Examining within- and between-member cohesion and working alliance effects on group members' motivation: a preliminary actor-partner interdependence study.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-08-05 DOI:10.1080/10503307.2024.2385399
Kun Wang, Lisa Brownstone, Martin Kivlighan
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Abstract

Objective: Informed by the person-environment fit theory, this preliminary study examined if a fit between a group member's treatment experience and their working therapy context (other group members' aggregated treatment experiences) were related to their level of motivation within a group treatment for healing from internalized weight stigma.

Method: We examined the relationship between two types of within-member and between-member's group cohesion, working alliance, and motivation. Specifically, we utilized the Actor-Partner Interdependence Model to operationalize the impact of actor's within-member cohesion and alliance (personal changes over time) and between-member cohesion and alliance (individual differences) as well as partner's within-member cohesion and alliance (contextual changes over time) and between-member cohesion and alliance (contextual differences) on group members' motivation. This study utilized self-report data from 26 group members who participated in three online weight stigma psychotherapy groups.

Results: For cohesion, results suggested that the relationship between partner within-member cohesion and motivation was larger for members who reported low cohesion across all the sessions compared to the other members of their group. Additionally, an individual group member who perceived a group session more cohesive than they did on average, reported increased motivation in that session, and this relationship was stronger for members who on average perceived their group less cohesive than other group members. Lastly, session-level alliance was more strongly associated with an individual member's motivation in that session when the other group members reported higher group alliance on average.

Conclusions: These findings underscore the significance of member-group fit in group therapy and the reciprocal impact of individual members and the group on each other's therapy outcomes.

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考察成员内部和成员之间的凝聚力以及工作联盟对小组成员积极性的影响:一项初步的行动者-合作伙伴相互依存性研究。
研究目的根据人与环境契合理论,这项初步研究探讨了在治疗内化体重烙印的团体治疗中,团体成员的治疗经历与其工作治疗环境(其他团体成员的综合治疗经历)之间的契合程度是否与他们的治疗动机水平有关:我们研究了两种类型的成员内部和成员之间的团体凝聚力、工作联盟和动机之间的关系。具体来说,我们利用 "行动者-伙伴相互依赖模型"(Actor-Partner Interdependence Model),将行动者的成员内部凝聚力和联盟(个人随时间的变化)、成员之间的凝聚力和联盟(个体差异)以及伙伴的成员内部凝聚力和联盟(环境随时间的变化)、成员之间的凝聚力和联盟(环境差异)对小组成员积极性的影响具体化。本研究利用了参加三个在线体重成见心理治疗小组的 26 名小组成员的自我报告数据:在凝聚力方面,研究结果表明,与小组其他成员相比,在所有疗程中均报告凝聚力较低的成员,其伙伴内部凝聚力与动机之间的关系更大。此外,如果某个小组成员认为某节小组活动的凝聚力高于他们的平均水平,那么他在该节小组活动中的积极性就会提高,而这种关系对于平均认为自己所在小组的凝聚力低于其他小组成员的成员来说更为明显。最后,当其他小组成员平均认为小组联盟度较低时,小组联盟度与个体成员在该小组中的积极性有更密切的关系:这些发现强调了团体治疗中成员与团体契合度的重要性,以及个体成员和团体对彼此治疗结果的相互影响。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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