自我反思和对治疗结果的反的附加价值:试点研究
David Kamp1, Cynthia Blanker2, Anton Hafkenscheid3
1UMC Utrecht Brain Center, Utrecht, Netherlands.
Frontiers in psychology
|January 7, 2025
概括
在心理治疗中,常规过程监测 (RPM) 提高了患者的结果和治疗联盟. 随着时间的推移,患者报告了更好的结果和与治疗师的更强的关系,突出了治疗成功中共同因素的重要性.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 心理治疗研究历来专注于特定的技术,但像治疗联盟这样的共同因素越来越被认为是重要的.
- 常规过程监测 (RPM) 是一种使用持续反来改善治疗中的常见因素的方法.
- RPM旨在加强治疗联盟并解决反转移,从而有可能改善治疗结果.
研究的目的:
- 研究常规过程监测对心理治疗结果的影响.
- 检查治疗联盟的变化及其与患者报告的结果和反转移的相关性.
- 评估常见因素对心理治疗有效性的作用.
主要方法:
- 一项涉及131名接受心理治疗的成年患者的研究.
- 使用会话评分尺度 (SRS) 进行治疗联盟,影响信息库存-循环复合 (IMI-CS) 进行反转移,结果评分尺度 (ORS) 进行结果.
- 在整个心理治疗期间,仪器在多个阶段被使用.
主要成果:
- 患者报告了从T1到T2.2的结果 (ORS) 的显著改善.
- 在T2和T3之间观察到治疗联盟强度 (SRS) 的显著增加.
- 在SRS得分和IMI-CS上的"友好"位置之间发现了积极的相关性,以及与"顺从"位置的负相关性.
结论:
- 患者认为治疗有所改善,并将部分原因归因于后期更积极的治疗联盟.
- 这些发现强调了心理治疗中患者参与和治疗师自我反思的价值.
- 该研究支持故意练习和RPM在增强治疗结果中的有用性,并建议未来研究的途径.
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