Journal article
Psychological inflexibility prospectively predicts client non-disclosure in outpatient psychotherapy
JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE, v 19
Jan 2021
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Psychological Inflexibility (PI) is reliably associated with adverse psychological outcomes but little research has explored how PI may affect therapeutic process in psychotherapy. The current study examined the longitudinal influence of PI measured at pre-treatment on likelihood of client non-disclosure of treatment-relevant information at 15-week follow-up and evaluated PI against an empirically supported predictor of non-disclosure, internalized shame. Sixty clients in outpatient psychotherapy at an evidence-based treatment center (M-age = 35.38; 62% female) completed self-report measures of PI and internalized shame at initiation of therapy, 3- and 9-week follow-up and a dichotomous assessment of non-disclosure at 15-week follow-up. We hypothesized that pre-treatment PI and internalized shame would uniquely and positively predict likelihood of non-disclosure at 15-week follow-up. Results indicated that, when tested simultaneously, only pre-treatment PI predicted likelihood of non-disclosure at follow-up (OR = 2.96). This is the first study to test the influence of PI on client nondisclosure and implicates PI as a relevant pre-treatment individual difference variable for identifying clients at higher risk for non-disclosure in psychotherapy.
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Details
- Title
- Psychological inflexibility prospectively predicts client non-disclosure in outpatient psychotherapy
- Publication Details
- JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE, v 19
- Publisher
- ELSEVIER; AMSTERDAM
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000618090200006
- Scopus ID
- 2-s2.0-85097800764
- Other Identifier
- 991021860761004721
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- Web of Science research areas
- Psychology, Clinical