Geyer Darcy, Lam Virginia, Gilbert Hannah, Cooper Mick
University of Roehampton, London, UK.
University of Roehampton (Now at the Compassionate Mind Foundation), London, UK.
Psychol Psychother. 2025 Jun;98(2):308-321. doi: 10.1111/papt.12537. Epub 2024 Jun 12.
To analyse the relationship between depth of emotional experiencing and outcomes in young people. We also wanted to understand whether 'early' or 'working' depth of emotional experiencing was most predictive of outcomes, and how these compared against alliance effects.
Hierarchical linear regression analysis of data from a study of school-based humanistic counselling (SBHC).
Data from 60 young people were used for the study across 15 schools: mean age 13.7 years old (range: 13-16); 67% female; 52% from Black, mixed or non-white ethnicities. Depth of emotional experiencing was rated using the Client Experiencing Scale at session 1 (early EXP) and session 6 (working EXP). The dependent variable was changes in psychological distress from baseline to 12-week follow-up, as assessed by the Young Person's CORE.
In our final model, working EXP accounted for 11.6% of the variance in YP-CORE change scores after baseline YP-CORE scores were taken into account. Early EXP and working alliance were not predictive of benefit. Sensitivity analyses indicated that working EXP was associated with benefits across a range of indicators.
Our findings show, for the first time, that depth of emotional experiencing has a significant and sizeable association with outcomes in therapy for young people. This is consistent with emerging evidence from the adult field. It suggests that practitioners working with young people should monitor the depth of emotional experiencing and foster methods for supporting its development.
分析年轻人情绪体验深度与治疗结果之间的关系。我们还想了解“早期”或“工作期”的情绪体验深度是否最能预测治疗结果，以及它们与治疗联盟效应相比如何。
对一项基于学校的人本主义咨询（SBHC）研究的数据进行分层线性回归分析。
来自15所学校的60名年轻人的数据用于该研究：平均年龄13.7岁（范围：13 - 16岁）；67%为女性；52%来自黑人、混血或非白人种族。使用来访者体验量表在第1次咨询（早期EXP）和第6次咨询（工作期EXP）时对情绪体验深度进行评分。因变量是从基线到12周随访期间心理困扰的变化，通过青少年核心量表进行评估。
在我们的最终模型中，在考虑了基线青少年核心量表得分后，工作期EXP占青少年核心量表变化得分方差的11.6%。早期EXP和工作期联盟并不能预测治疗效果。敏感性分析表明，工作期EXP与一系列指标的治疗效果相关。
我们的研究结果首次表明，情绪体验深度与年轻人治疗结果之间存在显著且可观的关联。这与成人领域新出现的证据一致。这表明与年轻人打交道的从业者应监测情绪体验深度，并培养支持其发展的方法。
