Self-efficacy, motivation, social support, and alliance as predictors of youth psychotherapy outcomes in usual care.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Jared S Warren, Mariah Bullock, D Nicholas Top, Gus C Salazar
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引用次数: 0

Abstract

Objective: We examined how youth self-efficacy, motivation for treatment, social support, and therapeutic alliance relate to psychotherapy outcomes of patients receiving services at outpatient community clinics. We hypothesized that (1) these variables would increase throughout the course of therapy, (2) baseline scores would predict initial ratings of distress, (3) baseline scores would predict the rate of change in symptoms throughout treatment, and (4) changes in these variables would be associated with symptom change over the course of treatment.

Method: Participants included 150 adolescents at community outpatient treatment centers. Data was collected prior to beginning treatment, and every three weeks afterward until termination. We used hierarchical linear modeling (HLM) to address our hypotheses.

Results: We found that (1) youth ratings of self-efficacy, social support, and motivation increased throughout treatment, (2) initial self-efficacy and social support were associated with initial levels of distress, (3) ratings of youth self-efficacy at intake predicted its rate of change over therapy, and (4) changes in all variables during therapy were related to lower distress at termination.

Discussion: Results suggest that these variables may affect the trajectory and course of treatment in community-based treatment settings. These results may have implications for treatment planning to maximize treatment effectiveness.

在常规护理中,预测青少年心理治疗结果的自我效能、动机、社会支持和联盟。
研究目的我们研究了青少年的自我效能感、治疗动机、社会支持和治疗联盟与在门诊社区诊所接受服务的患者的心理治疗效果之间的关系。我们假设:(1) 这些变量在整个治疗过程中都会增加;(2) 基线分数会预测最初的痛苦评级;(3) 基线分数会预测整个治疗过程中症状的变化率;(4) 这些变量的变化与治疗过程中症状的变化有关:参与者包括社区门诊治疗中心的 150 名青少年。在开始治疗前收集数据,治疗结束后每三周收集一次数据。我们使用层次线性模型(HLM)来解决我们的假设:我们发现:(1) 在整个治疗过程中,青少年对自我效能感、社会支持和动机的评价都有所提高;(2) 最初的自我效能感和社会支持与最初的困扰水平有关;(3) 在接受治疗时,青少年对自我效能感的评价可以预测其在治疗过程中的变化率;(4) 在治疗过程中,所有变量的变化都与终止治疗时困扰程度的降低有关:讨论:研究结果表明,在社区治疗环境中,这些变量可能会影响治疗的轨迹和进程。这些结果可能会对治疗计划产生影响,从而最大限度地提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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