2025
Client-identified outcomes of individual psychotherapy : A qualitative meta-analysis
LADMANOVÁ, Michaela; Tomáš ŘIHÁČEK; Ladislav TIMULÁK; Klára JONÁŠOVÁ; Barbora KUBANTOVÁ et al.Základní údaje
Originální název
Client-identified outcomes of individual psychotherapy : A qualitative meta-analysis
Autoři
LADMANOVÁ, Michaela; Tomáš ŘIHÁČEK ORCID; Ladislav TIMULÁK; Klára JONÁŠOVÁ ORCID; Barbora KUBANTOVÁ; Petr MIKOŠKA; Lucia POLAKOVSKÁ a Robert ELLIOTT
Vydání
The Lancet Psychiatry, London, Elsevier, 2025, 2215-0374
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
50100 5.1 Psychology and cognitive sciences
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 24.800 v roce 2024
Označené pro přenos do RIV
Ano
Organizační jednotka
Fakulta sociálních studií
UT WoS
EID Scopus
Klíčová slova anglicky
psychotherapy outcomes; client perspective; qualitative meta-analysis
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 2. 2. 2026 16:57, Mgr. Blanka Farkašová
Anotace
V originále
Background Psychotherapy outcomes are typically measured in terms of symptom relief. However, this method might overlook important changes from clients' perspectives when they are asked to report on them. A more client-centred approach might bring a deeper understanding of psychotherapy outcomes. We aimed to evaluate the outcomes identified by clients within qualitative psychotherapy research. Methods The PsycArticles, PsycInfo, and MEDLINE Complete databases were searched for English language studies published until Nov 11, 2023. Additional studies were identified through references in the primary studies and previous meta-analyses or systematic reviews. Search terms were related to psychotherapy and counselling, clients' or patients' experiences, psychotherapy outcomes and changes, post-treatment perspectives, and types of qualitative methods. Qualitative studies on client-identified outcomes of individual psychotherapy were included. Findings related to clients' perceptions of psychotherapy outcomes were extracted (by ML and checked by TR and LT) and analysed (by all authors) using the descriptive–interpretative meta-analytic approach. All authors have personally experienced psychotherapy as clients. This study was pre-registered with PROSPERO (CRD42021277330). Findings We included 177 studies in the qualitative meta-analysis, from 24 countries, including descriptions from 2908 clients. Most of the studies were of good quality; they covered a wide range of therapeutic approaches and diagnoses. The descriptions of psychotherapy outcomes were classified into 60 meta-categories and grouped into ten clusters. These clusters related to clients' relational and social functioning; their emotional functioning; self-awareness, self-understanding, and more adaptive cognitive processing; behavioural functioning; developing their own resources; clients' attitudes towards themselves; generally embracing life; symptom and problem change; and more general wellbeing. The tenth cluster was outcomes that could not be clearly attributed to psychotherapy, which was considered outside the scope of this study. Interpretation The meta-analysis showed that clients value outcome dimensions beyond symptom reduction, such as deeper self-understanding, enhanced self-agency, and greater social engagement. By examining psychotherapy outcomes across various diagnoses and therapeutic approaches, we highlight limitations in traditional outcome measures, showing the need for more comprehensive, client-centred assessment tools and the value of incorporating qualitative methods into understanding dimensions of change.
Návaznosti
| CZ.02.01.01/00/22_008/0004583, interní kód MU (Kód CEP: EH22_008/0004583) |
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| EH22_008/0004583, projekt VaV |
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