Process-Based psychotherapy personalization: considering causality with continuous-time dynamic modeling.

Autor: Moggia D; University of Trier., Bennemann B; University of Trier., Schwartz B; University of Trier., Hehlmann MI; University of Trier., Driver CC; University of Zurich., Lutz W; University of Trier.
Jazyk: angličtina
Zdroj: Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2023 Nov; Vol. 33 (8), pp. 1076-1095. Date of Electronic Publication: 2023 Jun 12.
DOI: 10.1080/10503307.2023.2222892
Abstrakt: Psychotherapy can be improved by integrating the study of mediators (how it works) and moderators (for whom it works). To demonstrate this integration, we studied the relationship between resource activation, problem-coping experiences and symptoms in cognitive-behavior therapy (CBT) for depression, to obtain preliminary insights on causal inference (which process leads to symptom improvement?) and prediction (which one for whom?).
A sample of 715 patients with depression who received CBT was analyzed. Hierarchical Bayesian continuous time dynamic modeling was used to study the temporal dynamics between the variables analyzed within the first ten sessions. Depression and self-efficacy at baseline were examined as predictors of these dynamics.
There were significant cross-effects between the processes studied. Under typical assumptions, resource activation had a significant effect on symptom improvement. Problem-coping experience had a significant effect on resource activation. Depression and self-efficacy moderated these effects. However, when system noise was considered, these effects may be affected by other processes.
Resource activation was strongly associated with symptom improvement. To the extent of inferring causality, for patients with mild-moderate depression and high self-efficacy, promoting resource activation can be recommended. For patients with severe depression and low self-efficacy, promoting problem-coping experiences can be recommended.
Databáze: MEDLINE
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