Department of Psychology, University of Alaska Fairbanks, Fairbanks, Alaska 99775, USA.
Annu Rev Clin Psychol. 2011;7:87-111. doi: 10.1146/annurev-clinpsy-040510-143938.
The current review targets efforts to use outcome measures in routine care for the purpose of enhancing psychotherapy outcome, particularly for patients who are predicted to have a negative treatment outcome. The place of outcome measures in solving the negative effects problem is emphasized, with a narrow focus on one set of measures that is relatively well advanced in its clinical utility. This clinical innovation relies on research-based clinical decision tools that provide psychotherapists with timely warnings and problem-solving strategies when a patient deviates from an expected treatment response. Summary of a meta-analytic review using this patient feedback methodology suggests that measuring, monitoring, predicting treatment failure, and providing clinical support tools to clinicians enhance treatment outcome for patients who have an early negative treatment response. Other measures are then briefly reviewed before we turn to future directions. Clinicians are encouraged to employ these methods in routine practice.
目前的综述旨在探讨在常规护理中使用结果测量来提高心理治疗效果的方法，特别是针对那些预计治疗效果不佳的患者。强调了结果测量在解决治疗效果负面问题中的作用，并将重点放在了一套相对成熟的临床应用效果较好的测量工具上。这一临床创新依赖于基于研究的临床决策工具，当患者的治疗反应偏离预期时，这些工具可为心理治疗师提供及时的预警和问题解决策略。使用这种患者反馈方法的荟萃分析综述表明，对治疗早期出现负面反应的患者进行测量、监测、预测治疗失败，并为临床医生提供临床支持工具，可提高治疗效果。然后简要回顾了其他测量工具，最后探讨了未来的方向。鼓励临床医生在常规实践中使用这些方法。
