对青少年心理干预工作联盟评估工具的系统回顾

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-04-27 DOI:10.1016/j.cpr.2025.102586

Mariana Veloso Martins , Zorana Jolić Marjanović , Nuno Ferreira , Camellia Hancheva , Emma Motrico , Jose M. Mestre , Nele A.J. De Witte , Sibel Halfon , Sidse Arnfred , Margarida Rangel Henriques , Nina Petričević , Marcin Rzeszutek , Jana Volkert , Randi Ulberg , Fredrik Falkenström

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引用次数: 0

摘要

工作联盟是成人心理治疗结果最可靠的预测因素之一。由于在青少年心理治疗中建立和维持联盟往往具有挑战性，因此在这一人群中使用合理的措施对联盟进行高质量的评估至关重要。然而，为成年人开发的测量仪器不能直接用于青少年样本。本系统综述旨在使用基于共识的健康测量工具选择标准（COSMIN）框架，确定并批判性地评估青少年心理治疗工作联盟的现有评估工具。通过对PsycINFO、PubMed、Web of Science和PsycARTICLES的综合文献检索，截至2024年10月，得出了47项关于工作联盟测量特性的研究报告。研究结果表明，自我报告测量最常被研究，其中工作联盟清单-短表（WAI-S）和治疗联盟质量量表（TAQS）显示出最好的心理测量特性。然而，即使使用这些测量方法，在跨文化有效性、测量误差和响应性方面仍存在明显的缺陷，这些缺陷对于纵向研究和不同人群的应用至关重要。很少有人研究，通常只有很小的样本，观察者评价的工具显示出高可靠性，但预测效度有限。我们的综述强调需要更严格地研究适合青少年发展的、可靠的工作联盟工具，以支持临床医生和研究人员研究和监测这方面的医患关系。这些发现与COSMIN指南一起，为未来的研究提供了建议，主要是在改进内容效度、测量误差、跨文化效度和反应性方面。

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Evaluation of assessment instruments for working alliance in psychological interventions with adolescents: A systematic review

The working alliance is one of the most robust predictors of outcomes in adult psychotherapy. Since the alliance is often challenging to establish and maintain in psychotherapy with adolescents, conducting high-quality assessments of the alliance using sound measures in this population is critical. Still, measurement instruments developed for adults cannot be directly transferred to adolescent samples. This systematic review aimed to identify and critically evaluate available assessment tools for working alliance in adolescent psychotherapy using the COnsensus-based Standards for the Selection of Health Measurement INstruments (COSMIN) framework. A comprehensive literature search across PsycINFO, PubMed, Web of Science, and PsycARTICLES, up to October 2024, yielded 47 research studies reporting on working alliance measurement properties. Findings indicate that self-report measures are most commonly studied, with the Working Alliance Inventory-Short Form (WAI-S) and Therapeutic Alliance Quality Scale (TAQS) showing the best psychometric properties. Nevertheless, even with these measures, there are notable shortcomings in cross-cultural validity, measurement error, and responsiveness, which are essential for applications in longitudinal studies and with diverse populations. Less commonly studied, often with very small samples, observer-rated tools displayed high reliability but limited predictive validity. Our review highlights the need for more stringent research on developmentally appropriate, reliable working alliance instruments for adolescents to support clinicians and researchers in studying and monitoring this aspect of patient-therapist relations. These findings, together with the COSMIN guidelines, inform recommendations for future research mainly in terms of improved content validity, measurement error, cross-cultural validity, and responsiveness.

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.