Steffen André Fagerbakk, Heidi Brattland, Martin Schevik Lindberg, Andrew Athan McAleavey, Truls Ryum
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引用次数: 0
摘要
目的:本研究评估了一个简短的基于刻意练习的培训项目(“促进人际关系和关系技能培训”),旨在提高有经验的临床医生的促进人际关系技能(FIS)。方法:采用候补对照设计,两组治疗师(N = 68)依次接受为期两天的研讨会,随后是两个月的两次强化会议。他们在三个时间点完成了基于表现的FIS评估,以及自我报告的FIS和治疗师的自我效能。分段混合效应模型测试了每组的前后变化和8个特定FIS的影响。结果:各组间无明显交互作用。一组在训练后FIS有显著的组内改善(g =。42, 95% ci[。15日。[70], p = g =。21, 95% ci[- 0.20,。[62], p = .31)。具体技能分析表明,联盟相关技能的最大收益,即联盟纽带能力和破裂修复反应能力。自我报告的FIS或治疗师的自我效能没有发现显著的影响。结论:培训后,FIS出现了适度的改善,特别是以联盟为重点的能力。效果小于先前的FIS训练的受训者试验,可能反映了更高的基线技能水平和有限的力量。需要更大规模的研究来评估临床影响。
Improving interpersonal skills in therapists: A waitlist-controlled trial of facilitative interpersonal and relational skills training.
Objective: This study evaluated a brief deliberate practice-based training program ('Facilitative Interpersonal and Relational Skills Training') aimed at enhancing therapists' facilitative interpersonal skills (FIS) in a sample of experienced clinicians.
Methods: Using a waitlist-controlled design, two groups of therapists (N = 68) sequentially received a two-day workshop followed by two booster sessions over two months. They completed performance-based FIS assessments at three time points, along with self-reported FIS and therapist self-efficacy. Piecewise mixed-effects models tested pre-post change in each group and effects across the eight specific FIS.
Results: No significant group × time interaction emerged. One group showed significant within-group improvement in FIS following training (g = .42, 95% CI [.15, .70], p = <.01), wheras the other showed a small, non-significant improvement (g = .21, 95% CI [-.20, .62], p = .31). Skill-specific analyzes indicated the largest gains in alliance-related skills, namely alliance bond capacity and rupture-repair responsiveness. No significant effects were found for self-reported FIS or therapist self-efficacy.
Conclusions: Modest improvements emerged in FIS after the training, especially alliance-focused capacities. Effects were smaller than in prior trainee-trials on FIS training, likely reflecting higher baseline skill levels and limited power. Larger studies are needed to evaluate clinical impact.
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.