The influence of parental factors on therapist adherence in multi-systemic therapy.

The influence of parental factors on therapist adherence in multi-systemic therapy.
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DOI:
10.1007/s10802-010-9407-0
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发表时间:
2010-08
影响因子:
3.6
通讯作者:
Gallop R
Gallop R
中科院分区:
心理学2区
文献类型:
--
作者:
Ellis ML;Weiss B;Han S;Gallop R

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治疗师的治疗依从性近年来受到了极大的关注,部分原因是它与治疗结果的关系。虽然已经发现某些治疗师的行为与治疗结果有关,但客户因素对治疗师坚持治疗方案的能力的影响却知之甚少。在本研究中,我们评估了父母信仰、精神病理和互动方式对治疗师遵守多系统治疗原则的影响。参与MST临床试验的82名家长完成了评估精神病理、家庭功能和治疗预期的基线测量。分析表明,父母对治疗师依从性的看法是在治疗的前4周内建立起来的,父母的精神病理、动机、期望和育儿实践与父母对治疗师依从性的评分有关。当控制父母的积极反应方式时,结果基本不变。讨论了研究结果的临床和研究意义。
Therapist treatment adherence has received a great deal of attention in recent years, in part because of its relation to treatment outcomes. Although certain therapist behaviors have been found to be associated with treatment outcomes, little is known about client factors impacting on therapists’ ability to adhere to treatment protocols. In this study, we evaluated effects of parental beliefs, psychopathology, and interaction styles on therapists’ adherence to Multi-systemic Therapy (MST) principles. Eighty-two parents participating in a clinical trial of MST completed baseline measures assessing psychopathology, family functioning, and treatment expectations. Analyses indicated that parental perceptions of therapist adherence were established within the first 4 weeks of treatment, and that parental psychopathology, motivation, expectations, and child rearing practices were related to parental ratings of therapist adherence. Results were essentially unchanged when controlling for parental positive response style. Clinical and research implications of the findings are discussed.
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