心理动力疗法、认知行为疗法和人际疗法中治疗联盟与生活质量的正相关：患者视角
Positive Association Between Therapeutic Alliance and Quality of Life in Psychodynamic Psychotherapy, Cognitive Behavior Therapy, and Interpersonal Therapy: The Patient's Perspective.
作者信息
Barbisan Guilherme Kirsten, de Pieri Luiza Zamban, Gonçalves Leonardo, Rebouças Cinthia Danielle Vasconcelos, da Rocha Neusa Sica
机构信息
Postgraduate Program in Psychiatry and Behavioral Sciences, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
出版信息
Front Psychiatry. 2022 Jan 25;12:613627. doi: 10.3389/fpsyt.2021.613627. eCollection 2021.
BACKGROUND
The therapeutic alliance (TA) is considered a common psychotherapeutic factor associated with positive results in psychotherapies. There are no studies relating the TA with quality of life (Qol).
OBJECTIVES
Our objective was to evaluate whether there is an association between the TA and Qol across three different psychotherapies.
METHODS
A cross-sectional study, which included outpatients undergoing individual psychotherapeutic treatment was conducted. When analyzing the total sample, the correlation of the TA with Qol domains did not present statistical significance. When considering only the sample of patients who were undergoing treatment in psychodynamic psychotherapy (PP), there was a statistically significant association between the TA and the psychological domain of Qol ( < 0.05). When using a regression model for adjusting for confounding factors, the association between psychological domain with the TA on the PP patients sample lost significance ( = 0.221).
DISCUSSION
These findings suggest that the TA seems to be more strongly related to better QoL in PP.
背景
治疗联盟（TA）被认为是心理治疗中与积极治疗效果相关的一个常见因素。目前尚无关于TA与生活质量（Qol）关系的研究。
目的
我们的目的是评估在三种不同的心理治疗中TA与Qol之间是否存在关联。
方法
进行了一项横断面研究，纳入接受个体心理治疗的门诊患者。在分析总样本时，TA与Qol各领域的相关性无统计学意义。仅考虑接受心理动力心理治疗（PP）的患者样本时，TA与Qol的心理领域之间存在统计学显著关联（<0.05）。当使用回归模型调整混杂因素时，PP患者样本中心理领域与TA之间的关联失去显著性（=0.221）。
讨论
这些发现表明，TA似乎与PP中更好的生活质量更密切相关。
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