Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.

Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.
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针对可卡因依赖的认知、支持表达和药物咨询疗法培训。

DOI:
10.1037//0022-006x.66.3.484
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发表时间:
1998
影响因子:
5.9
通讯作者:
Woody,G
Woody,G
中科院分区:
心理学1区
文献类型:
--
作者:
Crits-Christoph,P;Siqueland,L;Chittams,J;Barber,JP;Beck,AT;Frank,A;Liese,B;Luborsky,L;Mark,D;Mercer,D;Onken,LS;Najavits,LM;Thase,ME;Woody,G

文献摘要

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本研究评估了培训对65名治疗师向202名可卡因依赖患者提供手动指导治疗的效果。治疗师的依从性和能力的评级的变化进行了评估,在3种治疗方式:连续表达的动态治疗(SE),认知治疗(CT)和个别药物咨询。还评估了手动指导培训对治疗联盟的影响。通过分层线性建模方法检查了培训效果,该方法检查了案例内和培训案例之间的变化。在CT训练中检测到了对病例的较大影响。支持性表达治疗师和个体药物咨询师在会议期间表现出统计学显著的学习趋势,但在培训案例中没有。在SE和CT的培训并没有产生负面影响的治疗联盟,虽然联盟分数的学员在药物咨询最初下降,但随后反弹到初始水平。(PsycInfo数据库记录(c)2016阿帕,保留所有权利)
This study assessed the effects of training on the performance of 65 therapists in delivering manual-guided therapies to 202 cocaine-dependent patients. Changes in ratings of therapists' adherence and competence was assessed in 3 treatment modalities: supportive-expressive dynamic therapy (SE), cognitive therapy (CT), and individual drug counseling. Effects of manual-guided training on the therapeutic alliance were also assessed. Training effects were examined through a hierarchical linear modeling approach that examined changes both within cases and across training cases. A large effect across cases was detected for training in CT. Supportive-expressive therapists and individual drug counselors demonstrated statistically significant learning trends over sessions but not over training cases. Training in SE and CT did not have a negative impact on the therapeutic alliance, although alliance scores for trainees in drug counseling initially decreased but then rebounded to initial levels.(PsycINFO Database Record (c) 2016 APA, all rights reserved)