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一种评估心理治疗随机临床试验质量的新量表。

A new scale for assessing the quality of randomized clinical trials of psychotherapy.

机构信息

Weill Cornell Medical College, New York, NY 10065, USA.

出版信息

Compr Psychiatry. 2010 May-Jun;51(3):319-24. doi: 10.1016/j.comppsych.2009.07.001. Epub 2009 Aug 28.

DOI:10.1016/j.comppsych.2009.07.001
PMID:20399343
Abstract

CONTEXT

In 2004, the American Psychiatric Association's Committee on Research on Psychiatric Treatments appointed a subcommittee to investigate the status of empirical evidence with regard to psychodynamic psychotherapy.

OBJECTIVE

As a part of this effort, the committee developed a rating scale designed to assess the quality of randomized controlled trials (RCTs) of psychotherapy.

DATA SOURCES

A 25-item RCT of Psychotherapy Quality Rating Scale was generated by expert consensus. Interrater reliability, internal consistency, and validity testing were undertaken using 7 trained raters.

STUDY SELECTION

A PubMed search was conducted to locate all RCTs of psychotherapies identified by their authors as being "psychodynamic" or "psychoanalytic" in origin and implementation.

DATA EXTRACTION

A total of 69 RCTs were independently rated by 2 raters.

DATA SYNTHESIS

The scale was found to have good interrater reliability (total score intraclass correlation = 0.76), internal consistency (Cronbach alpha = .87), and external validity.

CONCLUSIONS

This scale establishes a new standard for the design and execution of psychotherapy RCTs and provides a systematic empirical method for evaluating the quality of published RCTs.

摘要

背景

2004 年,美国精神病学协会治疗研究委员会任命了一个小组委员会,调查精神动力心理治疗实证证据的现状。

目的

作为这项工作的一部分,委员会开发了一个评分量表,旨在评估心理治疗的随机对照试验(RCT)的质量。

资料来源

通过专家共识生成了 25 项心理治疗质量评定量表的 RCT。使用 7 名经过培训的评分者进行了评分者间信度、内部一致性和有效性测试。

研究选择

对 PubMed 进行了检索,以定位作者确定为“精神动力”或“精神分析”起源和实施的所有心理治疗的 RCT。

资料提取

共有 69 项 RCT 由 2 名评分者独立进行评分。

资料综合

该量表具有良好的评分者间信度(总分组内相关系数=0.76)、内部一致性(Cronbach α=0.87)和外部有效性。

结论

该量表为心理治疗 RCT 的设计和实施确立了新的标准,并为评估已发表 RCT 的质量提供了系统的经验方法。

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