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Meta-Analyses of the Relation of Goal Consensus and Collaboration to Psychotherapy Outcome

机译：荟萃分析与心理治疗结果的目标共识和合作关系

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This article provides meta-analyses of the relation between goal consensus and collaboration and individual psychotherapy outcome using studies published in English between 1978 and June 2017. Inclusion criteria involved (a) a measure of psychotherapy outcome, (b) a measure of goal consensus and/or collaboration, (c) a group design, (d) adult patients (aged 18 years or older), and (c) a reported effect or statistic that could be converted to an effect size. For the 54 studies (N = 7,278) of goal consensus and outcome, the result was r = .24 (95% confidence interval [CI] [.19..28]) or d = .49, representing a medium effect. For the 53 studies (N = 5,286) of patient-therapist collaboration and outcome, the result was r = .29 (95% CI [.24, .34]) or d = .61, another medium effect. In all, 21 studies (N = 2,081) of therapist collaboration and outcome yielded an omnibus effect of .26 (95% CI [.18, .35]) or d = .54. Results suggest patient-therapist goal consensus and collaboration enhance psychotherapy outcome. The article concludes with research limitations, diversity considerations, and therapeutic practices. Limitations of the studies included a dearth of diverse samples, assessment of goal consensus and/or collaboration at a single time during, treatment, failure to relate measures to outcome, and analyses that do not permit causal conclusions. Research suggests that therapists seek input from patients to form and effect treatment goals and plans, provide patients with regular feedback, and seek their involvement throughout therapy.
机译：本文提供了通过1978年至6月至2017年6月至6月在英语发表的研究的目标共识和协作和个人心理治疗结果之间的关系。纳入标准（a）心理治疗结果的衡量标准，（b）目标共识的衡量标准/或协作，（c）组设计，（d）成年患者（18岁或以上），和（c）据报道的效应或统计数据可以转化为效果规模。对于目标共识和结果的54项研究（n = 7,278），结果是r = .24（95％置信区间[CI] [.19..28]）或D = .49，代表中等效果。对于患者治疗师协作和结果的53项研究（n = 5,286），结果是R = .29（95％CI [.24，.34]）或D = .61，另一种中等效果。总之，治疗师协作和结果的21项研究（n = 2,081）产生了.26（95％CI [.18，.35]）或D = .54。结果表明患者治疗师的目标共识和协作增强了心理治疗结果。本文缔结了研究限制，多样性考虑和治疗方法。研究的局限性包括一种不同的样本的缺乏，在治疗期间，在治疗，未能对结果进行措​​施的一段时间进行评估，并分析不允许结论的分析。研究表明，治疗师寻求患者的意见，形成和效仿治疗目标和计划，为患者提供定期反馈，并在整个治疗过程中寻求他们的参与。

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