Holmqvist Rolf, Philips Björn, Barkham Michael
a Department of Behavioural Sciences and Learning , Linköping University , Linköping , Sweden.
Psychother Res. 2015;25(1):20-31. doi: 10.1080/10503307.2013.861093. Epub 2013 Nov 28.
Attempts to regulate service delivery in line with results from randomized trials have been vigorously debated. In this paper, results from practice-based studies using the CORE System illustrate the potential to enrich knowledge about the actual outcome of psychological therapy in routine care. These studies also provide data for important questions in psychotherapy research, like orientation differences, the importance of the therapist factor, number of sessions needed for clinical effect, and the alliance-outcome question. Obstacles and challenges in making such studies are illustrated. In conclusion, arguments are put forward for introducing a common measurement system that strikes a balance between clinicians' questions and the need for comparable data, and that encompasses the complexities of patients' reasons for seeking psychological help.
围绕依据随机试验结果来规范服务提供的尝试展开了激烈辩论。在本文中，使用CORE系统的基于实践的研究结果表明，在丰富有关心理治疗在常规护理中实际效果的知识方面具有潜力。这些研究还为心理治疗研究中的重要问题提供了数据，比如取向差异、治疗师因素的重要性、产生临床效果所需的疗程数量以及治疗联盟与治疗效果的问题。文中阐述了开展此类研究的障碍与挑战。总之，本文提出了引入一种通用测量系统的观点，该系统要在临床医生的问题与可比数据需求之间取得平衡，并且涵盖患者寻求心理帮助原因的复杂性。
