Luborsky L, Barber J P, Siqueland L, Johnson S, Najavits L M, Frank A, Daley D
Center for Psychotherapy Research, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Harvard Medical School, Boston, Massachusetts; and Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.
J Psychother Pract Res. 1996 Summer;5(3):260-71.
The concept of the therapeutic alliance and its operationalization have received much attention in recent years. One of the early self-report measures of the therapeutic alliance was the Helping Alliance questionnaire (HAq-I). This scale was recently revised to exclude the items that explicitly reflect improvement. Using the revised 19-item HAq-II on a sample of 246 patients diagnosed with DSM-III-R cocaine dependence, the authors found that the new scale had excellent internal consistency and test-retest reliability. Further, the HAq-II demonstrated good convergent validity with the California Psychotherapy Alliance Scale (CALPAS) total score. Alliance levels as measured by the CALPAS or the Helping Alliance questionnaire during early sessions were not associated with pretreatment psychiatric severity or level of depression.
治疗联盟的概念及其实施近年来受到了广泛关注。治疗联盟早期的自我报告测量方法之一是帮助联盟问卷（HAq-I）。该量表最近进行了修订，以排除明确反映改善情况的项目。作者对246名被诊断为DSM-III-R可卡因依赖的患者样本使用修订后的19项HAq-II，发现新量表具有出色的内部一致性和重测信度。此外，HAq-II与加利福尼亚心理治疗联盟量表（CALPAS）总分具有良好的聚合效度。在早期治疗阶段，通过CALPAS或帮助联盟问卷测量的联盟水平与治疗前的精神疾病严重程度或抑郁水平无关。
