Interaction Structures in Psychodynamic Psychotherapy for Adolescents

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dc.contributor.authorCan, Baris
dc.contributor.authorHalfon, Sibel
dc.date.accessioned2024-07-18T20:50:42Z
dc.date.available2024-07-18T20:50:42Z
dc.date.issued2021
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractDespite advances in psychotherapy research showing an evidence-base for psychodynamic psychotherapy (PDT) in adolescents, developmentally specific treatment characteristics are under-researched. We aimed to identify interaction structures (IS: reciprocal patterns of in-session interactions involving therapist interventions, patient behaviors, and the therapeutic relationship) and assess associations between IS and outcome. The study cohort comprised 43 adolescents (M-age = 13.02 years) with nonclinical, internalizing, and comorbid internalizing-externalizing problems in PDT. A total of 123 sessions from different treatment phases were rated based on the Adolescent Psychotherapy Q-Set (APQ). Outcome was assessed with the Brief Problem Monitor-Youth (BPM-Y) administered repeatedly over the treatment course. Principal component analysis of APQ items resulted in five IS, named Negative Therapeutic Alliance, Demanding Patient, Accommodating Therapist, Emotionally Distant Resistant Patient, Inexpressive Patient, Inviting Therapist, and Exploratory Psychodynamic Technique (EPT). Multilevel modeling analyses with Bayesian Markov chain Monte Carlo (MCMC) estimations indicated a two-way interaction effect between EPT and problem levels at baseline such that patients with lower problems at baseline showed good outcome in the context of EPT, whereas an inverse relationship was found for patients with higher problems. Findings provide empirical evidence for characteristic components of PDT for adolescents and preliminary answers about who benefits from psychodynamic techniques.en_US
dc.identifier.doi10.3390/ijerph182413007
dc.identifier.issn1660-4601
dc.identifier.issue24en_US
dc.identifier.pmid34948618en_US
dc.identifier.scopus2-s2.0-85120732508en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/ijerph182413007
dc.identifier.urihttps://hdl.handle.net/11411/8179
dc.identifier.volume18en_US
dc.identifier.wosWOS:000738224400001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofInternational Journal of Environmental Research and Public Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdolescent Psychodynamic Psychotherapyen_US
dc.subjectİnteraction Structuresen_US
dc.subjectAdolescent Psychotherapy Q-Seten_US
dc.subjectTerm Psychotherapyen_US
dc.subjectYoung-Peopleen_US
dc.subjectAllianceen_US
dc.subjectChildrenen_US
dc.subjectTherapistsen_US
dc.subjectWorken_US
dc.subjectDisorderen_US
dc.titleInteraction Structures in Psychodynamic Psychotherapy for Adolescents
dc.typeArticle

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