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患者对治疗师的依恋评定量表:编制及心理测量学特性。

Patient Attachment to Therapist Rating Scale: development and psychometric properties.

机构信息

a Department of Psychology , Stockholm University , Sweden.

出版信息

Psychother Res. 2014;24(2):184-201. doi: 10.1080/10503307.2013.867462. Epub 2013 Dec 13.

DOI:10.1080/10503307.2013.867462
PMID:24329170
Abstract

OBJECTIVE

To report on the development and initial psychometric properties of a new rating scale for patent-therapist attachment.

METHOD

Seventy interviews from the Young Adult Psychotherapy Project (YAPP) were rated.

RESULTS

Excellent internal consistency (Cronbach's α > .90) was observed for all four subscales (Security, Deactivation, Hyperactivation, and Disorganization). Three subscales showed good inter-rater reliability (ICC > .60), while one (Hyperactivation) had poor (ICC < .40). Correlations with measures of alliance, mental representations, and symptom distress support the construct validity of the reliable subscales. Exploratory factor analysis indicated three underlying factors explaining 82% of the variance.

CONCLUSIONS

The Patient Attachment to Therapist Rating Scale is a promising approach for assessing the quality of attachment to therapist from patient narratives. Future development should focus on improving the discrimination of the insecure subscales.

摘要

目的

报告一种新的治疗师依附性量表的开发和初步心理计量学特性。

方法

对青年心理治疗项目(YAPP)中的 70 次访谈进行评分。

结果

所有四个分量表(安全感、去激活、过度激活和失组织)均表现出极好的内部一致性(Cronbach's α >.90)。三个分量表的评分者间信度良好(ICC >.60),而一个分量表(过度激活)的信度较差(ICC <.40)。与联盟、心理表征和症状困扰测量的相关性支持可靠分量表的建构效度。探索性因素分析表明,三个潜在因素解释了 82%的方差。

结论

患者对治疗师依附性量表是一种从患者叙述中评估与治疗师依附关系质量的有前途的方法。未来的发展应侧重于提高不安全分量表的区分度。

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引用本文的文献

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The experience of closeness and distance in the therapeutic relationship of patients with different attachment classifications: an exploration of prototypical cases.不同依恋类型患者在治疗关系中的亲近与距离体验:典型案例探究
Front Psychiatry. 2023 Jun 15;14:1029783. doi: 10.3389/fpsyt.2023.1029783. eCollection 2023.
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Patients' Adult Attachment Interview classification and their experience of the therapeutic relationship: are they associated?患者的成人依恋访谈分类与其治疗关系体验:它们有关联吗?
Res Psychother. 2019 Jul 30;22(2):361. doi: 10.4081/ripppo.2019.361. eCollection 2019 Aug 9.