...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychiatry >Effects of Therapeutic Alliance and Metacognition on Outcome in a Brief Psychological Treatment for Borderline Personality Disorder
【24h】

Effects of Therapeutic Alliance and Metacognition on Outcome in a Brief Psychological Treatment for Borderline Personality Disorder

机译：治疗联盟与元认识对边界人格障碍的简要心理治疗中的结果

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: The therapeutic alliance is possibly a crucial factor in treatment for borderline personality disorder (BPD). Among predictors of therapeutic alliance, aspects that have not yet been considered are metacognition or the patient's capacity to be aware of mental states. We therefore explored whether metacognition predicted alliance and if metacognition and therapeutic alliance together predicted outcome in brief treatment for BPD.Method: In a secondary analysis of a randomized controlled trial, we included N = 36 patients with BPD in the current study. The original trial assessed the effects of a 10 session psychiatric standard treatment with or without the added the Plan Analysis and the Motive Oriented Therapeutic Relationship. We assessed the therapeutic alliance session by session (Working Alliance Inventory), metacognition at session 1 (using the Metacognitive Assessment Scale-Revised) and outcome (using residual gains on the Outcome Questionnaire-45.2 between sessions 1 and 10).Results: A more differentiated capacity to understand the mind of the others at treatment onset predicted an increase of therapist-rated alliance over time. Therapist rated alliance was the only significant outcome predictor (B = -0.85, R Squared = .12).Conclusions: More differentiated metacognition predicted therapeutic alliance which in turn affected outcome, thus making metacognition a relevant therapy target early in therapy for BPD. Future studies should expand this investigation to patients with better functioning, treated with different modalities and with longer treatments.
机译：目的：治疗联盟可能是对临界人格障碍（BPD）治疗的关键因素。在治疗联盟的预测因子中，尚未考虑的方面是元认知或患者要意识到精神状态的能力。因此，我们探讨了元认知预测的联盟和如果在BPD的简要治疗中进行性能和治疗联盟在一起预测结果。在随机对照试验的二级分析中，我们包括目前研究中的患有BPD的N = 36名患者。原始试验评估了10次会议精神病标准治疗的影响，或者没有增加计划分析和激励的治疗关系。我们通过会议（工作联盟库存），会议1（使用元认知评估规模修订）和结果（使用剩余收益在会话1和10之间使用剩余收益 - 45.2）。结果：更多在治疗发作时理解其他人的心灵的差异化能力预测随时间增加治疗师的联盟。治疗师评分联盟是唯一重要的结果预测因子（B = -0.85，R平方= .12）。结论：更分化的元记录预测治疗联盟，其反过来受影响结果，从而使元识别为BPD治疗的相关治疗靶标。未来的研究应向具有更好运作的患者扩大这项调查，以不同的方式处理以及更长的治疗方法。

著录项

  • 来源
    《Psychiatry》 |2019年第2期|共15页
  • 作者

    Dimaggio Giancarlo; Maillard Pauline; MacBeth Angus; Kramer Ueli;

  • 作者单位

    Univ Lausanne Inst Psychotherapy Dept Psychiat Lausanne Switzerland;

    Univ Edinburgh Sch Hlth Social Sci Edinburgh Midlothian Scotland;

    Univ Lausanne Fed Law Dept Psychiat Inst Psychotherapy &

    Gen Psychiat Serv Lausanne Switzerland;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 精神病学;
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号