Alliance and Cohesion Predicting Outcome in Group Psychotherapy: A Structural Equation Model Meta-Analysis.

IF 1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Tate Henderson, Jacob Bingham, Gabriel Hoose, Tate Paxton, Michaela Thackeray, Cameron Alldredge, Gary Burlingame
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引用次数: 0

Abstract

Within group psychotherapy, previous meta-analyses have shown that the client-therapist relationship (alliance) and group relationships (cohesion) both predict client improvement. Accounting for the inherent connection between alliance and cohesion, we meta-analyzed studies (k = 14) that individually measured alliance, cohesion, and an outcome among group therapy participants. A random-effects, two-stage structural equation model found that alliance (b = .12) and cohesion (b = .12) uniquely predicted outcome and were statistically indistinguishable. Findings replicate past meta-analyses. Alliance and cohesion are highly related, and both uniquely predict outcome. Minimal studies and large heterogeneity limit generalizability, but we encourage clinicians to foster all therapeutic relationships and we provide researchers with suggestions for future work.

团体心理治疗的联盟与凝聚力预测结果:一个结构方程模型的元分析。
在团体心理治疗中,先前的荟萃分析表明,客户-治疗师关系(联盟)和群体关系(凝聚力)都能预测来访者的改善。考虑到联盟和凝聚力之间的内在联系,我们荟萃分析了单独测量联盟、凝聚力和团体治疗参与者结果的研究(k = 14)。一个随机效应的两阶段结构方程模型发现,联盟(b = .12)和凝聚力(b = .12)唯一地预测了结果,并且在统计上不可区分。研究结果重复了过去的荟萃分析。联盟和凝聚力是高度相关的,两者都能独特地预测结果。很少的研究和大的异质性限制了通用性,但我们鼓励临床医生培养所有的治疗关系,我们为研究人员提供了未来工作的建议。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
16
期刊介绍: Recognized as the leading source of information on group therapy theory, practice, and research, this journal features contributions from foremost experts in the field. International Journal of Group Psychotherapy offers: - Clinical articles on group treatment models, process issues, and techniques - Research reviews that keep practitioners up to date - Thought-provoking essays in the Reader"s Forum and Commentary sections - Reviews of current books and video releases - Special issues on such topics as evidence-based practice and ethics
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