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[治疗联盟的评估:工作联盟量表的信度与效度]

[Assessment of the therapeutic alliance: reliability and validity of the Working Alliance Inventory].

作者信息

Soygüt Gonca, Işikli Sedat

机构信息

Hacettepe U Psikoloji BI., Ankara.

出版信息

Turk Psikiyatri Derg. 2008 Winter;19(4):398-408.

PMID:19110982
Abstract

OBJECTIVE

Recent trends in psychotherapy research indicate a growing interest on the conceptualization and assessment of the therapeutic alliance. Accordingly, this study aimed to examine the reliability and validity of the Turkish Working Alliance Inventory (WAI) (Horvath and Greenberg, 1989) Therapist and Client Forms.

METHOD

In the first phase of the study, the scale was presented to 5 judges, representing psychoanalytic, gestalt, and cognitive behavioral approaches, who then placed the subscale's items within the intended theoretical construct with a high degree of consensus. In the second phase, Therapists (N=21), from different theoretical traditions, filled out the WAI (Therapist Form) based on their sessions with their three patients (N=63). Patients also completed the WAI (Client Form). These evaluations by therapists and patients have been carried out for the third or following sessions.

RESULTS

The internal validity of the scale was alpha = .96 for the Therapist Form and alpha = .90 for the Client Form. Factors analysis, conducted only for the Client Form, revealed that 3 factors were loaded in congruence with the original WAI. Considering the limited number of therapists participated in the study, factor analysis could not be conducted for the Therapist Form.

CONCLUSION

As preliminary evidence, our findings suggest that the validity and reliability of the Turkish WAI were at acceptable levels for clinical and research settings.

摘要

目的

心理治疗研究的近期趋势表明,人们对治疗联盟的概念化和评估越来越感兴趣。因此,本研究旨在检验土耳其版工作联盟量表(WAI)(Horvath和Greenberg,1989)治疗师版和患者版的信度和效度。

方法

在研究的第一阶段,该量表被呈递给5位代表精神分析、格式塔和认知行为疗法取向的评判者,他们随后以高度一致的方式将分量表项目置于预期的理论结构中。在第二阶段,来自不同理论传统的21位治疗师根据他们与三位患者(共63人)的治疗过程填写WAI(治疗师版)。患者也完成了WAI(患者版)。治疗师和患者的这些评估是在第三次或后续治疗 session进行的。

结果

该量表的内部效度方面,治疗师版的α系数为0.96,患者版的α系数为0.90。仅对患者版进行的因素分析表明,有3个因素的载荷与原始WAI一致。考虑到参与研究的治疗师数量有限,无法对治疗师版进行因素分析。

结论

作为初步证据,我们的研究结果表明,土耳其版WAI在临床和研究环境中的效度和信度处于可接受水平。

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引用本文的文献

1
The Working Alliance Inventory's Measurement Properties: A Systematic Review.工作联盟量表的测量属性:一项系统评价。
Front Psychol. 2022 Jul 15;13:945294. doi: 10.3389/fpsyg.2022.945294. eCollection 2022.