Perry J Christopher, Fowler J Christopher, Howe Ann Greif
The Institute of Community and Family Psychiatry, Sir Mortimer B. Davis, Jewish General Hospital. McGill University, Montréal, Québec, Canada.
J Nerv Ment Dis. 2008 Aug;196(8):612-9. doi: 10.1097/NMD.0b013e318181327f.
The dynamic interview is widely used in clinical and research settings, but factors associated with an adequate dynamic interview have not been systematically studied. Twenty-six subjects had a median of 3 dynamic interviews at least 6 months apart, conducted by 13 clinician interviewers. We examined the resulting 72 videotaped interviews for predictors of dynamic interview adequacy. Overall Dynamic Interview Adequacy was not explained by subject, occasion, or interviewer, per se, although significant negative effects were found for personality disorder and borderline personality scores and diagnoses of major depression and dysthymia, and positive effects for interviewer experience. Dynamic adequacy was related to overall breadth and depth of topic coverage (R2 = 0.424). However, in stepwise multiple linear regression, 5 therapeutic alliance factors together contributed an R2 = 0.768, diminishing the effect of topic coverage. Adequate dynamic interviews established a positive subject-interviewer interaction, facilitated subject exploration, and minimized technical interviewing errors, thereby yielding sufficient topic coverage.
动态访谈在临床和研究环境中被广泛使用，但与充分的动态访谈相关的因素尚未得到系统研究。26名受试者接受了由13名临床访谈者进行的至少间隔6个月的3次动态访谈，中位数为3次。我们检查了由此产生的72次录像访谈，以寻找动态访谈充分性的预测因素。总体而言，动态访谈的充分性本身并不能由受试者、访谈场合或访谈者来解释，尽管发现人格障碍和边缘型人格得分以及重度抑郁症和心境恶劣的诊断有显著负面影响，而访谈者经验有正面影响。动态充分性与话题覆盖的总体广度和深度相关（R2 = 0.424）。然而，在逐步多元线性回归中，5个治疗联盟因素共同贡献了R2 = 0.768，削弱了话题覆盖的影响。充分的动态访谈建立了积极的受试者 - 访谈者互动，促进了受试者的探索，并将访谈技术错误降至最低，从而产生了足够的话题覆盖。
