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首页> 外文期刊>Psychotherapy >Interpersonal predictors of early therapeutic alliance in a transdiagnostic cognitive-behavioral treatment for adolescents with anxiety and depression.
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Interpersonal predictors of early therapeutic alliance in a transdiagnostic cognitive-behavioral treatment for adolescents with anxiety and depression.

机译：早期治疗联盟的人际预测因素，用于焦虑和抑郁青少年的经诊断性认知行为治疗。

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The importance of therapeutic alliance in predicting treatment success is well established, but less is known about client characteristics that predict alliance. This study examined alliance predictors in adolescents with anxiety and/or depressive disorders (n = 31) who received a transdiagnostic cognitive-behavioral treatment, the Unified Protocol for the Treatment of Emotional Disorders in Youth (Ehrenreich, Buzzella, Trosper, Bennett, & Barlow, 2008) in the context of a larger randomized controlled trial. Alliance was assessed at session three by therapists, clients, and independent observers. Results indicated that alliance ratings across the three informant perspectives were significantly associated with one another, but that pretreatment interpersonal variables (e.g., social support, attachment security, and social functioning in current family and peer relationships) were differentially associated with varying informant perspectives. Adolescent and observer ratings of alliance were both predicted by adolescent self-reports on measures reflecting how they perceive their interpersonal relationships. In addition, adolescent-reported symptom severity at pretreatment predicted observer ratings of alliance such that adolescents who indicated greater anxiety and depressive symptoms were rated as having stronger early alliances by independent observers. Therapists perceived having weaker early alliances with adolescents evidencing clinically significant depression at intake as compared with adolescents diagnosed with anxiety disorders alone. Future research is needed to examine whether identification of relevant interpersonal factors at intake can help improve initial therapeutic engagement and resulting outcomes for the psychosocial treatment of adolescents with anxiety and depressive disorders. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
机译：治疗联盟在预测治疗成功方面的重要性已广为人知，但对于预测联盟的客户特征知之甚少。这项研究检查了患有焦虑和/或抑郁症（n = 31）的青少年的联盟预测因子，他们接受了经转诊的认知行为治疗，即《青年情绪障碍的统一治疗方案》（Ehrenreich，Buzzella，Trosper，Bennett和Barlow （2008年）。治疗师，服务对象和独立观察员在第三届会议上评估了Alliance。结果表明，在三种知情者观点之间的联盟评级之间存在显着相关性，但在治疗前的人际关系变量（例如，当前家庭和同伴关系中的社会支持，依恋安全性和社会功能）与不同的知情者观点存在差异。青少年和观察者对同盟的评价都是通过青少年自我报告来预测的，这些报告反映出他们如何看待他们的人际关系。此外，青少年在预处理时报告的症状严重程度可预测观察者对同盟的评级，因此，独立观察者将表明较大焦虑和抑郁症状的青少年评为具有较强的早期同盟关系。与仅被诊断患有焦虑症的青少年相比，治疗师认为与青少年的早期同盟较弱，表明摄入时临床上存在明显的抑郁症。需要进行进一步的研究，以检查摄入时相关人际因素的识别是否可以帮助改善焦虑症和抑郁症青少年的初始治疗参与度以及心理社会治疗的结果。 （PsycINFO数据库记录（c）2012 APA，保留所有权利）。

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