阐明治疗师差异:治疗师的人际交往技能及其对治疗结果的影响
Brian Schwartz1, Miriam I Hehlmann2, Anne-Katharina Deisenhofer1
1Department of Psychology, Trier University, Germany.
Behaviour research and therapy
|January 28, 2025
概括
治疗师的人际交往技巧显著影响治疗结果,特别是对于初始严重痛苦的患者. 提高治疗师的这些技能可以提高整体治疗效率.
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:
- 治疗师的有效性各不相同,但成功治疗师的差异化因素尚未完全理解.
- 人际交往技能被假设在治疗结果中发挥作用.
研究的目的:
- 研究治疗师的人际交往技巧与心理治疗结果之间的关联.
- 检查初始患者损伤是否会缓和治疗师技能与结果之间的关系.
主要方法:
- 在99名治疗学员中使用与治疗相关的人际行为 (TRIB) 尺度评估治疗师的人际技能.
- 采集了1031名门诊患者的治疗结果数据,使用症状检查清单90修订版 (SCL-90-R).
- 采用线性混合模型和跨层次交互分析来评估预测因子和调节因子.
主要成果:
- 治疗师的人际交往技能显著预测了治疗结果,占超出控制变量的1.3%的差异.
- 发现初始障碍与治疗师技能之间存在显著的相互作用,这表明技能在较高障碍时更具影响力.
- 治疗师效应 (TE) 为5.6%,其中26.79%归因于人际交往技巧.
结论:
- 人际交往技巧对于区分治疗师的有效性至关重要,特别是在严重受损的患者中.
- 将人际技能评估纳入治疗师选择,培训和结果预测可能会提高心理治疗的有效性.
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