PhD Program in Educational Psychology, The Graduate Center of the City University of New York.
Department of Child Study, St. Joseph's College.
Psychotherapy (Chic). 2018 Dec;55(4):372-383. doi: 10.1037/pst0000170.
This article provides meta-analyses of the relation between goal consensus and collaboration and individual psychotherapy outcome using studies published in English between 1978 and June 2017. Inclusion criteria involved (a) a measure of psychotherapy outcome, (b) a measure of goal consensus and/or collaboration, (c) a group design, (d) adult patients (aged 18 years or older), and (e) a reported effect or statistic that could be converted to an effect size. For the 54 studies (N = 7,278) of goal consensus and outcome, the result was r = .24 (95% confidence interval [CI] [.19, .28]) or d = .49, representing a medium effect. For the 53 studies (N = 5,286) of patient-therapist collaboration and outcome, the result was r = .29 (95% CI [.24, .34]) or d = .61, another medium effect. In all, 21 studies (N = 2,081) of therapist collaboration and outcome yielded an omnibus effect of .26 (95% CI [.18, .35]) or d = .54. Results suggest patient-therapist goal consensus and collaboration enhance psychotherapy outcome. The article concludes with research limitations, diversity considerations, and therapeutic practices. Limitations of the studies included a dearth of diverse samples, assessment of goal consensus and/or collaboration at a single time during treatment, failure to relate measures to outcome, and analyses that do not permit causal conclusions. Research suggests that therapists seek input from patients to form and effect treatment goals and plans, provide patients with regular feedback, and seek their involvement throughout therapy. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
本文对 1978 年至 2017 年 6 月期间发表的英文文献进行了元分析，探讨了目标共识与合作与个体心理治疗结果之间的关系。纳入标准包括：（a）心理治疗结果的测量，（b）目标共识和/或合作的测量，（c）群组设计，（d）成年患者（18 岁或以上），以及（e）报告的可转换为效应大小的效应或统计数据。在 54 项关于目标共识与结果的研究（N=7278）中，结果为 r=0.24（95%置信区间[CI]：[0.19，0.28]）或 d=0.49，代表中等效应。在 53 项关于患者-治疗师合作与结果的研究（N=5286）中，结果为 r=0.29（95%置信区间[CI]：[0.24，0.34]）或 d=0.61，这是另一个中等效应。总的来说，在 21 项关于治疗师合作与结果的研究（N=2081）中，综合效应为 0.26（95%置信区间[CI]：[0.18，0.35]）或 d=0.54。结果表明，患者-治疗师的目标共识和合作可以增强心理治疗的效果。文章最后讨论了研究的局限性、多样性的考虑因素以及治疗实践。研究的局限性包括样本多样性不足、在治疗过程中的单一时间点评估目标共识和/或合作、未能将测量结果与结果联系起来，以及分析不允许得出因果结论。研究表明，治疗师应寻求患者的意见来制定和实施治疗目标和计划，定期向患者提供反馈，并在整个治疗过程中寻求患者的参与。（美国心理协会，2018 年）。
