Shapiro D A, Barkham M, Hardy G E, Morrison L A
Department of Psychology, University of Sheffield, UK.
Br J Med Psychol. 1990 Jun;63(2):97-108. doi: 10.1111/j.2044-8341.1990.tb01603.x.
The cost-efficiency of psychotherapy research can be enhanced by (a) dissemination of the rationale and design of large-scale investigations whilst still under way, (b) incorporation of process measures within comparative outcome studies, (c) cumulative development of a series of related studies, and (d) sharing of recordings and other data with other investigators. We present the rationale and design, including full details of process and outcome measures, of the second Sheffield psychotherapy project, in which 120 white-collar, professional and managerial employees presenting with major depressive disorder receive either eight or 16 sessions of either prescriptive (cognitive/behavioural) or exploratory (relationship-oriented) therapy in a 2 x 2 design. Ethical considerations prompted the analysis of preliminary outcome data on 48 clients. Results suggested substantial clinical improvement, of similar magnitude for both methods and both durations of treatment, except that exploratory therapy appeared more effective than prescriptive in relation to interpersonal difficulties. Other workers are invited to build collaboratively on this research by making their own process analyses of recordings available from this study, relating these analyses to the existing impact and outcome data, and developing comparable data sets based on the design and initial results of this project.
(a) 在大规模调查仍在进行时传播其基本原理和设计；(b) 在比较结果研究中纳入过程测量；(c) 一系列相关研究的累积发展；以及(d) 与其他研究人员共享录音和其他数据。我们介绍了第二个谢菲尔德心理治疗项目的基本原理和设计，包括过程和结果测量的全部细节。在该项目中，120名患有重度抑郁症的白领、专业人员和管理人员，以2×2设计接受8次或16次规定性（认知/行为）或探索性（关系导向）治疗。伦理考量促使对48名客户的初步结果数据进行分析。结果显示临床有显著改善，两种方法和两种治疗时长的改善程度相似，但探索性治疗在人际关系困难方面似乎比规定性治疗更有效。邀请其他研究人员通过对本研究提供的录音进行自己的过程分析、将这些分析与现有的影响和结果数据相关联，并基于本项目的设计和初步结果开发可比数据集，来在此研究基础上进行合作。
