Ingvild Finsrud

Room S-325

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Academic interests

Psychotherapy research
Therapist effects and therapist development
Measurement in psychotherapy

PhD Project

The PhD project is a naturalistic process-outcome study situated at Modum Bad. The project investigates change processes in patients primarily treated for depression, anxiety, eating disorders, or psychological trauma. The patients receive different treatment models: cognitive behavioral therapy, metacognitive therapy, compassion focused therapy, stabilizing therapy, short-term dynamic therapy, existential therapy, or family therapy. I use a measurement that includes measures of symptoms, common factors and therapy-specific change processes (affects, cognitions, metacognitions, and self-compassion). The aim of the project is to investigate interactions between symptoms, common factors and therapy-specific processes, and how these (potential) interactions are related to treatment model and patient characteristics.

Background

Cand. psychol., Department of Psychology, University of Oslo, spring 2016
Modum Bad, eating disorders unit, spring 2016- fall 2017
The National Program for Integrated Clinical Specialist and PhD-training for Psychologists, Department of Psychology, University of Oslo and Modum Bad, fall 2017

Tags: Clinical psychology

Finsrud, Ingvild; Nissen-Lie, Helene, Amundsen ; Ulvenes, Pål Gunnar; Vrabel, KariAnne; Melsom, Linne & Wampold, Bruce E. (2023). Emotional and Cognitive Processes in Psychotherapy Are Associated With Different Aspects of the Therapeutic Relationship. Journal of Consulting and Clinical Psychology. ISSN 0022-006X. doi: 10.1037/ccp0000853. Show summary
Objective: In this naturalistic study we aimed to investigate the relationships between two central change processes (affective and cognitive) and two common relationship factors (“Confidence in the therapist” and “Confidence in the treatment”), which have been shown to impact outcomes in a clinical context. We also investigated whether these interrelationships varied across treatment orientations (i.e., cognitive or psychodynamic focused). Method: The sample consisted of 631 patients with a primary anxiety or depressive disorder who were admitted to an inpatient program and treated with psychotherapy. The data consisted of weekly measures of cognitive (i.e., “rumination”) and affective (i.e., “problems with emotional clarity”) change processes as well as scores on Confidence in the therapist and Confidence in the treatment and symptom distress. A multivariate version of the latent curve model with structured residuals was used to investigate the within-patient effects of week-to-week changes in all variables. Results: Initial analyses established that both problems with emotional clarity and rumination predicted symptom distress. Further, we found that higher Confidence in the therapist predicted higher emotional clarity (but not lower rumination) whereas higher Confidence in the treatment predicted lower rumination (but did not affect emotional clarity). Post hoc analyses found that these interrelationships varied across treatment orientation (i.e., cognitive vs. psychodynamic). Discussion: The results indicate that patients’ experience of the therapist is associated with emotional change processes, and that patients’ experience of the coherence and meaningfulness of treatment, on the other hand, is associated with cognitive change processes. Implications for clinical practice are discussed.
Finsrud, Ingvild; Nissen-Lie, Helene Amundsen; Ulvenes, Pål Gunnar; Melsom, Linne; Vrabel, KariAnne & Wampold, Bruce E. (2022). Confidence in the therapist and confidence in the treatment predict symptomatic improvement week by week in therapy: A latent curve modeling approach. Journal of Counseling Psychology. ISSN 0022-0167. doi: 10.1037/cou0000640. Show summary
Previous research suggests that common relationship factors are composed of two overarching factors, “Confidence in the therapist” and “Confidence in the treatment.” The aim of this naturalistic process–outcome study was to investigate the reciprocal relationships between these two constructs and patients’ symptom level across treatment. The sample consisted of 587 patients who were admitted to an inpatient program and treated with psychotherapy for a range of mental health disorders, such as chronic depression, anxiety disorders, and eating disorders. Our data consisted of weekly measures of symptomatic distress (Patient Health Questionnaire) and the common relationship factors were measured weekly using a newly developed scale. Latent curve modeling with structured residuals was used to investigate the between- and within effects of week-to-week changes in the two components as predictors of subsequent symptom level. An increase in both relationship factors predicted a decrease in subsequent levels of symptoms at the within-patient level, and the other way around, but the two relationship factors did not systematically relate to one another at the within-patient level over the course of treatment. Our findings indicate that patients’ perceptions of the therapist as a person and their appraisal of the treatment, are important, different predictors of therapeutic change. Furthermore, they support prior research demonstrating a reciprocal relationship between common relationship factors and symptomatic distress and add to existing common factor theory by exploring the role of two central relationship dimensions and using a method which examines reciprocal relationships and within-patient effects simultaneously
Finsrud, Ingvild; Nissen-Lie, Helene, Amundsen ; Vrabel, KariAnne; Høstmælingen, Andreas; Wampold, Bruce E. & Ulvenes, Pål Gunnar (2021). It's the therapist and the treatment: The structure of common therapeutic relationship factors. Psychotherapy Research. ISSN 1050-3307. 32, p. 139–150. doi: 10.1080/10503307.2021.1916640.

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Finsrud, Ingvild; Nissen-Lie, Helene A; Ulvenes, Pål; Vrabel, KariAnne & Wampold, Bruce E. (2019). Structure of Common Factors across Psychotherapies and Diagnoses.
Jessen, Reidar Schei; Finsrud, Ingvild; Kløvfjell, Knut Haavard; Svedenborg, Helena; Ditlefsen, Ingrid, Tande & Sikveland, Serina Fuglestad (2013). Kritisk generalist? Javisst! . Morgenbladet. ISSN 0805-3847. Show summary
Leserinnlegg om betydningen av generalistkompetanse for psykologer.

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Published Mar. 6, 2018 3:28 PM - Last modified Mar. 14, 2023 12:56 PM