Department of Psychology and Psychotherapy, Universität Witten/Herdecke, Witten, Germany.
Trimberg Research Academy, University of Bamberg, Bamberg, Germany.
Psychother Res. 2023 Jun;33(5):551-565. doi: 10.1080/10503307.2022.2146543. Epub 2022 Nov 20.
Meta-analytic evidence showed robust associations between the alliance in psychotherapeutic dyads and treatment outcomes. Recent studies have indicated that facets of positive mental health are additionally relevant predictors of both the alliance and success of psychotherapy. However, the impact of patients' pre-therapy strengths on the alliance at the beginning and during treatment has been scarcely examined.
428 patients (62.4% female, = 40.79), treated by 41 therapists, underwent cognitive behavioral therapy in a German outpatient training and research center. Alliance from patients' perspectives was assessed at the beginning and during treatment. Data were analyzed with multilevel growth curve modeling.
Alliance increased during psychotherapy, with a quadratic trajectory best representing this trend on average, < .001. Pre-therapy strengths were positively related to alliance intercept, = 0.0537, < .001. No interaction was found between the included time variables and pre-therapy strengths in the prediction of the alliance slope.
Positive mental health facets should be considered in psychotherapy research and practice. Future studies may focus on the parallel development of patients' strengths with other process factors in treatment.
荟萃分析的证据表明，心理治疗二人组中的联盟与治疗结果之间存在强大的关联。最近的研究表明，积极心理健康的各个方面也是联盟和心理治疗成功的额外相关预测因素。然而，患者治疗前的优势对开始和治疗期间的联盟的影响很少被研究。
428 名患者（62.4%为女性， = 40.79），由 41 名治疗师进行认知行为治疗，在德国的一家门诊培训和研究中心进行。从患者的角度评估治疗开始时和治疗期间的联盟。使用多层次增长曲线模型进行数据分析。
心理治疗期间联盟增加，平均而言，二次轨迹最能代表这种趋势， < .001。治疗前的优势与联盟截距呈正相关， = 0.0537， < .001。在联盟斜率的预测中，未发现包含的时间变量与治疗前优势之间存在交互作用。
积极心理健康方面应在心理治疗研究和实践中得到考虑。未来的研究可能集中在患者优势与治疗中其他过程因素的平行发展上。
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