Alliance in Individual Psychotherapy

Alliance in Individual Psychotherapy
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DOI:
10.1037/a0022186
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发表时间:
2011-03-01
期刊:
影响因子:
2.5
通讯作者:
Symonds, Dianne
Symonds, Dianne
中科院分区:
心理学2区
文献类型:
--
作者:
Horvath, Adam O.;Del Re, A. C.;Symonds, Dianne

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本文报道了一项关于联盟与个体心理治疗效果关系的综合研究。其中包括基于190个独立数据源的200多份研究报告,涵盖14000多种治疗方法。研究涉及5名或更多成年参与者接受真正的(而不是类似的)治疗,其中作者(s)将其中一个自变量称为“联盟”,“治疗联盟”,“帮助联盟”或“工作联盟”是纳入标准。所有的分析都是使用随机模型的假设来完成的。联盟与治疗结果之间的总体总体关系(经样本量和结果测量的非独立性调整)为r = 0.275 (k = 190);该值的95%置信区间为0.25 - 0.30。联盟与结果的聚合关系的统计概率为p < 0.0001。本荟萃分析收集的数据变化很大(异质性)。探讨了评估视角(来访者、治疗师、观察者)、出版来源、评估方法类型、评估时间等潜在变量。
This article reports on a research synthesis of the relation between alliance and the outcomes of individual psychotherapy. Included were over 200 research reports based on 190 independent data sources, covering more than 14,000 treatments. Research involving 5 or more adult participants receiving genuine (as opposed to analogue) treatments, where the author(s) referred to one of the independent variables as "alliance," "therapeutic alliance," "helping alliance," or "working alliance" were the inclusion criteria. All analyses were done using the assumptions of a random model. The overall aggregate relation between the alliance and treatment outcome (adjusted for sample size and non independence of outcome measures) was r = .275 (k = 190); the 95% confidence interval for this value was .25-.30. The statistical probability associated with the aggregated relation between alliance and outcome is p < .0001. The data collected for this meta-analysis were quite variable (heterogeneous). Potential variables such as assessment perspectives (client, therapist, observer), publication source, types of assessment methods and time of assessment were explored.