University of Basel.
Behav Ther. 2011 Dec;42(4):634-43. doi: 10.1016/j.beth.2011.02.003. Epub 2011 May 6.
An accurate diagnosis is an important precondition for effective psychotherapeutic treatment. The use of structured interviews provides the gold standard for reliable diagnosis. Suppiger et al. (2009) showed that structured interviews have a high acceptance among patients. On a scale from 0 (not at all satisfied) to 100 (totally satisfied) patients rated overall satisfaction with a structured interview at M=86.55. Nevertheless, therapists rarely seem to use structured interviews in clinical practice. The aim of this study was to assess how frequently therapists use structured interviews in daily practice. Secondly, we hypothesized that therapists underestimate patient acceptance of structured interviews. As a third goal, we explored further reasons why therapists choose not to use structured interviews. We conducted an online survey of 1,927 psychiatrists and psychotherapists in Switzerland and asked them how frequently they used structured interviews and how they estimated patient satisfaction with these interviews. Furthermore, we asked therapists why they chose to use or not use structured interviews. Therapists reported using structured interviews on average with about 15% of their patients. Furthermore, therapists estimated significantly lower patient acceptance than patients themselves indicated (M(therapist)=49.41, M(patient)=86.55). Our data suggest lack of familiarity with these instruments as well as an overestimation of the utility of open clinical interviews as further reasons for not using structured interviews.
准确的诊断是有效心理治疗的重要前提。使用结构化访谈为可靠诊断提供了黄金标准。Suppiger 等人（2009 年）表明，结构化访谈在患者中具有很高的接受度。在 0（完全不满意）到 100（完全满意）的量表上，患者对结构化访谈的总体满意度评分为 M=86.55。然而，治疗师在临床实践中似乎很少使用结构化访谈。本研究旨在评估治疗师在日常实践中使用结构化访谈的频率。其次，我们假设治疗师低估了患者对结构化访谈的接受程度。作为第三个目标，我们探讨了治疗师选择不使用结构化访谈的其他原因。我们对瑞士的 1927 名精神科医生和心理治疗师进行了在线调查，询问他们在日常实践中使用结构化访谈的频率以及他们如何估计患者对这些访谈的满意度。此外，我们还询问了治疗师选择使用或不使用结构化访谈的原因。治疗师报告说，他们平均约有 15%的患者使用结构化访谈。此外，治疗师的估计明显低于患者自己的指示（治疗师 M=49.41，患者 M=86.55）。我们的数据表明，对这些工具的不熟悉以及对开放式临床访谈的实用性的高估是不使用结构化访谈的进一步原因。
