Residential Facilities and Forensic Psychopathology Complex Unit, Department of Mental Health and Drug Abuse, AUSL Parma, Str. Quartiere, 2/A, 43126, Parma, Italy.
Villa Rosa, Private Accredited Hospital, Via Fratelli Rosselli, 83, 41125, Modena, Italy.
Psychiatr Q. 2021 Jun;92(2):523-536. doi: 10.1007/s11126-020-09834-2.
Several studies support group therapy effectiveness due to the activation in patients of unique psychological mechanisms defined as non-specific therapeutic factors (Therapeutic Factors-TFs), which shape the setting and, at the same time, enhance the specific group therapeutic factors. The objectives of this study were to preliminarly validate Therapeutic Factors Inventory-8 (TFI-8) Italian version and identify group therapeutic factors. In a psychiatric residential facility, a weekly psychotherapeutic group was evaluated during 1 year. One scale on group process (TFI-8, Ferrara-Group Experience Scale) and three clinical scales (Brief Symptom Inventory-53, Sheehan Disability Scale, WHO Quality of Life-Bref) were administered to participating patients. Internal consistency, Exploratory Factor Analysis (EFA), convergent validity of TFI-8 were assessed. Correlations between TFI-8 and other scale scores and selected variables were pwerformed. Our sample consisted of 64 participants. TFI-8 showed good internal consistency (Chronbach's alpha = 0.84), concurrent validity with Fe-GES (Rho = 0.42, p = 0.0008). EFA highlighted a single Factor, accounting for 92% of variance. TFI-8 was not significantly related to clinical scale scores. TFI-8 Italian version proved to be a valid and reliable tool which allowed us to identify one therapeutic factor indicating relational attraction in group therapy, composed of three dimensions: infusion of hope, cohesion and social learning.
多项研究证实了团体治疗的有效性，因为它激活了患者独特的心理机制，这些机制被定义为非特定治疗因素（治疗因素-TFs），这些因素塑造了治疗环境，同时增强了特定的团体治疗因素。本研究旨在初步验证治疗因素量表-8（TFI-8）的意大利语版本，并确定团体治疗因素。在一家精神病院，我们对一个为期一年的每周心理治疗团体进行了评估。参与治疗的患者接受了一个团体治疗过程量表（TFI-8，费拉拉团体体验量表）和三个临床量表（简明症状量表-53，Sheehan 残疾量表，WHO 生活质量量表-简表）的评估。我们评估了 TFI-8 的内部一致性、探索性因素分析（EFA）和聚合效度。我们还进行了 TFI-8 与其他量表评分和选定变量之间的相关性分析。我们的样本由 64 名参与者组成。TFI-8 显示出良好的内部一致性（Chronbach's alpha=0.84），与 Fe-GES（Rho=0.42，p=0.0008）具有同时效度。EFA 突出了一个单一的因素，占方差的 92%。TFI-8 与临床量表评分无显著相关性。TFI-8 的意大利语版本被证明是一种有效且可靠的工具，它使我们能够识别出一种治疗因素，表明团体治疗中的关系吸引力，它由三个维度组成：希望灌输、凝聚力和社会学习。
