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dc.contributor.author
Gómez Penedo, Juan Martín  
dc.contributor.author
Flückiger, Christoph  
dc.date.available
2023-07-05T12:07:33Z  
dc.date.issued
2022-07  
dc.identifier.citation
Gómez Penedo, Juan Martín; Flückiger, Christoph; Therapists’ perceptions of interpersonally challenging patients in generalized anxiety disorder; Routledge; Psychotherapy Research; 33; 1; 7-2022; 45-56  
dc.identifier.issn
1050-3307  
dc.identifier.uri
http://hdl.handle.net/11336/202408  
dc.description.abstract
Objective: This study explores in cognitive-behavioral therapy (CBT) for generalized anxiety disorder (GAD) to what degree therapists’ perceptions of their patients as interpersonally challenging (IC) is explained by the therapist or patient effects, if baseline patients’ characteristics predict IC, and if IC is related to outcome. Method: Eighty patients diagnosed with GAD and treated by 20 therapists with 16 sessions of CBT were randomized to two different implementation conditions. Patients completed baseline measures of depression, anxiety, interpersonal problems, and interpersonal strengths. The therapists completed a single-item assessing IC session-by-session. As an outcome, patients completed a worry measure at baseline, session 5, session 10, and posttreatment. Results: Multilevel models showed meaningful therapist effects, explaining 18% of IC variance. Interpersonal strengths were the only baseline predictor significantly and negatively associated with IC during treatment. Structural equation models showed significant negative IC effects on subsequent patient worry during therapy. Conclusions: IC might represent a risk factor for psychotherapy outcome. Patient interpersonal strengths at baseline may buffer therapists perceiving their patients as ICs. The therapist effects on IC suggest that CBT clinicians treating GAD might benefit from identifying cases that are interpersonally challenging for them and reflecting about what might trigger that perception.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Routledge  
dc.rights
info:eu-repo/semantics/restrictedAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
COGNITIVE-BEHAVIORAL THERAPY  
dc.subject
GENERALIZED ANXIETY DISORDER  
dc.subject
INTERPERSONAL STRENGTHS  
dc.subject
INTERPERSONALLY CHALLENGING  
dc.subject
OUTCOME  
dc.subject
THERAPIST EFFECTS  
dc.subject
THERAPIST PERCEPTION  
dc.subject.classification
Psicología  
dc.subject.classification
Psicología  
dc.subject.classification
CIENCIAS SOCIALES  
dc.title
Therapists’ perceptions of interpersonally challenging patients in generalized anxiety disorder  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2023-07-05T11:03:50Z  
dc.identifier.eissn
1468-4381  
dc.journal.volume
33  
dc.journal.number
1  
dc.journal.pagination
45-56  
dc.journal.pais
Estados Unidos  
dc.description.fil
Fil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Universitat Zurich; Suiza. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.description.fil
Fil: Flückiger, Christoph. Universitat Zurich; Suiza  
dc.journal.title
Psychotherapy Research  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1080/10503307.2022.2062268