对联盟质量客户和治疗师预测因素的多层次元分析:与工作联盟的绝对和相对关联
Hui Xu1, Yun Lu2, Weidi Huang2
1Department of Psychology, University of Macau.
Psychotherapy (Chicago, Ill.)
|October 20, 2025
概括
客户的准备和治疗师的关系显著预测了心理治疗中工作联盟的质量. 了解这些预测因素是改善治疗结果的关键.
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:
- 工作联盟对于心理治疗结果至关重要.
- 工作联盟质量的预测因素比联盟的影响更难理解.
- 需要进行元分析来综合有关联盟预测者的现有研究.
研究的目的:
- 进行对后续工作联盟质量预测因素的元分析.
- 确定影响工作联盟的关键客户和治疗师因素.
- 综合多项研究的发现,以提供对效应大小的可靠估计.
主要方法:
- 来自130项研究的898个效果大小的多层次元分析.
- 涉及的数据来自12,449名客户和2,840名治疗师.
- 分析了与客户相关的因素 (资源,准备,痛苦) 和与治疗师相关的因素 (治疗执行,建立关系).
主要成果:
- 客户准备 (r = 0.34) 和治疗师建立关系 (r = 0.39) 与联盟有中等正相关性.
- 客户资源 (r = 0.18) 和治疗师治疗执行 (r = 0.15) 显示了小的正相关性.
- 客户端应急负面预测联盟 (r = -0.14).
- 观察到显著的异质性和缓解效应.
结论:
- 客户的特征和治疗师的行为都是工作联盟质量的重要预测因素.
- 调查结果强调了客户准备和治疗师关系在建立强大的联盟中的重要性.
- 结果对治疗师培训和客户准备有影响,以提高治疗结果.
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