PDF(Pubmed)
Abstract：
Therapist-client cognitive match upon key constructs such as treatment goals is purported to be an important component of culturally competent care. For adolescent clients, treatment may involve both youths and their parents, suggesting the need to consider both youth-therapist and parent-therapist perspectives. This longitudinal study examined broadband youth-therapist and parent-therapist treatment goal matching and mismatching in relationship to treatment engagement in a culturally diverse sample of 245 outpatient mental health service-using youth. Although goal matching/mismatching did not uniformly predict treatment engagement as measured by a total score, youth-therapist internalizing goal matching predicted better youth engagement, and parent-therapist externalizing goal mismatch marginally predicted worse parent engagement. When selected post hoc analyses examined relationships to four individual engagement dimensions, youth-therapist internalizing goal matches positively predicted youth Client-therapist interaction, Communication/Openness, Client\'s perceived usefulness of therapy, and Collaboration with treatment, while parent-therapist externalizing goal mismatch negatively predicted parent Collaboration with treatment. Findings support the importance of cognitive match on treatment goals as well as the consideration of both parent and youth perspectives, matched and mismatched goals, internalizing and externalizing goals, and examining individual dimensions in addition to total scores of engagement.
摘要：
据称，治疗师与客户对关键结构（例如治疗目标）的认知匹配是文化胜任护理的重要组成部分。对于青少年客户，治疗可能涉及年轻人和他们的父母，建议需要考虑青年治疗师和父母治疗师的观点。这项纵向研究在245名使用门诊精神卫生服务的年轻人中，研究了宽带青年治疗师和父母治疗师治疗目标匹配和与治疗参与关系的不匹配。尽管目标匹配/不匹配并不能统一预测以总分衡量的治疗参与度，青年治疗师内化目标匹配预测了更好的青年参与度，和父母-治疗师外部化目标不匹配略微预测了更糟糕的父母参与。当选定的事后分析检查了与四个个体参与维度的关系时，青年-治疗师内化目标与预测的青年-治疗师互动正匹配，沟通/开放，客户对治疗的感知有用性，以及与治疗的合作，而父母-治疗师将目标不匹配外化则负面地预测了父母与治疗的合作。研究结果支持认知匹配对治疗目标的重要性，以及对父母和青年观点的考虑，匹配和不匹配的目标，内化和外化目标，并检查各个维度以及参与度的总分。
