Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-06-29 DOI:10.1037/pst0000495
Jolin B Yamin, Ciara N Cannoy, Katey M Gibbins, Shoshana Krohner, Lisa J Rapport, Christopher J Trentacosta, Lori Lackman Zeman, Mark A Lumley
{"title":"Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.","authors":"Jolin B Yamin, Ciara N Cannoy, Katey M Gibbins, Shoshana Krohner, Lisa J Rapport, Christopher J Trentacosta, Lori Lackman Zeman, Mark A Lumley","doi":"10.1037/pst0000495","DOIUrl":null,"url":null,"abstract":"<p><p>Emotional processing interventions for trauma and psychological conflicts are underutilized. Lack of adequate training in emotional processing techniques and therapists' lack of confidence in utilizing such interventions are barriers to implementation. We developed and tested an experiential training to improve trainees' performance in a set of transtheoretical emotional processing skills: eliciting patient disclosure of difficult experiences, responding to defenses against disclosure, and eliciting adaptive emotions. Mental health trainees (<i>N</i> = 102) were randomized to experiential or standard training, both of which presented a 1-hr individual session administered remotely. Before and after training and at 5-week follow-up, trainees were videorecorded as they responded to videos of challenging therapy situations, and responses were coded for demonstrated skill. Trainees also completed measures of therapeutic self-efficacy, anxiety, and depression at baseline and follow-up. Repeated-measures analysis of variance indicated all three skills increased from pre- to posttraining for both conditions, which were maintained at follow-up. Importantly, experiential training led to greater improvements than standard training in the skills of eliciting disclosure (η² = .05, <i>p</i> = .03), responding to defenses (η² = .04, <i>p</i> = .05), and encouraging adaptive emotions (η² = .23, <i>p</i> < .001) at posttraining, and the training benefits for eliciting disclosure were maintained at follow-up. Both conditions led to improved self-efficacy. Trainees' anxiety decreased in the standard training, but not in the experiential. One session of experiential training improved trainees' emotional processing therapy skills more than didactic training, although more training and practice likely are needed to yield longer lasting skills. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/pst0000495","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/29 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 1

Abstract

Emotional processing interventions for trauma and psychological conflicts are underutilized. Lack of adequate training in emotional processing techniques and therapists' lack of confidence in utilizing such interventions are barriers to implementation. We developed and tested an experiential training to improve trainees' performance in a set of transtheoretical emotional processing skills: eliciting patient disclosure of difficult experiences, responding to defenses against disclosure, and eliciting adaptive emotions. Mental health trainees (N = 102) were randomized to experiential or standard training, both of which presented a 1-hr individual session administered remotely. Before and after training and at 5-week follow-up, trainees were videorecorded as they responded to videos of challenging therapy situations, and responses were coded for demonstrated skill. Trainees also completed measures of therapeutic self-efficacy, anxiety, and depression at baseline and follow-up. Repeated-measures analysis of variance indicated all three skills increased from pre- to posttraining for both conditions, which were maintained at follow-up. Importantly, experiential training led to greater improvements than standard training in the skills of eliciting disclosure (η² = .05, p = .03), responding to defenses (η² = .04, p = .05), and encouraging adaptive emotions (η² = .23, p < .001) at posttraining, and the training benefits for eliciting disclosure were maintained at follow-up. Both conditions led to improved self-efficacy. Trainees' anxiety decreased in the standard training, but not in the experiential. One session of experiential training improved trainees' emotional processing therapy skills more than didactic training, although more training and practice likely are needed to yield longer lasting skills. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
对心理健康研究生进行情绪处理技能的体验式培训:随机对照试验
针对创伤和心理冲突的情绪处理干预措施未得到充分利用。缺乏足够的情绪处理技巧培训,以及治疗师对使用此类干预措施缺乏信心,都是实施干预措施的障碍。我们开发并测试了一种体验式培训,以提高受训者在一系列跨理论情绪处理技能方面的表现:诱导患者披露困难经历、对披露行为的防御做出反应,以及诱发适应性情绪。心理健康受训人员(102 人)被随机分配到体验式培训或标准培训中,两种培训均为远程管理的 1 小时个人课程。在培训前后和 5 周的随访中,受训者在对具有挑战性的治疗情境视频做出反应时被录制下来,并根据所展示的技能对反应进行编码。受训者还在基线和随访时完成了治疗自我效能感、焦虑和抑郁的测量。重复测量方差分析结果表明,在两种情况下,从培训前到培训后,这三种技能都有所提高,并在后续培训中保持不变。重要的是,与标准培训相比,体验式培训在培训后对诱导披露(η² = .05,p = .03)、对防御做出反应(η² = .04,p = .05)和鼓励适应性情绪(η² = .23,p < .001)等技能的提高更大,而且诱导披露的培训效果在随访中得以保持。两种情况都提高了自我效能感。受训者的焦虑感在标准培训中有所下降,但在体验式培训中没有下降。与说教式培训相比,一个疗程的体验式培训更能提高受训者的情绪处理治疗技能,不过要想获得更持久的技能,可能还需要更多的培训和练习。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
期刊最新文献
Increasing outcome measurement precision: Network analysis of items on the Outcome Questionnaire-45. Physiological regulation processes differentiate the experience of ruptures between patient and therapist. Questioning the status quo: Latino community members as researchers in the study of health equity. Identification of cultural conversations in therapy using natural language processing models. Should psychotherapists conduct visual assessments of nonsuicidal self-injury wounds?
×
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
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 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 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1