RAND Corporation, Santa Monica, CA 90407-2138, USA.
Adm Policy Ment Health. 2010 May;37(3):221-9. doi: 10.1007/s10488-009-0249-4.
Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression-cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The measure demonstrated good psychometric properties, including appropriate item-scale correlations, internal consistency reliability, and a three-factor structure. Our results suggest that this questionnaire may be a promising approach to describing psychotherapy for depression in usual care.
尽管精神卫生政策举措呼吁提高抑郁症治疗的质量，但目前尚无用于描述抑郁症心理治疗质量的实用工具。我们开发了一种临床医生报告工具，用于评估三种类型的抑郁症心理治疗（认知行为疗法、人际疗法和心理动力学疗法）的依从性。来自一家大型全国性管理式医疗保健组织的 727 名临床医生对邮寄调查做出了回应。该工具表现出良好的心理计量学特性，包括适当的项目-量表相关性、内部一致性信度和三因素结构。我们的研究结果表明，该问卷可能是描述常规护理中抑郁症心理治疗的一种很有前途的方法。
