Lindgren Annika, Barber Jacques P, Sandahl Christer
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Int J Group Psychother. 2008 Apr;58(2):163-84. doi: 10.1521/ijgp.2008.58.2.163.
Abstract Eighteen patients diagnosed with burnout-related depression and receiving short-term psychodynamic group psychotherapy were included in this study. The participants completed the group version of the California Psychotherapy Alliance Scales (CALPAS) five times during treatment and evaluated the relationship positively. Alliance increased significantly as treatment progressed; however, the amount of change was small. Level of alliance to the group-as-a-whole, averaged over time, was predictive of two out of three outcome measures, whereas growth in alliance during the early phase of therapy was not predictive of outcome. Exploratory examination of the alliance at different time points showed that alliance to the group-as-a-whole at mid-phase of treatment was substantially correlated with outcome. Personality features such as dismissing attachment style and being overly nurturant or exploitable were predictive of early growth in alliance.
摘要 本研究纳入了18名被诊断为职业倦怠相关抑郁症并接受短期心理动力团体心理治疗的患者。参与者在治疗期间五次完成团体版的加利福尼亚心理治疗联盟量表（CALPAS），并对这种关系给予了积极评价。随着治疗的推进，联盟显著增加；然而，变化量较小。将整个团体的联盟水平随时间平均后，在三项结果测量指标中有两项具有预测性，而治疗早期联盟的增长对结果并无预测性。对不同时间点联盟的探索性检查表明，治疗中期对整个团体的联盟与结果显著相关。诸如轻视依恋风格以及过度关爱或易被利用等人格特征可预测联盟的早期增长。
