Bradshaw William, Roseborough David, Pahwa Rohini, Jordan James
College of Social Work, University of Tennessee Knoxville, Knoxville, TN 37966-3333, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2009 Winter;37(4):665-81. doi: 10.1521/jaap.2009.37.4.665.
This study describes an evaluation of the effectiveness of psychodynamic psychotherapy provided in an outpatient community mental health clinic. The study used a single group pretest-posttest design involving 78 clients. Clinical outcomes included overall psychosocial functioning and quality of life, level of subjective distress, interpersonal functioning and role functioning, measured by the Outcome Questionnaire (Lambert, Hansen, Umpress, Lunnen Okilshi, & Burlingame, 2000). Clients showed statistically significant improvement from pretest (first sessions) to completion of treatment in overall functioning, and quality of life, level of subjective distress, interpersonal functioning and role functioning. Eighty-five percent of clients made statistically and clinically significant change. Calculation of effect sizes for each outcome found moderate to strong change effects ranging from d = .4 to .9. The study illustrates a method of intervention research that therapists and agencies can use to integrate practical evaluation methods into their clinical services in order to improve mental health service to clients, to demonstrate the effectiveness of interventions, and to provide data to support coverage for needed services for clients.
本研究描述了对一家门诊社区心理健康诊所提供的心理动力心理治疗效果的评估。该研究采用了单组前后测设计，涉及78名客户。临床结果包括总体心理社会功能和生活质量、主观痛苦程度、人际功能和角色功能，通过结果问卷（兰伯特、汉森、昂普雷斯、伦嫩·奥基尔希和伯林盖姆，2000年）进行测量。从预测试（首次治疗）到治疗结束，客户在总体功能、生活质量、主观痛苦程度、人际功能和角色功能方面均显示出统计学上的显著改善。85%的客户在统计学和临床上都有显著变化。对每个结果的效应量计算发现，变化效应从中度到强度不等，范围为d = 0.4至0.9。该研究说明了一种干预研究方法，治疗师和机构可以使用这种方法将实际评估方法纳入其临床服务中，以改善对客户的心理健康服务，证明干预措施的有效性，并提供数据以支持为客户提供所需服务的覆盖范围。
