Race/ethnicity as a predictor of change in working alliance during cognitive behavioral therapy for intimate partner violence perpetrators.

Race/ethnicity as a predictor of change in working alliance during cognitive behavioral therapy for intimate partner violence perpetrators.
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在亲密伴侣暴力施暴者的认知行为治疗期间,种族/族裔作为工作联盟变化的预测因素。

DOI:
10.1037/a0025751
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发表时间:
2012
期刊:
Psychotherapy (Chicago, Ill.)
影响因子:
--
通讯作者:
Murphy,ChristopherM
Murphy,ChristopherM
中科院分区:
--
文献类型:
--
作者:
Walling,SherryMuterspaugh;Suvak,MichaelK;Howard,JamieM;Taft,CaseyT;Murphy,ChristopherM

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尽管有证据表明,工作联盟(WA)是一个重要的因素,心理治疗的结果,种族/民族起着重要的作用,在治疗过程中,很少有研究直接检查WA和种族/民族之间的关联。这些关系对于难以接触的人群可能特别突出,例如参与治疗亲密伴侣暴力的男性。目前的研究调查了107名男性亲密伴侣暴力犯罪者参加为期16周的认知行为小组计划的样本中的WA评级。这些参与者中约有50%是高加索人,50%是少数种族/族裔群体(非洲裔美国人、亚裔美国人、西班牙裔和美洲印第安人)的成员。生长曲线模型用于评估治疗期间四个时间点治疗师和客户WA评级的变化。研究结果表明,随着时间的推移,治疗师WA评级没有平均水平的变化。然而,客户对工作机会的评级在各届会议上都显示出可靠、稳定的增长。WA和种族/民族之间出现了显着的相互作用,高加索参与者报告随着时间的推移,WA显着增加,而种族/少数民族群体的成员没有报告一致的变化模式。在6个月随访时,客户种族/民族和WA之间的相互作用也是治疗结果的重要预测因素。
Despite evidence that the working alliance (WA) is an important factor in psychotherapy outcome and that race/ethnicity plays an important role in the processes of therapy, few studies have directly examined associations between WA and race/ethnicity. These relationships may be particularly salient for difficult-to-engage populations, such as men participating in treatment for intimate partner violence. The current study examined WA ratings in a sample of 107 male intimate partner violence perpetrators attending a 16-week cognitive–behavioral group program. Approximately 50% of these participants were Caucasian and 50% were members of a racial/ethnic minority group (African American, Asian American, Hispanic, and American Indian). Growth curve modeling was used to assess changes in both therapist and client WA ratings across four time points during therapy. Findings indicated that there was no mean level of change in therapist WA ratings over time. However, clients' WA ratings demonstrated a reliable, steady increase across sessions. A significant interaction between WA and race/ethnicity emerged such that Caucasian participants reported a significant increase in WA over time, whereas members of racial/ethnic minority group did not report a consistent pattern of change. The interaction between client race/ethnicity and WA was also a significant predictor of treatment outcome at 6-month follow-up.
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