在患有物质使用障碍的患者中,工作联盟中的破裂和修复
Ylva Gidhagen1, Rolf Holmqvist1, Fredrik Falkenström2
1Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
概括
心理治疗中的联盟破裂会对患者的痛苦产生负面影响,但修复会导致改善. 依恋方式可以缓解这些影响在药物使用障碍治疗中.
科学领域:
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
- 药物成治疗 药物成治疗
背景情况:
- 治疗联盟对于治疗成功至关重要.
- 了解联盟断裂和修复对于优化心理治疗结果至关重要,特别是在物质使用障碍 (SUD) 中.
研究的目的:
- 为了确定联盟断裂和修复在SUD心理治疗中的频率.
- 评估这些破裂和修复对治疗结果的影响.
- 分析治疗方向,依恋风格和物质使用类型的缓和效应.
主要方法:
- 83名患者和6名治疗师提供了会议对会议的联盟评级.
- 患者在每次会议前都自我报告了心理困扰.
- 结果是通过破裂和修复后的危险变化来衡量,通过特定联盟得分下降和恢复来定义.
主要成果:
- 患者报告的断裂对心理痛苦产生了负面影响;治疗师报告的断裂没有.
- 患者和治疗师报告的修复与心理痛苦的减少有关.
- 安全和恐惧的依恋方式缓解了患者报告的断裂和痛苦之间的联系.
结论:
- 联盟破裂似乎加剧了患者的痛苦,而成功的修复与减轻痛苦有关.
- 依恋风格是联盟破裂-困境关系中的一个重要调节者.
- 对其他潜在的调节者进行进一步的研究是有必要的.
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