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Psychotherapy Research: Journal of the Society for Psychotherapy Research

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https://www.readbyqxmd.com/read/30012060/daily-dynamic-assessment-and-modelling-of-intersession-processes-in-ambulatory-psychotherapy-a-proof-of-concept-study
#1
Tim Kaiser, Anton-Rupert Laireiter
BACKGROUND: the typical mode of assessment in studies on intersession processes (ISP) in psychotherapy is using cross-sectional or weekly measurements. Daily dynamics of intersession processes have not yet been studied. METHOD: intersession process data from 22 ambulatory psychotherapy cases were collected in a naturalistic study with high temporal resolution, resulting in a total of 1026 daily measurements. Multilevel vector autoregressive (VAR) modelling was applied to discover the temporal course and causal influences among intersession processes...
July 16, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/30005586/dropout-from-interpersonal-psychotherapy-for-mental-health-disorders-a-systematic-review-and-meta-analysis
#2
Jake Linardon, Ellen E Fitzsimmons-Craft, Leah Brennan, Mary Barillaro, Denise E Wilfley
OBJECTIVE: Dropout is one factor that might limit the effectiveness of interpersonal psychotherapy (IPT). Improved understanding of IPT dropout is an important research priority. This meta-analysis examined dropout rates from IPT in randomized controlled trials. METHOD: Seventy-two trials met inclusion criteria. RESULTS: The weighted mean dropout rate from IPT was 20.6% (95% CI = 17.4-24.2). Dropout rates were similar for depressive (20...
July 13, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/30005584/dialectical-behavior-therapy-skills-training-affects-defense-mechanisms-in-borderline-personality-disorder-an-integrative-approach-of-mechanisms-in-psychotherapy
#3
Sebastian Euler, Esther Stalujanis, Gilles Allenbach, Stéphane Kolly, Yves De Roten, Jean-Nicolas Despland, Ueli Kramer
OBJECTIVE: Borderline personality disorder (BPD) is characterized by immature defense mechanisms. Dialectical behavior therapy (DBT) is an effective treatment for BPD. However, understanding the underlying mechanisms of change is still limited. Using a transtheoretical framework, we investigated the effect of DBT skills training on defense mechanisms. METHOD: In this randomized controlled trial, 16 of 31 BPD outpatients received DBT skills training adjunctive to individual treatment as usual (TAU), while the remaining 15 received only individual TAU...
July 13, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29961395/ruptures-in-psychotherapy-experiences-of-therapist-trainees
#4
Kathryn V Kline, Clara E Hill, Taylor Morris, Seini O'Connor, Ryan Sappington, Collin Vernay, Gabriela Arrazola, Michelle Dagne, Hide Okuno
METHOD: We used consensual qualitative research (CQR) to investigate the experiences of therapist trainees who had a rupture with a client. RESULTS: Of 21 trainees who were tracked weekly, 14 experienced a rupture and were interviewed 1 week after the rupture and again 2 weeks later about antecedents, repair attempts, and consequences. Trainees typically reported experiencing tension at the beginning of the rupture session and difficult emotions during the rupture (e...
June 30, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29958509/psychotherapy-for-eating-disorders-a-meta-analysis-of-direct-comparisons
#5
Renee Grenon, Samantha Carlucci, Agostino Brugnera, Dominique Schwartze, Nicole Hammond, Iryna Ivanova, Nancy Mcquaid, Genevieve Proulx, Giorgio A Tasca
OBJECTIVE: We conducted a meta-analysis of randomized controlled trials (RCTs) of bona fide psychotherapy for adults with eating disorders (EDs). METHOD: Thirty-five RCTs with 54 direct comparisons were included. The majority of RCTs included participants with bulimia nervosa and/or binge-ED, while only two RCTs included participants with anorexia nervosa, and three RCTs included participants with an ED not otherwise specified. RESULTS: There was a clear advantage of bona fide psychotherapy over wait-list controls...
June 29, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29954290/do-what-you-say-and-say-what-you-are-going-to-do-a-preliminary-meta-analysis-of-client-change-and-sustain-talk-subtypes-in-motivational-interviewing
#6
Molly Magill, Michael H Bernstein, Ariel Hoadley, Brian Borsari, Timothy R Apodaca, Jacques Gaume, J Scott Tonigan
OBJECTIVE: This meta-analysis examines the predictive validity of client change language subtypes in motivational interviewing (MI) sessions addressing addictive behavior change. METHOD: A systematic review identified k = 13 primary studies, contributing 16 MI conditions (N = 1556). The pooled correlation coefficient was used to assess the significance, direction, and strength of seven language subtypes (i.e., reason, desire, need, ability, commitment, taking steps, and other) by three valences (i...
June 28, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29950137/-it-s-both-a-strength-and-a-drawback-how-therapists-personal-qualities-are-experienced-in-their-professional-work
#7
Ida Stange Bernhardt, Helene Nissen-Lie, Christian Moltu, John McLeod, Marit Råbu
OBJECTIVE: The aim of this study was to gain knowledge about how the integration of personal and professional experiences affects therapeutic work. METHOD: Therapists (N = 14) who had been recommended by their leaders at their individual workplaces were interviewed twice with semi-structured qualitative interviews, which were then subjected to thematic and Interpretative Phenomenological Analysis. RESULTS: All the therapists in the sample described their personal qualities as an experienced tension between their personal strengths and vulnerabilities in the therapeutic setting...
June 27, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29781394/effects-of-cognitive-behavioral-therapy-with-relaxation-vs-imagery-rescripting-on-psychophysiological-stress-responses-of-students-with-test-anxiety-in-a-randomized-controlled-trial
#8
Neele Reiss, Irene Warnecke, Ana Nanette Tibubos, Theano Tolgou, Ursula Luka-Krausgrill, Sonja Rohrmann
BACKGROUND AND OBJECTIVES: Psychophysiological measures were assessed in university students during a test simulation before and after group treatment for test anxiety based on cognitive behavioral therapy (CBT), including relaxation techniques (CBT + R) or imagery rescripting (CBT + ImRs) and a moderated self-help group (SH) to understand if psychophysiological stress responses change after treatment. DESIGN: Students suffering from test anxiety were recruited (n = 180) and three different test anxiety treatments administered in 3-hr group sessions once a week over a period of five weeks...
May 21, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29724135/a-meta-analysis-of-the-effect-of-therapist-experience-on-outcomes-for-clients-with-internalizing-disorders
#9
Lucia M Walsh, McKenzie K Roddy, Kelli Scott, Cara C Lewis, Amanda Jensen-Doss
OBJECTIVE: This meta-analysis synthesized the literature regarding the effect of therapist experience on internalizing client outcomes to evaluate the utility of lay providers in delivering treatment and to inform therapist training. METHOD: The analysis included 22 studies, contributing 208 effect sizes. Study and client characteristics were coded to examine moderators. We conducted subgroup meta-analyses examining the relationship of therapist experience across a diverse set of internalizing client outcomes...
May 3, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29722613/a-comparison-between-the-clinical-significance-and-growth-mixture-modelling-early-change-methods-at-predicting-negative-outcomes
#10
Nicola Flood, Andrew Page, Geoff Hooke
OBJECTIVE: Routine outcome monitoring benefits treatment by identifying potential no change and deterioration. The present study compared two methods of identifying early change and their ability to predict negative outcomes on self-report symptom and wellbeing measures. METHOD: 1467 voluntary day patients participated in a 10-day group Cognitive Behaviour Therapy (CBT) program and completed the symptom and wellbeing measures daily. Early change, as defined by (a) the clinical significance method and (b) longitudinal modelling, was compared on each measure...
May 3, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28899230/research-on-the-alliance-knowledge-in-search-of-a-theory
#11
Adam O Horvath
OBJECTIVES: The aim of this review paper is to summarize the challenges facing research on the alliance now and going forward. The review begins with a brief overview of the development of the concept of the alliance in historical context. METHOD: A summary of what has been accomplished both within the psychotherapy research community and in other professions is presented. Current challenges facing this line of research are identified, including the existence of a wide range of operational definitions that results in a diffusion of the identity of the alliance concept...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27903132/a-trans-theoretical-training-designed-to-promote-understanding-and-management-of-countertransference-for-trainee-therapists
#12
Claire Cartwright, Carrie Barber, Sue Cowie, Neil Thompson
OBJECTIVE: There is evidence that awareness of countertransference (CT) in combination with a conceptualization of CT facilitates its management. This study examines the impact of a trans-theoretical training designed to make the construct of CT accessible to trainee therapists in programs oriented towards cognitive-behavioral therapy. The training aimed to enhance trainees' awareness, understanding, and management of CT. METHOD: Academics at five New Zealand universities introduced the training into their curriculum...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27855541/relaxation-induced-anxiety-effects-of-peak-and-trajectories-of-change-on-treatment-outcome-for-generalized-anxiety-disorder
#13
Michelle G Newman, Lucas S Lafreniere, Nicholas C Jacobson
OBJECTIVE: Evidence is mixed regarding whether relaxation-induced anxiety (RIA) impedes relaxation training (RT) efficacy. Unlike past studies that averaged RIA across sessions, we examined peak RIA, change in RIA level across sessions, and timing of peak RIA with outcome. METHOD: This was a secondary analysis of Borkovec, Newman, Pincus, and Lytle [2002. A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27827093/learning-from-clients-a-qualitative-investigation-of-psychotherapists-reactions-to-negative-verbal-feedback
#14
Heidi Brattland, Juni R Høiseth, Olav Burkeland, Tryggve S Inderhaug, Per E Binder, Valentina C Iversen
OBJECTIVE: To explore how therapists experience, react to, and learn from negative feedback from their clients. METHOD: Eighteen experienced therapists' written descriptions of episodes where they had received negative verbal feedback from clients were analyzed according to the Consensual Qualitative Research methodology. RESULTS: Receiving feedback was experienced as challenging, but educational. Learning was manifested in different ways: (a) Immediately Applied Learning-therapists improved the following therapy process by changing their behavior with the client, (b) Retrospectively Applied Learning-therapists made changes in their way of working with subsequent clients, and (c) Non-Applied Learning-new ideas generated by the experience had not been translated into behavior...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27799015/differential-responses-of-positive-affect-negative-affect-and-worry-in-cbt-for-generalized-anxiety-disorder-a-person-specific-analysis-of-symptom-course-during-therapy
#15
Hannah G Bosley, Aaron J Fisher, C Barr Taylor
INTRODUCTION: Research indicates that individuals with generalized anxiety disorder (GAD) may experience deficits in positive affect (PA), and tend to dampen or intentionally suppress PA. Despite the presence of PA-related pathology in GAD, little is known about change in PA during GAD treatment. OBJECTIVE: This study examines changes in PA, negative affect (NA) and worry in seven participants during cognitive behavioral therapy (CBT) for GAD. METHOD: Intensive repeated measures (i...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27781568/delivering-solid-treatments-on-shaky-ground-feasibility-study-of-an-online-therapy-for-child-anxiety-in-the-aftermath-of-a-natural-disaster
#16
K Stasiak, S N Merry, C Frampton, S Moor
OBJECTIVE: To assess feasibility of online cognitive behaviour therapy (CBT) for children and adolescents with anxiety in the aftermath of a natural disaster. METHOD: 42 children and adolescents with clinical anxiety referred from primary care were invited to complete an internet CBT program (BRAVE-ONLINE). Outcome measures and assessment timelines were chosen to allow a comparison of the results with the program developers' randomised controlled trials. RESULTS: At 6-month post intervention, more than half (55%) of the 33 participants assessed, no longer met criteria for their primary anxiety disorder...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27756184/the-impact-of-resistance-on-empathy-in-cbt-for-generalized-anxiety-disorder
#17
Kimberley M Hara, Henny A Westra, Michael J Constantino, Martin M Antony
OBJECTIVE: Client resistance has been shown to relate to poorer therapy outcomes, thus making it important to better understand the mechanisms underlying this association. Given observational research suggesting that therapist empathy decreases during moments of resistance, the present study examined client-rated therapist empathy as a potential mediator of the resistance-outcome association. METHOD: Participants included 44 therapist-client dyads receiving cognitive-behavioral therapy for generalized anxiety disorder...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27653284/a-self-report-version-of-the-ways-of-responding-reliability-and-validity-in-a-clinical-sample
#18
Seohyun Yin, Mary Beth Connolly Gibbons, Caroline Diehl, Robert Gallop, Paul Crits-Christoph
OBJECTIVE: The Ways of Responding (WOR) instrument measures compensatory skills, a central construct in some theories of the mechanism of cognitive therapy for depression. However, the instrument is time-consuming and expensive to use in community settings, because it requires trained independent judges to rate subjects' open-ended written responses to depressogenic scenarios. The present study evaluated the reliability and validity of a self-report version of the WOR (WOR-SR) in a community mental health sample with depressive symptoms (N = 467)...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27616739/unpacking-the-therapist-effect-impact-of-treatment-length-differs-for-high-and-low-performing-therapists
#19
Simon B Goldberg, William T Hoyt, Helene A Nissen-Lie, Stevan Lars Nielsen, Bruce E Wampold
OBJECTIVE: Differences between therapists in their average outcomes (i.e., therapist effects) have become a topic of increasing interest in psychotherapy research in the past decade. Relatively little work, however, has moved beyond identifying the presence of significant between-therapist variability in patient outcomes. The current study sought to examine the ways in which therapist effects emerge over the course of time in psychotherapy. METHOD: We used a large psychotherapy data set (n = 5828 patients seen by n = 158 therapists for 50,048 sessions of psychotherapy) and examined whether outcomes diverge for high-performing (HP) and low-performing (LP) therapists as treatment duration increases...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27602795/therapists-recognition-of-alliance-ruptures-as-a-moderator-of-change-in-alliance-and-symptoms
#20
Roei Chen, Dana Atzil-Slonim, Eran Bar-Kalifa, Ilanit Hasson-Ohayon, Eshkol Refaeli
Therapists' awareness of ruptures in the alliance may determine whether such ruptures will prove beneficial or obstructive to the therapy process. OBJECTIVE: This study investigated the associations between therapists' recognition of these ruptures, and changes in clients' alliance ratings and symptom reports, using time-series data in a naturalistic treatment setting. METHOD: Eighty-four clients treated by 56 therapists completed alliance measures after each session, and the clients also completed symptom measures at the beginning of each session...
July 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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