Department of Psychology, University of Pennsylvania, Solomon Labs, 3720 Walnut Street, Philadelphia, PA 19104-6241, USA.
J Clin Psychol. 2010 Jan;66(1):73-95. doi: 10.1002/jclp.20630.
It has been repeatedly demonstrated that clinicians rely more on clinical judgment than on research findings. We hypothesized that psychologists in practice might be more open to adopting empirically supported treatments (ESTs) if outcome results were presented with a case study. Psychologists in private practice (N=742) were randomly assigned to receive a research review of data from randomized controlled trials of cognitive-behavioral treatment (CBT) and medication for bulimia, a case study of CBT for a fictional patient with bulimia, or both. Results indicated that the inclusion of case examples renders ESTs more compelling and interests clinicians in gaining training. Despite these participants' training in statistics, the inclusion of the statistical information had no influence on attitudes or training willingness beyond that of the anecdotal case information.
已经反复证明,临床医生更多地依赖临床判断而不是研究结果。我们假设,如果以案例研究的形式呈现治疗效果,那么实际工作中的心理学家可能更愿意采用实证支持的治疗方法(EST)。我们随机分配了 742 名私人执业的心理学家,让他们分别接受认知行为治疗(CBT)和药物治疗暴食症的随机对照试验数据的研究综述、暴食症虚构患者 CBT 案例研究,或两者都接受。结果表明,案例示例的纳入使 EST 更具说服力,并引起临床医生对培训的兴趣。尽管这些参与者接受过统计学方面的培训,但除了轶事案例信息之外,统计信息的纳入对态度或培训意愿没有任何影响。