The aims of this practice-based evidence study were to (a) examine clients' trajectories of psychological and spiritual distress over the course of spiritually integrated psychotherapies (SIPs) and (b) explore the role of varying types of spiritual interventions in these outcomes. In total, 164 practitioners of SIPs from 37 settings in a practice-research network administered the Clinically Adaptive Multidimensional Outcome Survey (Sanders et al., 2018) at each session with 1,227 clients and reported their use of theoretical orientations and spiritual interventions on an after-session summary checklist. Focusing on sessions over an initial 12-week period, latent growth curve modeling analyses revealed that clients, on average, experienced significant reduction of psychological distress during their engagement in SIPs with improvements occurring most sharply in the first month. Further, other findings revealed a salient reciprocal interplay with spiritual distress throughout treatment, such that clients who were struggling with their religious faith and/or spirituality were more psychologically distressed and displayed a more attenuated and gradual pattern of symptom reduction. In such cases, clinicians frequently utilized spiritual interventions involving basic skills (e.g., spiritual assessment), virtues (e.g., discuss self-control), and religious attachment (e.g., encourage acceptance of divine love) that were uniquely associated with clients' rate and duration of decline in psychological and spiritual distress. The present findings affirm the routine effectiveness of SIPs along with highlighting the potential value of certain spiritual interventions in supporting holistic recovery among clients who want clinicians to be culturally responsive to their spiritual and/or religious identities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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基于实践的精神整合心理治疗的证据：检查心理和精神困扰的轨迹。


这项基于实践的证据研究的目的是（a）检查客户在精神整合心理治疗（SIP）过程中的心理和精神困扰轨迹，以及（b）探索不同类型的精神干预在这些结果中的作用。实践研究网络中来自 37 个环境的 164 名 SIP 实践者在每次会议上对 1,227 名客户进行了临床适应性多维结果调查（Sanders 等人，2018 年），并在随后的会议上报告了他们对理论导向和精神干预的使用情况。 - 会议总结清单。关注最初 12 周期间的会话，潜在增长曲线模型分析显示，平均而言，客户在参与 SIP 期间，心理困扰显着减少，其中改善在第一个月最为显着。此外，其他研究结果显示，在整个治疗过程中，精神困扰与显着的相互作用，使得那些在宗教信仰和/或灵性上苦苦挣扎的客户在心理上更加痛苦，并表现出更加减弱和渐进的症状减轻模式。在这种情况下，临床医生经常利用涉及基本技能（例如，精神评估）、美德（例如，讨论自我控制）和宗教依恋（例如，鼓励接受神圣之爱）的精神干预，这些与客户的比率和态度独特相关。心理和精神困扰下降的持续时间。 目前的研究结果肯定了 SIP 的常规有效性，同时强调了某些精神干预措施在支持希望临床医生对其精神和/或宗教身份进行文化回应的客户整体康复方面的潜在价值。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。