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Mediators of change in online mindfulness-based cognitive therapy: A secondary analysis of a randomized trial of mindful mood balance. 在线正念认知疗法变化的中介:正念情绪平衡随机试验的二次分析。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-01 DOI: 10.1037/ccp0000825
Sona Dimidjian, Robert Gallop, Joseph Levy, Arne Beck, Zindel V Segal

Objective: Digital delivery of mindfulness-based cognitive therapy through the Mindful Mood Balance (MMB) program is clinically effective (Segal et al., 2020); however, the mechanisms through which this program delivers its benefits have not been established.

Method: This study investigates the differential impact of the MMB program paired with usual depression care (UDC) compared to UDC alone on the putative targets of self-reported mindfulness, decentering, and rumination and the extent to which change in these targets mediates subsequent depressive relapse among a sample of predominantly White, female participants, with residual depressive symptoms.

Results: The MMB program relative to UDC was associated with a significantly greater rate of change in decentering (t = 4.94, p < .0001, d = 0.46), mindfulness (t = 6.04, p < .0001, d = 0.56), and rumination (t = 3.82, p < .0001, d = 0.36). Subsequent depressive relapse also was mediated by prior change in these putative targets, with a significant natural indirect effect for decentering, χ2(1) = 7.25, p < .008, OR = 0.57; mindfulness, χ2(1) = 9.99, p < .002, OR = 0.50; and rumination, χ2(1) = 12.95, p < .001, OR = 0.35.

Conclusions: These findings suggest the mechanisms of MMB are consistent with the conceptual model for mindfulness-based cognitive therapy and depressive relapse risk and that such processes can be modified through digital delivery. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:通过正念情绪平衡(MMB)项目的正念认知疗法的数字化交付在临床上是有效的(Segal等,2020);然而,这一方案的效益机制尚未建立。方法:本研究调查了MMB计划与常规抑郁护理(UDC)相比,UDC单独对自我报告的正念、去中心化和反刍的假设目标的不同影响,以及这些目标的变化在多大程度上介导了随后的抑郁复发,主要是白人女性参与者,残余抑郁症状。结果:相对于UDC而言,MMB计划与分散性(t = 4.94, p < 0.0001, d = 0.46)、正念(t = 6.04, p < 0.0001, d = 0.56)和反刍(t = 3.82, p < 0.0001, d = 0.36)的变化率显著更高相关。随后的抑郁复发也可由先前这些假定靶点的改变介导,对去中心化有显著的自然间接影响,χ2(1) = 7.25, p < 0.008, OR = 0.57;正念,χ2(1) = 9.99, p < 0.002, OR = 0.50;反刍,χ2(1) = 12.95, p < .001, OR = 0.35。结论:这些发现表明MMB的机制与基于正念的认知治疗和抑郁复发风险的概念模型一致,并且这些过程可以通过数字传输进行修改。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 0
Therapist perceptions of their own measurement-based, problem-specific effectiveness. 治疗师对自己基于测量的、针对特定问题的有效性的认知。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-01 DOI: 10.1037/ccp0000813
Michael J Constantino, James F Boswell, Alice E Coyne, Heather J Muir, Averi N Gaines, David R Kraus

Objective: Patient-reported outcomes data reveal differences both in therapists' global effectiveness across their average patient (between-therapist effect) and in treating different problems within their caseload (within-therapist effects). Yet, it is unclear how accurately therapists perceive their own measurement-based, problem-specific effectiveness and whether such self-perceptions predict global between-therapist performance differences. We explored these questions in naturalistic psychotherapy.

Method: For 50 therapists, we drew on data from a mean of 27 past patients (total N = 1,363) who completed a multidimensional outcome measure-Treatment Outcome Package (TOP)-at pre- and posttreatment. For each of 12 outcome domains (e.g., depression, anxiety), TOP data classified therapists as historically "effective," "neutral," or "ineffective." Unaware of their data-driven classifications, therapists rated their perceived effectiveness for each domain. We conducted chi-square analyses to determine whether therapists predicted their own measurement-based effectiveness classifications to a level greater than chance. We then used multilevel modeling to test whether therapists' problem-specific perceptions predicted global between-therapist performance differences.

Results: For all but one outcome domain, therapists were no better than chance at predicting their measurement-based effectiveness classification. Additionally, controlling for patient baseline impairment, therapists who consistently overestimated their problem-specific effectiveness had patients who reported worse global outcomes than patients whose therapist more accurately estimated their effectiveness. Conversely, therapists who underestimated their problem-specific effectiveness had patients who reported better outcomes than patients whose therapist over- or accurately estimated their effectiveness.

Conclusions: Therapist humility may differentiate the most from least globally effective therapists, and this virtue should be cultivated in clinical trainings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:患者报告的结果数据揭示了治疗师在其平均患者中的整体有效性(治疗师间效应)和在其病例量内治疗不同问题(治疗师内效应)的差异。然而,目前尚不清楚治疗师如何准确地感知他们自己基于测量的、特定问题的有效性,以及这种自我感知是否预测了治疗师之间的整体表现差异。我们在自然主义心理治疗中探讨了这些问题。方法:对于50名治疗师,我们从27名过去的患者(总N = 1363)中提取数据,这些患者在治疗前后完成了多维结果测量-治疗结果包(TOP)。对于12个结果域(如抑郁、焦虑)中的每一个,TOP数据将治疗师分为历史上“有效”、“中性”或“无效”。治疗师不知道他们的数据驱动分类,他们对每个领域的感知有效性进行了评估。我们进行了卡方分析,以确定治疗师是否预测他们自己的基于测量的有效性分类到一个高于偶然的水平。然后,我们使用多层模型来检验治疗师的特定问题感知是否预测了治疗师之间的整体绩效差异。结果:除了一个结果领域外,治疗师在预测基于测量的有效性分类方面并不比机会好。此外,在控制患者基线损伤的情况下,一贯高估其特定问题有效性的治疗师报告的患者总体结果比治疗师更准确地估计其有效性的患者更差。相反,那些低估了他们针对特定问题的有效性的治疗师,其患者报告的结果比那些高估或准确估计其有效性的治疗师的患者报告的结果更好。结论:治疗师的谦逊可以区分最有效和最无效的全球治疗师,这种美德应该在临床培训中培养。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 3
The efficacy and acceptability of psychological interventions for adult PTSD: A network and pairwise meta-analysis of randomized controlled trials. 成人PTSD心理干预的有效性和可接受性:随机对照试验的网络和两两荟萃分析。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-01 DOI: 10.1037/ccp0000809
Thole H Hoppen, Marvin Jehn, Heinz Holling, Julian Mutz, Ahlke Kip, Nexhmedin Morina

Objective: A comprehensive quantitative summary of the efficacy and acceptability of psychological interventions (PIs) for adult posttraumatic stress disorder (PTSD) is lacking.

Method: We conducted a systematic literature search to identify randomized controlled trials (RCTs) examining the efficacy and acceptability (all-cause dropout) of psychological interventions (i.e., trauma-focused cognitive behavior therapy [TF-CBT], eye movement desensitization and reprocessing [EMDR], other trauma-focused interventions and non-trauma-focused interventions).

Results: One hundred fifty-seven RCTs were included comprising 11,565 patients. Most research (64% of RCTs) accumulated for TF-CBT. In network meta-analyses, all therapies were effective when compared to control conditions. Interventions did not differ significantly in their efficacy. Yet, TF-CBT yielded higher short- (g = 0.17, 95% CI [0.03-0.31], number of comparisons kes = 190), mid- (i.e., ≤5 months posttreatment, g = 0.23, 95% CI [0.06-0.40], kes = 73) and long-term efficacy (i.e., >5 months posttreatment, g = 0.20, 95% CI [0.04-0.35], kes = 41) than non-trauma-focused interventions. There was some evidence of network inconsistencies, and heterogeneity in outcomes was large. In pairwise meta-analysis, slightly more patients dropped out from TF-CBT than non-trauma-focused interventions (RR = 1.36; 95% CI [1.08-1.70], kes = 22). Other than that, interventions did not differ in their acceptability.

Conclusions: Interventions with and without trauma focus are effective and acceptable in the treatment of PTSD. While TF-CBT yields the highest efficacy, slightly more patients discontinued TF-CBT than non-trauma-focused interventions. Altogether, the present results align with results of most previous quantitative reviews. Yet, results need to be interpreted with caution in light of some network inconsistencies and high heterogeneity in outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:缺乏对成人创伤后应激障碍(PTSD)心理干预的有效性和可接受性的全面定量总结。方法:我们进行了系统的文献检索,以确定随机对照试验(rct),以检验心理干预(即以创伤为重点的认知行为治疗[TF-CBT],眼动脱敏和再加工[EMDR],其他以创伤为重点的干预措施和非创伤为重点的干预措施)的有效性和可接受性(全因退出)。结果:纳入157项随机对照试验,共11,565例患者。大多数研究(64%的随机对照试验)都是针对TF-CBT的。在网络荟萃分析中,与对照条件相比,所有治疗方法都有效。干预措施的效果没有显著差异。然而,tgf - cbt的短期疗效(g = 0.17, 95% CI[0.03-0.31],比较数kes = 190)、中期疗效(即治疗后≤5个月,g = 0.23, 95% CI [0.06-0.40], kes = 73)和长期疗效(即治疗后>5个月,g = 0.20, 95% CI [0.04-0.35], kes = 41)均高于非创伤性干预。有一些证据表明网络不一致,结果的异质性很大。在两两荟萃分析中,从TF-CBT中退出的患者略多于非创伤性干预(RR = 1.36;95% CI [1.08-1.70], kes = 22)。除此之外,干预措施在可接受性方面没有差别。结论:创伤焦点干预和非创伤焦点干预在PTSD治疗中均是有效且可接受的。虽然TF-CBT的疗效最高,但与非创伤性干预相比,更多的患者停止了TF-CBT。总的来说,目前的结果与以前大多数定量评价的结果一致。然而,考虑到一些网络的不一致性和结果的高度异质性,结果需要谨慎解释。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 1
Mediators of digital depression prevention in patients with chronic back pain: Findings from a multicenter randomized clinical trial. 慢性背痛患者的数字抑郁预防介质:来自一项多中心随机临床试验的发现
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-01 DOI: 10.1037/ccp0000808
Matthias Domhardt, Arne Lutsch, Lasse B Sander, Sarah Paganini, Kerstin Spanhel, David D Ebert, Yannik Terhorst, Harald Baumeister

Objective: The mechanisms of change in digital interventions for the prevention of depression are largely unknown. Here, we explored whether five theoretically derived intervening variables (i.e., pain intensity, pain-related disability, pain self-efficacy, quality of life [QoL], and work capacity) were mediating the effectiveness of a digital intervention specifically designed to prevent depression in patients with chronic back pain (CBP).

Method: This study is a secondary analysis of a pragmatic, observer-masked randomized clinical trial conducted at 82 orthopedic clinics in Germany. A total of 295 adults with a diagnosis of CBP and subclinical depressive symptoms were randomized to either the intervention group (n = 149) or treatment-as-usual (n = 146). Longitudinal mediation analyses were conducted with structural equation modeling and depression symptom severity as primary outcome (Patient Health Questionnaire-9 [PHQ-9]; 6 months after randomization) on an intention-to-treat basis.

Results: Beside the effectiveness of the digital intervention in preventing depression, we found a significant causal mediation effect for QoL as measured with the complete scale of Assessment of Quality of Life (AQoL-6D; axb: -0.234), as well as for the QoL subscales mental health (axb: -0.282) and coping (axb: -0.249). All other potential intervening variables were not significant.

Conclusion: Our findings suggest a relevant role of QoL, including active coping, as change mechanism in the prevention of depression. Yet, more research is needed to extend and specify our knowledge on empirically supported processes in digital depression prevention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:数字干预预防抑郁症的变化机制在很大程度上是未知的。在这里,我们探讨了五个理论推导的干预变量(即疼痛强度、疼痛相关残疾、疼痛自我效能、生活质量和工作能力)是否介导了专门设计用于预防慢性背痛(CBP)患者抑郁的数字干预的有效性。方法:本研究是对在德国82家骨科诊所进行的一项实用的、观察者屏蔽的随机临床试验的二次分析。共有295名诊断为CBP和亚临床抑郁症状的成年人被随机分为干预组(n = 149)和常规治疗组(n = 146)。以结构方程模型和抑郁症状严重程度为主要结局进行纵向中介分析(Patient Health Questionnaire-9 [PHQ-9];随机化后6个月)在意向治疗基础上。结果:除了数字干预在预防抑郁方面的有效性外,我们还发现生活质量(QoL- 6d)量表测量的生活质量(QoL- 6d;axb: -0.234),以及生活质量亚量表心理健康(axb: -0.282)和应对(axb: -0.249)。其他所有可能的干预变量均不显著。结论:生活质量(包括积极应对)在抑郁症的预防中起着重要的作用。然而,需要更多的研究来扩展和具体我们对经验支持的数字抑郁症预防过程的知识。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 1
The role of health behavior theories in parents' initial engagement with parenting interventions. 健康行为理论在父母最初参与育儿干预中的作用。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-01 DOI: 10.1037/ccp0000816
Carolina Gonzalez, Alina Morawska, Divna M Haslam

Objective: To examine the relationship between health belief model (HBM; i.e., perceived threat, benefits, costs, and self-efficacy) and theory of planned behavior (TPB; i.e., attitudes, social norms, and perceived behavioral control) constructs and parents' intention to participate and initial engagement (i.e., recruitment, enrollment, and first attendance) with a parenting intervention.

Method: Participants were parents (n = 699, mean age = 38.29 years, 90.4% mothers) of 2-12-year-old children. The study conducted secondary analysis of cross-sectional data collected for an experimental study of engagement strategies. Participants provided self-report data on HBM constructs, TPB constructs, and intention to participate. Measures of initial parent engagement were also collected (i.e., recruitment, enrollment, and first attendance). Logistic regressions evaluated the impact of HBM and TPB constructs, and their combination, on intention to participate and initial parent engagement.

Results: Analyses indicated that all HBM constructs increased the odds of parents' intention to participate and enrollment. In terms of TPB, parents' attitudes and subjective norms, but not perceived behavioral control, were significant predictors of intention to participate and enrollment. When combined in one model, parents' perceived costs, self-efficacy, attitudes, and subjective norms predicted intention to participate, whereas perceived threat, costs, attitudes, and subjective norms increased odds of enrolling in the intervention. Regression models for first attendance were not significant and those for recruitment could not be conducted due to lack of variance.

Conclusions: The findings demonstrate the relevance of using both HBM and TPB constructs when enhancing parent intention to participate and enrollment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:探讨健康信念模型(HBM)与健康信念模型(HBM)的关系;即感知威胁、利益、成本和自我效能)和计划行为理论(TPB;即,态度、社会规范和感知行为控制)结构和父母参与和最初参与(即,招募、登记和首次出席)的意图。方法:研究对象为2-12岁儿童的父母(n = 699,平均年龄38.29岁,90.4%为母亲)。本研究对参与策略实验研究收集的横截面数据进行了二次分析。参与者提供了关于HBM构念、TPB构念和参与意向的自我报告数据。还收集了初始家长参与的度量(即,招募、注册和首次出勤)。Logistic回归评估了HBM和TPB结构及其组合对参与意愿和初始父母参与的影响。结果:分析表明,所有HBM结构都增加了家长参与和登记的几率。在TPB方面,家长态度和主观规范是参与意愿和入学的显著预测因子,而感知行为控制不是。当结合在一个模型中时,父母的感知成本、自我效能、态度和主观规范预测了参与的意愿,而感知威胁、成本、态度和主观规范增加了参与干预的几率。首次入职的回归模型不显著,招募的回归模型由于缺乏方差而不能进行。结论:研究结果表明,使用HBM和TPB结构在增强家长参与和入学意愿方面具有相关性。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 1
Supplemental Material for Novel Treatment Based on Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Insomnia: A Randomized Comparative Effectiveness Trial in Women Veterans 基于接受和承诺疗法与认知行为疗法治疗失眠症的新疗法补充材料:一项女性退伍军人的随机比较疗效试验
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-27 DOI: 10.1037/ccp0000836.supp
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引用次数: 0
Supplemental Material for Evaluating the Effectiveness of Concurrent Sessions and Counselors’ Attention Allocation in Online Counseling 评估在线咨询中并发会话和咨询师注意力分配有效性的补充材料
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-27 DOI: 10.1037/ccp0000831.supp
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引用次数: 0
Supplemental Material for The Impact of Multiple-Behavior HIV Interventions as a Function of Regional Disadvantages: An Analysis of Syndemics 多行为HIV干预对区域劣势影响的补充材料:Syndemics分析
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-06 DOI: 10.1037/ccp0000827.supp
{"title":"Supplemental Material for The Impact of Multiple-Behavior HIV Interventions as a Function of Regional Disadvantages: An Analysis of Syndemics","authors":"","doi":"10.1037/ccp0000827.supp","DOIUrl":"https://doi.org/10.1037/ccp0000827.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":""},"PeriodicalIF":5.9,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44463837","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
Long-term effects of an internalized weight stigma intervention: A randomized controlled trial. 内化体重污名干预的长期效果:随机对照试验
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-01 Epub Date: 2023-05-08 DOI: 10.1037/ccp0000819
Rebecca L Pearl, Thomas A Wadden, Caroline Bach, Erica M LaFata, Shiva Gautam, Sharon Leonard, Robert I Berkowitz, Janet D Latner, John M Jakicic

Objective: To test the long-term effects of a group-based, psychological intervention designed to reduce internalized weight stigma (IWS, i.e., self-stigma), delivered in combination with behavioral weight loss (BWL) treatment, compared to BWL alone.

Method: Adults with obesity who had experienced and IWS (N = 105, Mage = 49 years, 90.5% women, 70.5% White, 24.8% Black, MBMI = 38 kg/m²) were randomized to receive BWL with the Weight Bias Internalization and Stigma (BIAS) Program or BWL alone. Participants received weekly group treatment for 20 weeks, followed by 52 weeks of monthly and every-other-month sessions. Percent weight change at Week 72 was the primary outcome, with secondary outcomes of weight change at other time points; physical activity (measured by accelerometry, interview, and self-report); cardiometabolic risk factors; and psychological and behavioral outcomes. Intention-to-treat analyses used linear mixed models to test for between-group differences. Treatment acceptability was assessed.

Results: Participants in the BWL + BIAS versus BWL group lost 2 percentage points more of baseline weight at Week 72, which was not a significant difference (mean weight change = -7.2% vs. -5.2%, 95% CI [-4.6 to 0.6], p = 0.14, d = 0.18). The BWL + BIAS (vs. BWL) group produced significantly greater improvements in weight self-stigma, eating self-efficacy, and some aspects of quality of life at specific time points. Most outcomes improved significantly over time but did not differ between groups. The trial had high retention and treatment acceptability, with higher ratings in the BWL + BIAS versus BWL group.

Conclusions: No significant differences in weight loss were observed between the BWL + BIAS versus BWL group. Possible benefits of addressing weight stigma in weight management warrant further investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的与单纯的行为减肥(BWL)治疗相比,旨在减少内化体重污名(IWS,即自我污名)的集体心理干预与行为减肥(BWL)治疗相结合,测试其长期效果:方法:对经历过 IWS 的成人肥胖症患者(人数 = 105,年龄 = 49 岁,90.5% 为女性,70.5% 为白人,24.8% 为黑人,MBMI = 38 kg/m²)进行随机分组,让他们接受带有体重偏差内化和成见(BIAS)计划的行为减肥治疗或单独接受行为减肥治疗。参与者每周接受一次小组治疗,为期 20 周,之后每月和每隔一个月接受一次治疗,为期 52 周。第 72 周的体重变化百分比是主要结果,次要结果包括其他时间点的体重变化、体育锻炼(通过加速度计、访谈和自我报告进行测量)、心脏代谢风险因素以及心理和行为结果。意向治疗分析采用线性混合模型检验组间差异。对治疗的可接受性进行了评估:第 72 周时,BWL + BIAS 组与 BWL 组相比,基线体重多减了 2 个百分点,差异不显著(平均体重变化 = -7.2% vs. -5.2%,95% CI [-4.6 to 0.6],p = 0.14,d = 0.18)。BWL + BIAS 组(与 BWL 组相比)在特定时间点的体重自我耻辱感、饮食自我效能感和生活质量的某些方面都有显著改善。随着时间的推移,大多数结果都有明显改善,但组间没有差异。该试验的保留率和治疗可接受性都很高,BWL + BIAS 组的评分高于 BWL 组:BWL + BIAS 组与 BWL 组在体重减轻方面没有明显差异。在体重管理中解决体重成见可能带来的益处值得进一步研究。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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引用次数: 0
Therapeutic alliance is calming and curing-The interplay between alliance and emotion regulation as predictors of outcome in Internet-based treatments for adolescent depression. 治疗联盟是平静和治愈-联盟和情绪调节之间的相互作用作为青少年抑郁症网络治疗结果的预测因子。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-01 DOI: 10.1037/ccp0000815
Karin Lindqvist, Jakob Mechler, Fredrik Falkenström, Per Carlbring, Gerhard Andersson, Björn Philips

Objective: Therapeutic alliance is one of the most stable predictors of outcome in psychotherapy, regardless of theoretical orientation. The alliance-outcome relationship in internet-based treatments has been investigated with mixed results. There is preliminary evidence that emotion regulation can work as a mediator for the alliance-outcome relationship. The present study aimed to investigate whether alliance predicted outcome session by session in two internet-based treatments for adolescent depression, and whether this relationship was mediated by emotion regulation.

Method: Two hundred and seventy-two participants aged 15-19 years and diagnosed with depression were randomized to 10 weeks of internet-based psychodynamic or cognitive behavioral treatment. Both therapists and patients rated the alliance weekly. Patients also rated depressive symptoms and emotion regulation weekly. Analyses were made using cross-lagged panel modeling.

Results: Alliance, as rated by both therapist and patient, predicted depression scores the following week. Emotion regulation rated by the patient also predicted depression scores the following week. Furthermore, alliance scores predicted emotion regulation scores the following week, which in turn predicted depression scores the week after, supporting the hypothesis that alliance influences outcome partly through emotion regulation. There were no group differences in any of these relationships.

Conclusion: Alliance seems to play an important role in internet-based treatments, partly through emotion regulation. Clinicians working with text-based treatments should pay attention to the working alliance. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:治疗联盟是心理治疗预后最稳定的预测因素之一,无论其理论取向如何。在基于互联网的治疗中,联盟-结果的关系已被调查,结果好坏参半。有初步证据表明情绪调节可以作为联盟-结果关系的中介。本研究旨在探讨两种基于互联网的青少年抑郁症治疗的联盟是否能预测每次治疗的结果,以及这种关系是否受情绪调节的调节。方法:272名年龄在15-19岁的抑郁症患者随机接受10周的基于网络的心理动力学或认知行为治疗。治疗师和患者每周都对联盟进行评估。患者还每周对抑郁症状和情绪调节进行评分。使用交叉滞后面板模型进行分析。结果:由治疗师和患者共同评定的联盟预测了接下来一周的抑郁得分。患者的情绪调节评分也预测了接下来一周的抑郁评分。此外,联盟得分预测了下一周的情绪调节得分,而情绪调节得分又预测了下一周的抑郁得分,支持了联盟通过情绪调节部分影响结果的假设。在这些关系中没有任何组间差异。结论:联盟似乎在基于互联网的治疗中发挥了重要作用,部分是通过情绪调节。从事基于文本的治疗的临床医生应注意工作联盟。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 2
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Journal of consulting and clinical psychology
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