Sica Andrea, McCabe Corinne, Tierney Kevin
Talbot Group Residential Disability Services, Co Meath, Ireland.
Acquired Brain Injury Ireland, 2nd Floor, Block A, Century House, 100 George's Street Upper, Northumberland Hall, Northumberland Avenue, DunLaoghaire, Dublin, A96 VY26, Ireland.
Discov Ment Health. 2025 Feb 25;5(1):24. doi: 10.1007/s44192-025-00150-4.
The association between therapeutic relationships (TR) and Insight into overall deficit and skill among clinical populations is supported by a very limited number of studies. Even fewer of these have explored the association in brain injury or disability populations, and none have explored the association outside of therapeutic settings with qualified professionals such as psychologists. In fact, the impact of TR on Insight when interventions are delivered by frontline, non-clinically trained staff is virtually unexplored. This explorative, correlational study of 24 adults with acquired brain injury (ABI) (N = 11) and intellectual disability (ID; N = 13) and their 24 keyworkers aimed to address this gap. The Scale To Assess Therapeutic Relationships (STAR) provided the measure of TR while the Patient Competency Rating Scale (PCRS) provided the measure of Insight. Participants were recruited from a residential community service. Spearman's rho correlations between the STAR and PCRS and each of their subscales revealed no significant correlations in the overall sample. However, several post-hoc correlations reached statistical significance within the ABI group. These findings support the hypothesis of an interplay between TR and Insight following ABI. Reasons why this interplay was not found in the overall sample or the ID group are discussed.
治疗关系（TR）与临床人群对总体缺陷和技能的洞察力之间的关联仅得到了极少数研究的支持。其中更少的研究探讨了脑损伤或残疾人群中的这种关联，并且没有研究探讨在治疗环境之外与心理学家等合格专业人员之间的关联。事实上，当由一线、未经临床培训的工作人员进行干预时，TR对洞察力的影响几乎未被探索。这项对24名获得性脑损伤（ABI）成人（N = 11）和智力残疾（ID；N = 13）及其24名关键工作人员进行的探索性、相关性研究旨在填补这一空白。评估治疗关系量表（STAR）提供了TR的测量，而患者能力评定量表（PCRS）提供了洞察力的测量。参与者从一个居住社区服务机构招募。STAR与PCRS及其各子量表之间的斯皮尔曼等级相关在总体样本中未显示出显著相关性。然而，在ABI组中，一些事后相关达到了统计学显著性。这些发现支持了ABI后TR与洞察力之间相互作用的假设。讨论了在总体样本或ID组中未发现这种相互作用的原因。
