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What Is So Special About Student Counselling? A Foucauldian Analysis of Discourses Shaping Practice in UK Embedded University Counselling Services 学生咨询有什么特别之处？英国嵌入式大学咨询服务中话语塑造实践的福柯式分析
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-06-28 DOI: 10.1002/capr.70031
James R. Oliver, Raffaello Antonino

Background

An extensive theory-based clinical literature related to the UK student counselling sector belies a deficiency of empirical research investigating UK Embedded University Counselling Services (EUCS). Although research attention has recently been re-focused on the sector, its concern with standardised outcome measurement, while important in justifying the value of such services, may fail to elucidate any unique features of counselling practice in this setting.

Aims

This research aimed to provide a framework for understanding the influence of the HE institutional context on counselling practices and investigate how practitioners construct the role and functions of their work in an EUCS setting.

Method

Semi-structured interviews were undertaken with six student counsellors working across different UK EUCS, and the transcripts were analysed using Foucauldian Discourse Analysis (FDA).

Analysis

The study identified four dominant discourses: academic achievement, life-stage, mental health crisis and professional counselling practice, which were seen to influence the counsellor role as they manifested through a series of subdiscourses, such as the precedence of educational attainment, loco-parentis, risk vulnerability and flexible practice subdiscourses.

Conclusion

The analysis suggests that student counselling is broadly constructed as a time-limited psychosocial intervention which aims to facilitate academic engagement while attending to the perceived developmental needs of student–clients in a highly flexible manner. This may contrast with the expectations of student–clients themselves as well as other stakeholders, especially at a time of perceived mental health crisis within the student population. Implications for practice, supervision and training are discussed.

广泛的基于理论的临床文献与英国学生咨询部门相关，掩盖了对英国嵌入式大学咨询服务（EUCS）进行实证研究的不足。虽然研究的注意力最近重新集中在该部门，但其对标准化结果测量的关注虽然对证明此类服务的价值很重要，但可能无法阐明在这种情况下咨询实践的任何独特特征。本研究旨在为理解高等教育机构背景对咨询实践的影响提供一个框架，并调查从业者如何在EUCS环境中构建他们的工作角色和功能。方法采用半结构化访谈法对英国不同EUCS的6名学生辅导员进行访谈，并使用傅科德话语分析（FDA）对访谈记录进行分析。研究确定了学业成就、人生阶段、心理健康危机和专业咨询实践四个主要话语，这些话语通过一系列子话语表现出来，如教育程度优先、本地父母、风险脆弱性和灵活实践子话语，从而影响咨询师的角色。分析表明，学生咨询被广泛地构建为一种有时间限制的心理社会干预，旨在促进学业投入，同时以高度灵活的方式关注学生客户的感知发展需求。这可能与学生客户本身以及其他利益相关者的期望形成对比，特别是在学生群体中感知到心理健康危机的时候。讨论了对实践、监督和培训的启示。
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引用次数: 0
What is the Role of Crisis Pregnancy Counselling in Ireland Post-Liberalisation of Abortion Law? 危机怀孕咨询在爱尔兰堕胎法自由化后的作用是什么？
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-06-19 DOI: 10.1002/capr.70029
Éadaoin M. Butler, Meg Ryan, Kate Antosik-Parsons, Frédérique Vallières, Catherine Conlon

Aims/Background

The Regulation of Information (Services Outside the State for Termination of Pregnancies) Act 1995 stipulated that information about abortion services available outside Ireland had to be provided in the context of one-to-one counselling alongside information about parenting and adoption. Provision of this information fell largely to crisis pregnancy counselling (CPC) services. However, little attention has been paid to the role of CPC since the liberalisation of Irish abortion law in 2019.

Design/Methods

The present study entails secondary analysis of data gathered from two qualitative interview-based studies (one with 58 people accessing abortion care in Ireland post-2019 and one with seven counsellors with experience of providing CPC pre- and post-2019) and asks ‘What is the role of CPC in Ireland post-liberalisation of Irish abortion law?’.

Results

The accounts of CPC providers demonstrated a belief that public perception of the service was that it was solely related to abortion. People accessing abortion care viewed CPC as primarily associated with decision-making support, support largely perceived as unnecessary. Nonetheless, they also identified value in CPC both for themselves and others. Perspectives on future directions for CPC were offered.

Conclusion

While counsellors view CPC as having moved away from pregnancy resolution decision-making, this perception remains prevalent among abortion service users. Greater public awareness efforts are required to communicate to potential service users that CPC is client-led, and not solely focused on abortion-related decision-making. Stronger referral systems between community-based CPC services and hospital-based abortion care are needed. Implications for policy and practice are discussed.

目的/背景1995年《信息管理（国外终止妊娠服务）法》规定，关于爱尔兰境外提供的堕胎服务的信息必须在一对一咨询的范围内提供，同时还必须提供关于养育子女和收养子女的信息。提供这方面信息的主要是怀孕危机咨询服务。然而，自2019年爱尔兰堕胎法自由化以来，中共的作用很少受到关注。设计/方法本研究需要对两项基于定性访谈的研究收集的数据进行二次分析（一项研究有58人在2019年后在爱尔兰接受堕胎护理，另一项研究有7名具有2019年前后提供CPC经验的顾问），并询问“爱尔兰堕胎法自由化后，CPC在爱尔兰的作用是什么？”。结果CPC提供者的陈述表明，公众对该服务的看法是它仅与堕胎有关。接受堕胎护理的人认为CPC主要与决策支持有关，而支持在很大程度上被认为是不必要的。尽管如此，他们也发现了CPC对自己和他人的价值。对方案协调会的未来方向提出了展望。虽然咨询师认为CPC已经远离了怀孕决议决策，但这种看法在堕胎服务使用者中仍然普遍存在。需要加大公众意识的努力，向潜在的服务用户传达CPC是以客户为主导的，而不仅仅是关注与堕胎有关的决策。需要加强社区CPC服务和医院流产护理之间的转诊制度。对政策和实践的影响进行了讨论。
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引用次数: 0
A Profile Analysis of University Counselling Service Dropout and Non-Dropout Students: The Role of Epistemic Trust and Personality Traits 大学咨询服务辍学生与非辍学生的特征分析：认知信任与人格特质的作用
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-06-16 DOI: 10.1002/capr.70027
Costanza Franchini, Gaetano Maria Sciabica, Mara Morelli, Antonio Chirumbolo, Silvia Andreassi, Anna Maria Speranza, Alexandro Fortunato

Introduction

University counselling services are a strategic resource for supporting students' psychological well-being. Despite evidence of their effectiveness, little is known about the psychological factors contributing to premature dropout from this kind of intervention. The current study aimed to explore the role of students' maladaptive personality traits and epistemic stances in influencing dropout from a counselling intervention.

Method

The total sample included 605 university students (Mage = 22.6; SDage = 3.34) who referred to a university counselling centre. Of these, 174 students (29%) prematurely discontinued the intervention. At intake, participants' maladaptive personality traits and epistemic stances were assessed. A multivariate analysis of covariance (MANCOVA) was conducted to compare psychological profiles of dropouts and non-dropouts, controlling for gender and degree programme.

Results

Dropout students reported significantly higher scores on all five maladaptive personality traits (negative affectivity, detachment, antagonism, disinhibition and psychoticism), as well as on epistemic mistrust and credulity. No significant differences were found in epistemic trust, and no interaction effects emerged between dropout status and gender or degree programme.

Conclusion

These findings suggest that heightened maladaptive traits and difficulties in epistemic stance may impair engagement with brief counselling. Specifically, mistrust, credulity, and maladaptive traits may reflect relational vulnerabilities that predispose individuals to disengage. Early identification of at-risk profiles could help clinicians tailor interventions to promote engagement and reduce dropout. To this end, addressing personality and epistemic challenges early in the process may foster trust and enhance commitment—even within the time constraints of short-term counselling formats.

大学心理咨询服务是支持学生心理健康的战略资源。尽管有证据表明其有效性，但人们对导致这种干预措施过早退出的心理因素知之甚少。本研究旨在探讨学生的不适应人格特质和认知立场对辅导干预的影响。方法共纳入605名大学生(Mage = 22.6；SDage = 3.34)，她被转到大学咨询中心。其中，174名学生（29%）过早停止干预。在入学时，评估了参与者的适应不良人格特征和认知立场。采用多变量协方差分析（MANCOVA）比较辍学者和非辍学者的心理特征，控制性别和学位课程。结果在消极情感、疏离、对抗、去抑制和精神病等五项人格特征以及认知不信任和轻信方面，辍学学生的得分均显著高于其他学生。在认知信任方面没有发现显著差异，并且在辍学状态与性别或学位课程之间没有出现交互效应。结论：这些研究结果表明，适应不良特征的增加和认知立场的困难可能会影响简短咨询的参与。具体来说，不信任、轻信和适应不良的特征可能反映了人际关系的脆弱性，使个人倾向于脱离。早期识别风险概况可以帮助临床医生调整干预措施，以促进参与和减少辍学。为此，尽早解决个性和认知方面的挑战可能会促进信任和增强承诺——即使是在短期咨询形式的时间限制下。
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引用次数: 0
Perceptions of Directive and Nondirective Therapy Statements 指导性和非指导性治疗陈述的认知
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-06-03 DOI: 10.1002/capr.70026
Olivia G. Glasgow, Jeffrey S. Berman

Introduction

Therapist communication style is one of many factors that may influence the outcome of psychotherapy. Some published research exists on the influence of whether the therapist is using a more or less directive form of speech; however, much of what is available is outdated. The present study assesses directive and nondirective therapist responses to recordings of client concerns.

Method

Participants were randomly assigned to view two stimuli including the different therapist response types and were then asked to rate the therapists on perceived empathy and skill. A repeated-measures analysis of variance was performed to assess differences between perceptions of directive and nondirective therapist responses.

Results

The results indicate that male therapists using directive statements were perceived as more skillful and empathic than those using nondirective statements.

Conclusion

The findings of the current study encourage male therapists to utilise directive statements when discussing client concerns, such as providing skill suggestions or therapy homework.

治疗师的沟通方式是影响心理治疗效果的众多因素之一。一些已发表的研究是关于治疗师是否使用指导性语言的影响；然而，很多可用的东西都过时了。本研究评估指令性和非指令性治疗师对来访者关注记录的反应。方法被试被随机分配观看两种刺激，包括不同的治疗师反应类型，然后被要求对治疗师的共情感知和技能进行评分。一项重复测量的方差分析被用来评估指导性和非指导性治疗师反应的感知差异。结果使用指导性陈述的男性治疗师被认为比使用非指导性陈述的男性治疗师更有技巧和共情能力。目前的研究结果鼓励男性治疗师在讨论来访者关注的问题时使用指导性陈述，例如提供技能建议或治疗作业。
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引用次数: 0
English as an Additional Language Counsellor Trainees' Experiences and Coping Strategies of Foreign Language Anxiety: A Phenomenological Study 英语辅助辅导学员外语焦虑的经历及应对策略：现象学研究
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-15 DOI: 10.1002/capr.70021
Yiying Xiong, Liwei Zhao, Japman Kaur Kandola, Linyi Zhang

Introduction

With growing linguistic and cultural diversity in the United States, there is a critical need to train counsellors who can provide linguistically and culturally responsive services. English as an Additional Language (EAL) counsellor trainees possess the potential to offer multilingual counselling but frequently experience Foreign Language Anxiety (FLA), which can hinder their counselling self-efficacy.

Methodology

This study employed a phenomenological approach to explore the lived experiences of EAL counsellor trainees who encounter FLA. Semi-structured interviews were conducted with 20 participants to understand how these trainees perceive and manage their language-related anxiety within counselling settings.

Findings

The analysis revealed four key themes: (1) trainees' appraisal of their FLA experiences, (2) the reframing of FLA by emphasising the advantages of bilingual/multilingual identities, (3) the use of specific coping strategies to manage anxiety, and (4) the outcomes of these strategies on their confidence and professional growth.

Conclusion

Findings highlight the complex emotional and cognitive processes EAL trainees undergo when navigating FLA. Implications are discussed for counselling programmes, educators, and supervisors to better support EAL trainees through culturally attuned training practices that foster resilience and multilingual competence.

随着美国语言和文化的日益多样化，迫切需要培训能够提供语言和文化响应服务的咨询师。英语作为附加语言（EAL）咨询学员具有提供多语言咨询的潜力，但经常出现外语焦虑（FLA），这阻碍了他们的咨询自我效能感。本研究采用现象学方法探讨EAL辅导学员遭遇FLA的生活经验。对20名参与者进行了半结构化访谈，以了解这些受训者如何在咨询环境中感知和管理与语言相关的焦虑。结果分析揭示了四个关键主题：(1)学员对FLA经历的评价；(2)通过强调双语/多语言身份的优势来重构FLA；(3)使用特定的应对策略来管理焦虑；(4)这些策略对他们的信心和专业成长的影响。结论：研究结果表明，EAL学员在导航FLA时经历了复杂的情绪和认知过程。本文还讨论了咨询项目、教育工作者和主管如何通过与文化相适应的培训实践来更好地支持EAL受训者，以培养适应力和多语言能力。
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引用次数: 0
Building the Australian Counselling Profession's Research Capacity for the Future: A Collaborative Strategic Approach 建设澳大利亚咨询行业未来的研究能力：合作战略方法
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-12 DOI: 10.1002/capr.70022
Nathan Beel, E. A. Cocodia, Katrina Andrews, Stephani Stephens, Sonam Pelden, Shannon Hodges

Background

This paper presents an analysis of the current research landscape within the Australian counselling profession, identifying key challenges and proposing a strategic approach to building research capacity.

Problem Statement

Written by a taskforce of educational leaders, it reports their perceptions and experiences of the multifaceted challenges hindering research development. These challenges encompass the limited pipeline of future doctoral-trained counselling educators, the barriers to promotion opportunities for current counsellor educators, and the impact these deficits may have on the profession overall.

Proposed Solutions

To address these challenges, the paper proposes a series of targeted strategies aimed at stakeholders across the research ecosystem.

Conclusion

The intention of disseminating these strategies is to support counselling professionals in other regions who may be interested in further development of their own research capacity.

本文分析了澳大利亚咨询行业目前的研究现状，确定了主要挑战，并提出了建立研究能力的战略方法。问题陈述由教育领导者的工作组编写，报告了他们对阻碍研究发展的多方面挑战的看法和经验。这些挑战包括未来博士培训的咨询教育工作者的渠道有限，当前咨询教育工作者晋升机会的障碍，以及这些缺陷可能对整个行业产生的影响。为了应对这些挑战，本文针对整个研究生态系统的利益相关者提出了一系列有针对性的策略。传播这些战略的目的是支持其他地区可能对进一步发展其自身研究能力感兴趣的咨询专业人员。
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引用次数: 0
Working Alliances in Counselling and Psychotherapy Incorporating Horse Interactions 结合马的相互作用的咨询和心理治疗的工作联盟
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-12 DOI: 10.1002/capr.70025
Emma Leigh Pasiuk, Katy Schroeder, Anastasia C. Stellato

Introduction

The relational bond between client and therapist in mental healthcare, referred to as the working alliance, can influence treatment effectiveness and clinical outcomes. Counselling and psychotherapy that incorporates horse interactions and equine specialists (ES) introduces complex relational dynamics.

Methods

To investigate working alliances in these settings, we developed and tested a survey instrument to collect working alliance scores with each team member (mental health provider [MHP], ES, and therapy horses), demographic characteristics, and other service-related variables (e.g., facilitators' working relationship). We used the Working Alliance Inventory—Short Revised (WAI-SR) to measure the working alliance between participants and their MHP and ES and the bond domain with their horse. Items were modified and created to assess the unique roles of ES and horses.

Results

A Wilcoxon signed-rank test revealed no significant differences in bond scores between MHP and ES (p = 0.52). Linear regressions indicated that working alliance scores with each team member were positively associated with participants' perceptions of their facilitation team working relationship.

Conclusion

Future research should explore the validity of the instrument and how clients' perceptions of team member relationships influence therapeutic outcomes.

在精神卫生保健中，来访者和治疗师之间的关系纽带，被称为工作联盟，可以影响治疗效果和临床结果。咨询和心理治疗，结合马的相互作用和马专家（ES）引入复杂的关系动力学。为了调查这些环境中的工作联盟，我们开发并测试了一种调查工具，以收集每个团队成员（心理健康提供者[MHP]、ES和治疗马）、人口统计学特征和其他服务相关变量（如辅导员的工作关系）的工作联盟得分。我们使用工作联盟短量表（WAI-SR）来测量参与者与他们的MHP和ES之间的工作联盟以及与他们的马的键域。我们修改并创建了一些项目来评估ES和马的独特角色。结果Wilcoxon符号秩检验显示MHP和ES之间的粘合评分无显著差异（p = 0.52）。线性回归表明，与每个团队成员的工作联盟得分与参与者对其促进团队工作关系的看法呈正相关。结论未来的研究应探讨该工具的有效性，以及来访者对团队成员关系的感知如何影响治疗结果。
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引用次数: 0
What Stories Does Routine Outcome Monitoring Tell? Contrasting Psychological Distress Scores With In-Therapy Narratives 常规结果监测告诉我们什么故事？心理困扰评分与治疗中叙述的对比
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-09 DOI: 10.1002/capr.70023
Samantha Zurita-Calderón, Jorge Valdiviezo-Oña, Chris Evans, Clara Paz

Introduction

The use of outcome measures in psychotherapy has grown substantially as a method for tracking change. However, the exclusive reliance on quantitative measures may neglect contextual and relational factors affecting client experiences. This study explored how therapist perceptions and contextual factors may play a role in the interpretation of routine outcome monitoring (ROM) scores. The aim was to critically examine two therapy cases where ROM scores indicated no reliable change, yet clients demonstrated narrative improvements from the therapist's view.

Methods

This naturalistic study was conducted in a university-affiliated psychotherapy centre. Two clients undergoing narrative therapy completed the CORE-OM before therapy and CORE-10 session-by-session to monitor psychological distress. The Reliable Change Index (RCI) was used to assess the statistical significance of CORE-10 score changes. These outcomes were contrasted with information derived from therapist observations.

Results

Neither client showed statistically significant or reliable change in psychological distress across therapy. However, the therapist's analysis of clients' narratives revealed significant improvements in self-concept and relational dynamics. Themes such as expected family roles, sociocultural expectations and gender norms were key in shaping clients' experiences of psychological distress.

Conclusions

ROM scores can be useful for tracking clients' change, but their potential is amplified when integrated within a broader monitoring framework that includes therapist observations, and an understanding of the influence of systemic factors on psychological distress. We advocate for multimodal monitoring in psychotherapy research and practice to address the heterogeneity and diversity of change in therapy.

作为一种跟踪变化的方法，结果测量在心理治疗中的应用已经大大增加。然而，对定量措施的独家依赖可能会忽视影响客户体验的背景和关系因素。本研究探讨了治疗师的感知和情境因素如何在常规结果监测（ROM）评分的解释中发挥作用。目的是批判性地检查两个治疗案例，其中ROM评分没有可靠的变化，但从治疗师的角度来看，客户表现出叙述的改善。方法本研究在一所大学附属心理治疗中心进行。两名接受叙事治疗的患者在治疗前完成了CORE-OM和CORE-10，以监测心理困扰。采用可靠变化指数（reliability Change Index， RCI）评价CORE-10评分变化的统计学意义。这些结果与来自治疗师观察的信息形成对比。结果在整个治疗过程中，两名患者的心理困扰均未出现统计学上显著或可靠的变化。然而，治疗师对来访者叙述的分析显示了自我概念和关系动力学的显著改善。诸如预期的家庭角色、社会文化期望和性别规范等主题是塑造客户心理困扰体验的关键。结论：ROM评分可用于跟踪来访者的变化，但如果将其整合到一个更广泛的监测框架中，包括治疗师的观察和对心理困扰的系统性因素影响的理解，其潜力就会被放大。我们提倡在心理治疗研究和实践中进行多模式监测，以解决治疗变化的异质性和多样性。
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引用次数: 0
Feasibility of a Telehealth Intervention for Dementia Carers: Therapist Perspectives 远程医疗干预痴呆护理人员的可行性：治疗师的观点
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-09 DOI: 10.1002/capr.70024
Alison Walter, Kaylene Kilham, Briony Dow, Penny Rapaport, Gill Livingston, Michelle Kelly

Objectives

The STrAtegies for RelaTives (START) programme was designed in the United Kingdom to support informal dementia carers. This study was designed to assess therapists' perspectives on the feasibility of START in the Australian healthcare context in terms of its acceptability to therapists (i.e., confidence in delivery, perceived client rapport, and perceived change in client outcomes), its adaptation for delivery via telehealth, and integration with telehealth technologies.

Methods

Fourteen therapists were randomly allocated to deliver START or cognitive behavioural therapy (CBT) and commenced treatment with 18 carers (START: n = 13 overall, n = 7 via telehealth; CBT: n = 5 overall, n = 3 via telehealth). Mixed methods surveys were used to collect therapists' perspectives on acceptability and integration. Quantitative comparisons were made using independent sample t-tests, and qualitative responses were analysed using a theoretical semantic approach.

Results

Postsession confidence in intervention delivery, but not client rapport or perceived change in client outcomes, was higher for START than CBT (p = 0.034). Postsession change in client outcomes, but not therapist confidence or client rapport, was lower for telehealth delivery (p = 0.043). START was a beneficial experience for therapists, with content fostering carer engagement; however, concerns included a high volume of programme content. While technological issues were thought to have a negative impact on client rapport, telehealth enabled access to care.

Conclusions

START was acceptable to therapists and can be effectively delivered via telehealth. Recourse to telephone-only-based care may reduce the impact of technological issues on acceptability outcomes for therapists.

亲属战略（START）方案是在英国设计的，旨在支持非正式的痴呆症护理人员。本研究旨在评估治疗师对START在澳大利亚医疗保健背景下可行性的看法，包括治疗师对START的可接受性（即对交付的信心、对客户关系的感知、对客户结果的感知变化）、对远程医疗交付的适应以及与远程医疗技术的整合。方法随机分配14名治疗师进行START或认知行为疗法（CBT），并与18名护理人员开始治疗(START：总n = 13，远程医疗n = 7；CBT：总体n = 5，通过远程医疗n = 3)。采用混合调查方法收集治疗师对可接受性和整合性的看法。使用独立样本t检验进行定量比较，并使用理论语义方法分析定性反应。结果治疗后对干预交付的信心，而不是客户关系或客户结果的感知变化，START比CBT更高（p = 0.034）。远程医疗服务降低了治疗后患者预后的变化，但没有降低治疗师的信心或患者的融洽关系（p = 0.043）。START对治疗师来说是一次有益的经历，其内容促进了护理人员的参与；不过，令人关切的是节目内容过多。虽然技术问题被认为对客户关系有负面影响，但远程保健使人们能够获得护理。结论START治疗可被临床医师接受，并可通过远程医疗有效实施。求助于仅以电话为基础的护理可以减少技术问题对治疗师可接受结果的影响。
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引用次数: 0
Dialectical Behaviour Therapy Skills Training and Group Cognitive Behavioural Therapy for Hashimoto's Disease: Data on Quality of Life, Stress and Related Variables From a Randomised Controlled Trial 辩证行为疗法技能训练和群体认知行为疗法治疗桥本病：来自随机对照试验的生活质量、压力和相关变量的数据
IF 1.2 Q3 PSYCHOLOGY, CLINICAL
Counselling & Psychotherapy Research
Pub Date : 2025-05-08 DOI: 10.1002/capr.70020
Kadriye Slocum, F. Isil Bilican

Objective

Recent research suggests that there are aspects of Hashimoto's disease (HD) for which medical treatment may be limited. Medical treatment of HD involves returning thyroid hormone levels to the normal reference range, a condition called euthyroidism. Poor quality of life (QOL), low psychological well-being, depression, anxiety, and stress are among the factors associated with symptoms that persist despite being euthyroid.

Method

Considering these findings, the present study investigated the effects of dialectical behaviour therapy skills training (DBT-ST), group cognitive behavioural therapy (CBT) and a waitlist group on QOL, stress, and related variables in euthyroid HD women (N = 62). Data was collected pre-intervention, post-intervention, and at two-month follow-up.

Results

Results demonstrated that the DBT-ST intervention provided statistically significant benefits, while no significant changes occurred in the group CBT and waitlist group. Among the outcome variables, DBT-ST was found to significantly increase the general health domain of QOL, the environmental mastery subscale of psychological well-being, the persistence subscale of emotional reactivity, and the tolerance subscale of distress tolerance, and significantly decrease levels of depression, anxiety, stress, and difficulties in emotion regulation. Economic status was identified as a covariate for anxiety and stress, and body mass index for general health. Considering the effects of covariates, DBT-ST explained the decrease in stress by 10.1%, an additional 2.7% compared to economic status, which explained 7.4% (p < 0.05).

Discussion

Future research in line with the recommendations of this study may further contribute to the development of HD treatment guidelines.

目的最近的研究表明桥本氏病（HD）的某些方面的医学治疗可能受到限制。HD的医学治疗包括将甲状腺激素水平恢复到正常参考范围，这种情况被称为甲状腺功能亢进。生活质量差、心理健康水平低、抑郁、焦虑和压力是甲状腺功能正常但症状持续存在的相关因素。方法观察辩证行为治疗技能训练（DBT-ST）、群体认知行为治疗（CBT）和候补组对甲状腺功能正常的HD女性（N = 62）生活质量、压力及相关变量的影响。在干预前、干预后和两个月随访时收集数据。结果结果表明，DBT-ST干预提供了统计学上显著的益处，而CBT组和等候名单组没有显著的变化。结果变量中，DBT-ST显著提高了生活质量的一般健康域、心理健康的环境掌握子量表、情绪反应的坚持子量表和痛苦耐受的容忍子量表，显著降低了抑郁、焦虑、压力和情绪调节困难的水平。经济状况被确定为焦虑和压力的协变量，身体质量指数被确定为一般健康的协变量。考虑到协变量的影响，DBT-ST解释了压力下降10.1%，比经济状况解释了7.4%的额外2.7% （p < 0.05）。根据本研究的建议，未来的研究可能会进一步促进HD治疗指南的制定。
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