预测治疗结果的客户偏好、治疗活动和偏好-活动匹配。

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen
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引用次数: 0

摘要

研究目的本研究调查了不同类型的心理治疗活动、求助者在治疗前对这些活动的偏好以及求助者偏好与治疗活动之间的匹配程度是否可以预测治疗结果:共有 621 名客户(年龄 = 42 岁,71.7% 为女性)接受了 54 名心理学家的个人心理治疗。采用多层次纵向逻辑模型和多项式回归模型,并结合响应面分析,分析了作为预测因素的活动偏好、治疗活动和偏好-活动匹配与作为结果的症状变化和治疗退出之间的关联:任何治疗活动类型或活动偏好都不能显著预测治疗中的症状变化,而内向型治疗活动水平越高,预测的辍学风险越大。此外,与内向型治疗活动和情感表达活动相匹配且水平较高的治疗活动会增加辍学风险,而与外向型治疗活动相匹配且水平较高的治疗活动会降低辍学风险。最后,情感抑制方面的偏好-活动不匹配预示着在情感抑制水平较高和较低的情况下,放弃治疗的风险都会增加:结论:不同类型的治疗活动偏好,尤其是在与相同治疗活动的相似水平(错误)匹配的情况下,可能会对特定的治疗辍学率产生不同的预测作用:试验注册:ClinicalTrials.gov identifier:NCT05630560.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
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.
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