Effects of therapist adherence and competence on patient outcome in brief dynamic therapy
Effects of therapist adherence and competence on patient outcome in brief dynamic therapy
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DOI：
10.1037/0022-006x.64.3.619
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发表时间：
1996-06-01
影响因子：
5.9
通讯作者：
Luborsky, L
中科院分区：
文献类型：
--
作者：
Barber, JP;CritsChristoph, P;Luborsky, L
作者研究了治疗师过程变量（依从性和能力）与患者随后症状变化之间的关系。29名抑郁症患者参加了16次每周一次的支持性表达（SE）动态心理治疗。抑郁症的变化，从摄入到第3次会议预测更高的评级坚持表达（解释）技术在第3次会议期间，但不是他们的主管交付。部分治疗前的精神病严重程度，治疗师坚持使用表达技术，和以前的症状改善，相对称职的交付SE特异性表达技术预测随后的抑郁症的改善。针对替代解释（如治疗联盟或一般治疗技能的作用）的次要分析没有改变结果。
The authors examined the relation between therapist process variables(adherence and competence) and subsequent symptomatic change in patients. Twenty-nine depressed patients were seen in 16 sessions of weekly supportive expressive (SE) dynamic psychotherapy. Change in depression from intake to Session 3 predicted higher ratings of adherence to expressive (interpretative) techniques during Session 3 but not their competent delivery. Partialling pretreatment psychiatric severity, therapists' adherence to use of expressive techniques, and previous symptomatic improvement, relatively competent delivery of SE-specific expressive techniques predicted subsequent improvement in depression. Secondary analyses addressing alternative explanations (such as the role of either therapeutic alliance or general therapeutic skills) did not change the results.