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心理治疗结果测量:从业者的批判性综述。

Psychotherapeutic outcomes measures: a critical review for practitioners.

作者信息

Tarescavage Anthony M, Ben-Porath Yossef S

机构信息

Kent State University.

出版信息

J Clin Psychol. 2014 Sep;70(9):808-30. doi: 10.1002/jclp.22080. Epub 2014 Mar 20.

DOI:10.1002/jclp.22080
PMID:24652811
Abstract

OBJECTIVE

Use of psychotherapeutic outcome measures improves patient outcomes and demonstrates patient improvement. However, practitioners infrequently use these measures because of concerns regarding their practicality and utility. We critically evaluate global self-report measures of adult psychotherapeutic outcome on key practical and utilitarian criteria.

METHOD

The following measures were evaluated according to practical criteria (e.g., administration time and cost) and utilitarian criteria (e.g., psychometrics and sensitivity to change): Behavior and Symptom Identification Scale-24; Clinical Outcomes in Routine Evaluation Outcome Measure; Depression Anxiety Stress Scales; Health Survey Short Form-36; Outcome Questionnaire-45; Patient Reported Outcome Measurement Information System; Symptom Checklist-90-Revised; and Brief Symptom Inventory.

RESULTS

All of the reviewed outcome measures had a number of practical strengths, including short administration time. However, we also identified utilitarian concerns for each measure that are likely to affect their use and interpretation.

CONCLUSION

Each of the reviewed outcome measures mostly address practitioners' concerns regarding practicality and utility. This critical review can aid practitioners in selecting an outcome measure based on their preferences.

摘要

目的

使用心理治疗结果测量方法可改善患者治疗效果并证明患者有所改善。然而,从业者很少使用这些测量方法,因为担心其实用性和效用。我们根据关键的实用性和功利性标准,对成人心理治疗结果的整体自我报告测量方法进行了批判性评估。

方法

根据实用性标准(如施测时间和成本)和功利性标准(如心理测量学和对变化的敏感性)对以下测量方法进行了评估:《行为与症状识别量表-24》;《常规评估结果测量中的临床结果》;《抑郁焦虑压力量表》;《健康调查简表-36》;《结果问卷-45》;《患者报告结果测量信息系统》;《症状自评量表-90修订版》;以及《简明症状量表》。

结果

所有经审查的结果测量方法都有一些实用优势,包括施测时间短。然而,我们也确定了每种测量方法在功利性方面存在的问题,这些问题可能会影响其使用和解释。

结论

每一种经审查的结果测量方法大多解决了从业者对实用性和效用的担忧。这一批判性综述有助于从业者根据自己的偏好选择结果测量方法。

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