患者和治疗师的变化过程期望:与心理治疗结果的独立和双向关联
Agostino Brugnera1, Michael J Constantino2, Ariella Grossman-Giron3
1Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.
概括
患者对心理治疗的期望显著影响治疗结果. 具体来说,期望公开分享敏感内容预示着改进,而期望探索未表达的内容可能会阻碍进步.
科学领域:
- 心理学 心理学 心理学
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
背景情况:
- 患者和治疗师对心理治疗过程的期望对于治疗至关重要.
- 关于具体的"变化过程期望"及其与治疗结果的联系的研究有限.
- 了解这些期望是提高心理治疗有效性的关键.
研究的目的:
- 研究患者和治疗师对心理治疗结果的变化过程期望的预测影响.
- 检查这些期望的一致性与治疗成功之间的关系.
- 探索特定类型的期望如何与减少心理痛苦有关.
主要方法:
- 一项涉及75名患者和17名治疗师的研究评估了基线变化过程的预期.
- 患者在基线和治疗后三个月报告了心理困扰.
- 采用多级建模来分析数据.
主要成果:
- 患者对公开分享敏感内容的期望积极预测改善 (B = -1.097,p = .007).
- 患者对探索未表达内容的期望负面预测改善 (B = 1.388,p = .049).
- 期望开放,安全共享的患者-治疗师一致性与更好的结果相关 (B = -16.528,p = .035).
结论:
- 患者的期望显著影响早期心理治疗的结果.
- 对公开分享敏感内容的能力的信念可能是提高治疗有效性的目标.
- 期望中的差异,特别是关于敏感内容共享,影响治疗结果.
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