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治疗联盟及其与酒精成瘾治疗参与度和治疗结果的关系。

The therapeutic alliance and its relationship to alcoholism treatment participation and outcome.

作者信息

Connors G J, Carroll K M, DiClemente C C, Longabaugh R, Donovan D M

机构信息

Research Institute on Addictions, Buffalo, New York 14203, USA.

出版信息

J Consult Clin Psychol. 1997 Aug;65(4):588-98. doi: 10.1037//0022-006x.65.4.588.

DOI:10.1037//0022-006x.65.4.588
PMID:9256560
Abstract

The relationship between the therapeutic alliance and treatment participation and drinking outcomes during and after treatment was evaluated among alcoholic outpatient and aftercare clients. In the outpatient sample, ratings of the working alliance, whether provided by the client or therapist, were significant predictors of treatment participation and drinking behavior during the treatment and 12-month posttreatment periods, after a variety of other sources of variance were controlled. Ratings of the alliance by the aftercare clients did not predict treatment participation or drinking outcomes. Therapists ratings of the alliance in the aftercare sample predicted only percentage of days abstinent during treatment and follow-up. The results document the independent contribution of the therapeutic alliance to treatment participation and outcomes among alcoholic outpatients.

摘要

研究评估了酒精门诊患者及后续护理患者在治疗期间及治疗后治疗联盟与治疗参与度及饮酒结果之间的关系。在门诊样本中,无论由患者还是治疗师给出的工作联盟评分,在控制了各种其他变异来源后,都是治疗期间及治疗后12个月治疗参与度和饮酒行为的显著预测指标。后续护理患者给出的联盟评分并不能预测治疗参与度或饮酒结果。在后续护理样本中,治疗师给出的联盟评分仅能预测治疗及随访期间戒酒的天数百分比。研究结果证明了治疗联盟对酒精门诊患者治疗参与度及治疗结果的独立作用。

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