2017 | 13/2017 | 199-218
Article title

Untangling the Alliance-Outcome Correlation: Exploring the Relative Effect of Age and Gender in Treatment of Adolescence Substance Abuser

Title variants
Wyjaśnienie zależności pomiędzy przymierzem terapeutycznym a efektami terapii:rola pośredniczącego wpływu wieku i płci w leczeniu uzależnień u osób nieletnich
Languages of publication
Although the relationship between the therapeutic alliance and outcome has long been established across numerous studies and meta-analyses, less is known about this in treatment of adolescence substance abuse. This study investigates factors that influence alliance- outcome relationship in adolescence substance abuse treatment. To achieve this objective, this study explored the relative effect of demographic variables, i.e., (age and gender) in a sample of adolescent substance abuser at the rehabilitation treatment centre of University college hospital, (UCH) Ibadan, Oyo State Nigeria. Fifty –three adolescents took part in this study, and completed self-report measures of readiness and expectation (client’s theory of change) prior to treatment, therapeutic alliance measures during treatment. The findings indicates that, age do not predict alliance-outcome relationship in adolescence substance abuse treatment, as there was no moderating effect for client’s age. In addition, the finding showed a significant sex difference in pre-treatment motivational variables, client ratings of the alliance and treatment outcome. Finally, it was suggested that early identification of demographic variables that influence adolescent’s treatment; asadolescent’s attributions of resistance are associated with age and gender.
Związek pomiędzy przymierzem (relacją, sojuszem) terapeutyczną a rezultatami terapii został już dawno przedstawiony w wielu opracowaniach i metaanalizach. Jeśli jednak chodzi o leczenie osób uzależnionych nieletnich, to nadal jest to obszar mało zbadany. Niniejsze opracowanie obejmuje badanie czynników wpływających na związek pomiędzy relacją terapeutyczną a efektami leczenia uzależnionych nieletnich. Zbadano pośredniczący wpływ zmiennych demograficznych, tzn. wieku i płci, na próbie uzależnionych nieletnich w centrum rehabilitacji szpitala uniwersyteckiego (UCH) w Ibadan, stan Oyo, Nigeria. W badaniu wzięło udział pięćdziesięciu trzech nieletnich, którzy przed leczeniem wypełnili ankiety oceny własnej gotowości i oczekiwań (teoria zmiany pacjenta) względem terapii, a w czasie leczenia ankiety dotyczące relacji terapeutycznej. Wyniki prezentowanych badań wskazują, że wiek nie wpływa na związek pomiędzy relacją terapeutyczną a efektami leczenia uzależnień osób nieletnich. Ponadto, wyniki wykazały istotną zależność od płci, jeśli chodzi o zmienne motywacyjne przed terapią oraz opinie pacjentów na temat relacji terapeutycznej i wyników leczenia. Ostatecznie zaproponowano, że wczesna identyfikacja zmiennych demograficznych wpływających na leczenie uzależnień wśród nieletnich, jako atrybucja ich odporności, ma związek z wiekiem i płcią.
Physical description
  • Department of Educational Foundations University of Botswana,
  • Department of Statistics Uversity of Botswana
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