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首页> 外文期刊>Psychotherapy >Therapist differences in cognitive-behavioral psychotherapy for generalized anxiety disorder: a pilot study.
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Therapist differences in cognitive-behavioral psychotherapy for generalized anxiety disorder: a pilot study.

机译：广泛性焦虑症的认知行为心理治疗中的治疗师差异：一项试点研究。

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摘要

Little is known about factors differentiating more and less effective therapists or the mechanisms through which therapists influence outcome. In the present study, the performance of a small sample of 4 therapists was compared in the context of delivering cognitive-behavioral psychotherapy (CBT) to 32 clients with generalized anxiety disorder. More effective therapists were characterized by higher observer-rated CBT competence, higher client outcome expectations and client treatment credibility assessments, and higher early treatment client ratings of therapeutic alliance quality. Higher early CBT competence was associated with higher client midtreatment outcome expectations, which in turn were associated with better posttreatment outcomes. Although these findings are preliminary given the small sample of therapists and clients, they suggest that the common factor of outcome expectations might be a mechanism through which the specific factor of psychotherapist competence exerts its influence on treatment outcome. The implications of these findings and directions for future research are discussed.
机译：关于区分越来越有效的治疗师的因素或治疗师影响结果的机制知之甚少。在本研究中，在为32名广泛性焦虑症患者提供认知行为心理治疗（CBT）的情况下，比较了4名治疗师的少量样本的表现。更有效的治疗师的特点是，观察者对CBT的评价能力更高，对患者的结局期望更高，对患者的治疗信誉评估更高，对治疗联盟质量的早期治疗对患者的评价更高。较高的早期CBT能力与较高的客户中期治疗结果预期相关，而后者又与较高的治疗后结果相关。尽管这些结果只是针对少量治疗师和服务对象的初步研究，但它们表明，预期结果的共同因素可能是一种机制，通过这种机制心理治疗师能力的特定因素可对治疗结果产生影响。讨论了这些发现和方向对未来研究的意义。

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