Bøgwald K P
Department of Psychiatric Research and Education, Diakonhjemmet Hospital, Oslo, Norway.
J Nerv Ment Dis. 2001 Dec;189(12):830-7. doi: 10.1097/00005053-200112000-00004.
Agreement between therapist and patient regarding their perception of therapist's interventions and qualities was studied. Based on previous instruments, a 36-item inventory (TIQI) was constructed to cover common therapist interventions/qualities as perceived by both therapist and patient. This inventory was given to patient and therapist at the termination of 300 outpatients' treatments. Interventions made by the therapist and their perceived usefulness in the treatment were rated by both participants. The mean agreement between patient and therapist for each of the 36 items was low to moderate (r = .23). However, explorative factor analysis on patient and therapist data revealed some meaningful common treatment factors. In addition, cross invariance (patient and therapist perspective) was found by use of confirmatory factor analysis. Agreement varied considerably depending on which aspects were dealt with and the method used to measure the agreement. Possible explanations for disagreement are discussed.
研究了治疗师与患者之间关于他们对治疗师干预措施和特质的认知的一致性。基于先前的工具，构建了一个包含36个条目的量表（治疗师干预与特质问卷，TIQI），以涵盖治疗师和患者所感知到的常见治疗师干预措施/特质。在300名门诊患者治疗结束时，将该量表发放给患者和治疗师。治疗师所采取的干预措施及其在治疗中被感知到的有用性由双方参与者进行评分。36个条目中患者与治疗师之间的平均一致性较低至中等（r = 0.23）。然而，对患者和治疗师数据进行的探索性因素分析揭示了一些有意义的共同治疗因素。此外，通过验证性因素分析发现了交叉不变性（患者和治疗师视角）。一致性根据所处理的方面以及用于测量一致性的方法而有很大差异。讨论了不一致的可能解释。
