Department of Psychology, University of South Alabama.
Department of Counseling and Instructional Sciences, University of South Alabama.
J Couns Psychol. 2024 Jul;71(4):291-303. doi: 10.1037/cou0000727. Epub 2024 Feb 15.
The aims of this practice-based evidence study were to (a) examine clients' trajectories of psychological and spiritual distress over the course of spiritually integrated psychotherapies (SIPs) and (b) explore the role of varying types of spiritual interventions in these outcomes. In total, 164 practitioners of SIPs from 37 settings in a practice-research network administered the Clinically Adaptive Multidimensional Outcome Survey (Sanders et al., 2018) at each session with 1,227 clients and reported their use of theoretical orientations and spiritual interventions on an after-session summary checklist. Focusing on sessions over an initial 12-week period, latent growth curve modeling analyses revealed that clients, on average, experienced significant reduction of psychological distress during their engagement in SIPs with improvements occurring most sharply in the first month. Further, other findings revealed a salient reciprocal interplay with spiritual distress throughout treatment, such that clients who were struggling with their religious faith and/or spirituality were more psychologically distressed and displayed a more attenuated and gradual pattern of symptom reduction. In such cases, clinicians frequently utilized spiritual interventions involving basic skills (e.g., spiritual assessment), virtues (e.g., discuss self-control), and religious attachment (e.g., encourage acceptance of divine love) that were uniquely associated with clients' rate and duration of decline in psychological and spiritual distress. The present findings affirm the routine effectiveness of SIPs along with highlighting the potential value of certain spiritual interventions in supporting holistic recovery among clients who want clinicians to be culturally responsive to their spiritual and/or religious identities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
(a) 考察客户在接受精神整合心理治疗（SIP）过程中心理和精神困扰的轨迹；(b) 探索不同类型的精神干预在这些结果中的作用。共有来自实践研究网络 37 个地点的 164 名 SIP 从业者，每次治疗时使用临床适应性多维结果调查量表（Sanders 等人，2018）对 1227 名客户进行评估，并在治疗结束后使用理论取向和精神干预的总结清单进行报告。关注最初 12 周的治疗过程，潜在增长曲线模型分析显示，客户在接受 SIP 治疗期间平均经历了心理困扰的显著减轻，改善最明显发生在第一个月。此外，其他发现揭示了治疗过程中精神困扰的显著相互作用，例如，那些在宗教信仰和/或灵性方面挣扎的客户心理困扰更严重，症状减轻的模式更弱且更缓慢。在这种情况下，临床医生经常使用涉及基本技能（例如，精神评估）、美德（例如，讨论自我控制）和宗教依恋（例如，鼓励接受神圣的爱）的精神干预措施，这些措施与客户心理和精神困扰减轻的速度和持续时间有着独特的关联。本研究结果证实了 SIP 的常规有效性，同时强调了某些精神干预措施在支持那些希望临床医生对其精神和/或宗教身份做出文化回应的客户的整体康复方面的潜在价值。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
