Soeun Hong, Taerim Lee, Hyeyun Ko, Jieun Kang, Gi-Eun Jang, Sang Min Lee
The present study aimed to examine the role of daily emotional processes in the relationship between countertransference (CT) management and emotional well-being in novice school counselors. We collected data for 7 consecutive days from 305 novice school counselors in South Korea. Multilevel mediation analyses revealed that novice school counselors with low CT management ability were less likely to be aware of their emotions, increasing their daily emotional exhaustion. In contrast, novice school counselors with a high level of CT management ability were more likely to engage in daily decentering and, in turn, were less likely to experience daily emotional exhaustion. Although emotional inhibition (lack of emotional awareness) significantly exacerbated emotional exhaustion over time, decentering was not related to emotional exhaustion over time. The practical and theoretical implications of this study are discussed.
{"title":"Novice school counselors’ countertransference management on emotional exhaustion: The role of daily emotional processes","authors":"Soeun Hong, Taerim Lee, Hyeyun Ko, Jieun Kang, Gi-Eun Jang, Sang Min Lee","doi":"10.1002/jcad.12475","DOIUrl":"https://doi.org/10.1002/jcad.12475","url":null,"abstract":"<p>The present study aimed to examine the role of daily emotional processes in the relationship between countertransference (CT) management and emotional well-being in novice school counselors. We collected data for 7 consecutive days from 305 novice school counselors in South Korea. Multilevel mediation analyses revealed that novice school counselors with low CT management ability were less likely to be aware of their emotions, increasing their daily emotional exhaustion. In contrast, novice school counselors with a high level of CT management ability were more likely to engage in daily decentering and, in turn, were less likely to experience daily emotional exhaustion. Although emotional inhibition (lack of emotional awareness) significantly exacerbated emotional exhaustion over time, decentering was not related to emotional exhaustion over time. The practical and theoretical implications of this study are discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50132094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura C. Craven, Alexander M. Fields, Ryan G. Carlson, Elizabeth M. Combs, Emily S. Howe
Intimate partner violence is a serious public health problem with significant implications for the mental health and well-being of victims. Therefore, we sought to critically review research on counseling interventions for victims to inform counselors’ work and identify areas of need for future research. We used the preferred reporting items for systematic reviews and meta-analyses protocols to identify articles from 2000 to 2022 that investigated the impact of counseling interventions on the mental health and safety of victims. Four themes emerged: (1) participant demographics, (2) treatment modality, (3) interventions and study outcomes, and (4) study limitations. Study findings are synthesized to help counselors identify effective interventions for victims based on mental health concerns and violence type. Many of the studies were limited by high attrition rates and few researchers implemented randomized controlled trials. Further research is needed on interventions for LGBTQ victims and victims who present with comorbid mental health concerns.
{"title":"Counseling interventions for victims of intimate partner violence: A systematic review","authors":"Laura C. Craven, Alexander M. Fields, Ryan G. Carlson, Elizabeth M. Combs, Emily S. Howe","doi":"10.1002/jcad.12478","DOIUrl":"https://doi.org/10.1002/jcad.12478","url":null,"abstract":"<p>Intimate partner violence is a serious public health problem with significant implications for the mental health and well-being of victims. Therefore, we sought to critically review research on counseling interventions for victims to inform counselors’ work and identify areas of need for future research. We used the preferred reporting items for systematic reviews and meta-analyses protocols to identify articles from 2000 to 2022 that investigated the impact of counseling interventions on the mental health and safety of victims. Four themes emerged: (1) participant demographics, (2) treatment modality, (3) interventions and study outcomes, and (4) study limitations. Study findings are synthesized to help counselors identify effective interventions for victims based on mental health concerns and violence type. Many of the studies were limited by high attrition rates and few researchers implemented randomized controlled trials. Further research is needed on interventions for LGBTQ victims and victims who present with comorbid mental health concerns.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50132095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaprea F. Johnson, Hyunhee Kim, Citlali E. Molina, Kaleb A. Thompson, Sarah Henry, Brett Zyromski
Social determinants of mental health (SDOMH) are conditions in which students live that significantly contribute to their mental health challenges. School counselors can utilize the Advocating Student-within-Environment (ASE) theoretical lens as a liberation approach to strengthening students’ capacity to overcome persistent adversity while addressing root causes of systemic oppression through policy change and advocacy at the school, community, and national levels. School counselors can use increased personal awareness of the oppressive nature of SDOMH and the bidirectional approach offered by ASE to influence systems and students through preventative programming and proactive advocacy to affect institutional change. This study provides school counselors with an overview of ASE as a theoretical foundation for addressing SDOMH in schools.
{"title":"School counseling prevention programming to address social determinants of mental health","authors":"Kaprea F. Johnson, Hyunhee Kim, Citlali E. Molina, Kaleb A. Thompson, Sarah Henry, Brett Zyromski","doi":"10.1002/jcad.12471","DOIUrl":"https://doi.org/10.1002/jcad.12471","url":null,"abstract":"<p>Social determinants of mental health (SDOMH) are conditions in which students live that significantly contribute to their mental health challenges. School counselors can utilize the Advocating Student-within-Environment (ASE) theoretical lens as a liberation approach to strengthening students’ capacity to overcome persistent adversity while addressing root causes of systemic oppression through policy change and advocacy at the school, community, and national levels. School counselors can use increased personal awareness of the oppressive nature of SDOMH and the bidirectional approach offered by ASE to influence systems and students through preventative programming and proactive advocacy to affect institutional change. This study provides school counselors with an overview of ASE as a theoretical foundation for addressing SDOMH in schools.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50150506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katheryne T. Leigh-Osroosh, Krystal Clemons, Adrianne Robertson, Vanessa Placeres, Jan Gay, Caroline Lopez-Perry, Erin C. Mason, Kara P. Ieva, Erin M. D. Lane, Rachel Saunders
School counselors have a unique role as frontline advocates and change agents who work toward addressing systemic inequities within K-12 education (Placeres et al., 2022). Racism is the systemic prioritization of Whiteness as the standard of humanness, success, and well-being. School counselors are responsible for resisting racism in the support of the wellness of all students. This consensual qualitative study examined the question, what is antiracist school counseling? Four focus groups (N = 17) were conducted within the School Counseling Interest Network (SCIN), a subgroup of the Association for Counselor Education and Supervision (ACES). The resulting four domains, such as anti-Blackness, knowledge, action, and responsibility, describe antiracist school counseling. Implications for counselor education, research, and practice are discussed.
{"title":"Antiracist school counseling: A consensual qualitative study","authors":"Katheryne T. Leigh-Osroosh, Krystal Clemons, Adrianne Robertson, Vanessa Placeres, Jan Gay, Caroline Lopez-Perry, Erin C. Mason, Kara P. Ieva, Erin M. D. Lane, Rachel Saunders","doi":"10.1002/jcad.12477","DOIUrl":"https://doi.org/10.1002/jcad.12477","url":null,"abstract":"<p>School counselors have a unique role as frontline advocates and change agents who work toward addressing systemic inequities within K-12 education (Placeres et al., 2022). Racism is the systemic prioritization of Whiteness as the standard of humanness, success, and well-being. School counselors are responsible for resisting racism in the support of the wellness of all students. This consensual qualitative study examined the question, <i>what is antiracist school counseling?</i> Four focus groups (<i>N</i> = 17) were conducted within the School Counseling Interest Network (SCIN), a subgroup of the Association for Counselor Education and Supervision (ACES). The resulting four domains, such as anti-Blackness, knowledge, action, and responsibility, describe antiracist school counseling. Implications for counselor education, research, and practice are discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50126758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha Barstack, Sailee Karkhanis, Bradley T. Erford, Elisabeth Bennett, Emma Buchanan, Claire Sharpe, Addy Wissel
Authors reviewed 129 studies published between 2004 and 2020 using the Eating Disorder Inventory-Third Edition (EDI-3). Internal consistency (α) for the total score was 0.888 and 0.693–0.947 across all subscales. Convergent validity yielded robust, mostly large correlations for the three main scales, spanning five eating disorder instruments. Structural validity studies supported important EDI-3 components for White women, but not for racial/ethnic minorities. Only one diagnostic validity study was located, and given that the EDI-3 is used to help screen for and identify eating disorders, more diagnostic validity studies are needed. Implications for client outcome assessment, screening, and treatment planning were discussed.
{"title":"Synthesis of the Eating Disorder Inventory-Third Edition (EDI-3) psychometric characteristics: Implications for counseling practice and research","authors":"Samantha Barstack, Sailee Karkhanis, Bradley T. Erford, Elisabeth Bennett, Emma Buchanan, Claire Sharpe, Addy Wissel","doi":"10.1002/jcad.12474","DOIUrl":"https://doi.org/10.1002/jcad.12474","url":null,"abstract":"<p>Authors reviewed 129 studies published between 2004 and 2020 using the Eating Disorder Inventory-Third Edition (EDI-3). Internal consistency (<i>α</i>) for the total score was 0.888 and 0.693–0.947 across all subscales. Convergent validity yielded robust, mostly large correlations for the three main scales, spanning five eating disorder instruments. Structural validity studies supported important EDI-3 components for White women, but not for racial/ethnic minorities. Only one diagnostic validity study was located, and given that the EDI-3 is used to help screen for and identify eating disorders, more diagnostic validity studies are needed. Implications for client outcome assessment, screening, and treatment planning were discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50124439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheerah Neal Keith, Monica L. Coleman, Latasha Y. Hicks Becton, Janita Springfield
Every counselor–client interaction is an opportunity for mutual learning through inquiry, listening, exploring, and understanding about a client's experiences with development and well-being. Given the convergence of multiple sociopolitical events and systems that impact mental health and well-being, we issue a call to increase promotion and uptake of preventative mental health strategies by assessing the social determinants of mental health (SDMH) in counseling practice. We contend that counselors are uniquely prepared to assess the SDMH at the intrapersonal, interpersonal, and environmental levels. Therefore, we review the parallels between counseling frameworks and the SDMH with the aim of explaining why and how counselors should assess the SDMH. Specifically, we describe ways that counselors can use their foundational skills and expertise in assessment procedures to identify client needs, as well as potential individual and community interventions. We outline a four-phased approach for assessing the SDMH in counseling practice and provide implications for improving counseling outcomes.
{"title":"Assessing the social determinants of mental health in counseling practice","authors":"Sheerah Neal Keith, Monica L. Coleman, Latasha Y. Hicks Becton, Janita Springfield","doi":"10.1002/jcad.12470","DOIUrl":"https://doi.org/10.1002/jcad.12470","url":null,"abstract":"<p>Every counselor–client interaction is an opportunity for mutual learning through inquiry, listening, exploring, and understanding about a client's experiences with development and well-being. Given the convergence of multiple sociopolitical events and systems that impact mental health and well-being, we issue a call to increase promotion and uptake of preventative mental health strategies by assessing the social determinants of mental health (SDMH) in counseling practice. We contend that counselors are uniquely prepared to assess the SDMH at the intrapersonal, interpersonal, and environmental levels. Therefore, we review the parallels between counseling frameworks and the SDMH with the aim of explaining why and how counselors should assess the SDMH. Specifically, we describe ways that counselors can use their foundational skills and expertise in assessment procedures to identify client needs, as well as potential individual and community interventions. We outline a four-phased approach for assessing the SDMH in counseling practice and provide implications for improving counseling outcomes.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50118070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Practicing counselors swiftly shifted to telehealth after insurance payers changed their policy to cover telehealth counseling under the expansion of telehealth with 1135 waivers, which has led to concerns over the policy effects on clients’ continuing counseling service-seeking intentions. To determine if this shift to telehealth was associated with a change in clients’ counseling service-seeking intentions while adjusting for unmeasured confounders and time trends, we performed a difference-in-difference analysis (a quasi-experimental design) to compare changes between the client (treated) and non-client (control) groups through a large national sample of emerging adults (N = 52,237). The study findings indicated that the shift to telehealth was not associated with a change in clients’ counseling service-seeking intentions, providing support for the utility of telehealth counseling. Implications of these findings should be considered when assessing the merit of telehealth counseling to inform public policies and counseling practice in the post-pandemic era.
{"title":"Policy effects of the expansion of telehealth under 1135 waivers on intentions to seek counseling services: Difference-in-difference (DiD) analysis","authors":"Yusen Zhai, JoLynn V. Carney, Richard J. Hazler","doi":"10.1002/jcad.12468","DOIUrl":"https://doi.org/10.1002/jcad.12468","url":null,"abstract":"<p>Practicing counselors swiftly shifted to telehealth after insurance payers changed their policy to cover telehealth counseling under the expansion of telehealth with 1135 waivers, which has led to concerns over the policy effects on clients’ continuing counseling service-seeking intentions. To determine if this shift to telehealth was associated with a change in clients’ counseling service-seeking intentions while adjusting for unmeasured confounders and time trends, we performed a difference-in-difference analysis (a quasi-experimental design) to compare changes between the client (treated) and non-client (control) groups through a large national sample of emerging adults (<i>N</i> = 52,237). The study findings indicated that the shift to telehealth was not associated with a change in clients’ counseling service-seeking intentions, providing support for the utility of telehealth counseling. Implications of these findings should be considered when assessing the merit of telehealth counseling to inform public policies and counseling practice in the post-pandemic era.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50143435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peitao Zhu, Melissa M. Luke, Yanhong Liu, Qiu Wang
Using an exploratory sequential mixed methods research design, we investigated the relationship between cultural humility (CH) and cultural competence (CC), two concepts that have been widely discussed in the multicultural counseling literature. We first adopted a thematic analysis to explore how 14 experienced counselor educators perceived the CH–CC relationship and identified three preliminary themes. Then, we utilized quantitative analyses to test the hypotheses derived from the qualitative themes, based on a sample of 434 adults who received mental health services. Both qualitative and quantitative results supported that CH and CC (a) share conceptual alignment; (b) emphasize on different aspects of counselor characteristics and behaviors in cultural contexts; and (c) both play an integral, yet slightly varied, role during the counseling process. We discuss implications regarding embracing CH and CC in the counseling practice, counselor educator, and future research on multicultural counseling.
{"title":"Cultural humility and cultural competence in counseling: An exploratory mixed methods investigation","authors":"Peitao Zhu, Melissa M. Luke, Yanhong Liu, Qiu Wang","doi":"10.1002/jcad.12469","DOIUrl":"https://doi.org/10.1002/jcad.12469","url":null,"abstract":"<p>Using an exploratory sequential mixed methods research design, we investigated the relationship between cultural humility (CH) and cultural competence (CC), two concepts that have been widely discussed in the multicultural counseling literature. We first adopted a thematic analysis to explore how 14 experienced counselor educators perceived the CH–CC relationship and identified three preliminary themes. Then, we utilized quantitative analyses to test the hypotheses derived from the qualitative themes, based on a sample of 434 adults who received mental health services. Both qualitative and quantitative results supported that CH and CC (a) share conceptual alignment; (b) emphasize on different aspects of counselor characteristics and behaviors in cultural contexts; and (c) both play an integral, yet slightly varied, role during the counseling process. We discuss implications regarding embracing CH and CC in the counseling practice, counselor educator, and future research on multicultural counseling.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50143434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew L. Nice, Michael D. Brubaker, Donna M. Gibson, James W. McMullen, Bridget Asempapa, Stephen D. Kennedy, Matthew C. Fullen, C. Missy Moore
To examine wellness and well-being research in professional counseling journals, we completed a comprehensive 31-year content analysis of counseling research within 25 counseling journals. Of the sample of 374 publications that met the search criteria, wellness publications accounted for 222 (59.4%) of the articles, and well-being publications accounted for 152 (40.6%) of the articles. The authors examined publication patterns, topics, theoretical frameworks, and research methodologies within wellness and well-being counseling research.
{"title":"Wellness and well-being in counseling research: A 31-year content analysis","authors":"Matthew L. Nice, Michael D. Brubaker, Donna M. Gibson, James W. McMullen, Bridget Asempapa, Stephen D. Kennedy, Matthew C. Fullen, C. Missy Moore","doi":"10.1002/jcad.12467","DOIUrl":"https://doi.org/10.1002/jcad.12467","url":null,"abstract":"<p>To examine wellness and well-being research in professional counseling journals, we completed a comprehensive 31-year content analysis of counseling research within 25 counseling journals. Of the sample of 374 publications that met the search criteria, wellness publications accounted for 222 (59.4%) of the articles, and well-being publications accounted for 152 (40.6%) of the articles. The authors examined publication patterns, topics, theoretical frameworks, and research methodologies within wellness and well-being counseling research.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50153196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Michael Russo, Samantha Smith, Katharine R. Sperandio
A meta-analysis was conducted to assess the efficacy of neurofeedback (NFB) in the treatment of individuals with substance use disorder (SUD) in between-group studies. This study reports findings from the first exhaustive search of the literature on the topic and included articles selected from a total of 58 databases/repositories. Studies were evaluated using Hedge's g as the effect size measure and were assessed for risk of bias using funnel plot, Fail-Safe N, and Trim and Fill analysis. Ten studies, containing 30 effect sizes were evaluated to determine the overall efficacy of NFB for decreasing symptoms of SUD (N = 397), yielding a mean effect size of g = –1.49 (CI 95 = –1.95, –1.03; PI 95 = –4.37 to 1.39). This meta-analysis provides strong evidence for the efficacy of NFB in treating SUD while also highlighting the value of wholistic client care in SUD treatment.
{"title":"A meta-analysis of neurofeedback for treating substance use disorders","authors":"G. Michael Russo, Samantha Smith, Katharine R. Sperandio","doi":"10.1002/jcad.12466","DOIUrl":"https://doi.org/10.1002/jcad.12466","url":null,"abstract":"<p>A meta-analysis was conducted to assess the efficacy of neurofeedback (NFB) in the treatment of individuals with substance use disorder (SUD) in between-group studies. This study reports findings from the first exhaustive search of the literature on the topic and included articles selected from a total of 58 databases/repositories. Studies were evaluated using Hedge's <i>g</i> as the effect size measure and were assessed for risk of bias using funnel plot, Fail-Safe <i>N</i>, and Trim and Fill analysis. Ten studies, containing 30 effect sizes were evaluated to determine the overall efficacy of NFB for decreasing symptoms of SUD (<i>N</i> = 397), yielding a mean effect size of <i>g</i> = –1.49 (CI 95 = –1.95, –1.03; PI 95 = –4.37 to 1.39). This meta-analysis provides strong evidence for the efficacy of NFB in treating SUD while also highlighting the value of wholistic client care in SUD treatment.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50152993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}