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动态评估访谈(DAI)、人际过程(通过社会行为结构分析 [SASB] 测量)和治疗效果。

The dynamic assessment interview (DAI), interpersonal process measured by structural analysis of social behavior (SASB) and therapeutic outcome.

出版信息

Psychother Res. 2000 Feb 1;10(2):181-95. doi: 10.1093/ptr/10.2.181.

Abstract

In this study we investigated the interrelationships between the Dynamic Assessment Interview (DAI), the interpersonal process of the assessment interview analyzed with Structural analysis of Social Behavior (SASB), and treatment outcome. The DAI is a semistructured interview and rating procedure designed to evaluate patient suitability for psychodynamic psychotherapy based on the patient's immediate interaction with the assessment interviewer. In the selected sample (n = 20) the DAI ratings showed no significant correlations with the SASB-coded interpersonal process of the assessment interview nor with treatment outcome. The SASB-coded interpersonal process in the assessment interview correlated significantly with interpersonal process early in therapy and was able to predict treatment outcome. It is concluded that the abstract ''inner'' patient characteristics assumed to be of major prognostic importance for psychodynamic psychotherapy might be of limited validity, whereas the patient offered interpersonal process is worth further consideration as a predictor of treatment outcome. Finally, the relatively stressful structure of the DAI interview might have facilitated the prediction of treatment outcome from the interpersonal process in the assessment interview.

摘要

在这项研究中,我们调查了动态评估访谈(DAI)、评估访谈的人际过程(用社会行为结构分析(SASB)进行分析)和治疗结果之间的相互关系。DAI 是一种半结构化访谈和评分程序,旨在根据患者与评估访谈者的即时互动,评估患者是否适合接受精神动力心理治疗。在所选择的样本(n=20)中,DAI 评分与 SASB 编码的评估访谈人际过程或治疗结果均无显著相关性。评估访谈中的 SASB 编码人际过程与治疗早期的人际过程显著相关,并能够预测治疗结果。结论是,对于精神动力心理治疗具有重要预后意义的假设的抽象“内在”患者特征可能具有有限的有效性,而患者提供的人际过程作为治疗结果的预测因素值得进一步考虑。最后,DAI 访谈的相对紧张结构可能有助于从评估访谈中的人际过程预测治疗结果。

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