时代的阴影:阴影波可以随着时间的推移模拟治疗联盟的变化吗?
Jonathan G Shalom1, Maya Korem1, Asher Y Strauss2
1School of Psychological Sciences, University of Haifa, Mount Carmel, Israel.
Internet interventions
|July 11, 2025
概括
这项研究发现,在社交焦虑障碍 (SAD) 的互联网认知行为疗法 (ICBT) 期间,治疗联盟的波动预测了更好的治疗结果. 较高的平均联盟和增加也与减少的社会焦虑症状相关.
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:
- 社会焦虑障碍 (SAD) 是一种普遍存在的心理健康状况.
- 通过互联网提供的认知行为疗法 (ICBT) 是SAD的有效治疗方法.
- 治疗联盟是心理治疗结果的关键因素.
研究的目的:
- 检查治疗联盟与SADICBT期间的社会焦虑症状之间的关联.
- 研究治疗联盟的变化如何随着时间的推移预测治疗结果.
- 探索联盟波动在SAD的ICBT中的作用.
主要方法:
- 一项随机对照试验,涉及162名被诊断患有SAD的个人,接受治疗师辅助的ICBT.
- 治疗联盟的每周测量.
- 一种新的侧面模拟策略,用于分析治疗联盟随时间变化的变化.
主要成果:
- 结合治疗结盟的线性和正弦组成部分的模型解释了比单独的线性 (r2 = 0.42) 或正弦 (r2 = 0.41) 模型更大的差异 (r2 = 0.72).
- 较高的平均联盟水平和更大的联盟增加与更大的社会焦虑减少有关.
- 在联盟斜率周围更大的波动预测了社会焦虑的更大降低,超过了平均水平和增加.
结论:
- 对于SAD,ICBT治疗中的治疗结盟表现出线性和正弦形的模式.
- 联盟的波动,而不仅仅是平均水平或线性增长,预测了SAD的ICBT中更好的结果.
- 联盟的"起伏"可能代表一个健康的动态,而不是负面的治疗过程.
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