关系深度作为心理治疗中心理健康结果的预测因素:随机截取交叉滞后分析
Gina Di Malta1, Joel Vos2, Julian Bond1
1Faculty of Arts and Social Sciences, The Open University, Milton Keynes, UK.
Psychotherapy research : journal of the Society for Psychotherapy Research
|September 12, 2025
概括
心理治疗中的关系深度 (RD) 预测随着时间的推移,抑郁和焦虑症状的减少. 增加RD频率增强了治疗联盟,但联盟并不能预测RD.
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:
- 关系深度 (RD) 与先前研究中的积极心理治疗结果有关.
- 以前的研究主要使用了定性和相关设计.
- 在临床的纵向设置中,RD频率的预测值仍然没有被检查.
研究的目的:
- 调查关系深度 (RD) 的频率是否预测长期心理治疗中的治疗结果.
- 检查RD,治疗联盟和心理痛苦,抑郁和焦虑之间的纵向关联.
主要方法:
- 一项对英国1086名心理治疗客户进行的纵向研究.
- 使用关联深度频率尺度 (RDFS) 和结果测量 (CORE-10,PHQ-9,GAD-7) 每四次评估一次.
- 采用随机拦截交叉滞后面板模型 (RI-CLPM) 来分析参与者内部的关联.
主要成果:
- 较高的RD频率显著预测了抑郁和焦虑症状的减少.
- RD频率并没有显著预测一般心理痛苦的变化.
- 治疗联盟是由RDFS预测的,但RDFS不是由联盟预测的.
结论:
- 在心理治疗中经历的关系深度的频率是症状减轻的重要预测因素.
- 促进R&D可能是改善治疗结果的关键目标.
- 未来的研究应该探索在临床实践中增强R&D的策略.
相关概念视频
Psychodynamic Therapy
506
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
506
Elements Crucial for Effective Psychotherapy
338
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
338
Psychological and Sociocultural Causes of Schizophrenia
482
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
482
Theory of Romantic Attachment in Adulthood
48.6K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
48.6K
Relationship Growth
208
Interpersonal relationships progress through stages, beginning with awareness and moving toward mutuality, where emotional connections deepen. While many relationships remain at moderate levels of mutuality, deeper connections form through self-disclosure, trust, and interdependence.Self-DisclosureSelf-disclosure involves revealing personal information, starting with surface-level details and gradually progressing to more intimate content. As trust grows, individuals feel more comfortable...
208
Social Relationships and Well-Being
260
The significance of social relationships in psychological well-being is a well-established area of inquiry within social psychology. Research consistently demonstrates that the presence of meaningful, supportive relationships enhances emotional health, while the absence or deterioration of such connections can contribute to psychological distress. Relationships serve as a foundation for emotional support, identity, and social belonging, all of which are critical to an individual’s overall...
260


