Authenticity as a Mediator of Change in the Unified Protocol for Transdiagnostic Treatment of Depressive and Anxiety Disorders
Rattachement africain : jp, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Authenticity is defined as awareness of one's internal states and actions that align with personal values, preferences and goals. Research has linked authenticity to wellbeing and lower depression and anxiety symptoms. Although authenticity has been proposed as an important process of change, there is limited empirical research examining the effect of psychotherapy on authenticity and whether changes in authenticity mediate improved mental health outcomes. This study investigated the mediating role of authenticity in psychotherapy. METHODS: This study is a secondary analysis of a randomized controlled trial including patients with depressive (n = 52) and anxiety disorders (n = 52). Multilevel models were used to assess (1) whether the Unified Protocol (UP), a transdiagnostic cognitive-behavioural treatment, improved subjective sense of authenticity as measured by the Sense of Authenticity Scale, and (2) whether changes in authenticity mediated the treatment effect on depression. RESULTS: At post-treatment, patients who received the UP showed significantly higher levels of self-reported sense of authenticity compared to waitlist controls (d = 0.97, 95% CI [0.28, 1.65]). This effect was maintained at the six-month follow-up. Additionally, authenticity mediated the treatment effect on depression (indirect effect: b = -6.51, SE = 2.89, 95% CI [-14.04, -1.88]), accounting for 22.90% of the total effect. This mediation remained significant when controlling for therapeutic alliance. CONCLUSIONS: This study provides the first empirical evidence that changes in authenticity mediate outcomes in the UP. These findings suggest that authenticity represents a viable candidate for future research examining the mechanisms of psychotherapy.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Authenticity as a Mediator of Change in the Unified Protocol for Transdiagnostic Treatment of Depressive and Anxiety Disorders
- Date Crossref
- 01/09/2025
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Waseda University pays non établi dans la noticeUniversité ou école supérieure
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National Center of Neurology and Psychiatry pays non établi dans la noticeÉtablissement de santé
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Kansai University pays non établi dans la noticeUniversité ou école supérieure
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University of Tokyo Hospital pays non établi dans la noticeÉtablissement de santé
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Tsukuba International University pays non établi dans la noticeUniversité ou école supérieure
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Boston University Department of Psychological & pays non établi dans la noticeUniversité ou école supérieure
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Tsukuba Institute for Advanced Research (TIAR) University of Tsukuba Ibaraki Japan International Institute for Integrative Sleep Medicine (WPI‐IIIS) pays non établi dans la noticeUniversité ou école supérieure
Waseda University, National Center of Neurology and Psychiatry et Kansai University, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.