ABSTRACT

Understanding the clinical utility of positive client characteristics like resilience can help bring a balanced perspective to psychotherapy in which clinicians work to alleviate distress and foster positive traits. Existing literature documents the value of resilience as a resource to navigate stressful life experiences. However, minimal research has explored the utility of resilience within psychotherapy. The purpose of this meta-analysis was to understand the relationships between clients’ resilience and distress as well as the influence of psychotherapy on resilience. PRISMA procedures led to the identification of ten studies meeting inclusion criteria. We conducted two random-effects model meta-analyses to understand the relationship between clients’ resilience and distress (n = 5) and understand how psychotherapy treatment influences changes in resilience (n = 6). For both analyses, we found moderate effect sizes demonstrating that (a) there appears to be an inverse relationship between resilience and psychological distress and (b) resilience appears to increase during psychotherapeutic intervention. Findings are discussed in light of the role resilience may play in psychotherapy. The disperse operationalization of resilience is also discussed.

摘要

了解积极的客户特征（如复原力）的临床效用有助于为心理治疗带来平衡的观点，在这种治疗中，临床医生致力于减轻痛苦并培养积极的特质。现有文献记录了复原力作为应对压力生活经历的资源的价值。然而，很少有研究探索了心理治疗中复原力的效用。这项荟萃分析的目的是了解来访者的复原力和痛苦之间的关系，以及心理治疗对复原力的影响。PRISMA 程序确定了十项符合纳入标准的研究。我们进行了两项随机效应模型荟萃分析，以了解客户的复原力和痛苦之间的关系（n= 5) 并了解心理治疗如何影响复原力的变化 ( n = 6)。对于这两项分析，我们发现中等效应量表明（a）复原力和心理困扰之间似乎存在反比关系，以及（b）在心理治疗干预期间复原力似乎增加。根据复原力在心理治疗中可能发挥的作用，讨论了研究结果。还讨论了弹性的分散操作化。