University of North Carolina at Chapel Hill, United States.
University of North Carolina at Chapel Hill, United States.
J Anxiety Disord. 2020 Mar;70:102194. doi: 10.1016/j.janxdis.2020.102194. Epub 2020 Jan 18.
The therapeutic alliance has been the subject of a great deal of psychotherapy research, and evidence from numerous empirical studies suggests that a strong patient-therapist relationship predicts favorable treatment outcomes. Despite the consistency of the alliance outcome relationship across treatment modalities and diagnoses, little attention has been given to this potential prognostic indicator in exposure therapy for anxiety-related disorders. Given that exposure therapy requires patients to engage in challenging and distressing activities (e.g., confrontation with feared stimuli), a strong alliance between patient and therapist is conceptually relevant to treatment. Relatively few published exposure therapy trials have included the therapeutic alliance as a process variable, and no single review summarizes findings from this body of literature. Accordingly, the purpose of this review is to provide an overview and synthesis of existing research on the alliance-outcome relationship in exposure therapy. Methodological and conceptual considerations will be discussed, and future research priorities will be identified.
治疗联盟一直是许多心理治疗研究的主题，大量实证研究的证据表明，医患关系良好预测治疗效果良好。尽管各种治疗方式和诊断中都存在联盟结果关系的一致性，但在焦虑相关障碍的暴露疗法中，很少关注这种潜在的预后指标。鉴于暴露疗法要求患者参与具有挑战性和痛苦的活动（例如，面对恐惧刺激），因此患者和治疗师之间的牢固联盟在概念上与治疗相关。相对较少发表的暴露疗法试验将治疗联盟作为一个过程变量纳入其中，也没有任何单一的综述总结了这一文献的研究结果。因此，本综述的目的是提供一个概述和综合现有的研究成果，以了解在暴露疗法中联盟-结果关系。本文将讨论方法学和概念性的考虑因素，并确定未来的研究重点。
