{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:02:44Z","timestamp":1791576164991,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Psychotherapy process research increasingly uses intensive longitudinal monitoring to capture dynamic patterns of change in patients. In this study, 283 psychiatric inpatients diagnosed with depression (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200970), PTSD (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009148), dissociative disorders (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200926) or personality disorders (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200939) completed the Therapy Process Questionnaire each evening over an average of 81.5\u2009days per patient, yielding a total of 23,074 assessment days. We computed eight dynamic process characteristics, including variability, autocorrelation, instability and complexity, for each TPQ scale, both on average per patient and in a moving\u2010window approach. Then, the diagnostic groups were compared via one\u2010way ANOVAs with Bonferroni\u2013Holm correction. No significant differences emerged across diagnoses in any average process characteristics or their change over time, indicating that idiosyncratic within\u2010person process dynamics overshadow diagnostic distinctions. Further, patients' clinical improvement was associated with rising mean levels and declining variability in positive emotions, mindfulness, insight and motivation. Again, these predictions of improvement were not moderated by patients' diagnoses. Our results support a transdiagnostic approach to measurement\u2010based care that leverages individual process characteristics to guide interventions, rather than relying on diagnostic categories to predict therapy trajectories.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70222","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:05:27Z","timestamp":1768640727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Psychotherapy Process Dynamics and Their Relation to Treatment Success Do Not Differ Across Diagnoses"],"prefix":"10.1002","volume":"33","author":[{"given":"Lennart","family":"Seizer","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy for Children and Adolescents Friedrich\u2010Alexander\u2010Universit\u00e4t Erlangen\u2010N\u00fcrnberg  Erlangen Germany"},{"name":"Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital of T\u00fcbingen  T\u00fcbingen Germany"},{"name":"German Center for Mental Health (DZPG)  T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonhard","family":"Kratzer","sequence":"additional","affiliation":[{"name":"Department of Psychotraumatology Clinic St. Irmingard  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"L\u00f6chner","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy for Children and Adolescents Friedrich\u2010Alexander\u2010Universit\u00e4t Erlangen\u2010N\u00fcrnberg  Erlangen Germany"},{"name":"German Center for Mental Health (DZPG)  T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Sch\u00f6ller","sequence":"additional","affiliation":[{"name":"Institute of Synergetics and Psychotherapy Research Paracelsus Medical University  Salzburg Austria"},{"name":"University Hospital of Psychiatry, Psychotherapy, and Psychosomatics, Paracelsus Medical University  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Aichhorn","sequence":"additional","affiliation":[{"name":"Institute of Synergetics and Psychotherapy Research Paracelsus Medical University  Salzburg Austria"},{"name":"University Hospital of Psychiatry, Psychotherapy, and Psychosomatics, Paracelsus Medical University  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnter","family":"Schiepek","sequence":"additional","affiliation":[{"name":"Institute of Synergetics and Psychotherapy Research Paracelsus Medical University  Salzburg Austria"},{"name":"University Hospital of Psychiatry, Psychotherapy, and Psychosomatics, Paracelsus Medical University  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Improving Outcomes and Preventing Relapse in Cognitive\u2010Behavioral Therapy","author":"Antony M. 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