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}
{"title":"Supplemental Material for Differential Effect of Early Response on Outcomes in Person-Centered Experiential Therapy and Cognitive Behavioral Therapy for the Treatment of Adult Moderate or Severe Depression","authors":"","doi":"10.1037/ccp0000948.supp","DOIUrl":"https://doi.org/10.1037/ccp0000948.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"2021 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229414","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 Cognitive Restructuring Before Exposure Therapy or Behavioral Experiments? How the Timing of Expectancy Violation and Magnitude of Expectancy Change Influence Exposure Therapy Outcomes","authors":"","doi":"10.1037/ccp0000953.supp","DOIUrl":"https://doi.org/10.1037/ccp0000953.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"36 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229412","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 Building Toward a Text-Based Intervention for Parents of Suicidal Adolescents Seeking Emergency Department Care: A Pilot Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000950.supp","DOIUrl":"https://doi.org/10.1037/ccp0000950.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"18 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229413","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}
OBJECTIVEThe growing demand for emergency department (ED) care for suicidal ideation and attempts in adolescents calls for effective interventions preventing post-ED recurrence of suicidal crises. Parents are tasked with implementing postdischarge suicide prevention recommendations, often with little support. To address this need, this study examined a parent-facing texting intervention targeting parental engagement in suicide prevention activities to lower youth suicide risk after discharge.METHODA pilot randomized controlled trial was conducted with 120 parents (83.3% mothers) and their adolescents (ages 13-17, 65.8% female, 75.0% White) presenting to an ED with suicide risk concerns. Parents were randomized to a control group or a 6-week intervention providing parents with daily adolescent-centered text messages encouraging post-ED parental engagement in recommended suicide prevention activities with or without added parent-centered texts intended to support parents' own well-being. Proposed mechanisms (parental self-efficacy, engagement in suicide prevention activities) were assessed at 2, 6, and 12 weeks. This trial is registered with https://clinicaltrials.gov (NCT05058664).RESULTSThe text-based intervention was feasible and acceptable. In exploratory analyses, relative to control, the text-based intervention was associated with greater parental engagement in suicide prevention activities postintervention at 6 (d = 0.48, p = .027) and 12 weeks (d = 0.53, p = .019) and lower youth suicide attempts at 12 weeks (hazard ratio = 0.23, CI [0.06, 0.96], p = .044), regardless of whether parents received additional parent-centered texts.CONCLUSIONSWarranting further study in a fully powered trial, findings suggest this parent-facing texting intervention intended to promote youth safety was acceptable and may offer a promising strategy to lower post-ED youth suicide risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的对青少年自杀意念和企图的急诊护理需求日益增长，需要有效的干预措施来预防ED后自杀危机的复发。父母的任务是执行出院后预防自杀的建议，通常很少得到支持。为了解决这一需求，本研究考察了面向父母的短信干预，目标是父母参与自杀预防活动，以降低青少年出院后的自杀风险。方法：对120名有自杀风险的父母（83.3%为母亲）及其青少年（13-17岁，65.8%为女性，75.0%为白人）进行了一项随机对照试验。父母被随机分配到控制组或为期6周的干预组，每天向父母提供以青少年为中心的短信，鼓励他们参与推荐的自杀预防活动，并添加或不添加以父母为中心的短信，以支持父母自己的幸福。建议的机制（父母自我效能，参与自杀预防活动）在第2周，第6周和第12周进行评估。该试验已在https://clinicaltrials.gov注册（NCT05058664）。结果基于文本的干预是可行和可接受的。在探索性分析中，与对照组相比，基于文本的干预与干预后6周（d = 0.48, p = 0.027）和12周（d = 0.53, p = 0.019）父母更积极地参与自杀预防活动有关，并且与父母是否收到额外的以父母为中心的文本无关，12周时青少年自杀企图率更低（风险比= 0.23,CI [0.06, 0.96], p = 0.044）。结论：在一项全面的试验中，研究结果表明，这种面向父母的短信干预旨在促进青少年安全是可以接受的，并且可能为降低ed后青少年自杀风险提供了一种有希望的策略。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Building toward a text-based intervention for parents of suicidal adolescents seeking emergency department care: A pilot randomized controlled trial.","authors":"Ewa Czyz,Inbal Nahum-Shani,Cynthia Ewell Foster,Valerie Micol,Amanda Jiang,Nadia Al-Dajani,Alejandra Arango,Maureen Walton,Victor Hong,Sheikh Iqbal Ahamed,Cheryl King","doi":"10.1037/ccp0000950","DOIUrl":"https://doi.org/10.1037/ccp0000950","url":null,"abstract":"OBJECTIVEThe growing demand for emergency department (ED) care for suicidal ideation and attempts in adolescents calls for effective interventions preventing post-ED recurrence of suicidal crises. Parents are tasked with implementing postdischarge suicide prevention recommendations, often with little support. To address this need, this study examined a parent-facing texting intervention targeting parental engagement in suicide prevention activities to lower youth suicide risk after discharge.METHODA pilot randomized controlled trial was conducted with 120 parents (83.3% mothers) and their adolescents (ages 13-17, 65.8% female, 75.0% White) presenting to an ED with suicide risk concerns. Parents were randomized to a control group or a 6-week intervention providing parents with daily adolescent-centered text messages encouraging post-ED parental engagement in recommended suicide prevention activities with or without added parent-centered texts intended to support parents' own well-being. Proposed mechanisms (parental self-efficacy, engagement in suicide prevention activities) were assessed at 2, 6, and 12 weeks. This trial is registered with https://clinicaltrials.gov (NCT05058664).RESULTSThe text-based intervention was feasible and acceptable. In exploratory analyses, relative to control, the text-based intervention was associated with greater parental engagement in suicide prevention activities postintervention at 6 (d = 0.48, p = .027) and 12 weeks (d = 0.53, p = .019) and lower youth suicide attempts at 12 weeks (hazard ratio = 0.23, CI [0.06, 0.96], p = .044), regardless of whether parents received additional parent-centered texts.CONCLUSIONSWarranting further study in a fully powered trial, findings suggest this parent-facing texting intervention intended to promote youth safety was acceptable and may offer a promising strategy to lower post-ED youth suicide risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"52 1","pages":"382-389"},"PeriodicalIF":5.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143945578","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}
Pub Date : 2025-05-01Epub Date: 2025-03-10DOI: 10.1037/ccp0000952
Eric Stice, Paul Rohde, Sonja Yokum, Cara Bohon, Heather Shaw
Several researchers who have evaluated Interpersonal Psychotherapy (IPT) wrote a commentary arguing that the group-delivered IPT treatment for eating disorders that we adapted and used in a recent trial (Stice, Rohde, et al., 2023) was less effective than the new dissonance-based eating disorder treatment (Body Project Treatment) because the group-delivered IPT did not contain all core elements, was not developmentally appropriate, was not tailored for people with eating disorders, and because our team lacked sufficient IPT expertise. In response, we note that the group-delivered IPT that we evaluated produced higher abstinence from binge eating and compensatory weight control behaviors (40%) than did individually delivered IPT in the only trial that also evaluated this treatment with a broad range of eating disorders (33%; Fairburn et al., 2015). The fact that the group-delivered IPT produced a higher abstinence rate than individually delivered IPT for a similar spectrum of patients appears to refute the stated concerns regarding the group-delivered version of IPT because it was not less effective than individually delivered IPT. We argue it is critical to establish that a treatment significantly outperforms alternative treatments with a distinct intervention target because only an active comparator controls for the potential confounds that can drive improvement in trials, including expectancies, demand characteristics, and nonspecific therapeutic effects. We also note that IPT for the treatment of eating disorders has not significantly outperformed three alternative treatments and that the evidence base for IPT may thus be driven by expectancies, demand characteristics, and nonspecific effects. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
几位评估过人际心理治疗（IPT）的研究人员写了一篇评论，认为我们在最近的一项试验中采用的针对饮食失调的群体提供的IPT治疗（Stice, Rohde, et al., 2023）不如新的基于失调的饮食失调治疗（Body Project treatment）有效，因为群体提供的IPT不包含所有核心要素，不适合发展，不适合饮食失调患者。也因为我们的团队缺乏足够的IPT专业知识。作为回应，我们注意到，我们评估的小组提供IPT产生了更高的暴食戒断和代偿性体重控制行为（40%），而单独提供IPT的唯一试验也评估了这种治疗范围广泛的饮食失调(33%；Fairburn et al., 2015)。事实是，在相似的患者范围内，团体提供的IPT比个人提供的IPT产生更高的戒断率，这似乎反驳了关于团体提供的IPT版本的担忧，因为它并不比个人提供的IPT效果差。我们认为，确定一种治疗方法明显优于具有不同干预目标的替代治疗方法是至关重要的，因为只有积极的比较物才能控制潜在的混淆，这些混淆可以推动试验的改进，包括期望、需求特征和非特异性治疗效果。我们还注意到，IPT治疗饮食失调的效果并没有明显优于三种替代疗法，因此IPT的证据基础可能是由预期、需求特征和非特异性效果驱动的。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Response to \"Considerations in selecting comparison conditions in psychotherapy trials: Recommendations for future research\".","authors":"Eric Stice, Paul Rohde, Sonja Yokum, Cara Bohon, Heather Shaw","doi":"10.1037/ccp0000952","DOIUrl":"10.1037/ccp0000952","url":null,"abstract":"<p><p>Several researchers who have evaluated <i>Interpersonal Psychotherapy</i> (IPT) wrote a commentary arguing that the group-delivered IPT treatment for eating disorders that we adapted and used in a recent trial (Stice, Rohde, et al., 2023) was less effective than the new dissonance-based eating disorder treatment (<i>Body Project Treatment</i>) because the group-delivered IPT did not contain all core elements, was not developmentally appropriate, was not tailored for people with eating disorders, and because our team lacked sufficient IPT expertise. In response, we note that the group-delivered IPT that we evaluated produced higher abstinence from binge eating and compensatory weight control behaviors (40%) than did individually delivered IPT in the only trial that also evaluated this treatment with a broad range of eating disorders (33%; Fairburn et al., 2015). The fact that the group-delivered IPT produced a higher abstinence rate than individually delivered IPT for a similar spectrum of patients appears to refute the stated concerns regarding the group-delivered version of IPT because it was not less effective than individually delivered IPT. We argue it is critical to establish that a treatment significantly outperforms alternative treatments with a distinct intervention target because only an active comparator controls for the potential confounds that can drive improvement in trials, including expectancies, demand characteristics, and nonspecific therapeutic effects. We also note that IPT for the treatment of eating disorders has not significantly outperformed three alternative treatments and that the evidence base for IPT may thus be driven by expectancies, demand characteristics, and nonspecific effects. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"396-399"},"PeriodicalIF":5.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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