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Assessing the patient's affective perception of their psychotherapist: validation of the in-Session Patient Affective Reactions Questionnaire

Frontiers in psychiatry, 2024, Vol.15, p.1346760-1346760 [Peer Reviewed Journal]

Copyright © 2024 Stefana, Fusar-Poli, Vieta and Youngstrom. ;Copyright © 2024 Stefana, Fusar-Poli, Vieta and Youngstrom 2024 Stefana, Fusar-Poli, Vieta and Youngstrom ;ISSN: 1664-0640 ;EISSN: 1664-0640 ;DOI: 10.3389/fpsyt.2024.1346760 ;PMID: 38757138

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  • Title:
    Assessing the patient's affective perception of their psychotherapist: validation of the in-Session Patient Affective Reactions Questionnaire
  • Author: Stefana, Alberto ; Fusar-Poli, Paolo ; Vieta, Eduard ; Youngstrom, Eric A
  • Subjects: affective reaction ; emotional reaction ; in-session process ; Psychiatry ; psychotherapy ; self-report measure ; therapeutic relationship
  • Is Part Of: Frontiers in psychiatry, 2024, Vol.15, p.1346760-1346760
  • Description: Psychotherapists need effective tools to monitor changes in the patient's affective perception of the therapist and the therapeutic relationship during sessions to tailor therapeutic interventions and improve treatment outcomes. This study aims to evaluate the factor structure, reliability, and validity of the (SPARQ), a concise self-report measure designed for practical application in real-world psychotherapy settings. Validation data was gathered from ( = 700) adult patients in individual psychotherapy. These patients completed the SPARQ in conjunction with additional measures capturing sociodemographic details, characteristics of therapeutic interventions, individual personality traits, mental health symptom severity, elements of the therapeutic relationship, and session outcomes. This comprehensive approach was employed to assess the construct and criterion-related validity of the SPARQ. The SPARQ has a two-factor structure: Positive Affect ( = 4, total = .87) and Negative Affect ( = 4, total = .75). Bifactor confirmatory factor analysis (CFA) yielded the following fit indices: [ ] = 2.53, CFI = .99; TLI = .98; RMSEA = .05; and SRMR = .02. Multi-group CFAs demonstrated measurement invariance (i) across patients who attended psychotherapy sessions in person in remote mode, and (ii) across patients with and without psychiatric diagnoses confirmed metric invariance. Furthermore, the SPARQ showed meaningful correlations with concurrently administered measures. The SPARQ proves to be a valuable instrument in clinical, training, and research contexts, adept at capturing patients' session-level affective responses towards their therapist and perceptions of the therapeutic alliance. Comprehensive descriptive statistics and a range of score precision indices have been reported, intended to serve as benchmarks for future research.
  • Publisher: Switzerland: Frontiers Media S.A
  • Language: English
  • Identifier: ISSN: 1664-0640
    EISSN: 1664-0640
    DOI: 10.3389/fpsyt.2024.1346760
    PMID: 38757138
  • Source: Open Access: PubMed Central
    Geneva Foundation Free Medical Journals at publisher websites
    ROAD
    DOAJ Directory of Open Access Journals
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