Varra Alethea A, Hayes Steven C
Clinical Psychology Department, University of Nevada, Reno, Reno, NV 89557, USA.
J Subst Abuse Treat. 2007 Jun;32(4):411-3. doi: 10.1016/j.jsat.2006.09.003. Epub 2006 Dec 8.
The primary goal of this study was to assess whether therapist self-reported use of referrals for pharmacotherapy with clients for the treatment of substance abuse disorders is consistent with actual rates of referrals experienced by clients. Participants were 20 substance abuse counselors and 120 clients at a large, multisite substance abuse treatment center. Therapists were asked to complete a brief measure of their current use of referrals for pharmacotherapy, including agonist and antagonist approaches. Clients were asked to complete a brief measure indicating whether their individual counselor had discussed with them a referral for medication. Counselor reports were linked to their individual clients and compared for validation. Results indicate that therapist self-report is significantly correlated with client report of referrals for pharmacotherapy. These results indicate that although therapist self-report of adherence to more involved treatment approaches is often unreliable, substance abuse counselors are able to reliably report their use of referrals.
本研究的主要目的是评估治疗师自我报告的为患有物质使用障碍的客户进行药物治疗转介的情况，是否与客户实际经历的转介率一致。研究参与者为一家大型多地点物质使用障碍治疗中心的20名物质使用障碍咨询师和120名客户。治疗师被要求完成一项关于他们当前药物治疗转介使用情况的简短测量，包括激动剂和拮抗剂方法。客户被要求完成一项简短测量，表明他们的个人咨询师是否与他们讨论过药物转介事宜。咨询师的报告与他们各自的客户相关联，并进行比较以进行验证。结果表明，治疗师的自我报告与客户关于药物治疗转介的报告显著相关。这些结果表明，尽管治疗师关于坚持更复杂治疗方法的自我报告往往不可靠，但物质使用障碍咨询师能够可靠地报告他们的转介使用情况。
