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联盟与心理治疗结果的关系:谢菲尔德心理治疗项目二期的研究发现

Relations of the alliance with psychotherapy outcome: findings in the Second Sheffield Psychotherapy Project.

作者信息

Stiles W B, Agnew-Davies R, Hardy G E, Barkham M, Shapiro D A

机构信息

Department of Psychology, Miami University, Oxford, Ohio 45056, USA.

出版信息

J Consult Clin Psychol. 1998 Oct;66(5):791-802. doi: 10.1037//0022-006x.66.5.791.

DOI:10.1037//0022-006x.66.5.791
PMID:9803698
Abstract

Clients (n = 79) and therapists (n = 5) rated their alliance using parallel forms of the Agnew Relationship Measure (ARM) after every session of their time-limited psychodynamic-interpersonal or cognitive-behavioral treatments for depression. The ARM assesses 5 dimensions of the alliance: Bond, Partnership, Confidence, Openness, and Client Initiative. Treatment outcome was assessed as residual gain from pretreatment assessment to end of treatment, 3-month follow-up, and 1-year follow-up on 6 standard measures. Some aspects of the alliance as measured by the ARM were correlated with clients' gains in treatment. The strength of the association varied across assessment measures, occasions of outcome assessment, ARM scales, and the session number when the alliance was measured.

摘要

79名来访者和5名治疗师在完成针对抑郁症的限时心理动力人际治疗或认知行为治疗的每一次疗程后,使用平行版本的阿格纽关系量表(ARM)对他们的治疗联盟进行评分。ARM评估治疗联盟的五个维度:联结、伙伴关系、信心、开放性和来访者主动性。治疗结果通过6项标准测量指标从治疗前评估到治疗结束、3个月随访和1年随访的残余改善情况进行评估。ARM所测量的治疗联盟的某些方面与来访者在治疗中的改善情况相关。这种关联的强度在不同的评估指标、结果评估时间、ARM量表以及测量治疗联盟的疗程次数之间有所不同。

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