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首页> 外文期刊>International journal of cognitive therapy >The Relation between Improvement in the Therapeutic Alliance and Interpersonal Functioning for Individuals with Emotional Disorders
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The Relation between Improvement in the Therapeutic Alliance and Interpersonal Functioning for Individuals with Emotional Disorders

机译：具有情绪障碍个体的治疗联盟与人际功能的改善关系

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Background: Individuals with emotional disorders often have comorbid relationship problems, and improving interpersonal functioning is a common goal of treatment. Research indicates that the therapeutic alliance is associated with broad symptom improvement; however, no study has examined whether the alliance promotes improved interpersonal functioning for individuals with emotional disorders and varying levels of interpersonal difficulties. The present study tested whether improvement in the alliance is associated with enhanced interpersonal functioning and examined whether this association is stronger for individuals with higher, relative to lower, relationship difficulties. Methods: Adults (ages 18-70; N = 251) with primarily major depressive disorder (55.4%) or generalized anxiety disorder (34.2%) received combined cognitive behavioral therapy and pharmacological treatment at a psychiatric hospital day program. At both pre- and post-treatment, participants completed self-report assessments of the alliance, relationship problems, and symptoms of depression and anxiety. Results: Across the full sample, improvement in alliance (bond, tasks, and goals) was associated with improved interpersonal functioning. Additionally, agreement on treatment goals more strongly predicted enhanced interpersonal functioning for individuals presenting to treatment with higher, relative to lower, relationship difficulties- controlling for depression and anxiety symptom severity. Conclusions: These findings contribute to research identifying ways to improve interpersonal functioning (i.e., strengthening the alliance) for individuals entering treatment with emotional disorders and varying levels of relationship difficulties.
机译：背景：情绪障碍的个体往往具有合并关系问题，并且改善了人际关系的常见目标。研究表明治疗联盟与广泛的症状改善有关;然而，没有研究联盟是否促进了具有情绪障碍和不同程度的人际关系困难的人际关系的人际关系。本研究检测了联盟的改进是否与增强的人际关系相关，并检查该关联是否对具有更高的个体更强，相对于较低的关系困难。方法：成人（年龄18-70岁; N = 251），主要是主要的抑郁症（55.4％）或广义焦虑症（34.2％）在精神病医院计划中获得了合并认知行为治疗和药理治疗。在治疗前和治疗后，参与者完成了对联盟，关系问题和抑郁和焦虑症状的自我报告评估。结果：在整个样本中，联盟的改进（债券，任务和目标）与改进的人际功能有关。此外，关于治疗目标的协议更强烈地预测，对于呈现更高，相对于较低，关系困难，对抑郁症和焦虑症状严重程度的困难造成困难的难度造成的个体的人际功能更强。结论：这些调查结果有助于研究识别改善人际关系的途径（即，加强联盟），为以情绪障碍进入治疗和不同的关系困难。

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