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Personality Assessment Inventory Clinical Scales in Relation to Patient and Therapist Rated Alliance Early in Treatment
Assessment ( IF 3.5 ) Pub Date : 2021-02-09 , DOI: 10.1177/1073191121990092
Bianca H Cersosimo 1 , Mark J Hilsenroth 1 , Robert F Bornstein 1 , Jerold R Gold 1
Affiliation  

We examined relationships between the Personality Assessment Inventory (PAI) clinical scales (e.g., Somatic Complaints [SOM]) and subscales (e.g., Conversion [SOM-C]) with patient- and therapist-rated alliance early in treatment (third or fourth session). We also replicated and extended findings from a previous study examining PAI treatment scales (Treatment Rejection, Treatment Process Index) and early session therapist-rated alliance. We used PAI protocols from a clinical outpatient sample (N = 84). Data were analyzed using stepwise linear regressions. Results suggest that patients who report lower early session alliance also report more antisocial features (β = −.219, p = .050, f2 = 0.05) specifically more antisocial behaviors (β = −.315, p = .004, f2 = 0.11). Additionally, therapists report higher early session alliance with patients who report more anxiety-related disorders (β = .274, p = .012, f2 = 0.08), specifically traumatic stress (β = .325, p = .003, f2 = 0.12). No significant relationships were found between patient- or therapist-rated alliance and Treatment Rejection and Treatment Process Index, consistent with prior findings. Clinical implications are discussed.



中文翻译:

治疗早期与患者和治疗师评级联盟相关的人格评估库存临床量表

我们检查了人格评估量表 (PAI) 临床量表(例如,躯体主诉 [SOM])和子量表(例如,转换 [SOM-C])与治疗早期(第三次或第四次会议)患者和治疗师评级联盟之间的关系)。我们还复制并扩展了先前研究 PAI 治疗量表(治疗拒绝、治疗过程指数)和早期治疗师评定联盟的研究结果。我们使用来自临床门诊样本 ( N = 84) 的 PAI 协议。使用逐步线性回归分析数据。结果表明,报告早期会议联盟较低的患者还报告了更多的反社会特征(β = -.219,p = .050,f 2 = 0.05),特别是更多的反社会行为(β = -.315,p = .004,f 2 = 0.11)。此外,治疗师报告与报告更多焦虑相关疾病(β = .274, p = .012,f 2 = 0.08),特别是创伤性压力(β = .325,p = .003,f 2 )的患者建立更高的早期治疗联盟= 0.12)。在患者或治疗师评定的联盟与治疗拒绝和治疗过程指数之间未发现显着关系,这与先前的研究结果一致。临床意义进行了讨论。

更新日期:2021-02-09
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