作者：
She, Zhuang;Duncan, Barry L.*;Reese, Robert J.;Sun, Qiwu;Shi, Yanwei;...
期刊：
Journal of Counseling Psychology,2018年65(6):727-737 ISSN：0022-0167
通讯作者：
Duncan, Barry L.
作者机构：
[Sun, Qiwu; Wu, Caizhi; She, Zhuang; Shi, Yanwei; Jiang, Guangrong] Cent China Normal Univ, Sch Psychol, Wuhan, Hubei, Peoples R China.;[Duncan, Barry L.] Heart & Soul Change Project, POB 6157, Jensen Beach, FL 34957 USA.;[Reese, Robert J.; Clements, Alyssa L.] Univ Kentucky, Dept Educ Sch & Counseling Psychol, Lexington, KY 40506 USA.;[Sun, Qiwu; Wu, Caizhi; Jiang, Guangrong] Key Lab Human Dev & Mental Hlth Hubei Prov, Wuhan, Hubei, Peoples R China.
通讯机构：
[Duncan, Barry L.] H;Heart & Soul Change Project, POB 6157, Jensen Beach, FL 34957 USA.
关键词：
Client feedback;PCOMS;Partners for Change Outcome Management System;ROM;Routine outcome monitoring
摘要：
Although client feedback has been demonstrated to improve psychotherapy outcomes in over a dozen randomized clinical trials, no studies to date have investigated the feedback effect outside of the United States or Europe. This study examined the impact of a client feedback intervention, the Partners for Change Outcome Management System, in a college counseling center in Wuhan, China (N = 186). Using a randomized design within routine care, treatment as usual (TAU; n = 85) was compared with a feedback condition (n = 101) in which therapists had access to client-generated outcome and alliance information at each session. Clients in the feedback condition demonstrated significantly greater improvement than those in the TAU condition at posttreatment. Not-on-track (n = 60) clients also demonstrated significantly more improvement at 6 times the rate of reliable change compared with the TAU condition. Survival analysis revealed that 66.7% of the clients in the feedback condition achieved reliable and clinically significant change after a median of 4 sessions whereas 57.0% of the clients in the TAU condition achieved reliable and clinically significant change after a median of 6 sessions. Alliance scores improved significantly more across treatment and were higher at posttreatment in the feedback condition. Although preliminary, this study suggests that the positive effects of improved outcomes and increased efficiency associated with systematic client feedback can also occur in a college counseling setting in China. Public Significance Statement Previous studies about the effects of client feedback, an intervention designed to identify clients not responding to psychotherapy to enable psychotherapists to restore treatment to a positive trajectory, have only been conducted in the United States or Europe. This study is the first to demonstrate the effects of improved outcomes and efficiency associated with a client feedback intervention in a Chinese setting.
作者机构：
福州大学人文社会科学学院应用心理学系, 福州, 350108;Department of Counseling Psychology, University of Wisconsin-Madison, USA, Wisconsin, 53704;北京大学医学人文研究院医学心理系, 北京, 100191;华中师范大学心理学院, 湖北省人的发展与心理健康重点实验室;[江光荣] 青少年网络心理与行为教育部重点实验室, 武汉, 430079
关键词：
正念冥想;焦虑;干预;调节作用;文化差异;元分析
摘要：
正念冥想对焦虑的干预效果结论不一,系统考察其干预效果及影响因素,有助于理解其作用机制,并为正念冥想干预焦虑提供实践指导。本研究遵循PRISMA-Protocol,运用元分析技术,以即时效果与追踪效果为结果变量,考察被试特征、干预特征、研究特征和结果分析4个方面(11个变量)的调节作用。通过数据库检索与筛选,最终纳入东西方国家实证研究共55项(68个独立效应量, 4595名被试)。结果发现:正念冥想对焦虑干预的整体即时效果量达到显著的中等到大效果(g= 0.60),但追踪效果不显著。单因素回归模型分析表明,研究质量、国家地域、年龄、干预形式(团体练习vs.个体练习)、家庭练习与脱落率显著调节干预即时效果,其中国家地域变量对效果量影响程度最大;多元回归分析显示,对照组类型、国家地域、练习经验、数据分析方式(ITT vs. PP)对干预效果存在调节作用;此外,国家地域与其他变量存在交互作用。后续研究需在研究质量、成本效益、不同焦虑类型及其他调节变量和提供客观评价指标上作改进。
期刊：
International Perspectives in Psychology: Research, Practice, Consultation,2017年6(4):195-208 ISSN：2157-3891
通讯作者：
Wang, C.D.C.
作者机构：
School of Psychology, Central China Normal University;Department of Psychology, University of North Texas;The aim of these 2 studies is to address the applicability of adult attachment theory to Chinese populations. Guided by the emic principle, the first study used a bottom-up, locally normed approach to develop a culture-based adult attachment scale, named Feelings in Significant Relationships Scale (FSRS) that focused on the emotional components of internal working models (IWMs) experienced by Chinese individuals. Results of Study 1 provided initial evidence for the preliminary psychometric properties of the FSRS. Study 2 examined the unique and joint effects of the emotional components of IWMs, Western-based adult attachment, and parental attachment on 3 psychosocial variables: depression, loneliness, and interpersonal problems. Results indicated that parental and adult attachment variables significantly predicted all 3 dependent variables reported by Chinese participants. In addition, the FSRS was found to predict a significant amount of variance in all dependent variables above and beyond what was accounted for by the existing attachment scales. An important implication of the findings is that the inclusion of the emotional components of IWMs, as measured by the emic-based FSRS, provides a more comprehensive understanding of attachment impacts on Chinese adults’ psychosocial functioning.
通讯机构：
Department of Psychology, University of North Texas, 1155 Union Circle 311280, Denton, TX, United States
关键词：
Adult attachment;Emic methods;Emotional components of internal working models;Semantic differential scale
