Therapeutic Alliance and Outcome in Complicated Grief Treatment

被引:0
作者
Kim Glickman
M. Katherine Shear
Melanie M. Wall
机构
[1] York College of the City University of New York,Department of Social Work, School of Health Sciences and Professional Programs
[2] Columbia University College of Physicians and Surgeons,Columbia University School of Social Work
[3] Columbia University,Division of Biostatistics in the Department of Psychiatry, Department of Biostatistics in the Mailman School of Public Health
来源
International Journal of Cognitive Therapy | 2018年 / 11卷
关键词
Therapeutic alliance; Complicated grief treatment; Psychotherapy outcome;
D O I
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中图分类号
学科分类号
摘要
In this study, we examined the role of the therapeutic alliance in complicated grief treatment (CGT), an efficacious psychotherapy for complicated grief. Using data from a previously reported randomized controlled trial, we explored whether the alliance–outcome relationship differs by treatment group among treatment completers assigned to either CGT (n = 35) or interpersonal psychotherapy (IPT) (n = 34). Early alliance (at week 4) was associated with a reduction in grief symptoms in CGT but not IPT. The difference in the alliance–outcome relationship was accounted for by goal/task items on the Working Alliance Inventory. The contribution of a positive alliance, particularly the agreement on goals and tasks, may be more significant in CGT, a highly structured treatment, than IPT in reducing symptoms of complicated grief.
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页码:222 / 233
页数:11
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