Weersing V Robin, Rozenman Michelle, Gonzalez Araceli
San Diego State University, Joint Doctoral Program in Clinical Psychology, San Diego, CA 92120-4913, USA.
Behav Modif. 2009 Jan;33(1):24-47. doi: 10.1177/0145445508322629. Epub 2008 Oct 27.
Bridging the gap between lab and clinic has become a rallying cry for a generation of treatment researchers, and identifying and overcoming barriers to successful dissemination of best-practice treatment has become a major public mental health priority. In this review, the authors argue that a key limit to accomplishing this goal may be found back in the original research laboratories where these treatments were developed. Despite 50 years of research and 1,500 clinical trials, there are surprisingly little data on what makes youth psychotherapy therapeutic. To illustrate the problem this poses for dissemination, the adolescent depression literature is reviewed in terms of (a) critical core components of intervention and (b) basic processes through which these techniques operate. Process-outcome relationships in cognitive-behavioral, interpersonal, and family therapy models are examined with descriptive meta-analytic techniques. Discussion of treatment dissemination follows, focusing on the value of basic research on core psychotherapeutic techniques and processes.
弥合实验室与临床之间的差距已成为一代治疗研究人员的战斗口号，识别并克服成功推广最佳实践治疗的障碍已成为公共心理健康的一项重大优先事项。在这篇综述中，作者认为，实现这一目标的一个关键限制可能要追溯到最初研发这些治疗方法的研究实验室。尽管经过了50年的研究和1500项临床试验，但令人惊讶的是，关于青少年心理治疗为何具有疗效的数据却少之又少。为了说明这给推广带来的问题，本文从（a）干预的关键核心成分和（b）这些技术发挥作用的基本过程两个方面对青少年抑郁症文献进行了综述。运用描述性元分析技术检验了认知行为、人际和家庭治疗模式中的过程-结果关系。接下来讨论治疗的推广，重点是关于核心心理治疗技术和过程的基础研究的价值。
