Marcolino José Alvaro Marques, Iacoponi Eduardo
Department of Psychiatry and Medical Psychology of the Santa Casa of São Paulo. São Paulo, SP, Brazil.
Braz J Psychiatry. 2003 Jun;25(2):78-86. doi: 10.1590/s1516-44462003000200006.
Therapeutic alliance is a key component of the psychotherapeutic process. This study estimated the impact of the therapeutic alliance as measured by CALPAS-P in an individual brief psychodynamic psychotherapy program.
To study the impact of the therapeutic alliance patients in psychotherapy answered to the CALPAS-P at the first and third session and to the Self-report Questionnaire (SRQ-20), to the Beck Depression Inventory (BDI) and to the Hamilton Anxiety Scale at the beginning and at the end of psychotherapy.
The study of the impact of the therapeutic alliance in brief psychodynamic psychotherapy showed that higher TUI scores in the first session were significantly associated to the improvement on the BDI. Patients with best scores in the working alliance, measured at the third PWC session had also significant symptomatic changes.
The study of the impact of the therapeutic alliance in brief psychotherapy indicated that patients who perceived that their therapists had the best capability to understand and to be involved in their issues had best results in reducing depressive symptoms and patients with higher capability to form the working alliance reached the best psychotherapy outcomes.
治疗联盟是心理治疗过程的关键组成部分。本研究评估了在个体短程心理动力心理治疗项目中，用CALPAS-P量表测量的治疗联盟的影响。
为研究治疗联盟的影响，心理治疗中的患者在第一次和第三次治疗时回答CALPAS-P量表，在心理治疗开始和结束时回答自评问卷（SRQ-20）、贝克抑郁量表（BDI）和汉密尔顿焦虑量表。
短程心理动力心理治疗中治疗联盟影响的研究表明，第一次治疗时较高的TUI分数与BDI量表得分的改善显著相关。在第三次PWC治疗时工作联盟得分最佳的患者也有显著的症状变化。
短程心理治疗中治疗联盟影响的研究表明，那些认为其治疗师最有能力理解并参与其问题的患者在减轻抑郁症状方面效果最佳，而那些具有更高能力形成工作联盟的患者则获得了最佳的心理治疗结果。
