考察心理健康服务中选择、治疗联盟与结果之间的关系。
Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services.
机构信息
Silver School of Social Work, New York University, 1 Washington Square N, New York, NY 10003, USA.
Department of Rehabilitation, Temple University, 1700 N. Broad Street, Suite 304, Philadelphia, PA 19122, USA.
出版信息
J Pers Med. 2013 Aug 20;3(3):191-202. doi: 10.3390/jpm3030191.
BACKGROUND
Self-determination within mental health services is increasingly recognized as an ethical imperative, but we still know little about the impact of choice on outcomes among people with severe mental illnesses. This study examines whether choice predicts outcomes and whether this relationship is mediated by therapeutic alliance.
METHOD
The study sample of 396 participants completed a survey measuring choice, therapeutic alliance, recovery, quality of life and functioning. Multivariate analyses examined choice as a predictor of outcomes, and Sobel tests assessed alliance as a mediator.
RESULTS
Choice variables predicted recovery, quality of life and perceived outcomes. Sobel tests indicated that the relationship between choice and outcome variables was mediated by therapeutic alliance.
IMPLICATIONS
The study demonstrates that providing more choice and opportunities for collaboration within services does improve consumer outcomes. The results also show that collaboration is dependent on the quality of the relationship between the provider and consumer.
背景
在精神卫生服务中，自主性正日益被视为一种道德要求，但我们对选择对严重精神疾病患者的结果的影响知之甚少。本研究考察了选择是否能预测结果，以及这种关系是否由治疗联盟所介导。
方法
该研究的 396 名参与者完成了一项调查，该调查衡量了选择、治疗联盟、康复、生活质量和功能。多变量分析检验了选择作为结果预测因素的作用，Sobel 检验评估了联盟作为中介的作用。
结果
选择变量预测了康复、生活质量和感知结果。Sobel 检验表明，选择与结果变量之间的关系由治疗联盟介导。
意义
该研究表明，在服务中提供更多的选择和合作机会确实可以改善消费者的结果。结果还表明，协作取决于提供者和消费者之间关系的质量。
Zotero 插件