Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen
{"title":"预测治疗结果的客户偏好、治疗活动和偏好-活动匹配。","authors":"Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen","doi":"10.1080/10503307.2024.2353358","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>A total of 621 clients (<i>M</i><sub>age</sub> = 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.</p><p><strong>Results: </strong>No type of therapy activity or activity preference significantly predicted symptom change in therapy, while higher levels of <i>inward orientation</i> therapy activities predicted an increased risk of dropout. Moreover, matching and higher levels of <i>inward orientation</i> and a<i>ffect expression</i> activities predicted an increased risk of dropout, and matching and higher levels of <i>outward orientation</i> activities predicted a decreased risk of dropout. Finally, a preference-activity mismatch in <i>affect suppression</i> predicted an increased risk of dropout from therapy, both at higher and lower levels of <i>affect suppression</i>.</p><p><strong>Conclusion: </strong>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.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT05630560.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>A total of 621 clients (<i>M</i><sub>age</sub> = 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.</p><p><strong>Results: </strong>No type of therapy activity or activity preference significantly predicted symptom change in therapy, while higher levels of <i>inward orientation</i> therapy activities predicted an increased risk of dropout. Moreover, matching and higher levels of <i>inward orientation</i> and a<i>ffect expression</i> activities predicted an increased risk of dropout, and matching and higher levels of <i>outward orientation</i> activities predicted a decreased risk of dropout. Finally, a preference-activity mismatch in <i>affect suppression</i> predicted an increased risk of dropout from therapy, both at higher and lower levels of <i>affect suppression</i>.</p><p><strong>Conclusion: </strong>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.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT05630560.</p>\",\"PeriodicalId\":48159,\"journal\":{\"name\":\"Psychotherapy Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychotherapy Research\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/10503307.2024.2353358\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2024.2353358","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Client preferences, therapy activities and preference-activity match as predictors of therapy outcome.
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.
期刊介绍:
Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.