Catty J, Winfield H, Clement S
Division of Mental Health, St George's, University of London, London, UK.
Acta Psychiatr Scand. 2007 Oct;116(4):238-52. doi: 10.1111/j.1600-0447.2007.01070.x.
The study aimed to determine the conceptual basis of measures of the patient-professional relationship used in routine mental health services research by reviewing their face, content and construct validity.
A comprehensive literature search identified measures of the relationship used in mental health services research. The conceptual basis of each identified measure was identified by a review of measures' authors assessments of face, content and construct validity plus item analysis of the measures themselves.
The search identified 15 measures. The seven developed in psychotherapy were likely to be better validated conceptually; most were based on therapeutic alliance models. Measures developed specifically for mental health services were based on a wider range of models including global assessments of the relationship.
Most of the better validated measures originate in psychotherapy, but there is limited evidence for their validity in general mental health services. Four measures are recommended.
本研究旨在通过回顾患者与专业人员关系测量方法的表面效度、内容效度和结构效度，确定常规心理健康服务研究中使用的这些测量方法的概念基础。
通过全面的文献检索，确定心理健康服务研究中使用的关系测量方法。通过回顾测量方法作者对表面效度、内容效度和结构效度的评估以及对测量方法本身的项目分析，确定每个已识别测量方法的概念基础。
检索确定了15种测量方法。心理治疗中开发的7种测量方法在概念上可能得到了更好的验证；大多数基于治疗联盟模型。专门为心理健康服务开发的测量方法基于更广泛的模型，包括对关系的整体评估。
大多数经过较好验证的测量方法起源于心理治疗，但在一般心理健康服务中其有效性的证据有限。推荐四种测量方法。
