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美国国家药物滥用研究所可卡因治疗合作研究中的治疗师的依从性、能力及治疗差异

Therapists' adherence and competence and treatment discrimination in the NIDA Collaborative Cocaine Treatment Study.

作者信息

Barber Jacques P, Foltz Carol, Crits-Christoph Paul, Chittams Jesse

机构信息

Department of Psychiatry, Center for Psychotherpay Research, University of Pennsylvania Medical School, Philadelphia 19104-3309, USA.

出版信息

J Clin Psychol. 2004 Jan;60(1):29-41. doi: 10.1002/jclp.10186.

DOI:10.1002/jclp.10186
PMID:14692007
Abstract

The National Institute on Drug Abuse Collaborative Cocaine Treatment Study was designed to assess the efficacy of four different psychosocial interventions (cognitive therapy, supportive-expressive dynamic therapy, and individual and group drug counseling) for cocaine dependence. This report addresses the treatment integrity and discriminability of the three individual treatments. Therapists' adherence and competence for all three individual treatments during early and late sessions were rated reliably by three sets of independent expert judges (one set of expert clinicians for each treatment condition). Results indicated that therapists and counselors made use of the therapeutic techniques described in their respective treatment manuals rather than those from different treatment manuals. Thus, treatments were easily discriminable by the independent judges.

摘要

美国国家药物滥用研究所可卡因治疗协作研究旨在评估四种不同的心理社会干预措施(认知疗法、支持性表达动力疗法以及个体和团体药物咨询)对可卡因依赖的疗效。本报告探讨了三种个体治疗的治疗完整性和可区分性。三组独立的专家评委(每种治疗条件对应一组专家临床医生)对治疗师在早期和后期治疗过程中对所有三种个体治疗的依从性和能力进行了可靠评分。结果表明,治疗师和咨询师采用的是各自治疗手册中描述的治疗技术,而非来自不同治疗手册的技术。因此,这些治疗方法很容易被独立评委区分开来。

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