Predictors of early therapeutic alliance among adolescents in substance abuse treatment
Predictors of early therapeutic alliance among adolescents in substance abuse treatment
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DOI：
10.1080/02791072.2008.10399761
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发表时间：
2008-03-01
影响因子：
2.8
通讯作者：
Funk, Rodney R.
中科院分区：
文献类型：
--
作者：
Garner, Bryan R.;Godley, Susan H.;Funk, Rodney R.
鉴于治疗联盟在实现积极治疗结果方面的重要性，需要进行研究以阐明有助于发展这种重要关系的因素。本研究的目的是扩大现有的文献，通过检查在两个门诊项目治疗的青少年早期治疗联盟的预测。使用多层次建模技术显示，青少年的治疗联盟的评级的方差的大部分是由于青少年的因素（91%），而治疗师的联盟评级的方差几乎平分青少年和治疗师的因素（52%对48%）。参与者年龄被认为是治疗师评定联盟的唯一重要预测因素，治疗师报告与年龄较大的青少年有较高的联盟。青少年报告更高的社会支持水平，更大的问题认识，和更多的原因退出也报告了更高的治疗联盟评级。未来的研究需要检查，如果早期识别青少年的社会支持和问题识别率低，结合简短的治疗准备干预措施，可以是一个有前途的方法，以帮助改善治疗参与和治疗后的物质使用的结果。
Given the importance of the therapeutic alliance in achieving positive treatment outcomes, research is needed to illuminate the factors that contribute to the development of this important relationship. The aim of the current study was to expand upon the existing literature by examining predictors of the early therapeutic alliance among adolescents treated in two outpatient programs. Use of multilevel modeling techniques revealed that the majority of the variance in adolescents' ratings of the therapeutic alliance was due to adolescent factors (91%), while the variance in therapist ratings of alliance were nearly equally divided between adolescent and therapist factors (52% vs. 48%). Participant age was found to be the only significant predictor of therapist-rated alliance, with therapists reporting higher alliances with older adolescents. Adolescents reporting higher levels of social support, greater problem recognition, and more reasons for quitting also reported higher therapeutic alliance ratings. Future research is needed to examine if early identification of adolescents with low social support and problem recognition combined with brief treatment readiness interventions can be a promising approach to help improve therapeutic engagement and post-treatment substance use outcomes.