{"title":"Supplemental Material for Testing Adaptations to Contingency Management for Alcohol Use Disorders: A Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000960.supp","DOIUrl":"https://doi.org/10.1037/ccp0000960.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"13 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340900","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}
Andreas Høstmælingen,Helene Amundsen Nissen-Lie,Jon Trygve Monsen,Ole André Solbakken
OBJECTIVEDepressed patients often experience interpersonal distress. Understanding how interpersonal distress and depressive symptoms are associated may have implications for understanding the etiology and maintenance of depression, as well as for treatment. In this naturalistic psychotherapy study, we explored whether change in depressive symptoms predicted subsequent change in interpersonal distress or vice versa.METHODDepressive symptoms (depression scale of the Symptom Check List-90-Revised) and interpersonal problems (Inventory of Interpersonal Problems-64) were assessed on nine occasions, including before, during, and after treatment and at 1 and 2.5 years follow-up in a sample of 178 depressed patients receiving open-ended psychotherapy. We used latent curve modeling with structured residuals to assess possible reciprocal relations between interpersonal problems and depression, controlling for personality disorder.RESULTSThe findings showed that interpersonal distress had a slower rate of change compared to depressive symptoms, but improvements in interpersonal distress predicted subsequent improvement in depressive symptoms during psychotherapy, and this effect was stable over time. Patients with comorbid personality disorder had higher initial levels of both depression and interpersonal distress, but there were no differences in rates of change for any of the outcomes.CONCLUSIONOur results indicate that improvements in interpersonal problems may play an important role in alleviating depressive symptoms during psychotherapy. We propose that reduction of interpersonal distress is associated with increased interpersonal flexibility, which may lead to more positive responses from others, thereby contributing to a reduction in depressive symptoms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的：抑郁症患者常经历人际关系困扰。了解人际困扰和抑郁症状之间的关系可能有助于理解抑郁症的病因、维持以及治疗。在这项自然主义心理治疗研究中，我们探讨了抑郁症状的变化是否预示着人际关系困扰的后续变化，反之亦然。方法对178例接受开放式心理治疗的抑郁症患者进行治疗前、治疗中、治疗后以及随访1年和2.5年9次抑郁症状（《症状检查表-90-修订版》抑郁量表）和人际问题（《人际问题量表-64》）评估。在控制人格障碍的情况下，我们使用带有结构化残差的潜曲线模型来评估人际问题与抑郁之间可能的相互关系。结果研究结果显示，与抑郁症状相比，人际关系困扰的变化速度较慢，但人际关系困扰的改善预示着心理治疗期间抑郁症状的改善，而且这种影响随着时间的推移是稳定的。合并人格障碍的患者在抑郁和人际关系困扰方面的初始水平都较高，但在任何结果的变化率方面都没有差异。结论心理治疗过程中人际关系问题的改善可能在缓解抑郁症状中起重要作用。我们认为人际压力的减少与人际灵活性的增加有关，这可能会导致他人做出更积极的反应，从而有助于减少抑郁症状。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Interrelationships of symptomatic and relational distress: Improvements in interpersonal problems predict subsequent improvement in depressive symptoms during open-ended psychotherapy for adults with depression.","authors":"Andreas Høstmælingen,Helene Amundsen Nissen-Lie,Jon Trygve Monsen,Ole André Solbakken","doi":"10.1037/ccp0000956","DOIUrl":"https://doi.org/10.1037/ccp0000956","url":null,"abstract":"OBJECTIVEDepressed patients often experience interpersonal distress. Understanding how interpersonal distress and depressive symptoms are associated may have implications for understanding the etiology and maintenance of depression, as well as for treatment. In this naturalistic psychotherapy study, we explored whether change in depressive symptoms predicted subsequent change in interpersonal distress or vice versa.METHODDepressive symptoms (depression scale of the Symptom Check List-90-Revised) and interpersonal problems (Inventory of Interpersonal Problems-64) were assessed on nine occasions, including before, during, and after treatment and at 1 and 2.5 years follow-up in a sample of 178 depressed patients receiving open-ended psychotherapy. We used latent curve modeling with structured residuals to assess possible reciprocal relations between interpersonal problems and depression, controlling for personality disorder.RESULTSThe findings showed that interpersonal distress had a slower rate of change compared to depressive symptoms, but improvements in interpersonal distress predicted subsequent improvement in depressive symptoms during psychotherapy, and this effect was stable over time. Patients with comorbid personality disorder had higher initial levels of both depression and interpersonal distress, but there were no differences in rates of change for any of the outcomes.CONCLUSIONOur results indicate that improvements in interpersonal problems may play an important role in alleviating depressive symptoms during psychotherapy. We propose that reduction of interpersonal distress is associated with increased interpersonal flexibility, which may lead to more positive responses from others, thereby contributing to a reduction in depressive symptoms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"1 1","pages":"457-470"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087840","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}
OBJECTIVEThis study investigated two proposed change mechanisms in preference accommodation, thought to improve psychotherapy outcomes: a direct effect of a match between clients' initial preferences and their subsequent experiences of the therapy activities, or a mediated "matching effect" operating through the working alliance. Furthermore, the study explored whether the effect of a preference-experience (mis)match depended on the phase of therapy or type of therapy activity.METHODThree hundred sixty-six adults (Mage = 43.2, 75% female) were seen by 50 therapists in individual psychotherapy. Cross-lagged associations between latent preference-activity discrepancies (measured by the Preference and Experience Questionnaire), working alliance (measured by the Session Alliance Inventory), and affective symptoms (measured by the Symptom Checklist-11) were analyzed using dynamic panel modeling adjusted for between-person differences.RESULTSGenerally, the clients' initial preference levels exceeded the amount of therapy activities they experienced receiving. Deviations from this general discrepancy, so that the amount of activities increased in the direction of the client's preference levels, were significantly associated with stronger alliance ratings for all activity types and across most sessions. However, no fully mediated sequence between a change in preference-experience-discrepancy, the alliance, and symptoms was found. Moreover, the direct associations between preference-experience-discrepancy and subsequent symptom change were inconsistent and indicated differences between distinct activity types and phases of therapy.CONCLUSIONSBoth direct effects and alliance effects in preference accommodation were found, but the study provides particular support for matching effects impacting the working alliance and highlights the potential of preference work in alliance development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的本研究探讨了两种被认为可以改善心理治疗结果的偏好适应变化机制：一种是来访者最初偏好与他们随后的治疗活动体验之间的匹配的直接影响，另一种是通过工作联盟运作的中介“匹配效应”。此外，该研究还探讨了偏好-经验（错误）匹配的效果是否取决于治疗阶段或治疗活动类型。方法50名治疗师对366名成人进行个体心理治疗，其中75%为女性。潜在偏好-活动差异（通过偏好与经验问卷测量）、工作联盟（通过会话联盟量表测量）和情感症状（通过症状检查表-11测量）之间的交叉滞后关联使用调整了人与人之间差异的动态面板模型进行了分析。结果一般来说，来访者的初始偏好水平超过了他们所经历的治疗活动的数量。偏离这一普遍差异，使活动数量在客户偏好水平的方向上增加，与所有活动类型和大多数会议的更强联盟评级显著相关。然而，在偏好-经验-差异的改变、联盟和症状之间没有发现完全介导的序列。此外，偏好-经验-差异与随后的症状改变之间的直接联系并不一致，这表明不同的活动类型和治疗阶段之间存在差异。结论偏好调节的直接效应和联盟效应都存在，但本研究特别支持了匹配效应对联盟工作的影响，并强调了偏好工作在联盟发展中的潜力。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Exploring the matching effect: The association between preference accommodation, the working alliance, and outcome in psychotherapy.","authors":"Celia Faye Jacobsen,Fredrik Falkenström,Karen-Inge Karstoft,Libby Igra,Susanne Lunn,Jan Nielsen,Line Lauritzen,Stig Poulsen","doi":"10.1037/ccp0000955","DOIUrl":"https://doi.org/10.1037/ccp0000955","url":null,"abstract":"OBJECTIVEThis study investigated two proposed change mechanisms in preference accommodation, thought to improve psychotherapy outcomes: a direct effect of a match between clients' initial preferences and their subsequent experiences of the therapy activities, or a mediated \"matching effect\" operating through the working alliance. Furthermore, the study explored whether the effect of a preference-experience (mis)match depended on the phase of therapy or type of therapy activity.METHODThree hundred sixty-six adults (Mage = 43.2, 75% female) were seen by 50 therapists in individual psychotherapy. Cross-lagged associations between latent preference-activity discrepancies (measured by the Preference and Experience Questionnaire), working alliance (measured by the Session Alliance Inventory), and affective symptoms (measured by the Symptom Checklist-11) were analyzed using dynamic panel modeling adjusted for between-person differences.RESULTSGenerally, the clients' initial preference levels exceeded the amount of therapy activities they experienced receiving. Deviations from this general discrepancy, so that the amount of activities increased in the direction of the client's preference levels, were significantly associated with stronger alliance ratings for all activity types and across most sessions. However, no fully mediated sequence between a change in preference-experience-discrepancy, the alliance, and symptoms was found. Moreover, the direct associations between preference-experience-discrepancy and subsequent symptom change were inconsistent and indicated differences between distinct activity types and phases of therapy.CONCLUSIONSBoth direct effects and alliance effects in preference accommodation were found, but the study provides particular support for matching effects impacting the working alliance and highlights the potential of preference work in alliance development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"131 1","pages":"443-456"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087843","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}
Andreas Voldstad,Ananda Zeas-Sigüenza,Anton Skolzkov,Mari Walthaug,Jesús Montero-Marín,Willem Kuyken
OBJECTIVEMindfulness interventions (MIs) train nonjudgmental attention to present-moment experience and aim to improve mental health and well-being. The evidence for their effect on interpersonal relationships is promising but uncertain. This study examines the effect of MIs on couple relationship satisfaction (RS).METHODRandomized controlled trials of MIs including RS were selected based on systematic searches in Web of Science, PubMed, APA PsycInfo, Embase, Cochrane Central, ProQuest, and Google Scholar. We applied three-level meta-analysis with robust variance estimation to pool effects and multimodel approaches to explore moderators.RESULTSWe calculated 90 effect sizes (k) nested within 28 studies (K) including 6,097 participants in a couple relationship. MIs had a significant medium effect on RS with high heterogeneity (g = 0.60, 95% confidence interval [0.16, 1.04], I2 = 97 [95, 99]). The effect on RS was influenced by extreme outliers (e.g., g up to 7.48). Removing outliers resulted in a significant small effect with low heterogeneity (g = 0.21 [0.11, 0.31], I2 = 25 [0, 67], k = 85, K = 26). Effects were moderated by intervention length, baseline satisfaction, and risk of bias. There were significant effects for both clinical and community samples. The certainty of the evidence is very low due to inconsistency, imprecision, risk of bias, and suspicion of publication bias. Generalization is limited by insufficient reporting.CONCLUSIONSThis meta-analysis indicates that MIs have a consistent small effect on RS, but the quality of evidence points to the need for program theory and rigorous methodology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的正念干预（MIs）训练对当下体验的非判断性关注，旨在改善心理健康和幸福感。他们对人际关系的影响的证据是有希望的，但不确定。本研究探讨MIs对夫妻关系满意度（RS）的影响。方法系统检索Web of Science、PubMed、APA PsycInfo、Embase、Cochrane Central、ProQuest和谷歌Scholar，选择包括RS在内的MIs的随机对照试验。我们采用三水平荟萃分析和稳健方差估计来分析池效应，并采用多模型方法来探索调节因子。结果我们在28项研究(k)中计算了90个效应量(k)，其中包括6097名夫妻关系参与者。MIs对RS有显著的中等效应，异质性高（g = 0.60, 95%可信区间[0.16,1.04],I2 = 97[95,99]）。对RS的影响受到极端异常值的影响（例如，g高达7.48）。剔除异常值后，影响较小，异质性较低（g = 0.21 [0.11, 0.31], I2 = 25 [0,67], k = 85, k = 26）。效果受干预时间、基线满意度和偏倚风险的影响。临床和社区样本均有显著效果。由于不一致、不精确、偏倚风险和怀疑发表偏倚，证据的确定性非常低。泛化受到报告不足的限制。结论：本荟萃分析表明，MIs对RS有一致的小影响，但证据质量表明需要程序理论和严格的方法。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"The effect of mindfulness interventions on couple relationship satisfaction: A systematic review and meta-analysis.","authors":"Andreas Voldstad,Ananda Zeas-Sigüenza,Anton Skolzkov,Mari Walthaug,Jesús Montero-Marín,Willem Kuyken","doi":"10.1037/ccp0000954","DOIUrl":"https://doi.org/10.1037/ccp0000954","url":null,"abstract":"OBJECTIVEMindfulness interventions (MIs) train nonjudgmental attention to present-moment experience and aim to improve mental health and well-being. The evidence for their effect on interpersonal relationships is promising but uncertain. This study examines the effect of MIs on couple relationship satisfaction (RS).METHODRandomized controlled trials of MIs including RS were selected based on systematic searches in Web of Science, PubMed, APA PsycInfo, Embase, Cochrane Central, ProQuest, and Google Scholar. We applied three-level meta-analysis with robust variance estimation to pool effects and multimodel approaches to explore moderators.RESULTSWe calculated 90 effect sizes (k) nested within 28 studies (K) including 6,097 participants in a couple relationship. MIs had a significant medium effect on RS with high heterogeneity (g = 0.60, 95% confidence interval [0.16, 1.04], I2 = 97 [95, 99]). The effect on RS was influenced by extreme outliers (e.g., g up to 7.48). Removing outliers resulted in a significant small effect with low heterogeneity (g = 0.21 [0.11, 0.31], I2 = 25 [0, 67], k = 85, K = 26). Effects were moderated by intervention length, baseline satisfaction, and risk of bias. There were significant effects for both clinical and community samples. The certainty of the evidence is very low due to inconsistency, imprecision, risk of bias, and suspicion of publication bias. Generalization is limited by insufficient reporting.CONCLUSIONSThis meta-analysis indicates that MIs have a consistent small effect on RS, but the quality of evidence points to the need for program theory and rigorous methodology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"30 1","pages":"427-442"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087854","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}
Simonne L Wright,Eirini Karyotaki,Marit Sijbrandij,Pim Cuijpers,Jonathan I Bisson,Davide Papola,Anke B Witteveen,Sudie E Back,Dana Bichescu-Burian,Liuva Capezzani,Marylene Cloitre,Grant J Devilly,Thomas Elbert,Marcelo Feijo Mello,Julian D Ford,Damion Grasso,Richard Gray,Moira Haller,Nigel Hunt,Rolf J Kleber,Julia König,Claire Kullack,Jonathan Laugharne,Rachel Liebman,Christopher William Lee,Jeannette Lely,John C Markowitz,Candice Monson,Mirjam J Nijdam,Sonya Norman,Miranda Olff,Tahereh Mina Orang,Luca Ostacoli,Nenad Paunovic,Eva Petkova,Rita Rosner,Maggie Schauer,Joy M Schmitz,Ulrich Schnyder,Brian Smith,Anka A Vujanovic,Yinyin Zang,Soraya Seedat
OBJECTIVEThis individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for posttraumatic stress disorder (PTSD). Furthermore, we examined the effect of moderators on PTSD symptom severity.METHODThis study included randomized controlled trials comparing CBT-TF to an inactive or active comparison group for adults with PTSD. The primary and secondary outcomes were PTSD symptom severity and remission, respectively. Moderators included sociodemographic and clinical variables.RESULTSTwelve studies compared CBT-TF with inactive (n = 625) and 11 with active comparison conditions (n = 706). The one-stage individual participant data meta-analysis found that CBT-TF was more effective than inactive comparison conditions (β = -0.78; OR = 2.34) and not significantly different from active comparison conditions (β = 0.02; OR = 0.53) in reducing PTSD symptom severity and achieving PTSD remission, respectively. When comparing CBT-TF with inactive treatments, moderator analysis found that divorced participants had greater PTSD symptoms postintervention following CBT-TF than participants who were single, cohabitating, or married receiving CBT-TF, both in the completer (β = 0.93) and full-sample (β = 0.59) analyses. For the active treatment comparison, moderator analysis found that participants taking psychotropic medication had lower PTSD symptoms following CBT-TF than those not taking psychotropic medication in the completer analysis (β = -0.39).CONCLUSIONBased on our moderator analyses, further research is needed to understand the effect of psychotropic medication on the CBT-TF intervention process. Moreover, divorced participants with PTSD receiving CBT-TF might benefit from enhanced support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Efficacy of cognitive behavioral therapies with a trauma focus for posttraumatic stress disorder: An individual participant data meta-analysis.","authors":"Simonne L Wright,Eirini Karyotaki,Marit Sijbrandij,Pim Cuijpers,Jonathan I Bisson,Davide Papola,Anke B Witteveen,Sudie E Back,Dana Bichescu-Burian,Liuva Capezzani,Marylene Cloitre,Grant J Devilly,Thomas Elbert,Marcelo Feijo Mello,Julian D Ford,Damion Grasso,Richard Gray,Moira Haller,Nigel Hunt,Rolf J Kleber,Julia König,Claire Kullack,Jonathan Laugharne,Rachel Liebman,Christopher William Lee,Jeannette Lely,John C Markowitz,Candice Monson,Mirjam J Nijdam,Sonya Norman,Miranda Olff,Tahereh Mina Orang,Luca Ostacoli,Nenad Paunovic,Eva Petkova,Rita Rosner,Maggie Schauer,Joy M Schmitz,Ulrich Schnyder,Brian Smith,Anka A Vujanovic,Yinyin Zang,Soraya Seedat","doi":"10.1037/ccp0000942","DOIUrl":"https://doi.org/10.1037/ccp0000942","url":null,"abstract":"OBJECTIVEThis individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for posttraumatic stress disorder (PTSD). Furthermore, we examined the effect of moderators on PTSD symptom severity.METHODThis study included randomized controlled trials comparing CBT-TF to an inactive or active comparison group for adults with PTSD. The primary and secondary outcomes were PTSD symptom severity and remission, respectively. Moderators included sociodemographic and clinical variables.RESULTSTwelve studies compared CBT-TF with inactive (n = 625) and 11 with active comparison conditions (n = 706). The one-stage individual participant data meta-analysis found that CBT-TF was more effective than inactive comparison conditions (β = -0.78; OR = 2.34) and not significantly different from active comparison conditions (β = 0.02; OR = 0.53) in reducing PTSD symptom severity and achieving PTSD remission, respectively. When comparing CBT-TF with inactive treatments, moderator analysis found that divorced participants had greater PTSD symptoms postintervention following CBT-TF than participants who were single, cohabitating, or married receiving CBT-TF, both in the completer (β = 0.93) and full-sample (β = 0.59) analyses. For the active treatment comparison, moderator analysis found that participants taking psychotropic medication had lower PTSD symptoms following CBT-TF than those not taking psychotropic medication in the completer analysis (β = -0.39).CONCLUSIONBased on our moderator analyses, further research is needed to understand the effect of psychotropic medication on the CBT-TF intervention process. Moreover, divorced participants with PTSD receiving CBT-TF might benefit from enhanced support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"30 1","pages":"401-426"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087844","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}
Juan Segundo Pena Loray,Miriam Ina Hehlmann,Juan Martín Gomez Penedo,Henning Schöttke,Julian A Rubel
OBJECTIVEThis study aims at improving dropout and treatment nonresponse prevention by optimizing the performance of models for their prediction through the integration of item-level data.METHODRoutine data from 1,277 patients (Mage = 36.95, SDage = 13.64; 64.77% female) treated at Osnabrück University was used to train and evaluate 20 machine-learning algorithms and five ensemble models. Measures included sociodemographic information, Outcome Questionnaire-30, Questionnaire for the Evaluation of Psychotherapeutic Progress, Questionnaire on Emotional Well-Being, Symptom Checklist-90-R, and the Inventory of Interpersonal Problems-32. Prediction models were trained with nested cross-validation and validated in a holdout sample. SHapley Additive exPlanations values were extracted for the best resulting model.RESULTSItem-level models achieved the highest performance for both dropout (F1-Score = 0.87, Brier score = 0.0529, balanced accuracy = 0.88) and treatment nonresponse (F1-Score = 0.60, Brier score = 0.1646, balanced accuracy = 0.72) prediction. Items reflecting cognitive and bodily dimensions, respectively, emerged as key predictors.CONCLUSIONThis study demonstrates the clinical value of using item-level data to enhance predictive modeling for dropout and treatment nonresponse and the potential to provide actionable insights for clinical practice. Integrating such models into clinical feedback systems could help identify at-risk patients and reduce dropout and nonresponse rates. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Beyond total scores: Enhancing psychotherapy outcome prediction with item-level scores.","authors":"Juan Segundo Pena Loray,Miriam Ina Hehlmann,Juan Martín Gomez Penedo,Henning Schöttke,Julian A Rubel","doi":"10.1037/ccp0000957","DOIUrl":"https://doi.org/10.1037/ccp0000957","url":null,"abstract":"OBJECTIVEThis study aims at improving dropout and treatment nonresponse prevention by optimizing the performance of models for their prediction through the integration of item-level data.METHODRoutine data from 1,277 patients (Mage = 36.95, SDage = 13.64; 64.77% female) treated at Osnabrück University was used to train and evaluate 20 machine-learning algorithms and five ensemble models. Measures included sociodemographic information, Outcome Questionnaire-30, Questionnaire for the Evaluation of Psychotherapeutic Progress, Questionnaire on Emotional Well-Being, Symptom Checklist-90-R, and the Inventory of Interpersonal Problems-32. Prediction models were trained with nested cross-validation and validated in a holdout sample. SHapley Additive exPlanations values were extracted for the best resulting model.RESULTSItem-level models achieved the highest performance for both dropout (F1-Score = 0.87, Brier score = 0.0529, balanced accuracy = 0.88) and treatment nonresponse (F1-Score = 0.60, Brier score = 0.1646, balanced accuracy = 0.72) prediction. Items reflecting cognitive and bodily dimensions, respectively, emerged as key predictors.CONCLUSIONThis study demonstrates the clinical value of using item-level data to enhance predictive modeling for dropout and treatment nonresponse and the potential to provide actionable insights for clinical practice. Integrating such models into clinical feedback systems could help identify at-risk patients and reduce dropout and nonresponse rates. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"15 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065726","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}
{"title":"Supplemental Material for Interrelationships of Symptomatic and Relational Distress: Improvements in Interpersonal Problems Predict Subsequent Improvement in Depressive Symptoms During Open-Ended Psychotherapy for Adults With Depression","authors":"","doi":"10.1037/ccp0000956.supp","DOIUrl":"https://doi.org/10.1037/ccp0000956.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"38 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229406","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}
{"title":"Supplemental Material for The Effect of Mindfulness Interventions on Couple Relationship Satisfaction: A Systematic Review and Meta-Analysis","authors":"","doi":"10.1037/ccp0000954.supp","DOIUrl":"https://doi.org/10.1037/ccp0000954.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"61 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229407","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}
{"title":"Supplemental Material for Exploring the Matching Effect: The Association Between Preference Accommodation, the Working Alliance, and Outcome in Psychotherapy","authors":"","doi":"10.1037/ccp0000955.supp","DOIUrl":"https://doi.org/10.1037/ccp0000955.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"16 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229408","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}
{"title":"Supplemental Material for Beyond Total Scores: Enhancing Psychotherapy Outcome Prediction With Item-Level Scores","authors":"","doi":"10.1037/ccp0000957.supp","DOIUrl":"https://doi.org/10.1037/ccp0000957.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"70 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229409","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}
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