The authors examined how stability/change in working alliance predicted subsequent symptoms, and how stability/change in symptoms predicted subsequent alliance in a sample of 188 adult clients with 44 doctoral student therapists over the course of 893 eight-session time periods of individual psychodynamic psychotherapy. Clients completed the Working Alliance Inventory-Short Revised (WAI-SR; Hatcher & Gillaspy, 2006) after every session and the Outcome Questionnaire-45 (OQ; Lambert et al., 1996) before intake and every eighth session. The authors used multilevel polynomial regression and response surface analyses to examine within-client effects. The authors found that change in the alliance across an eight-session period did not have an immediate temporal effect on symptoms, but when alliance was stable and stronger compared to other periods, subsequent symptoms were lower. Similarly, change in symptoms across an eight-session period did not have an immediate temporal effect on alliance, but when symptoms were stable and lower compared to other periods, subsequent alliance was stronger. These results suggest that sustained improvements in the alliance contribute to subsequent symptom improvements, and vice versa. The authors conclude that it is important to work to improve and maintain improvements in the working alliance and symptoms. Limitations and future directions are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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客户内部联盟与结果的关系：响应面分析。


作者以 188 名成年客户和 44 名博士生治疗师为样本，在 893 个八个疗程的个体心理动力学心理治疗过程中，研究了工作联盟的稳定性/变化如何预测后续症状，以及症状的稳定性/变化如何预测后续联盟。 。客户在每次治疗后完成工作联盟短期修订清单（WAI-SR；Hatcher & Gillaspy，2006），并在就诊前和每八次治疗前完成结果问卷 45（OQ；Lambert 等人，1996）。作者使用多级多项式回归和响应面分析来检查客户内的影响。作者发现，八个会话期间联盟的变化不会对症状产生立即的时间影响，但当联盟与其他时期相比稳定且更强时，随后的症状会较低。同样，八个疗程期间症状的变化不会对联盟产生直接的时间影响，但当症状稳定且与其他时期相比较低时，随后的联盟会更强。这些结果表明联盟的持续改善有助于随后的症状改善，反之亦然。作者的结论是，努力改善和维持工作联盟和症状的改善非常重要。讨论了局限性和未来的方向。 （PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。