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Race/ethnicity as a predictor of change in working alliance during cognitive behavioral therapy for intimate partner violence perpetrators.

机译:种族/民族是亲密伴侣暴力行为者认知行为治疗期间工作联盟变化的预测指标。

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Despite evidence that the working alliance (WA) is an important factor in psychotherapy outcome and that race/ethnicity plays an important role in the processes of therapy, few studies have directly examined associations between WA and race/ethnicity. These relationships may be particularly salient for difficult-to-engage populations, such as men participating in treatment for intimate partner violence. The current study examined WA ratings in a sample of 107 male intimate partner violence perpetrators attending a 16-week cognitive-behavioral group program. Approximately 50% of these participants were Caucasian and 50% were members of a racial/ethnic minority group (African American, Asian American, Hispanic, and American Indian). Growth curve modeling was used to assess changes in both therapist and client WA ratings across four time points during therapy. Findings indicated that there was no mean level of change in therapist WA ratings over time. However, clients' WA ratings demonstrated a reliable, steady increase across sessions. A significant interaction between WA and race/ethnicity emerged such that Caucasian participants reported a significant increase in WA over time, whereas members of racial/ethnic minority group did not report a consistent pattern of change. The interaction between client race/ethnicity and WA was also a significant predictor of treatment outcome at 6-month follow-up. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
机译:尽管有证据表明工作联盟(WA)是心理治疗结果的重要因素,种族/民族在治疗过程中起着重要作用,但很少有研究直接检查WA与种族/民族之间的关联。这些关系对于难以接触的人群尤其重要,例如参加针对亲密伴侣暴力的治疗的男人。本研究调查了参加16周认知行为小组计划的107名男性亲密伴侣暴力施暴者样本中的WA等级。这些参与者中约有50%是白种人,而50%是种族/族裔少数群体(非裔美国人,亚裔美国人,西班牙裔美国人和美洲印第安人)的成员。生长曲线建模用于评估治疗期间四个时间点的治疗师和客户WA评分的变化。研究结果表明,治疗师WA评分没有随时间变化的平均水平。但是,客户的WA评分显示整个会话期间稳定可靠的增长。西澳大利亚州与种族/民族之间出现了显着的相互作用,因此白种人参与者报告了西澳大利亚州随着时间的推移显着增加,而种族/少数民族群体的成员并未报告一致的变化模式。客户种族/种族与西澳之间的相互作用也是6个月随访时治疗结局的重要预测指标。 (PsycINFO数据库记录(c)2012 APA,保留所有权利)。

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