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首页> 外文期刊>Psychotherapy >Reflective Functioning, Psychotherapeutic Alliance, and Outcome in Two Psychotherapies for Bulimia Nervosa
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Reflective Functioning, Psychotherapeutic Alliance, and Outcome in Two Psychotherapies for Bulimia Nervosa

机译：反思功能，心理治疗联盟和两种心理治疗贪食症的功能和结果

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摘要

Mentalization is a developmental achievement defined as the capacity to understand behavior in terms of mental states. This study investigated mentalization in psychoanalytic psychotherapy (PPT) and cognitive behavior therapy (CBT) through a secondary data analysis of findings from a randomized controlled trial for bulimia nervosa. It was hypothesized that mentalization would predict alliance and outcome in both treatments, whereas increase in mentalization was only expected after PPT. Furthermore, it was investigated whether change in mentalization predicted symptom change. A total of 70 participants with bulimia nervosa were randomized to PPT or CBT. Participants were assessed at 3 time points with the Eating Disorder Examination and the Adult Attachment Interview (rated for reflective functioning [RF]). Therapy sessions were rated with the Vanderbilt Therapeutic Alliance Scale. Higher intake RF significantly predicted better alliance, whereas no association was observed between RF and outcome. A significant interaction between time, therapy type, and RF found RF improving more in PPT than in CBT. There was a significant association between RF change and symptom change in the PPT group. The study suggests a relation between RF and psychotherapy process, whereas the relation between RF and outcome is more complex. Furthermore, PPT seems to enhance mentalization, which seems related to symptomatic improvement, suggesting that mentalization might serve as a specific mechanism of change in PPT.
机译：精神化是一个发展成就，被定义为理解心理状态方面的能力。本研究通过对贪食症神经系统的随机对照试验的研究结果进行了次要数据分析，研究了精神分析性心理治疗（PPT）和认知行为治疗（CBT）的调查。假设施法将预测两种治疗中的联盟和结果，而PPT后才会增加施用。此外，调查了施用症状变化的变化。共有70名与贪食症的参与者随机分配给PPT或CBT。参与者在3个时间点评估了饮食障碍检查和成人附件访谈（反思功能评级[RF]）。治疗会议评估Vanderbilt治疗联盟规模。更高的摄入RF显着预测了更好的联盟，而RF与结果之间没有观察到任何关联。时间，治疗类型和射频之间的显着相互作用，RF在PPT中改善了比CBT更多。在PPT组中RF变化和症状变化之间存在重大关联。该研究表明RF和心理治疗过程之间的关系，而RF与结果之间的关系更为复杂。此外，PPT似乎加强了苗条化，似乎有关的症状改善，表明施用可能是PPT变化的具体机制。

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