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小组治疗中的正性和负性反馈是否存在最佳水平?反应曲面分析。

Is there an optimal level of positive and negative feedback in group therapy? A response surface analysis.

机构信息

Department of Psychological and Quantitative Foundations, University of Iowa.

出版信息

Psychotherapy (Chic). 2020 Jun;57(2):174-183. doi: 10.1037/pst0000244. Epub 2019 Jul 25.

DOI:10.1037/pst0000244
PMID:31343223
Abstract

Interpersonal feedback is an important process in group therapy. Feedback can be both positive and negative, and group researchers have noted the importance of both positive and negative feedback in fostering cohesive groups and evoking behavioral change (Yalom & Leszcz, 2005). However, there is a paucity of research examining the amount and valence (i.e., positive and negative) of interpersonal feedback on group therapy process and outcomes. Therefore, this study tested the proposition that congruent and high levels of members' perceptions of positive and negative feedback was optimal for member's perceptions of cohesion and improvement in group therapy. Data for this study consisted of 168 members across 43 interpersonal process therapy groups. Polynomial regression and response surface analysis revealed that members' perceptions of congruent and high levels of positive and negative interpersonal feedback were positively associated with members' perceptions of group cohesion and improvement. In addition, members' perceptions of discrepant high positive feedback and low negative feedback were positively associated with members' perceptions of group cohesion and improvement. These findings suggest that members' perceptions of balanced and high amounts of positive and negative feedback, as well as discrepant high positive feedback and low negative feedback, are optimal in group therapy. Group leaders should attend to the amount and proportion of positive and negative member-member feedback in therapy groups to enhance the clinical benefit of these services. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

人际反馈是团体治疗中的一个重要过程。反馈可以是正面的也可以是负面的,团体研究人员注意到正面和负面反馈在促进有凝聚力的团体和引发行为改变方面的重要性(Yalom & Leszcz, 2005)。然而,关于人际反馈对团体治疗过程和结果的数量和效价(即正面和负面)的研究很少。因此,本研究检验了这样一个假设,即成员对正面和负面反馈的一致性和高水平感知对于成员对团体凝聚力和团体治疗改善的感知是最佳的。本研究的数据来自 43 个人际过程治疗小组的 168 名成员。多项式回归和响应面分析表明,成员对一致性和高水平的正面和负面人际反馈的感知与成员对团体凝聚力和改善的感知呈正相关。此外,成员对高正反馈和低负反馈的不一致感知与成员对团体凝聚力和改善的感知呈正相关。这些发现表明,成员对平衡和高水平的正、负反馈以及不一致的高正反馈和低负反馈的感知在团体治疗中是最佳的。团体领导者应该关注治疗小组中成员之间的正、负反馈的数量和比例,以提高这些服务的临床效益。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

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