在寻找失去的时间:离散与连续时间模型的工作联盟和症状严重程度
Robin Anno Wester1, Tobias Koch2, Fabian Münch2
1Department of Clinical Psychology and Psychotherapy, Osnabruck University.
Journal of consulting and clinical psychology
|January 9, 2025
概括
治疗联盟和症状负担最好用会话作为时间单位来建模,而不是精确的间隔. 这一发现凸显了会议发生在理解心理治疗动态方面的重要性.
科学领域:
- 心理治疗的研究研究.
- 临床心理学 临床心理学
- 统计建模 统计建模
背景情况:
- 治疗联盟是心理治疗中减轻症状的关键预测因素.
- 以前的研究主要基于离散会话来建模这种关系.
- 连续时间模型 (CTM) 提供了一种分析关系作为连续过程的方法,考虑实际时间间隔.
研究的目的:
- 为了比较离散时间模型 (DTM) 和CTM之间的合适性,用于联盟-症状负担关系.
- 为了评估使用会话与实际时间间隔作为这些模型中的时间变量的影响.
主要方法:
- 分析了一所大学心理治疗诊所的1413名患者的数据.
- 评估联盟和症状负担,分别使用伯尼会议报告和霍普金斯症状检查清单-简单表格,每次会议.
- 使用ctsem R-package估计和比较DTM和CTM,并根据Akaike信息标准评估模型合适性.
主要成果:
- 使用会话作为时间单位的CTM显示最适合数据.
- 对于联盟和症状负担都观察到显著的负面人体内影响.
- 这些效应之间的显著正相关性表明,更强的联盟对症状严重性的影响与更强的症状严重性对联盟的影响有关.
结论:
- 在建模联盟-症状关系时,治疗会话的发生比会议之间的精确时间间隔更为关键.
- 未来的研究应该将这一发现与其他心理治疗因素一起探索.
- 人际关系因素可能是联盟和症状严重程度之间观察到的相互影响的基础.
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