American School of Professional Psychology, Clinical Psychology Program, Argosy University, Washington, DC, USA.
Psychotherapy (Chic). 2011 Sep;48(3):237-48. doi: 10.1037/a0022425.
The present study examined the relationship between adult attachment style and therapeutic alliance in individual psychotherapy. Search procedures yielded 17 independent samples (total N = 886, average n = 52, standard deviation = 24) for inclusion in the meta-analysis. Results indicated that greater attachment security was associated with stronger therapeutic alliances, whereas greater attachment insecurity was associated with weaker therapeutic alliances, with an overall weighted effect size of r = .17, p < .001 (95% confidence interval = .10-.23). Publication bias analyses did not indicate any cause for concern regarding the results. The data were not demonstrably heterogeneous (Q = 6.10, df = 16, p = .99), and all between-study moderator analyses were nonsignificant (p values > .10) with the exception of the source of alliance ratings; results indicated that patient-rated alliance demonstrated a significantly larger relationship with attachment compared with therapist-rated alliance (Qbetween = 3.95, df = 1, p = .047). Implications for clinical practice and future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
本研究考察了个体心理治疗中成人依恋风格与治疗联盟之间的关系。搜索程序产生了 17 个独立样本（总 N = 886，平均 n = 52，标准差 = 24）纳入荟萃分析。结果表明，更大的依恋安全性与更强的治疗联盟相关，而更大的依恋不安全感与更弱的治疗联盟相关，总体加权效应大小为 r =.17，p <.001（95%置信区间 =.10-.23）。出版偏差分析并未表明结果存在任何问题。数据没有表现出明显的异质性（Q = 6.10，df = 16，p =.99），除了联盟评级的来源外，所有研究间的调节分析均无显著性（p 值>.10），结果表明患者评定的联盟与依恋的关系明显大于治疗师评定的联盟（Q 间 = 3.95，df = 1，p =.047）。讨论了对临床实践和未来研究的影响。（PsycINFO 数据库记录（c）2011 APA，保留所有权利）。
