Do patients internalize the positive regard they are offered? A dyadic test of a Rogerian condition.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Averi N Gaines, Michael J Constantino, Alice E Coyne, Barry A Farber, Nicholas J Hart, Heidi M Kmetz, Henny A Westra, Martin M Antony
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Abstract

Objective: Positive regard (PR) reflects a therapist's unconditional prizing of their patient, which meta-analytically correlates positively with patient improvement. However, most research has been limited to single-participant ratings of PR at a specific time, which neglects the dyadic and dynamic nature of PR (i.e., fundamental to benefitting from therapist-offered PR is that a patient internalizes it). Testing this premise, we hypothesized that therapist-offered PR at one session would predict patient-felt PR at a subsequent session (two sessions later), which would in turn predict the patient's next-session outcome (within-patient mediation).

Method: Eighty-four patients with generalized anxiety disorder received cognitive-behavioral therapy with or without motivational interviewing. Therapists and patients provided postsession ratings of their offered and felt PR, respectively, at odd-numbered sessions throughout treatment. Patients rated their worry following each even-numbered session. We used multilevel structural equation modeling to test our hypothesis. We explored whether treatment condition moderated the mediational path.

Results: As predicted, when a therapist regarded their patient more than usual following one session, the patient felt more regarded than usual. In turn, this internalized regard was negatively associated with worry. Treatment condition did not moderate this path.

Discussion: Results support internalized positive regard as a treatment-common, ameliorative relationship process.

患者是否会内化他们得到的积极关注?罗杰条件的二元测试。
目的:积极关注(PR)反映了治疗师对患者的无条件珍视,而根据元分析,积极关注与患者的病情改善呈正相关。然而,大多数研究都局限于单个参与者在特定时间对积极关注的评价,这就忽略了积极关注的双向性和动态性(即从治疗师提供的积极关注中获益的根本是患者将其内化)。为了验证这一前提,我们假设治疗师在一次治疗中提供的公关会预测患者在后续治疗(两次治疗后)中感受到的公关,而这又会预测患者下一次治疗的结果(患者内部调解):方法:84 名广泛性焦虑症患者接受了认知行为疗法,同时接受或不接受动机访谈。在整个治疗过程中,治疗师和患者分别在奇数疗程后对其提供的和感觉到的 PR 进行评分。患者则在每个偶数疗程后对自己的担忧进行评分。我们使用多层次结构方程模型来验证我们的假设。我们探讨了治疗条件是否调节了中介路径:正如预测的那样,当治疗师在一次治疗后对患者的关注程度高于平时时,患者就会感到自己比平时更受关注。反过来,这种内化的关注与担忧呈负相关。治疗条件对这一路径没有调节作用:讨论:研究结果表明,内化的积极关注是一种治疗常见的改善关系的过程。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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