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Clients' and therapists' parasympathetic interpersonal and intrapersonal regulation dynamics during psychotherapy for depression. 抑郁症心理治疗过程中客户和治疗师的副交感神经人际和人内调节动力。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-18 DOI: 10.1080/10503307.2024.2378038
Omer Goren, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schectman, Maya Wolff, Dana Atzil-Slonim

Objective: The literature on affective regulation in psychotherapy has traditionally relied on explicit client self-report measures. However, both clients' and therapists' affect fluctuate moment-to-moment during a session, highlighting the need for more implicit and continuous indices to better understand these dynamics. This study examined parasympathetic interpersonal and intrapersonal regulation dynamics between therapists and clients with Major Depressive Disorder during Supportive-Expressive Therapy.

Method: Data were collected from 52 dyads across five preselected sessions, using the Respiratory Sinus Arrhythmia (RSA) index. We employed a longitudinal Actor-Partner Interdependence Model, with clients self-reporting their functioning level before and after each session, as the moderator.

Results: Therapists' RSA at one time point negatively associated with clients' RSA at the next, and vice-versa, indicating interpersonal regulation. Clients' RSA at one time point was positively associated with their RSA at the next, indicating intrapersonal regulation. However, only interpersonal regulation was significantly moderated by clients' pre-to-post session functioning. Specifically, sessions where clients led positive dyadic RSA associations showed greater improvement in clients' functioning than those led by therapists.

Conclusion: Physiological interpersonal regulation, measured by RSA, may be a catalyst for change in depression treatment. Therapists who are responsive to clients' arousal levels may help clients improve their functioning.

目的:有关心理治疗中情感调节的文献历来依赖于明确的客户自我报告测量。然而,在治疗过程中,求助者和治疗师的情绪会时常波动,因此需要更多隐性和连续性的指标来更好地了解这些动态变化。本研究考察了治疗师与患有重度抑郁障碍的求助者在支持-表达治疗过程中的副交感神经人际和人内调节动态:我们使用呼吸窦性节律(RSA)指数收集了 52 个二人组在五个预选疗程中的数据。我们采用了一个纵向的 "行为者-伴侣相互依赖模型",以治疗者在每次治疗前后自我报告的功能水平作为调节器:结果:治疗师在一个时间点的 RSA 与客户在下一个时间点的 RSA 负相关,反之亦然,这表明人际关系调节。客户在某一时点的 RSA 与他们在下一时点的 RSA 呈正相关,表明存在人际调节。然而,只有人际关系调节在很大程度上受到客户在疗程前和疗程后的功能调节。具体来说,与治疗师主导的疗程相比,客户主导的积极双向 RSA 关联对客户功能的改善更大:结论:以 RSA 衡量的生理人际调节可能是抑郁症治疗中改变的催化剂。对求助者的唤醒水平做出反应的治疗师可能会帮助求助者改善其功能。
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引用次数: 0
A person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy. 以人为本的跨诊断模式和模式特征方法,用于预测限时模式小组疗法的结果。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-17 DOI: 10.1080/10503307.2024.2375251
M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe

Objective: This study employs a person-centered transdiagnostic approach to examine how schema and mode profiles predict symptom severity reduction in schema group therapy for patients with personality disorders and enduring clinical syndromes.

Method: We analyzed symptom reduction in 248 patients across three formats of manualized, time-limited schema group therapy. Latent profile analysis and mixed multilevel modeling were used to determine the extent to which schema/mode classes predict symptom reduction, and whether the inclusion of individual schemas and modes enhances these predictions.

Results: No significant differences in treatment outcomes were found across the group modalities. A three latent profile solution for schemas and modes showed external validity with clinical variables and demonstrated that declines in symptom severity varied by schema and mode class, even after adjusting for baseline symptom severity. Adding the Vulnerability to Harm schema and Vulnerable Child mode to the model increased the explained variance.

Conclusion: Patients with more severe personality problems show more substantial symptom reduction. Both schema and mode profiles significantly contribute to predicting post-treatment symptom levels. Understanding these profiles may help therapists tailor interventions more effectively, consistent with Young's theoretical model.Trial registration: ISRCTN.org identifier: ISRCTN17262253.

研究目的本研究采用以人为本的跨诊断方法,研究模式和模式特征如何预测人格障碍和持久性临床综合征患者在模式小组疗法中症状严重程度的减轻:我们分析了248名患者在三种形式的手册化、有时间限制的图式团体治疗中症状减轻的情况。方法:我们对 248 名患者在三种模式下的症状减轻情况进行了分析,这三种模式都是手动操作、有时间限制的模式,我们使用了潜在特征分析和混合多层次模型来确定模式/模式类别对症状减轻的预测程度,以及纳入个体模式和模式是否会增强这些预测:结果:各组模式的治疗结果无明显差异。图式和模式的三种潜档案解决方案显示了与临床变量的外部有效性,并证明即使在调整了基线症状严重程度后,症状严重程度的下降也因图式和模式类别而异。在模型中加入易受伤害模式和易受伤害儿童模式可增加解释方差:结论:人格问题更严重的患者症状减轻的幅度更大。模式和模式特征对预测治疗后的症状水平有很大帮助。了解这些特征可以帮助治疗师更有效地定制干预措施,这与杨的理论模型是一致的:ISRCTN.org标识符:ISRCTN17262253。
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引用次数: 0
Direct retrospective measurement of therapeutic changes: an example using the Czech version of the Questionnaire of Personal Changes (Q-PC). 直接回顾性测量治疗变化:以捷克版个人变化问卷(Q-PC)为例。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-08 DOI: 10.1080/10503307.2024.2370357
Tomáš Řiháček, Kateřina Macková, Hynek Cígler

Objective: The study aimed to test the psychometric properties of the Czech translation of the Questionnaire of Personal Changes (Q-PC), a measure designed for retrospective (direct) measurement of change in psychotherapy.

Methods: A sample of group psychotherapy clients (N = 222) and a nonclinical sample (N = 167) sample were used. Clients in the clinical sample were administered the Q-PC in addition to several pre-post outcome measures. Confirmatory factor analysis, correlational analysis, and structural equation modeling were used to test the Q-PC's factor structure, longitudinal measurement invariance, reliability, convergent validity, sensitivity to change, and other psychometric properties.

Results: The Q-PC demonstrated a unidimensional structure that was strictly invariant between two follow-up measurement waves. The measure also demonstrated excellent reliability and sensitivity to change and good convergent validity. Furthermore, it demonstrated a similar relationship to baseline severity as the pre-post outcome measures.

Conclusions: The retrospective measurement of change is a promising approach that has the potential to complement the traditional pre-post measurement of change.

研究目的该研究旨在测试个人变化问卷(Q-PC)捷克语译文的心理测量特性:方法:采用团体心理治疗客户样本(N = 222)和非临床样本(N = 167)。临床样本中的受试者除了接受Q-PC测试外,还接受了几项前后结果测量。我们使用了确认性因子分析、相关分析和结构方程模型来测试 Q-PC 的因子结构、纵向测量不变性、可靠性、收敛有效性、对变化的敏感性以及其他心理测量特性:结果:Q-PC显示了一个单维结构,在两个随访测量波之间具有严格的不变性。该测量结果还显示出极佳的可靠性和对变化的敏感性,以及良好的收敛效度。此外,它与基线严重程度之间的关系与前后结果测量相似:结论:对变化进行回顾性测量是一种很有前途的方法,有可能对传统的事后前变化测量进行补充。
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引用次数: 0
Within-person changes in aversive reactivity predict session-to-session reductions in anxiety and depression in the unified protocol. 在统一方案中,厌恶反应的人内变化预测了焦虑和抑郁的会话间减少。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-09-13 DOI: 10.1080/10503307.2023.2254467
Stephen A Semcho, Matthew W Southward, Nicole E Stumpp, Michelle M Smith, Martina Fruhbauerova, Shannon Sauer-Zavala

ABSTRACTThe Unified Protocol (UP) theoretically leads to reductions in emotional disorder symptoms by reducing aversive reactions to emotions. However, aversive reactions can take many forms (e.g., non-acceptance, behavioral avoidance). We examined if (1) multiple aspects of aversive reactivity predicted session-to-session changes in anxiety and depression in the UP, (2) these aspects reflected a single latent construct, and (3) changes in this latent construct predicted changes in anxiety and depression. Participants (N = 70, Mage = 33.74, 67.1% female, 74.3% white) completed six sessions of UP modules and measures of aversive reactivity, anxiety, and depression before each session. We used hierarchical linear modeling and random-intercept cross-lagged panel models to test aspects of aversive reactivity and a latent factor of aversive reactivity, respectively, as predictors of session-to-session changes in anxiety and depression. Within-person improvements in four of five aspects of aversive reactivity predicted decreases in anxiety, and improvements in two aspects predicted decreases in depression. However, within-person improvements in latent aversive reactivity predicted decreases in anxiety at five sessions and in depression across all sessions. These results add to the growing literature highlighting the role of aversive reactivity as a potential transdiagnostic process involved in improvements in emotional disorder symptoms during treatment.

摘要统一协议(UP)理论上通过减少对情绪的厌恶反应来减少情绪障碍症状。然而,厌恶反应可以采取多种形式(例如,不接受、行为回避)。我们研究了(1)厌恶反应的多个方面是否预测了UP中焦虑和抑郁的会话间变化,(2)这些方面是否反映了单个潜在结构,以及(3)这种潜在结构的变化是否预测了焦虑和抑郁变化。参与者(N = 70,法师 = 33.74,67.1%的女性,74.3%的白人)在每节课之前完成了六节UP模块和厌恶反应、焦虑和抑郁的测量。我们使用分层线性模型和随机截距交叉滞后面板模型分别测试厌恶反应和厌恶反应的一个潜在因素,作为焦虑和抑郁会话间变化的预测因素。在厌恶反应的五个方面中,有四个方面的人内改善预示着焦虑的减少,两个方面的改善预示着抑郁的减少。然而,潜在厌恶反应的人内改善预测了五次治疗中焦虑和所有治疗中抑郁的减少。这些结果增加了越来越多的文献,强调厌恶反应作为一种潜在的跨诊断过程在治疗期间改善情绪障碍症状方面的作用。
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引用次数: 0
Direct and indirect effects of adverse and protective childhood experiences on symptom improvement in psychotherapy. 不良童年经历和保护性童年经历对心理治疗中症状改善的直接和间接影响。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-09-14 DOI: 10.1080/10503307.2023.2254917
David Kindermann, Ivo Rollmann, Maximilian Orth, Hans-Christoph Friederich, Christoph Nikendei

To investigate the effects of adverse and protective childhood experiences on symptom improvement in outpatient psychotherapy.

We evaluated n = 648 completed outpatient psychodynamic psychotherapies. First, we estimated the rate of symptom improvement for each patient using a two-stage hierarchical linear model. We then calculated the direct and indirect influences of childhood experiences on the improvement rate using a structural equation model. Personality functioning, according to the Operationalized Psychodynamic Diagnosis system, was examined as being a possible mediating factor.

The presence of adverse childhood experiences was directly associated with a slower improvement rate in psychotherapy. Moreover, a higher number of adverse childhood experiences was associated with greater impairments in the ability to communicate as one dimension of personality functioning, which in turn was associated with a slower improvement of symptoms. Protective childhood experiences were associated with fewer impairments in specific dimensions of personality functioning, but had no direct effect on the improvement rate.

Adverse childhood experiences can directly influence the course of psychotherapy. In addition, the communication dimension of personality functioning appears to be a central mediator on which adverse and protective childhood experiences act antagonistically and can thus indirectly affect the improvement rate in psychotherapy.

我们评估了n = 648名已完成门诊心理动力学心理治疗的患者。首先,我们使用两阶段分层线性模型估算了每位患者的症状改善率。然后,我们利用结构方程模型计算了童年经历对症状改善率的直接和间接影响。童年不良经历与心理治疗的改善率直接相关。此外,童年的不良经历越多,人格功能的一个维度--沟通能力的损伤就越大,这反过来又与症状的改善速度减慢有关。保护性童年经历与较少的人格功能特定维度损伤有关,但对改善率没有直接影响。此外,人格功能的沟通维度似乎是一个核心中介因素,不良童年经历和保护性童年经历在其中起着拮抗作用,因此会间接影响心理治疗的改善率。
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引用次数: 0
The Cooper-Norcross Inventory of Preferences: Measurement invariance across international datasets and languages. 库珀-诺克罗斯偏好量表:跨国际数据集和语言的测量不变性。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-09-15 DOI: 10.1080/10503307.2023.2255371
Tomáš Řiháček, Mick Cooper, Hynek Cígler, Zhuang She, Gina Di Malta, John C Norcross

Objective: The Cooper-Norcross Inventory of Preferences (C-NIP) is a brief, multidimensional measure of clients' therapy preferences. This study aimed to examine the factor structure and measurement invariance of the C-NIP.

Method: Fifteen datasets (N = 10,088 observations) representing the C-NIP in nine language versions were obtained from authors of psychometric studies. Confirmatory factor analysis and exploratory structural equation modeling were used to analyze the data.

Results: None of the proposed models adequately fit the data. Therefore, a new model was developed that sufficiently fit most of the C-NIP version 1.1 datasets. The new model was invariant up to the strict and means levels across genders, ages, and psychotherapy experience but only up to the metric level across translations.

Conclusions: The C-NIP can be used to compare men and women, people of diverse ages, and people with some vs. no experience with psychotherapy. Lower reliabilities of the C-NIP scales are a limitation.

目的:库珀-诺克罗斯偏好量表(C-NIP)是一种简短、多维度的客户治疗偏好测量方法。本研究旨在检验 C-NIP 的因子结构和测量不变性:方法:从心理测量学研究的作者处获得了 15 个数据集(N = 10,088 个观测值),这些数据集代表了 C-NIP 的 9 种语言版本。方法:从心理测量研究的作者处获得了 15 个数据集(N = 10,088 个观测值),这些数据集代表了 9 种语言版本的 C-NIP 数据:结果:所提出的模型都不能充分拟合数据。因此,我们建立了一个新模型,该模型能够充分拟合大多数 C-NIP 1.1 版数据集。新模型在不同性别、年龄和心理治疗经验的严格水平和均值水平上是不变的,但在不同翻译的度量水平上是不变的:C-NIP可用来比较男性和女性、不同年龄段的人以及有心理治疗经验和没有心理治疗经验的人。C-NIP量表的信度较低是其局限性之一。
{"title":"The Cooper-Norcross Inventory of Preferences: Measurement invariance across international datasets and languages.","authors":"Tomáš Řiháček, Mick Cooper, Hynek Cígler, Zhuang She, Gina Di Malta, John C Norcross","doi":"10.1080/10503307.2023.2255371","DOIUrl":"10.1080/10503307.2023.2255371","url":null,"abstract":"<p><strong>Objective: </strong>The Cooper-Norcross Inventory of Preferences (C-NIP) is a brief, multidimensional measure of clients' therapy preferences. This study aimed to examine the factor structure and measurement invariance of the C-NIP.</p><p><strong>Method: </strong>Fifteen datasets (<i>N</i> = 10,088 observations) representing the C-NIP in nine language versions were obtained from authors of psychometric studies. Confirmatory factor analysis and exploratory structural equation modeling were used to analyze the data.</p><p><strong>Results: </strong>None of the proposed models adequately fit the data. Therefore, a new model was developed that sufficiently fit most of the C-NIP version 1.1 datasets. The new model was invariant up to the strict and means levels across genders, ages, and psychotherapy experience but only up to the metric level across translations.</p><p><strong>Conclusions: </strong>The C-NIP can be used to compare men and women, people of diverse ages, and people with some vs. no experience with psychotherapy. Lower reliabilities of the C-NIP scales are a limitation.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"804-816"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10263580","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
Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists' attitudes and practices. 告知患者心理治疗可能产生的负面影响:瑞典临床心理学家的态度和实践调查。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-09-27 DOI: 10.1080/10503307.2023.2259064
Fanny Westin, Alexander Rozental

Objective: The present study explored Swedish clinical psychologists' attitudes and practices of informing patients about possible negative effects of psychological treatment.

Method: An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age M = 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ2, binominal regression analysis, and thematic analysis.

Results: No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.

Conclusion: The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.

目的:本研究探讨瑞典临床心理学家告知患者心理治疗可能产生的负面影响的态度和做法。方法:通过Facebook和两个邮件列表分发一份匿名在线调查,包括封闭式和开放式问题。总共有320名临床心理学家(年龄M = 38.6,标准差 = 10.3;76%为女性;77.3%的认知行为疗法)完成了调查。采用χ2、二项回归分析和主题分析对回答进行分析。结果:先验选择的人口统计学变量与告知患者可能的负面影响(即实践年限、治疗方向、年龄和男性)之间没有发现显著关联。主题分析产生了一些积极的态度(例如,对治疗产生现实的期望并提高恢复力)和消极的态度(如,引起过度担忧),即与患者分享可能产生的负面影响的信息。它还揭示了阻碍就这一主题进行公开讨论的各种因素,尽管这些因素被认为是重要的。结论:向患者提供可能的负面影响信息的必要性应包括在伦理指南、行为准则中,并在临床培训中教授。然而,缺乏知识、恐惧、缺乏时间和患者特征似乎阻碍了治疗师在知情同意程序中讨论这个问题。
{"title":"Informing patients about possible negative effects of psychological treatment: A survey of Swedish clinical psychologists' attitudes and practices.","authors":"Fanny Westin, Alexander Rozental","doi":"10.1080/10503307.2023.2259064","DOIUrl":"10.1080/10503307.2023.2259064","url":null,"abstract":"<p><strong>Objective: </strong>The present study explored Swedish clinical psychologists' attitudes and practices of informing patients about possible negative effects of psychological treatment.</p><p><strong>Method: </strong>An anonymous online survey with closed and open-ended questions was distributed via Facebook and two mailing lists. In total, 320 clinical psychologists (age <i>M </i>= 38.6, SD = 10.3; 76% women; 77.3% Cognitive Behavior Therapy) completed the survey. Responses were analyzed using χ<sup>2</sup>, binominal regression analysis, and thematic analysis.</p><p><strong>Results: </strong>No significant associations were identified between demographic variables selected a priori and informing patients about possible negative effects, i.e., years in practice, therapeutic orientation, age, and male gender. The thematic analysis resulted in several positive (e.g., creating realistic expectations of treatment and increasing resilience) and negative attitudes (e.g., causing excessive worry) of sharing patients with information about possible negative effects. It also revealed various factors that prevent an open discussion on the topic, despite being seen as important.</p><p><strong>Conclusion: </strong>The need to offer patients information about possible negative effects should be included in ethical guidelines, codes of conduct, and taught during clinical training. Lack of knowledge, fear, lack of time, and patient characteristics however seem to prevent therapists from discussing the issue during the informed consent procedure.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"709-721"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137595","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
The effect of therapists' enactment interventions in promoting vulnerability sharing in emotion focused couple therapy. 在以情感为重点的夫妻治疗中,治疗师的行为干预对促进分享脆弱性的影响。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-08-23 DOI: 10.1080/10503307.2023.2245961
Ofra Kula, Reut Machluf, Ben Shahar, Leslie S Greenberg, Eran Bar-Kalifa

Objective: The primary purported change process in emotion-focused therapy for couples (EFT-C) involves partners accessing and revealing their underlying vulnerable emotions and responding empathically when their partners disclose their vulnerable emotions. One main intervention to facilitate vulnerability sharing is enactment - guiding partners to interact directly with each other. The objective of the current study was to identify interventions therapists can use to help partners share vulnerability in the context of enactment. The primary hypothesis of this study was that promoting these interventions would lead to more vulnerability expressions during enactments.

Method: One hundred and five vulnerability enactment events were identified from videod therapy sessions of 33 couples dealing with a significant emotional injury who received 12 sessions of EFT-C. Four therapists' interventions were coded: setting a meaningful systemic context, promoting the revealing partner's emotional engagement, preparing the revealing partner for enactment, and promoting the listening partner's emotional engagement in the enactment. In addition, vulnerability expression was coded.

Results: Multilevel regression models showed that two interventions were significantly associated with greater levels of expressed vulnerability: setting a meaningful systemic context, and preparing the revealing partner for enactment.

Conclusion: These findings suggest that therapists can facilitated vulnerability sharing using specific preparatory interventions.

目的:夫妻情感焦点疗法(EFT-C)所宣称的主要改变过程涉及伴侣获取和揭示其潜在的脆弱情绪,并在伴侣揭示其脆弱情绪时做出共情回应。促进脆弱情绪分享的一项主要干预措施是 "颁布"--引导伴侣直接与对方互动。本研究的目的是确定治疗师可以使用哪些干预措施,以帮助伴侣在 "行为 "的背景下分享脆弱情绪。本研究的主要假设是,推广这些干预措施将导致更多的脆弱表现:从 33 对接受了 12 次 EFT-C 治疗的夫妻的视频治疗过程中,确定了 105 个脆弱表现事件。对治疗师的四项干预进行了编码:设置有意义的系统情境、促进揭示伴侣的情感参与、为揭示伴侣的表露做准备,以及促进倾听伴侣在表露中的情感参与。此外,还对脆弱性表达进行了编码:多层次回归模型显示,有两项干预措施与脆弱性表达水平的提高有显著相关性:设置有意义的系统背景,以及为揭示伙伴的表演做准备:这些研究结果表明,治疗师可以通过特定的准备性干预来促进脆弱性的分享。
{"title":"The effect of therapists' enactment interventions in promoting vulnerability sharing in emotion focused couple therapy.","authors":"Ofra Kula, Reut Machluf, Ben Shahar, Leslie S Greenberg, Eran Bar-Kalifa","doi":"10.1080/10503307.2023.2245961","DOIUrl":"10.1080/10503307.2023.2245961","url":null,"abstract":"<p><strong>Objective: </strong>The primary purported change process in emotion-focused therapy for couples (EFT-C) involves partners accessing and revealing their underlying vulnerable emotions and responding empathically when their partners disclose their vulnerable emotions. One main intervention to facilitate vulnerability sharing is enactment - guiding partners to interact directly with each other. The objective of the current study was to identify interventions therapists can use to help partners share vulnerability in the context of enactment. The primary hypothesis of this study was that promoting these interventions would lead to more vulnerability expressions during enactments.</p><p><strong>Method: </strong>One hundred and five vulnerability enactment events were identified from videod therapy sessions of 33 couples dealing with a significant emotional injury who received 12 sessions of EFT-C. Four therapists' interventions were coded: setting a meaningful systemic context, promoting the revealing partner's emotional engagement, preparing the revealing partner for enactment, and promoting the listening partner's emotional engagement in the enactment. In addition, vulnerability expression was coded.</p><p><strong>Results: </strong>Multilevel regression models showed that two interventions were significantly associated with greater levels of expressed vulnerability: setting a meaningful systemic context, and preparing the revealing partner for enactment.</p><p><strong>Conclusion: </strong>These findings suggest that therapists can facilitated vulnerability sharing using specific preparatory interventions.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"748-759"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10049218","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
Exploring mental health dynamics during eating disorder treatment: A psychometric network study with panel data. 探索饮食失调症治疗过程中的心理健康动态:使用面板数据的心理测量网络研究。
IF 3.9 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-09-08 DOI: 10.1080/10503307.2023.2254918
Jan Alexander de Vos, Mirjam Radstaak, Peter M Ten Klooster, Ernst T Bohlmeijer, Gerben J Westerhof

To explore mental health associations during eating disorder (ED) treatment. Based on the dual-continua model of mental health, general and ED-specific psychopathology, as well as emotional, psychological, and social well-being were considered as mental health domains.

Network analyses with panel data were applied to explore within- (temporal and contemporaneous networks) and between-person effects in a sample of 1250 female ED patients during 12 months of outpatient treatment. The associations between the domains and their centrality were examined. Autoregressive and cross-lagged effects were also estimated.

ED psychopathology was the most central domain in the temporal network. ED psychopathology changes predicted further ED psychopathology changes and small changes in the other domains. Weak bi-directional associations were found between changes in the well-being domains and general psychopathology. In contrast to the temporal network, ED psychopathology was the least central and psychological well-being the most central domain in the contemporaneous and between-subjects networks. This suggests a central role of psychological well-being for experiencing mental health within time points.

ED psychopathology may change relatively independent from other mental health domains. Well-being domains may be considered as more stable aspects of mental health.

探讨饮食失调症(ED)治疗过程中的心理健康关联。在1250名女性饮食失调症患者12个月的门诊治疗过程中,采用面板数据网络分析来探讨人内(时间和同期网络)和人际效应。研究还考察了各领域及其中心性之间的关联。ED 精神病理是时间网络中最核心的领域。ED 精神病理的变化预示着 ED 精神病理的进一步变化以及其他领域的微小变化。幸福感领域的变化与一般精神病理学之间存在微弱的双向关联。与时间网络相反,在同期网络和受试者间网络中,ED 精神病学是最不重要的领域,而心理健康则是最重要的领域。这表明,心理健康对于在时间点内体验心理健康起着核心作用。幸福感领域可被视为心理健康更稳定的方面。
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引用次数: 0
Client-reported impact of the Attempted Suicide Short Intervention Program. 客户报告了自杀未遂短期干预计划的影响。
IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-01 Epub Date: 2023-10-05 DOI: 10.1080/10503307.2023.2259070
Selma Gaily-Luoma, Jukka Valkonen, Juha Holma, Aarno Laitila

Background: A history of attempted suicide is the most significant predictor of suicidal death. Several brief interventions aimed at tertiary suicide prevention have been investigated in clinical trials. However, suicide attempt survivors' experiences of such interventions have rarely been reported.

Objective: To explore how suicide attempt survivors perceive the impact of the Attempted Suicide Short Intervention Program (ASSIP).

Method: We interviewed 14 Finnish adults who had received ASSIP as an adjunct to treatment as usual. Semi-structured interviews took place 4-10 weeks after the last ASSIP session. A conventional content analysis of the interview data is presented.

Results: Three core categories depicting ASSIP's perceived impact were identified. The core category life-affirming change comprised subcategories of feeling better, thinking differently, acting differently, and having new resources. The core category collateral effects comprised difficult feelings and cognitive overload. The core category incompleteness of change comprised lack of desired change, gains as incomplete, need for sustenance, and unrealized potential.

Conclusion: Clients perceived ASSIP as effectively facilitating life-affirming change but agreed that further support was necessary to retain and build on these gains. Identified needs for improvement included more predictable post-ASSIP service paths and more support for involving affected loved ones.

背景:自杀未遂史是自杀死亡的最重要预测因素。针对三级自杀预防的几种简短干预措施已在临床试验中进行了调查。然而,自杀未遂幸存者的此类干预经历很少被报道。目的:探讨自杀未遂幸存者如何看待自杀未遂短期干预计划(ASSIP)的影响。方法:我们采访了14名芬兰成年人,他们像往常一样接受了ASSIP辅助治疗。半结构化访谈在最后一次ASSIP会议后4-10周进行。对访谈数据进行了传统的内容分析。结果:确定了描述ASSIP感知影响的三个核心类别。生命肯定变化的核心类别包括感觉更好、思维不同、行为不同和拥有新资源的子类别。核心类别的附带效应包括困难的感觉和认知过载。变革的核心范畴不完整性包括缺乏期望的变革、收益不完整、需要维持和未实现的潜力。结论:客户认为ASSIP有效地促进了肯定生活的变革,但也同意有必要提供进一步的支持,以保留和巩固这些成果。已确定的改进需求包括更可预测的援助后服务路径,以及为受影响的亲人提供更多支持。
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引用次数: 0
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Psychotherapy Research
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