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Investigating Determinants of Client Psychotherapy Preference: An Analog Study.

Grace A Lyons¹, Robert D Zettle², Rachel A Petts³

¹Department of Psychology, Wichita State University, Wichita, KS, USA galyons@shockers.wichita.edu.

Journal of Cognitive Psychotherapy

|July 11, 2024

Summary

College students preferred cognitive restructuring for negative thoughts. Treatment preference was linked to cognitive fusion and emotional distress, not just perceived practicality.

Keywords:

acceptability compensation model practicality treatment preference

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Area of Science:

Psychology
Clinical Psychology
Evidence-Based Practice

Background:

Client variables, such as treatment preference, are crucial for optimizing evidence-based practice.
Understanding factors influencing psychotherapy preference is essential for tailoring interventions.
Existing research has not fully elucidated the predictors of treatment preference.

Purpose of the Study:

To investigate variables associated with treatment preference among college students.
To examine the roles of cognitive fusion, emotional distress, and experiential avoidance in moderating treatment preference.
To compare preferences for defusion, noticing, and restructuring interventions for negative thoughts.

Main Methods:

An analog study using a convenience sample of 54 college students.
Participants rated the acceptability and practicality of three interventions: defusion, noticing, and restructuring.
Measures of cognitive fusion, emotional distress, and experiential avoidance were administered.

Main Results:

Restructuring was the overwhelmingly preferred intervention, rated as more acceptable than defusion or noticing.
Preference for defusion or noticing was predicted by higher levels of cognitive fusion and emotional distress.
Acceptability and practicality ratings did not predict preference for defusion or noticing.

Conclusions:

Treatment preference is influenced by psychological distress and cognitive processes, aligning with a compensation model.
Findings suggest that highly distressed individuals may prefer interventions that directly address their symptoms.
Further research is needed to integrate psychotherapy preference into evidence-based practice effectively.