当前位置: X-MOL 学术Family Process › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance
Family Process ( IF 4.319 ) Pub Date : 2021-04-27 , DOI: 10.1111/famp.12660
Maliha Ibrahim 1 , Suzanne Levy 2 , Bob Gallop 3 , Stephanie Krauthamer Ewing 4 , Aaron Hogue 5 , Jessica Chou 4 , Guy Diamond 2
Affiliation  

In psychotherapy research, adherence refers to the extent to which therapists deliver a treatment as intended. This study examined whether therapist adherence to two different manualized treatments was associated with improved client outcomes and whether the association was moderated by therapeutic alliance. The study sample included 320 video recordings of therapy sessions from 118 cases in a randomized controlled trial (RCT) comparing attachment-based family therapy (ABFT) with family-enhanced nondirective supportive therapy (FE-NST). Recordings were selected from early, middle, and late stages of treatment. The adherence measure consisted of 24 items representing essential therapist interventions from both treatments. Trained raters coded tapes from both therapies. Adolescent self-report of alliance was measured at session 4. Adherence to ABFT was associated with a significant increase in family cohesion at mid-treatment but not at posttreatment. Adherence to FE-NST was significantly associated with an increase in suicide ideation posttreatment. Using therapeutic alliance as a moderator, adherence to ABFT was significantly associated with a reduction in suicide ideation, family conflict, and higher client satisfaction posttreatment. Alliance did not positively affect the association of FE-NST adherence to outcomes. Findings suggest that adherence to ABFT interventions may be better linked to treatment outcomes when adolescents feel a strong alliance with their therapist. Implications for future research and therapist training are explored.

中文翻译:

治疗师对青少年自杀风险的两种治疗方法的依从性:与结果的关联和治疗联盟的作用

在心理治疗研究中,依从性是指治疗师按预期提供治疗的程度。这项研究检查了治疗师对两种不同的手动治疗的依从性是否与改善客户结果有关,以及这种关联是否受到治疗联盟的调节。研究样本包括一项随机对照试验 (RCT) 中 118 例治疗会议的 320 段视频记录,比较了基于依恋的家庭疗法 (ABFT) 与家庭增强型非指导性支持疗法 (FE-NST)。录音选自治疗的早期、中期和晚期。依从性测量包括 24 个项目,代表两种治疗的基本治疗师干预。训练有素的评估者对两种疗法的磁带进行编码。在第 4 次会议上测量了青少年联盟的自我报告。坚持 ABFT 与治疗中期的家庭凝聚力显着增加有关,但与治疗后无关。对 FE-NST 的依从性与治疗后自杀意念的增加显着相关。使用治疗联盟作为调节剂,坚持 ABFT 与减少自杀意念、家庭冲突和治疗后更高的客户满意度显着相关。联盟并未对 FE-NST 依从性与结果的关联产生积极影响。研究结果表明,当青少年感到与他们的治疗师有很强的联盟时,坚持 ABFT 干预可能更好地与治疗结果联系起来。探讨了对未来研究和治疗师培训的影响。对 FE-NST 的依从性与治疗后自杀意念的增加显着相关。使用治疗联盟作为调节剂,坚持 ABFT 与减少自杀意念、家庭冲突和治疗后更高的客户满意度显着相关。联盟并未对 FE-NST 依从性与结果的关联产生积极影响。研究结果表明,当青少年感到与他们的治疗师有很强的联盟时,坚持 ABFT 干预可能更好地与治疗结果联系起来。探讨了对未来研究和治疗师培训的影响。对 FE-NST 的依从性与治疗后自杀意念的增加显着相关。使用治疗联盟作为调节剂,坚持 ABFT 与减少自杀意念、家庭冲突和治疗后更高的客户满意度显着相关。联盟并未对 FE-NST 依从性与结果的关联产生积极影响。研究结果表明,当青少年感到与他们的治疗师有很强的联盟时,坚持 ABFT 干预可能更好地与治疗结果联系起来。探讨了对未来研究和治疗师培训的影响。和更高的客户满意度后处理。联盟并未对 FE-NST 依从性与结果的关联产生积极影响。研究结果表明,当青少年感到与他们的治疗师有很强的联盟时,坚持 ABFT 干预可能更好地与治疗结果联系起来。探讨了对未来研究和治疗师培训的影响。和更高的客户满意度后处理。联盟并未对 FE-NST 依从性与结果的关联产生积极影响。研究结果表明,当青少年感到与他们的治疗师有很强的联盟时,坚持 ABFT 干预可能更好地与治疗结果联系起来。探讨了对未来研究和治疗师培训的影响。
更新日期:2021-04-27
down
wechat
bug