دورية أكاديمية
The alliance in adult psychotherapy: A meta-analytic synthesis.
| العنوان: | The alliance in adult psychotherapy: A meta-analytic synthesis. |
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| المؤلفون: | Flückiger C; Department of Psychology, University of Zürich., Del Re AC; Center for Innovation to Implementation, VA Palo Alto Health Care System., Wampold BE; Modum Bad Psychiatric Center., Horvath AO; Faculty of Education and Department of Psychology, Simon Fraser University. |
| المصدر: | Psychotherapy (Chicago, Ill.) [Psychotherapy (Chic)] 2018 Dec; Vol. 55 (4), pp. 316-340. Date of Electronic Publication: 2018 May 24. |
| نوع المنشور: | Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Educational Publishing Foundation of the American Psychological Association Country of Publication: United States NLM ID: 2984829R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-1536 (Electronic) Linking ISSN: 00333204 NLM ISO Abbreviation: Psychotherapy (Chic) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2008- : Washington, DC : Educational Publishing Foundation of the American Psychological Association Original Publication: Chicago, Ill. : Psychologists Interested in the Advancement of Psychotherapy, c1963- |
| مواضيع طبية MeSH: | Therapeutic Alliance*, Mental Disorders/*therapy , Psychotherapy/*methods, Adult ; Humans ; Treatment Outcome |
| مستخلص: | The alliance continues to be one of the most investigated variables related to success in psychotherapy irrespective of theoretical orientation. We define and illustrate the alliance (also conceptualized as therapeutic alliance, helping alliance, or working alliance) and then present a meta-analysis of 295 independent studies that covered more than 30,000 patients (published between 1978 and 2017) for face-to-face and Internet-based psychotherapy. The relation of the alliance and treatment outcome was investigated using a three-level meta-analysis with random-effects restricted maximum-likelihood estimators. The overall alliance-outcome association for face-to-face psychotherapy was r = .278 (95% confidence intervals [.256, .299], p < .0001; equivalent of d = .579). There was heterogeneity among the effect sizes, and 2% of the 295 effect sizes indicated negative correlations. The correlation for Internet-based psychotherapy was approximately the same (viz., r = .275, k = 23). These results confirm the robustness of the positive relation between the alliance and outcome. This relation remains consistent across assessor perspectives, alliance and outcome measures, treatment approaches, patient characteristics, and countries. The article concludes with causality considerations, research limitations, diversity considerations, and therapeutic practices. (PsycINFO Database Record (c) 2018 APA, all rights reserved). |
| معلومات مُعتمدة: | International Swiss Science National Foundation; International Simon Fraser University |
| تواريخ الأحداث: | Date Created: 20180525 Date Completed: 20190121 Latest Revision: 20220409 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1037/pst0000172 |
| PMID: | 29792475 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1939-1536 |
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| DOI: | 10.1037/pst0000172 |