Ruiz Mark A, Pincus Aaron L, Borkovec Thomas D, Echemendia Ruben J, Castonguay Louis G, Ragusea Stephen A
Louis de le Parte Florida Mental Health Institute, University of South Florida, Tampa 33612-3807, USA.
J Pers Assess. 2004 Dec;83(3):213-22. doi: 10.1207/s15327752jpa8303_05.
In this study, we examined the relationship between treatment outcome and variables from the Inventory of Interpersonal Problems Circumplex scales (IIP-C; Horowitz, Alden, Wiggins, & Pincus, 2000) in the Pennsylvania Psychological Association's Practice Research Network (PRN; Borkovec, Echemendia, Ragusea, & Ruiz, 2001). The PRN was a naturalistic observation treatment outcome study conducted with clinicians who were providing outpatient therapy. Assessment instruments, including the Compass Assessment System (Howard, Brill, Lueger, O'Mahoney, & Grissom, 1993; Sperry, Brill, Howard, & Grissom, 1996) and the IIP-C, were used to assess outcome at the 7th session (N=73) and at termination (N=42). Significant associations were identified between seventh-session outcome and most of the IIP variables. Only IIP elevation and amplitude were related to termination outcome. Elevation, amplitude, and hostile submissive problems were related to treatment length. Ad hoc analyses indicated that the IIP elevation fully mediated the relationships between interpersonal problems and seventh-session outcome but not the relationship between amplitude and outcome. We discuss the results in relation to the external validity of the IIP.
在本研究中,我们在宾夕法尼亚心理协会实践研究网络(PRN;博尔科维奇、埃切门迪亚、拉古塞亚和鲁伊斯,2001年)中,考察了人际问题环形量表(IIP-C;霍洛维茨、奥尔登、威金斯和平卡斯,2000年)中的治疗结果与变量之间的关系。PRN是一项针对提供门诊治疗的临床医生开展的自然观察性治疗结果研究。包括指南针评估系统(霍华德、布里尔、卢格、奥马奥尼和格里森,1993年;斯佩里、布里尔、霍华德和格里森,1996年)和IIP-C在内的评估工具,被用于在第7次治疗时(N = 73)和治疗结束时(N = 42)评估治疗结果。研究发现第7次治疗时的结果与大多数IIP变量之间存在显著关联。只有IIP的高度和幅度与治疗结束时的结果相关。高度、幅度和敌对-顺从问题与治疗时长相关。临时分析表明,IIP高度完全中介了人际问题与第7次治疗时结果之间的关系,但未中介幅度与结果之间的关系。我们结合IIP的外部效度对研究结果进行了讨论。