Meta-Analysis of the Alliance–Outcome Relation in Couple and Family Therapy
Meta-Analysis of the Alliance–Outcome Relation in Couple and Family Therapy
复制标题
夫妻和家庭治疗中联盟-结果关系的荟萃分析
作者：
M. Friedlander;V. Escudero;M. J. Welmers;L. Heatherington
本文回顾了夫妇和家庭治疗（CFT）中联盟-结果关系的荟萃分析证据，并对临床实践产生了影响。我们开始通过描述CFT联盟的独特功能和他们的测量，其次是两个案例描述。我们解释说，由于CFT的系统背景下，每个病人的个人联盟与治疗师的影响，并受到其他家庭成员的合作水平。由于家庭成员经常在彼此发生冲突时寻求帮助，因此“分裂”联盟很常见，系统内联盟也很常见，系统内联盟的定义是家庭成员对问题性质的认同程度，以及共同参与治疗以实现共同目标的价值。在我们对48项研究（40个独立样本）的荟萃分析中，我们使用了三水平随机效应模型（Ns = 2，568个家庭，1，545对夫妇和491个效应量），发现r = 0.297。在另一项有7个独立样本和31个效应量的分析中，分裂的联盟-结果关联也很显著，r = 0.316，表明联盟越分裂或不平衡，结果就越差。主持人分析表明，联盟的结果协会没有不同的夫妇与家庭治疗，但相关性显着更强的样本与年幼的问题儿童，老年人，比例更多的男性青年和成年人，当家庭自愿寻求帮助（与非自愿或强制家庭相比）。本文最后提出了建立和维持CFT强大的系统性联盟的研究策略。
This article reviews meta-analytic evidence for the alliance–outcome relation in couple and family therapy (CFT), with implications for clinical practice. We begin by describing the unique features of CFT alliances and their measurement, followed by two case descriptions. We explain that due to the systemic context of CFT, each patient’s personal alliance with the therapist affects and is affected by other family members’ levels of collaboration. Because family members often seek help when they are in conflict with one another, “split” alliances are common, as are problematic within-system alliances, defined as the degree to which family members agree on the nature of their problems and value participating in therapy together to achieve shared goals. In our meta-analysis of 48 studies with 40 independent samples, we used a three-level random effects model (Ns = 2,568 families, 1,545 couples, and 491 effect sizes) and found r = .297. In another analysis with seven independent samples and 31 effect sizes, the split alliance–outcome association was also significant, r = .316, indicating that the more split or unbalanced the alliance, the poorer the outcome. Moderator analyses showed that alliance–outcome associations did not differ for couple versus family therapy, but correlations were significantly stronger in samples with younger problem children, older adults, proportionally more male youth and adults, and when the families voluntarily sought help (as compared with involuntary or mandated families). The article concludes with research-informed strategies for building and sustaining strong systemic alliances in CFT.
精神分裂症治疗中的治疗联盟和家庭心理教育：一项探索性前瞻性改变过程研究。
影响因子：
5.9
作者：
Smerud,PhyllisE;Rosenfarb,IrwinS
通讯作者：
Rosenfarb,IrwinS
治疗联盟和夫妻联合酗酒治疗的保留。
影响因子：
4.4
作者：
Raytek,HS;McGrady,BS;Epstein,EE;Hirsch,LS
通讯作者：
Hirsch,LS