Beiling Peter, Schurig Susan, Keller Andrea, Weidner Kerstin, Noack René
TU Dresden, Carl Gustav Carus Faculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, Dresden, Germany.
Front Psychiatry. 2023 Mar 8;14:1094936. doi: 10.3389/fpsyt.2023.1094936. eCollection 2023.
Personality disorders are considered a possible factor affecting the relationship between therapeutic alliance and therapy outcome. The present study investigated the alliance-outcome effect in patient groups with borderline personality disorder (BPD) and obsessive-compulsive personality disorder (OCPD). Data derived from a sample of = 66 patients, treated in a day care hospital setting with a dialectical-behavioral and schema therapeutic treatment concept. Patients rated their symptom severity at admission, early alliance after 4-6 therapy sessions and symptom severity as well as alliance at discharge. Results showed no significant differences between BPD and OCPD patients regarding symptom severity and alliance. Multiple regression analyses indicated that the alliance was a significant predictor of symptom reduction, however only in the OCPD group. Our results showed an exceptionally strong alliance-outcome relationship in OCPD patients, suggesting that focusing on building a strong alliance and measuring it early in therapy may be especially beneficial for this patient group. For patients with BPD, a more regular screening of the therapeutic alliance might be helpful.
人格障碍被认为是影响治疗联盟与治疗效果之间关系的一个可能因素。本研究调查了边缘型人格障碍（BPD）和强迫型人格障碍（OCPD）患者群体中的联盟-效果效应。数据来自一个n = 66名患者的样本，这些患者在日间护理医院环境中接受辩证行为和图式治疗概念的治疗。患者对入院时的症状严重程度、4 - 6次治疗 sessions后的早期联盟以及出院时的症状严重程度和联盟进行了评分。结果显示，BPD和OCPD患者在症状严重程度和联盟方面没有显著差异。多元回归分析表明，联盟是症状减轻的一个显著预测因素，但仅在OCPD组中。我们的结果显示OCPD患者中联盟-效果关系异常强烈，这表明在治疗早期专注于建立强大的联盟并对其进行测量可能对该患者群体特别有益。对于BPD患者，更定期地筛查治疗联盟可能会有所帮助。
