Evidence map›Paper›PMID 42678128›Full record

ArticleResearch in psychotherapy (Milano)2026

Relational skills and self-awareness outcomes in psychotherapy trainees.

Elitsa Tilkidzhieva, Salvatore Gullo, Jutta Fiegl, Andrea Jesser, Omar Carlo Gioacchino Gelo

Abstract read
In one paragraph

Article in Research in psychotherapy (Milano), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elitsa TilkidzhievaDepartment of Psychotherapy Science, Faculty of Psychotherapy Science, Sigmund Freud University, Vienna.
Salvatore GulloDepartment of Psychology, Educational Sciences and Human Movement, University of Palermo.
Jutta FieglDepartment of Psychotherapy Science, Faculty of Psychotherapy Science, Sigmund Freud University, Vienna.
Andrea JesserDepartment of Psychotherapy Science, Faculty of Psychotherapy Science, Sigmund Freud University, Vienna.
Omar Carlo Gioacchino GeloDepartment of Psychotherapy Science, Faculty of Psychotherapy Science, Sigmund Freud University, Vienna, Austria; Department of Human and Social Sciences, University of Salento, Lecce.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relational skills and self-awareness are important aspects of psychotherapy training, shaping how trainees relate to clients, reflect on their experiences, and develop professionally. Despite their importance, little research has examined how these aspects are related during training. This cross-sectional study investigated the associations between relational skills and self-awareness outcomes in psychotherapy trainees and explored whether these variables differed according to stages of training, age, engagement in personal therapy, and self-reported mental health difficulties. The sample included 105 trainees (75.2% female, M age=29.71 years, SD=10.77), of whom 46% were in the beginning stage and 54% in the advanced stage of training. Relational styles were identified using exploratory factor analysis, and associations were examined using Pearson correlations and analyses of variance. Self-awareness outcomes were assessed with the Self-Awareness Outcomes Questionnaire (SAOQ). Exploratory factor analysis identified four relational styles: Warm, Guarded, Directive, and Intense. Warm, Directive, and Intense styles were positively associated with several self-awareness outcomes, whereas Guarded was associated with higher emotional costs of self-awareness. Older trainees (43+) reported greater emotional engagement, lower emotional strain, and higher scores on the Intense style than trainees aged 18-24. Trainees engaged in personal therapy tended to report lower emotional costs of self-awareness. Self-reported mental health difficulties were associated with higher emotional costs and more guarded, less warm relational styles. The results contribute to an understanding of how relational styles, self-awareness outcomes, and personal factors are interconnected in psychotherapy trainees and may help inform psychotherapy training by emphasizing individual differences in relational functioning.

Indexed as

Psychotherapy traineesrelational skillsself-awareness outcomestherapist development

Identifiers

PMID42678128
PMCPMC13551309

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.