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Statement of Retraction: Therapist Immediacy: The association with Working Alliance, Real Relationship, Session Quality and Time in Psychotherapy. 撤回声明:治疗师的即时性:与心理治疗中的工作联盟、真实关系、疗程质量和时间的关系。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.1080/10503307.2024.2333703
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引用次数: 0
Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy. 应用精确方法选择以人为中心的体验疗法或认知行为疗法治疗中重度抑郁症。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1080/10503307.2023.2269297
Danilo Moggia, David Saxon, Wolfgang Lutz, Gillian E Hardy, Michael Barkham

Objective: To develop two prediction algorithms recommending person-centered experiential therapy (PCET) or cognitive-behavioral therapy (CBT) for patients with depression: (1) a full data model using multiple trial-based and routine variables, and (2) a routine data model using only variables available in the English NHS Talking Therapies program.

Method: Data was used from the PRaCTICED trial comparing PCET vs. CBT for 255 patients meeting a diagnosis of moderate or severe depression. Separate full and routine data models were derived and the latter tested in an external data sample.

Results: The full data model provided the better prediction, yielding a significant difference in outcome between patients receiving their optimal vs. non-optimal treatment at 6- (Cohen's d = .65 [.40, .91]) and 12 months (d = .85 [.59, 1.10]) post-randomization. The routine data model performed similarly in the training and test samples with non-significant effect sizes, d = .19 [-.05, .44] and d = .21 [-.00, .43], respectively. For patients with the strongest treatment matching (d ≥ 0.3), the resulting effect size was significant, d = .38 [.11, 64].

Conclusion: A treatment selection algorithm might be used to recommend PCET or CBT. Although the overall effects were small, targeted matching yielded somewhat larger effects.

目的:开发两种预测算法,为抑郁症患者推荐以人为中心的体验疗法(PCET)或认知行为疗法(CBT):(1)使用多个基于试验和常规变量的完整数据模型,以及(2)仅使用英国NHS Talking Therapies计划中可用变量的常规数据模型。方法:使用来自PRaCTICED试验的数据,比较255名诊断为中度或重度抑郁症的患者的PCET与CBT。导出了单独的完整数据模型和常规数据模型,并在外部数据样本中对后者进行了测试。结果:全数据模型提供了更好的预测,在6岁时接受最佳治疗与非最佳治疗的患者之间产生了显著的结果差异(Cohen’s d = .65[40,.91])和12个月(d = .85[.59,1.10])。在具有非显著效应大小的训练和测试样本中类似地执行的常规数据模型,d = .19[-.05,.44]和d = .21[-.00,.43]。对于具有最强治疗匹配(d ≥ 0.3),得到的效应大小是显著的,d = .38[11,64]。结论:治疗选择算法可用于推荐PCET或CBT。尽管总体效果很小,但有针对性的匹配产生了更大的效果。
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引用次数: 0
Between- and within-person effects of affective experiences on coping in CBT: Direct effects and interplay with therapeutic alliance and resource activation. CBT中情感体验对应对的人际影响:与治疗联盟和资源激活的直接影响和相互作用。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-11-03 DOI: 10.1080/10503307.2023.2277290
Nicolas Wrede, Nils F Töpfer, Gabriele Wilz

Objective: The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation.

Methods: 67 family caregivers rated AE, therapeutic alliance, resource activation, and coping after each of 12 sessions of telephone-based CBT. We examined direct session-to-session effects of AE on coping in structural equation modeling and interactions of AE with therapeutic alliance and resource activation in multilevel models.

Results: AE did not directly predict coping. Instead, within-person effects of AE interacted with simultaneous within-person emotional bond. Given strong emotional bond, AE positively predicted coping, whereas given weak emotional bond, AE negatively predicted coping. Further, cross-level interactions of between-person AE and within-person agreement on collaboration and resource activation indicated that these positively predicted coping only in dyads with high between-person AE.

Conclusion: AE may enhance coping when complemented with strong emotional bond. Further, within-person effects of agreement on collaboration and resource activation seem to rely on a certain degree of between-person AE. Results are discussed in relation to current findings on emotional processing in CBT.

目的:情感体验(AE)在认知行为治疗(CBT)中的作用很少被研究。我们研究了AE对家庭照顾者应对CBT的人际和内部影响,以及与治疗联盟和资源激活的互动。方法:67名家庭护理人员在12次基于电话的CBT后分别对AE、治疗联盟、资源激活和应对进行评分。我们在结构方程模型中研究了AE对应对的直接会话间影响,以及在多层次模型中AE与治疗联盟和资源激活的相互作用。结果:不良事件不能直接预测应对能力。相反,AE的人内效应与同时发生的人内情感纽带相互作用。在情感纽带较强的情况下,AE积极预测应对,而在情感纽带较弱的情况下则消极预测应对。此外,人与人之间的AE和人与人在协作和资源激活方面的一致性的跨层面互动表明,只有在人与人间AE较高的二人组中,这些交互作用才能积极预测应对。此外,协议对协作和资源激活的人内效应似乎在一定程度上依赖于人与人之间的AE。结果与CBT中情绪处理的当前发现有关。
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引用次数: 0
Countertransference in the treatment of patients with personality disorders: A longitudinal study. 反移情在人格障碍患者治疗中的作用:一项纵向研究。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-11-14 DOI: 10.1080/10503307.2023.2279645
R B Øvstebø, G Pedersen, T Wilberg, J I Røssberg, H S J Dahl, E H Kvarstein

Objective: This study examines how therapist emotional response/countertransference (CT) develops during treatment for patients with personality disorders (PDs) and how pre-treatment patient factors (severity of personality pathology, PD category, level of symptom distress) predict CT responses. Secondly, we explored associations between patient clinical outcome and CT.

Method: A longitudinal, observational study including 1956 patients with personality pathology treated at psychotherapy units within specialist mental health services. Therapists' emotional response was repeatedly assessed by the Feeling Word Checklist-Brief Version (FWC-BV) with three subscales-Inadequate, Confident, and Idealized.

Results: Levels of Inadequate CT were lowest and stable over time while Confident and Idealized increased over time. Greater severity of personality pathology and borderline PD predicted higher initial Inadequate, lower initial Confident and decreasing Inadequate over time. Antisocial PD predicted decreasing Confident. Number of PD criteria had higher impact on therapist CT than level of symptom distress. Clinical improvement was associated with decreasing Inadequate.

Conclusion: Therapists reported predominantly Confident CT when working with PD patients. More severe personality pathology, and borderline PD, specifically, predicted more negative CT initially, but the negative CT decreased over time. Patients who did not improve were associated with increasing Inadequate.

目的:本研究探讨人格障碍(PD)患者治疗过程中治疗师情绪反应/反移情(CT)的发展,以及治疗前患者因素(人格病理严重程度、PD类别、症状困扰水平)如何预测CT反应。其次,我们探讨了患者临床结果与CT之间的关系。方法:一项纵向观察研究,包括1956名在专业精神卫生服务的心理治疗单位治疗的人格病理学患者。治疗师的情绪反应被反复评估的感觉词检查表-简要版本(FWC-BV)有三个子量表:不充分,自信,和理想化。结果:随着时间的推移,不充分的CT水平最低且稳定,而自信和理想化的水平随着时间的推移而增加。越严重的人格病理和边缘性PD预示着越高的初始不足,越低的初始自信和随着时间的推移而减少的不足。反社会PD预测自信心下降。PD标准的数量对治疗师CT的影响大于症状困扰程度。临床改善与不足减少有关。结论:当治疗PD患者时,治疗师报告的主要是自信CT。更严重的人格病理,特别是边缘性PD,最初预测更多的阴性CT,但随着时间的推移,阴性CT减少。没有改善的患者与不充分的增加有关。
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引用次数: 0
Enhancing the effectiveness of CBT for patients with unipolar depression by integrating digital interventions into treatment: A pilot randomized controlled trial. 通过将数字干预纳入治疗来增强CBT对单极性抑郁症患者的有效性:一项试点随机对照试验。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-11-03 DOI: 10.1080/10503307.2023.2277866
Jan Kalde, Ece Atik, Johannes Stricker, Magnus Schückes, Peter Neudeck, Andre Pittig, Reinhard Pietrowsky

Objective: Blended cognitive behavioral therapy (bCBT) combines face-to-face therapy with digital elements, such as digital health apps. This pilot study aimed to explore the effectiveness and safety of a novel bCBT application for treating unipolar depression in adults combined with cognitive behavioral therapy (CBT) compared to CBT alone in routine care.

Methods: Patients (N = 82) were randomly assigned to bCBT (n = 42) or CBT (n = 40) over 12 weeks. bCBT consisted of weekly CBT sessions accompanied by the elona therapy depression module (a bCBT application for unipolar depression) for use between sessions. Standard CBT consisted of weekly CBT sessions. Outcomes (6,12 weeks) were analyzed with linear mixed models.

Results: Improvements in depressive symptoms (BDI-II, PHQ-9) were descriptively larger for the bCBT group. Yet, this difference did not reach statistical significance. bCBT was superior to standard CBT in secondary outcome measures of psychological health (d = .50) and generalized anxiety symptoms (d = -.45). In other secondary outcomes (BAI, PSWQ, GSE, WHOQOL-BREF), improvements were descriptively larger for bCBT compared to CBT.

Conclusion: This pilot study provided preliminary evidence that bCBT might be advantageous in comparison to CBT alone in the treatment of depression, but larger RCTs of the bCBT application are needed.

目的:混合认知行为疗法(bCBT)将面对面治疗与数字元素相结合,如数字健康应用程序。这项试点研究旨在探索一种新型bCBT应用程序在常规护理中联合认知行为疗法(CBT)治疗成人单极性抑郁症的有效性和安全性,与单独使用CBT相比。方法:患者(N = 82)被随机分配到bCBT(n = 42)或CBT(n = 40)在12周内。bCBT由每周CBT疗程组成,并在疗程之间使用elona治疗抑郁症模块(用于单极性抑郁症的bCBT应用程序)。标准CBT包括每周CBT会议。结果(6,12周)采用线性混合模型进行分析。结果:bCBT组抑郁症状(BDI-II、PHQ-9)的改善明显更大。然而,这种差异并没有达到统计学意义。bCBT在心理健康的次要结果测量方面优于标准CBT(d = .50)和广泛性焦虑症状(d = -.45)。在其他次要结果(BAI、PSWQ、GSE、WHOQOL-BREF)中,与CBT相比,bCBT的改善幅度更大。结论:这项试点研究提供了初步证据,表明在治疗抑郁症方面,与单独CBT相比bCBT可能更有利,但需要对bCBT应用进行更大规模的随机对照试验。
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引用次数: 0
Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): A mediation analysis of an RCT. 正念认知治疗(MBCT)和正念减压(MBSR)毕业生的心理健康途径:随机对照试验的中介分析。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-11-06 DOI: 10.1080/10503307.2023.2269299
Shannon Maloney, Jesus Montero-Marin, Willem Kuyken

Objective: To explore mediated effects of Mindfulness-Based Cognitive Therapy-"Taking it Further" (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering.

Method: A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety.

Results: Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: ab = 0.11 [0.03, 0.25]; decentering: ab = 0.16 [0.05, 0.33]; self-compassion: ab = 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety.

Conclusion: The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects.Trial registration: ClinicalTrials.gov identifier: NCT05154266.

目的:探讨基于正念的认知疗法“更进一步”(MBCT TiF)通过正念、自我同情和分散注意力的变化对心理健康的中介作用。方法:采用简单中介对164名MBCT和基于正念的减压(MBSR)毕业生的随机对照试验进行二次分析,其中MBCT TiF(与正在进行的正念练习;OMP)是自变量;干预期间正念、自我同情和体面的变化是中介因素;干预后的心理健康,同时控制基线,是因变量。次要结果包括心理生活质量、抑郁和焦虑。结果:与OMP相比,MBCT TiF通过改变所有三种介质(正念:ab = 0.11[0.03,0.25];偏心:ab = 0.16[0.05,0.33];自我同情:ab = 0.07[0.01,0.18])。抑郁症也有类似的模式,但只有正念和分散注意力对心理生活质量和焦虑有中介作用。结论:研究结果为MBCT/MBSR毕业生样本中所有三种介质在推动心理健康变化方面提供了初步支持。未来的工作必须以理论为驱动,以并行测试所有中介,并与其他潜在中介(如平静)一起测试,以进一步了解独立贡献和相互作用的效果。试验注册:ClinicalTrials.gov标识符:NCT05154266。
{"title":"Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): A mediation analysis of an RCT.","authors":"Shannon Maloney, Jesus Montero-Marin, Willem Kuyken","doi":"10.1080/10503307.2023.2269299","DOIUrl":"10.1080/10503307.2023.2269299","url":null,"abstract":"<p><strong>Objective: </strong>To explore mediated effects of Mindfulness-Based Cognitive Therapy-\"Taking it Further\" (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering.</p><p><strong>Method: </strong>A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety.</p><p><strong>Results: </strong>Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: <i>ab </i>= 0.11 [0.03, 0.25]; decentering: <i>ab </i>= 0.16 [0.05, 0.33]; self-compassion: <i>ab </i>= 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety.</p><p><strong>Conclusion: </strong>The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT05154266.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1162-1173"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487550","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}
引用次数: 0
Comparing counseling outcome for college students: Metaverse and in-person approaches. 比较大学生的咨询结果:元宇宙和面对面的方法。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-10-17 DOI: 10.1080/10503307.2023.2270139
Soohyun Cho, Jieun Kang, Woo Hyun Baek, Yeon Bin Jeong, Seongchan Lee, Sang Min Lee

ABSTRACTObjective This study compared metaverse counseling with in-person counseling, using in-person counseling as a comparison group. To achieve this, we assessed whether metaverse counseling, a novel treatment approach, is comparable to traditional in-person counseling. Method: A total of 60 participants voluntarily participated in the study. Among the participants, 28 preferred in-person counseling, whereas 32 selected metaverse counseling as their preferred treatment option. Results and Conclusion: The findings indicated no statistically significant differences in the psychological symptom change patterns between the two counseling modalities. Both metaverse and in-person counseling demonstrated a common pattern of reduced symptom levels from pre-to post-session (Metaverse counseling Cohen's d = 1.04, In-person counseling Cohen's d = .62), which remained stable from post-session to follow-up regardless of the chosen counseling modality. Furthermore, the study revealed that the metaverse counseling group exhibited a higher level of working alliances than the in-person counseling group. Additionally, there was a slight tendency toward higher levels of counseling satisfaction in the metaverse counseling group than in the in-person counseling group. The results of this study support the use of synchronous metaverse programs to treat college students. The implications and limitations of this study are discussed. (195 words).

摘要目的本研究将元宇宙咨询与面对面咨询进行比较,并以面对面咨询为对照组。为了实现这一点,我们评估了元宇宙咨询这一新的治疗方法是否与传统的面对面咨询相媲美。方法:共有60名参与者自愿参与研究。在参与者中,28人更喜欢面对面咨询,而32人选择元宇宙咨询作为他们的首选治疗方案。结果与结论:两种咨询方式的心理症状变化模式无统计学差异。元宇宙和面对面咨询都显示出从治疗前到治疗后症状水平降低的共同模式(元宇宙咨询Cohen’s d = 1.04,当面咨询Cohen’s d = .62),无论所选择的咨询方式如何,从治疗后到随访都保持稳定。此外,研究表明,元宇宙咨询小组比面对面咨询小组表现出更高水平的工作联盟。此外,元宇宙咨询组的咨询满意度略高于面对面咨询组。这项研究的结果支持使用同步元宇宙程序来治疗大学生。讨论了本研究的意义和局限性。(195字)。
{"title":"Comparing counseling outcome for college students: Metaverse and in-person approaches.","authors":"Soohyun Cho, Jieun Kang, Woo Hyun Baek, Yeon Bin Jeong, Seongchan Lee, Sang Min Lee","doi":"10.1080/10503307.2023.2270139","DOIUrl":"10.1080/10503307.2023.2270139","url":null,"abstract":"<p><p><b>ABSTRACT</b><i>Objective</i> This study compared metaverse counseling with in-person counseling, using in-person counseling as a comparison group. To achieve this, we assessed whether metaverse counseling, a novel treatment approach, is comparable to traditional in-person counseling. <b>Method:</b> A total of 60 participants voluntarily participated in the study. Among the participants, 28 preferred in-person counseling, whereas 32 selected metaverse counseling as their preferred treatment option. <b>Results and Conclusion:</b> The findings indicated no statistically significant differences in the psychological symptom change patterns between the two counseling modalities. Both metaverse and in-person counseling demonstrated a common pattern of reduced symptom levels from pre-to post-session (Metaverse counseling Cohen's <i>d</i> = 1.04, In-person counseling Cohen's <i>d</i> = .62), which remained stable from post-session to follow-up regardless of the chosen counseling modality. Furthermore, the study revealed that the metaverse counseling group exhibited a higher level of working alliances than the in-person counseling group. Additionally, there was a slight tendency toward higher levels of counseling satisfaction in the metaverse counseling group than in the in-person counseling group. The results of this study support the use of synchronous metaverse programs to treat college students. The implications and limitations of this study are discussed. (195 words).</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1117-1130"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Client-counselor behavioral and inter-brain synchronization among dismissing and secure clients and its association with alliance quality and outcome. 解雇型和安全型客户与咨询师之间的行为和大脑间同步性及其与联盟质量和结果的关系。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-08-29 DOI: 10.1080/10503307.2023.2249587
Xiaoyan Dai, Xueying Li, Na Xia, Juzhe Xi, Ya Zhang

Objective This study aimed to explore whether behavioral synchrony (BS) and inter-brain synchrony (IBS) could serve as potential biomarkers for alliance quality or outcomes among clients with different adult attachment styles. Method: We assessed the clients' self-report working alliance and clinical outcomes as well as simultaneously measured BS using motion energy analysis (MEA) and IBS with functional near-infrared spectroscopy (fNIRS) among 37 secure (N = 21) or dismissing (N = 16) clients with their counselors during the first psychological counseling meeting. Results: Dismissing dyads manifested significantly higher late-stage counselor-led and client-led IBS (p = .018) than secure dyads. Adult attachment style served as the moderators in the correlation of both whole-stage client-led BS with bond dimension of alliance (p = .015) as well as in the correlation of both whole-stage no-lag IBS with CORE-10 score changes (p = .022). Moreover, increases in the whole-stage client-led BS were significantly associated with decreases in early-stage, late-stage and whole-stage no-lag IBS (all ps ≤ 0.01). Conclusion: These findings revealed the potentially impeding role of interpersonal synchrony in alliance quality for dismissing clients, at least during the first psychological counseling meetings. They also might partially validate the relationship between different modalities of interpersonal synchrony.

目的 本研究旨在探讨行为同步性(BS)和脑间同步性(IBS)是否可以作为不同成人依恋风格客户之间联盟质量或结果的潜在生物标志物。研究方法我们评估了客户自我报告的工作联盟和临床结果,并同时使用运动能量分析法(MEA)和功能性近红外光谱法(fNIRS)测量了37名安全型(21人)或解雇型(16人)客户与咨询师在第一次心理咨询会议期间的行为同步性(BS)和脑间同步性(IBS)。结果显示与安全型二人组相比,解雇型二人组在后期阶段由咨询师主导和由求助者主导的 IBS(p = .018)明显更高。在整个阶段由客户主导的 BS 与联盟关系维度的相关性(p = .015)以及整个阶段无滞后 IBS 与 CORE-10 分数变化的相关性(p = .022)中,成人依恋风格起到了调节作用。此外,整个阶段客户主导 BS 的增加与早期、晚期和整个无滞后 IBS 的减少均有显著相关性(所有 ps 均小于 0.01)。结论这些研究结果揭示了人际同步性在解除求助者联盟质量中的潜在阻碍作用,至少在第一次心理咨询会议期间是如此。这些发现还可能部分验证了不同人际同步模式之间的关系。
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引用次数: 0
The effect of Oxytocin administration on patient-therapist alliance congruence: Results from a randomized controlled trial. 催产素给药对患者-治疗师联盟一致性的影响:一项随机对照试验的结果。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2023-10-19 DOI: 10.1080/10503307.2023.2269300
Ariella Grossman-Giron, Hadar Fisher, Dana Atzil-Slonim, Hagai Maoz, Uri Nitzan, Dana Tzur Bitan

Objectives: The effects of oxytocin (OT) administration on psychotherapeutic processes have thus far been elusive. This study explored the effect of OT administration on patient-therapist congruence of the working alliance.

Method: Inpatients with mental disorders (N = 87) participating in a randomized controlled trial received OT (n = 44) or placebo (n = 43) intranasally twice a day, for four weeks. Patients and therapists rated the alliance after each session.

Results: Oxytocin significantly moderated the level of agreement (b = -0.56, SE = 0.25, t = -2.30, p = 0.02), such that patients receiving OT demonstrated lower discrepancy (b = -0.73, p < 0.001) than did those receiving placebo (b = -1.30, p < 0.001). On the other hand, the mutual covariance of patient-therapist ratings across sessions was positive and significant for patients receiving placebo (b = 0.26, p = 0.01) but not for patients in the OT group (b = -0.06, p = .56).

Conclusion: Oxytocin can reduce discrepancies of patient-therapist perceptions of the alliance, although additional studies are needed to explore OT's effect on alliance development over time. As alliance congruence is associated with therapy outcomes, such intervention may lead to enhancement of therapeutic gains.

目的:到目前为止,催产素(OT)给药对心理治疗过程的影响尚不明确。本研究探讨了OT管理对工作联盟患者-治疗师一致性的影响。方法:住院精神障碍患者(N = 87)接受OT(n = 44)或安慰剂(n = 43)鼻内给药,每天两次,持续四周。患者和治疗师在每次治疗后对联盟进行评分。结果:催产素显著降低了一致性水平(b = -0.56,SE = 0.25,吨 = -2.30,第页 = 0.02),使得接受OT的患者表现出较低的差异(b = -0.73,p b = -1.30,p b = 0.26,p = 0.01),但对于OT组的患者没有(b = -0.06,p = .56)。结论:催产素可以减少患者-治疗师对联盟的认知差异,尽管还需要更多的研究来探索OT对联盟发展的影响。由于联盟一致性与治疗结果有关,这种干预可能会提高治疗效果。
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引用次数: 0
Client characteristics and early working alliance development: A person-centered research approach. 客户特征与早期工作联盟的发展:以人为本的研究方法。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-29 DOI: 10.1080/10503307.2024.2418868
Wilson T Trusty, Louis G Castonguay, Caitlin L Chun-Kennedy, Sultan A N Magruder, Rebecca A Janis, Katherine A Davis, Dominic C Augustin, Brett E Scofield

Objective: Certain client characteristics are associated with early working alliance difficulties in psychotherapy. However, there is limited quantitative evidence on whether combinations of these characteristics (e.g., intersectional identities, prior treatment experiences) are related to alliance development. The present study leveraged a person-centered research approach to examine profiles of early alliance development and differences in the latent class structure of client characteristics among alliance development profiles.

Method: Individual psychotherapy clients (N = 2,579) rated the working alliance for their first four sessions and self-reported demographics, treatment history, and psychological distress. Therapists provided their assessment of clients' primary presenting concerns at baseline.

Results: Latent profile analysis revealed three profiles of working alliance development: high and stable, moderate and increasing, and low and stable. Follow-up person-centered analyses (multigroup confirmatory latent class analysis) indicated that clients in the alliance profiles differed in their combinations of clinical and demographic characteristics. For example, women of color with high baseline distress and a history of prior psychotherapy were over-represented in the low and stable alliance profile.

Conclusion: These results are consistent with recommendations to holistically consider how clients' characteristics and experiences shape psychotherapy processes. Results also highlight the utility of person-centered quantitative methods in psychotherapy research.

目的:某些客户特征与心理治疗中的早期工作联盟困难有关。然而,关于这些特征的组合(如交叉身份、先前的治疗经历)是否与联盟发展有关,目前的定量证据还很有限。本研究采用以人为本的研究方法,对早期联盟发展的特征以及联盟发展特征中客户特征的潜类结构差异进行了研究:方法:个人心理治疗客户(N = 2,579)对其前四次治疗的工作联盟进行评分,并自我报告人口统计学、治疗史和心理困扰。治疗师提供了他们对客户在基线期主要关注问题的评估:潜在特征分析显示了工作联盟发展的三个特征:高度稳定、中度增加和低度稳定。后续的以人为中心的分析(多组确认潜类分析)表明,联盟特征中的客户在临床和人口特征组合方面存在差异。例如,基线痛苦程度高且曾接受过心理治疗的有色人种女性在低度和稳定联盟特征中的比例较高:这些结果与全面考虑客户的特征和经历如何影响心理治疗过程的建议是一致的。这些结果也凸显了以人为中心的定量方法在心理治疗研究中的实用性。
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引用次数: 0
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Psychotherapy Research
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