meditation practice were also assessed daily. Practice time and frequency were assessed using app data. Results support feasibility of the study design, success of the manipulation, and acceptability of the intervention. Pooled across conditions, participants exhibited pre-post improvements on all outcomes (absolute value of ds = 0.12-0.63, p ≤ .010) and trajectories of improvement on daily distress and loneliness (p ≤ .010). No between-group differences were observed on changes in pre-post or daily measures (ps = .158-.729). When total amount of meditation practice per day is held constant, the distribution of practice may not influence outcomes for distressed beginners. Although only a first test of dose frequency effects, findings support flexibility in the distribution of meditation throughout the day, which may increase accessibility. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":"71 2","pages":"104-114"},"PeriodicalIF":3.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10883600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906656","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

Identity management processes, contextual supports and barriers, and substance use among sexual minority workers: A social cognitive lens. 身份管理过程，背景支持和障碍，以及性少数工作者的物质使用:一个社会认知镜头。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-01-01 Epub Date: 2023-12-07 DOI: 10.1037/cou0000717

Alexander K Tatum, Robert W Lent

{"title":"Identity management processes, contextual supports and barriers, and substance use among sexual minority workers: A social cognitive lens.","authors":"Alexander K Tatum, Robert W Lent","doi":"10.1037/cou0000717","DOIUrl":"10.1037/cou0000717","url":null,"abstract":"Sexual minority people report substance use at higher rates than their heterosexual peers. Workplace sexual identity management, defined as the process by which sexual minority persons disclose or conceal their identities at work, may exacerbate substance use under stressful conditions, such as when faced with incivility. However, there is a paucity of research on the relation of the work environment to sexual minority workers' substance use. The present study used the social cognitive career self-management model as a conceptual framework to examine two aspects of the work environment (positive climate and harassment) in relation to the sexual identity management process and substance use of sexual minority workers. Because plurisexual employees (e.g., bisexual or pansexual) often face additional workplace stressors relative to their monosexual sexual minority peers, we also examined the links between plurisexual identity and each component of the self-management model. Participants were 418 full-time sexual minority workers residing in the United States. Results were largely consistent with the self-management model derived in terms of the prediction of sexual identity disclosure in the workplace. Workplace harassment moderated the relationship between identity disclosure and substance use, such that disclosure was linked more strongly to substance use in the context of more frequent harassment experiences. Plurisexuality was negatively related to disclosure self-efficacy, outcome expectations, and level of outness at work. Plurisexual workers also perceived their work climates as less identity-affirming. We consider implications for research and practice, including organizational interventions to minimize sexual minority workers' experience of workplace harassment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"22-33"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499843","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

Patterns of career decision-making difficulties in 16 countries: A person-centered investigation. 16 个国家的职业决策困难模式：以人为本的调查。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-01-01 Epub Date: 2023-09-04 DOI: 10.1037/cou0000704

Nimrod Levin, Yuliya Lipshits-Braziler, Itamar Gati

{"title":"Patterns of career decision-making difficulties in 16 countries: A person-centered investigation.","authors":"Nimrod Levin, Yuliya Lipshits-Braziler, Itamar Gati","doi":"10.1037/cou0000704","DOIUrl":"10.1037/cou0000704","url":null,"abstract":"Classifying clients into career indecision types can facilitate tailoring interventions to each client's specific needs. The present research examined a typology of career indecision on 50 data sets (N = 31,527) representing diverse populations from 16 countries on five continents. Latent profile analyses of participants' responses on the Career Decision-Making Difficulties Questionnaire (CDDQ) revealed seven replicable career indecision types across samples: unmotivated, unrealistic, generally uninformed, occupations-uninformed, conflicted-uninformed, externally conflicted, and internally conflicted. Age emerged as a negligible predictor of career indecision types, whereas gender predicted membership in the unmotivated type, with men twice more likely to be unmotivated than women. The seven types were similarly predictive of career decision status, decision certainty, and decision self-efficacy. These results largely support using the CDDQ to differentially diagnose career indecision types based on 10 causes of career indecision in different countries, life stages, and genders. Classifying individuals based on their patterns of career decision-making difficulties supports tailoring individual career counseling or group interventions to clients' needs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"34-47"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154019","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 and client perceptions of the working alliance: Codevelopment, linear growth, variability, and client functioning. 治疗师和来访者对工作联盟的看法:共同发展、线性增长、可变性和来访者功能。

IF 3.9 1区心理学

Journal of Counseling Psychology Pub Date : 2024-01-01 Epub Date: 2023-11-13 DOI: 10.1037/cou0000715

Shihong Lin, Dennis M Kivlighan, Clara E Hill

{"title":"Therapist and client perceptions of the working alliance: Codevelopment, linear growth, variability, and client functioning.","authors":"Shihong Lin, Dennis M Kivlighan, Clara E Hill","doi":"10.1037/cou0000715","DOIUrl":"10.1037/cou0000715","url":null,"abstract":"Using longitudinal client and therapist working alliance ratings, previous research examined how alliance: average value, linear growth, variability, stability (autocorrelation), and partner responsiveness were associated with client outcome. However, no research simultaneously examined all of these dimensions. Omitting important variables in analyses could lead to overestimation of related effects. Therefore, the purpose of this study was to examine these effects simultaneously. Therapists (N = 45) and clients (N = 236) rated alliance after every session (N = 10,720) and clients completed a measure of psychological distress after every eighth session. We used dynamic structure equation modeling to model longitudinal ratings using the longitudinal actor-partner interaction and location-scale models. Across sessions, there were significant linear growth and significant variability in client and therapist alliance ratings. The variability indicates multiple \"V\" patterns, which have been associated with alliance ruptures. Both actor effects were significant, showing session-to-session stability for client and therapist alliance. In addition, client-partner effect was significant, indicating higher-than-usual client alliance in a session predicting an increase in therapist alliance in the subsequent session. Growth in neither client-rated nor therapist-rated working alliances was significantly associated with client improvement. Lower variabilities (fewer fluctuations) in both client- and therapist-rated working alliances were associated with better outcomes. Higher therapist-actor and partner effects were associated with client improvement, but client-actor and partner effects were not associated with client improvement. Average working alliances were not associated with client improvement. Implications for practice and research were discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"63-76"},"PeriodicalIF":3.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157029","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

Trajectories of change in weekly and biweekly therapy. 每周和每两周治疗的变化轨迹。

IF 3.8 1区心理学

Journal of Counseling Psychology Pub Date : 2024-01-01 Epub Date: 2023-10-23 DOI: 10.1037/cou0000711

Tao Lin, Timothy Anderson, David M Erekson, Benjamin M Ogles

{"title":"Trajectories of change in weekly and biweekly therapy.","authors":"Tao Lin, Timothy Anderson, David M Erekson, Benjamin M Ogles","doi":"10.1037/cou0000711","DOIUrl":"10.1037/cou0000711","url":null,"abstract":"Higher therapy session frequency has been found to result in faster recovery, but few studies have considered that clients follow diverse trajectories of change in psychotherapy. It is unknown how session frequency may affect the sizes and shapes of change trajectories. The present study examined clients' change trajectories in weekly and biweekly therapy in a naturalistic setting, as well as predictors of these trajectories. Using a sample of 5,102 clients receiving 3-10 therapy sessions at a university counseling center, we identified 886 clients attending approximately weekly therapy and 1,753 clients attending approximately biweekly therapy. We examined the change trajectories of the weekly and biweekly samples using latent growth mixture modeling (LGMM). Three trajectories were identified in weekly therapy: slow change (78.33%), early improvement (17.61%), and worse before better (4.06%), and in biweekly therapy: slow change (80.38%), early improvement (13.52%), and worse before better (6.1%). The worse before better subgroup in weekly therapy experienced greater deterioration than those in biweekly therapy. The slow change and early improvement subgroups in weekly therapy showed treatment outcome comparable to those of their respective counterparts in biweekly therapy. Clients' intake symptoms, including eating concerns, frustration/anger, depression, and academic concerns, significantly predicted change trajectories. Compared to biweekly therapy, weekly therapy leads to higher chances of early improvement and shortens the duration of suffering but results in greater deterioration for individuals who deteriorate in therapy. The impact of session frequency on treatment outcome varies across clients, and session frequency should be adjusted individually. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48424,"journal":{"name":"Journal of Counseling Psychology","volume":" ","pages":"77-87"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693208","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