心理影像指令对患者和治疗师在心理治疗课程中的积极影响和基于力量的行为的影响:随机控制过程研究
Jan Schürmann-Vengels1,2, Christoph Flückiger2, Emilia Reyer1
1School of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany.
Clinical psychology & psychotherapy
|August 1, 2024
概括
心理治疗会话可以包括积极影响 (PA) 和基于力量的行为. 积极的图像指令可能最初会提高治疗师的力量,但不会显著改变整体会议的积极影响轨迹.
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:
- 越来越多的人对患者的幸福感感兴趣,以及心理治疗的勃发展.
- 这项研究是随机对照试验 (ClinicalTrials.gov标识符:NCT03767101) 的二次分析.
研究的目的:
- 在心理治疗课程中调查积极影响 (PA) 和基于力量的行为.
- 为了比较这些事件在正面与中性图像指示下.
主要方法:
- 分析了来自26名患者和13名治疗师的78次认知行为疗法.
- 用资源导向微处理分析对患者和治疗师的PA和基于力量的行为进行分分钟编码.
- 多级建模用于分析会议数据,从简短的心理图像指令开始.
主要成果:
- 轻微的积极影响是常见的;更强烈的表达是偶尔的. 基于力量的行为发生在20%的分析会议中.
- 治疗师在积极图像指令期间使用了更多基于力量的行为,特别是在会议的早期 (p <0.05).
- 阳性图像导致了更高的初始PA,但更明显的下降,而中性图像显示了更平坦的PA趋势 (p <0.05).
结论:
- 患者和治疗师经历并讨论积极的影响和优势,即使在患者的痛苦中.
- 积极的图像指令可能会给主要治疗师带来积极的效果,但对整体会话的进展影响有限.
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