Samtalscentrum Unga Vuxna, Nyköping SE-611 30, Sweden.
Psychother Res. 2010 Mar;20(2):181-92. doi: 10.1080/10503300903170954.
Previous research indicates that patients treated with psychotherapy in the community do not stay in treatment long enough to achieve clinically significant change. Because the average patient seeking treatment at a community center may not be as informed and motivated for change as the average patient participating in a research trial, the authors compared outcome among all patients presenting to a mental health clinic (n=416) and a subgroup of patients who started psychotherapy at the same clinic (n=101). Outcome was assessing using the Symptom Checklist-90, Inventory of Interpersonal Problems, and Global Assessment of Functioning. Results confirmed that outcome among all patients seeking the centre was worse than in an average clinical trial. However, patients who started psychotherapy after assessment achieved results comparable to those in RCT studies.
先前的研究表明，在社区接受心理治疗的患者治疗时间不够长，无法达到临床显著改善。由于在社区中心寻求治疗的普通患者可能不如参与研究试验的普通患者对治疗有更多的了解和动力，作者比较了心理健康诊所就诊的所有患者（n=416）和在同一诊所开始心理治疗的患者亚组（n=101）的治疗结果。使用症状检查表-90、人际问题清单和功能总体评估来评估结果。结果证实，寻求中心治疗的所有患者的结果均不如平均临床试验的结果好。然而，经过评估后开始接受心理治疗的患者的治疗效果与 RCT 研究相当。
