Therapeutic alliance in psycho-oncology: A systematic review

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Counselling & Psychotherapy Research Pub Date : 2023-11-15 DOI:10.1002/capr.12717

Charlotte Flock, Miriam Grapp, Rahel Oldsen, Hans-Christoph Friederich, Till Johannes Bugaj

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Abstract

Objectives

There is evidence of a significant role for therapeutic alliance (TA) in psycho-oncology care. This review aims to provide an overview by systematically identifying key characteristics of TA in this setting and exploring related concepts.

Methods

PubMed, PsycInfo and Web of Science were systematically searched for empirical studies on adult cancer patients receiving psycho-oncological care considering TA. Quality assessment was undertaken using the Mixed Methods Appraisal Tool. A narrative synthesis was conducted.

Results

Of the 4647 identified publications, 24 quantitative, qualitative and mixed-methods studies were included. Characteristics of studies, interventions and samples were heterogenic. Patients consistently reported high TA scores. Favourable associations of TA with distress and well-being and mixed results for further outcomes and compliance were detected. Associations between the patient's and therapist's characteristics yielded mixed results. Qualitative evidence pointed to a unique nature of TA in psycho-oncology, for example, patients experiencing it in the context of other patient–provider relationships occurring in the context of the disease.

Conclusion

The review displays a unique synopsis of a heterogenic, quickly developing research field. First hints towards the efficacy and particularity of TA in psycho-oncology are delivered. Results encourage further focus on TA, both in psycho-oncological research and in clinical practice.

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肿瘤心理治疗中的治疗联盟：系统回顾

有证据表明，治疗联盟（TA）在肿瘤心理治疗中发挥着重要作用。PubMed、PsycInfo 和 Web of Science 系统地检索了有关接受肿瘤心理治疗的成年癌症患者考虑治疗联盟的实证研究。使用混合方法评估工具进行了质量评估。在 4647 篇已确定的出版物中，共纳入了 24 项定量、定性和混合方法研究。研究、干预和样本的特点各不相同。患者一致报告TA得分较高。研究发现，TA 与痛苦和幸福之间存在有利的联系，而与进一步的结果和依从性之间则存在不同的结果。患者和治疗师特征之间的关联结果不一。定性证据表明，肿瘤心理治疗具有独特性，例如，患者是在疾病背景下发生的其他患者与治疗师关系的背景下体验治疗的。这篇综述对一个异质性强、发展迅速的研究领域进行了独特的概述，首次提示了肿瘤心理治疗的有效性和特殊性。研究结果鼓励在肿瘤心理研究和临床实践中进一步关注TA。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.