信任治疗师的信任:亲密伴侣暴力施暴者团体治疗中与治疗出勤率和完成度相关的工作联盟发展。

IF 3 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Carola A van Tilburg, Corine de Ruiter, Paul Lodder, Nathan Bachrach, Arno van Dam
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引用次数: 0

摘要

目的:亲密伴侣暴力施暴者(IPV)治疗干预通常与高辍学率和低治疗依从性相关。感知工作联盟是治疗依从性和完成度的预测因子。方法:在对IPV施暴者进行认知行为团体治疗的18个疗程中,每次治疗结束后,对199名患者(N = 199)和30名治疗师(N = 30)的工作联盟进行测量。我们假设,患者和治疗师的工作联盟评分将是强相关的,并且患者和治疗师的工作联盟将与会话出勤率和治疗完成呈正相关。结果:在治疗过程中,患者和治疗师的工作联盟评分保持相当稳定,患者和治疗师对他们的工作联盟的看法是中等一致的。治疗师对工作联盟的判断强烈地预测了会话出勤率和治疗完成情况,而患者的工作联盟评分不能预测出勤率和治疗完成情况。与先前的研究一致,患者的年龄与会议出席率和治疗完成度呈正相关。结论:研究结果清楚地表明,一个积极的工作联盟从小组IPV犯罪者治疗开始的重要性,如果治疗师认为工作联盟是次优的,他们应该保持警惕,因为它预示着较差的出勤率和退学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trust the therapists' trust: working alliance development in relation to treatment attendance and completion in intimate partner violence perpetrator group therapy.

Objective: Intimate partner violence perpetrator (IPV) treatment interventions are traditionally associated with large dropout and low treatment adherence. Perceived working alliance is a proven predictor of treatment adherence and completion.

Methods: We measured patient (N = 199) and therapist (N = 30) working alliance after every treatment session during an 18-session cognitive behavioral group therapy for IPV perpetrators. We hypothesized that patient and therapist working alliance ratings would be strongly correlated and that both patient and therapist working alliance would be positively related to session attendance and treatment completion.

Results: Patient and therapist working alliance ratings remained fairly stable during the course of treatment and patients and therapists moderately agreed on their perception of their working alliance. The therapists' judgment of the working alliance strongly predicted session attendance and treatment completion, whereas the patients' working alliance ratings did not predict attendance nor completion. In line with previous studies, patients' age was positively associated with both session attendance and treatment completion.

Conclusion: The findings clearly indicate the importance of a positive working alliance from the start of group IPV perpetrator treatment, and that therapists should be on the alert if they perceive the working alliance as suboptimal because it predicts poorer attendance and dropout.

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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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