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  • 1
    Online Resource
    Online Resource
    Narrative Reconstruction as an Intervention for Posttraumatic Stress Disorder: A Pilot Delayed Intervention Quasi‐Randomized Controlled Trial
    Wiley ; 2021
    In:  Journal of Traumatic Stress Vol. 34, No. 1 ( 2021-02), p. 92-103
    Details
    In: Journal of Traumatic Stress, Wiley, Vol. 34, No. 1 ( 2021-02), p. 92-103
    Abstract: JOTS‐19‐0049.R3_Gofman_Cantonese Traditional Chinese 創傷後壓力症的敘事重建干預:一項實驗性延遲干預準隨機對照試驗 摘要: 雖然有經驗支持的創傷後壓力症 (PTSD) 的治療存在, 但許多患者未能完成治療, 沒有反應, 或在治療後仍有症狀。本文介紹了一項延遲干預的準隨機對照研究的結果。該研究評估了敘事重建作為創傷後壓力症綜合干預措施的有效性。在敘事重建過程中, 病人和治療師對病人的創傷經歷進行有組織的、連貫的、詳細的書面敘述。另外, 敘事重建的重點是得出創傷性經歷對病人的主觀意義, 因為這與他們的個人歷史有關。所以, 治療師詢問患者有關創傷事件與其他記憶和生活事件之間的聯繫。在本研究中, 30名患有創傷後壓力症的參與者被隨機分配到即時 (參與人數 = 17) 或延遲 (參與人數 = 13) 的15個階段的敘事重建干預。在基線、治療後和15週的隨訪中, 立即敘事重建組的參與者使用自我報告措施和結構化訪談進行評估。延遲敘事重建組的參與者在基線、等待名單/預處理後和治療後的評估中得到了評價。預處理評估的數據顯示組間沒有明顯的差異。混合線性模型顯示, 從治療前到治療後, 對創傷後症狀嚴重程度的干預效果明顯, 為d = 1.17。儘管目前為初步階段, 這些前景樂觀的研究發現表明, 敘事重建可能是一種有效的獨立療法, 或者是對目前有效的治療策略的補充。 Simplified Chinese 创伤后压力症的叙事重建干预:一项实验性延迟干预准随机对照试验 摘要: 虽然有经验支持的创伤后压力症 (PTSD) 的治疗存在, 但许多患者未能完成治疗, 没有反应, 或在治疗后仍有症状。本文介绍了一项延迟干预的准随机对照研究的结果。该研究评估了叙事重建作为创伤后压力症综合干预措施的有效性。在叙事重建过程中, 病人和治疗师对病人的创伤经历进行有组织的、连贯的、详细的书面叙述。另外, 叙事重建的重点是得出创伤性经历对病人的主观意义, 因为这与他们的个人历史有关。所以, 治疗师询问患者有关创伤事件与其他记忆和生活事件之间的联系。在本研究中, 30名患有创伤后压力症的参与者被随机分配到实时 (参与人数 = 17) 或延迟 (参与人数 = 13) 的15个阶段的叙事重建干预。在基线、治疗后和15周的随访中, 立即叙事重建组的参与者使用自我报告措施和结构化访谈进行评估。延迟叙事重建组的参与者在基线、等待名单/预处理后和治疗后的评估中得到了评价。预处理评估的数据显示组间没有明显的差异。混合线性模型显示, 从治疗前到治疗后, 对创伤后症状严重程度的干预效果明显, 为d = 1.17。尽管目前为初步阶段, 这些前景乐观的研究发现表明, 叙事重建可能是一种有效的独立疗法, 或者是对目前有效的治疗策略的补充。
    Type of Medium: Online Resource
    ISSN: 0894-9867 , 1573-6598
    URL: Issue
    URL: Article
    DOI: 10.1002/jts.v34.1
    DOI: 10.1002/jts.22537
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2017312-X
    SSG: 2,1
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    A dyadic session‐by‐session assessment of therapeutic alliance and short‐term outcome among clients with schizophrenia in comparison with clients with emotional disorders
    Wiley ; 2023
    In:  Psychology and Psychotherapy: Theory, Research and Practice Vol. 96, No. 4 ( 2023-12), p. 1029-1043
    Details
    In: Psychology and Psychotherapy: Theory, Research and Practice, Wiley, Vol. 96, No. 4 ( 2023-12), p. 1029-1043
    Abstract: Although the clinical significance of the therapeutic alliance (TA) is well documented, the literature regarding the establishment of TA and the relation between client–therapist agreement on it to short‐term outcome among various diagnostic groups—and specifically among clients diagnosed with serious mental illness (SMI)—is sparse. The aim of the present study was to examine the effect of client diagnosis on the abovementioned TA characteristics. Method Dyadic analyses of session‐by‐session (SBS) data were used to compare clients diagnosed with schizophrenia and clients diagnosed with emotional disorders (based on a clinical interview) in their TA characteristics. Results TA as initially rated by clients was stronger in the emotional disorders group than in the schizophrenia group. Higher TA ratings, regardless of whether these were provided by the therapist or the client, predicted better subsequent functioning in the emotional disorders group, whereas in the schizophrenia group, this association was observed only among good‐outcome cases. Conclusions Establishing TA, having client–therapist agreement on it, and having clients derive therapeutic benefit from it might be more challenging with clients with schizophrenia than with clients with emotional disorders. Special attention should be given to specific challenges and needs regarding clients' diagnosis in order to enhance favourable therapy outcomes.
    Type of Medium: Online Resource
    ISSN: 1476-0835 , 2044-8341
    URL: Issue
    URL: Article
    DOI: 10.1111/papt.v96.4
    DOI: 10.1111/papt.12494
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2078933-6
    SSG: 5,2
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  • 3
    Online Resource
    Online Resource
    Patterns of alliance development in cognitive behavioral therapy versus attention bias modification for social anxiety disorder: Sawtooth patterns and sudden gains
    Wiley ; 2022
    In:  Journal of Clinical Psychology Vol. 78, No. 2 ( 2022-02), p. 122-136
    Details
    In: Journal of Clinical Psychology, Wiley, Vol. 78, No. 2 ( 2022-02), p. 122-136
    Abstract: We examined patterns in alliance development in cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) compared to attention bias modification (ABM). We focused on the occurrence of sawtooth patterns (increases within‐ and decreases between‐sessions) and sudden gains and their association with outcome. Methods Clients received CBT ( n  = 33) or ABM ( n  = 17). Client‐rated alliance was measured before and after each session. Self‐reported and clinician‐rated anxiety were measured weekly and monthly, respectively. Results The alliance increased in CBT in a sawtooth pattern and did not change in ABM. When examining individual clients, sawtooths were more common in CBT (61% clients) than in ABM (6%) and predicted worse outcome in CBT. Sudden gains were equally frequent (CBT, 18%; ABM, 18%) and did not predict outcome. Conclusion The alliance in CBT is dynamic and important for outcome. Sawtooths are common in CBT and may mark worse outcome.
    Type of Medium: Online Resource
    ISSN: 0021-9762 , 1097-4679
    URL: Issue
    URL: Article
    DOI: 10.1002/jclp.v78.2
    DOI: 10.1002/jclp.23219
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 1475037-5
    SSG: 5,2
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  • 4
    Online Resource
    Online Resource
    Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis
    Wiley ; 2018
    In:  Journal of Clinical Psychology Vol. 74, No. 11 ( 2018-11), p. 1996-2013
    Details
    In: Journal of Clinical Psychology, Wiley, Vol. 74, No. 11 ( 2018-11), p. 1996-2013
    Abstract: Bowlby’s attachment theory describes characteristic patterns of relating to close others and has important implications for psychotherapy. Attachment patterns have been characterized as secure (healthy interdependence with others), anxious (overdependence on others), and avoidant (difficulty relying on others). We update a previous meta‐analysis to determine the association of patient attachment with psychotherapy outcome. Meta‐analysis of 36 studies (3,158 patients) suggested that patients with secure attachment pretreatment show better psychotherapy outcome than insecurely attached patients. Further, improvements in attachment security during therapy may coincide with better treatment outcome. Finally, preliminary moderator analyses suggest that those who experience low pretreatment attachment security may find better treatment outcome in therapy that incorporates a focus on interpersonal interactions and close relationships. The article closes with research limitations, diversity considerations, and therapeutic practices.
    Type of Medium: Online Resource
    ISSN: 0021-9762 , 1097-4679
    URL: Issue
    URL: Article
    DOI: 10.1002/jclp.2018.74.issue-11
    DOI: 10.1002/jclp.22685
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 1475037-5
    SSG: 5,2
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  • 5
    Online Resource
    Online Resource
    Mental pain intensity and tolerance as predictors of psychotherapy process and outcome
    Wiley ; 2021
    In:  Journal of Clinical Psychology Vol. 77, No. 6 ( 2021-06), p. 1296-1306
    Details
    In: Journal of Clinical Psychology, Wiley, Vol. 77, No. 6 ( 2021-06), p. 1296-1306
    Abstract: The extensive reliance on symptoms for the study of psychotherapy is often criticized. In this study we examined whether the subjective sense of mental pain predicts psychotherapy process and outcome, above and beyond the effect of symptomatic distress. Methods Outpatients ( n  = 53) treated in a psychiatric hospital completed measures of mental pain intensity and tolerance, symptomatic distress, and session climate at pretreatment and posttreatment. Multilevel modeling was utilized to assess the predictive effect of mental pain, while controlling baseline symptomatic distress. Results Patients with high mental pain at baseline showed significant reductions in distress, while patients with low mental pain showed no significant improvement. Moreover, low mental pain and high mental pain tolerance predicted decreases in session smoothness. Conclusions Mental pain can serve as a predictive marker for psychotherapy process and outcome, and complement the reliance on symptomatic distress in psychotherapy research.
    Type of Medium: Online Resource
    ISSN: 0021-9762 , 1097-4679
    URL: Issue
    URL: Article
    DOI: 10.1002/jclp.v77.6
    DOI: 10.1002/jclp.23085
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 1475037-5
    SSG: 5,2
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