Morgan Jessica R, Anderson Page L
a Psychology , Georgia State University , Atlanta , GA , USA.
Psychother Res. 2014;24(5):608-15. doi: 10.1080/10503307.2013.852268. Epub 2013 Nov 20.
This study aimed to examine discrepancies in client and therapist ratings of global improvement and their relations to symptom improvement at post-treatment and 12-month follow-up.
Participants (N = 59) with social phobia received eight sessions of cognitive behavioral therapy (CBT). Participants and therapists rated improvement following each session. Participants also rated improvement at follow-up. Participants completed symptom severity self-reports at post-treatment and follow-up.
Clients consistently rated themselves as more improved than therapists. Relative to client ratings, therapist post-treatment ratings of improvement were related to more indices of symptom change at both timepoints.
RESULTS suggest that therapist ratings have good predictive utility of client-reported change in symptoms.
本研究旨在探讨来访者与治疗师对整体改善情况的评分差异，以及这些差异与治疗后及12个月随访时症状改善情况的关系。
59名社交恐惧症患者接受了八节认知行为疗法（CBT）治疗。参与者和治疗师在每节治疗后对改善情况进行评分。参与者还对随访时的改善情况进行评分。参与者在治疗后和随访时完成症状严重程度自我报告。
来访者一直给自己的评分高于治疗师。相对于来访者的评分，治疗师对治疗后改善情况的评分在两个时间点都与更多的症状变化指标相关。
结果表明，治疗师的评分对来访者报告的症状变化具有良好的预测效用。
