Lambert M J, Whipple J L, Smart D W, Vermeersch D A, Nielsen S L, Hawkins E J
Psychother Res. 2001 Mar;11(1):49-68. doi: 10.1080/713663852.
Patient-focused research attempts to provide information that answers the question: Is this treatment benefiting this patient? Although several systems have been developed to monitor and provide feedback about a patient's response to psychotherapy, few if any have been tested empirically. The current study divided 609 patients into four groups (two experimental and two control) to determine if feedback regarding patient progress, when provided to a therapist, affected patient outcome and number of sessions attended. Results showed that feedback increased the duration of treatment and improved outcome relative to patients in the control condition who were predicted to be treatment failures. Twice as many patients in the feedback group achieved clinically significant or reliable change and one-third as many were classified as deteriorated by the time treatment ended. For those patients who were predicted to have a positive response to treatment, feedback to therapists resulted in a reduction in the number of treatment sessions without reducing positive outcomes.
这种治疗方法对这位患者有益吗？尽管已经开发了几种系统来监测并提供有关患者对心理治疗反应的反馈，但几乎没有（如果有的话）经过实证检验。当前的研究将609名患者分为四组（两组实验组和两组对照组），以确定当向治疗师提供有关患者进展的反馈时，是否会影响患者的治疗结果和就诊次数。结果表明，与被预测为治疗失败的对照组患者相比，反馈增加了治疗时长并改善了治疗结果。反馈组中达到临床显著或可靠改善的患者数量是对照组的两倍，而到治疗结束时被归类为病情恶化的患者数量仅为对照组的三分之一。对于那些被预测对治疗有积极反应的患者，向治疗师提供反馈导致治疗次数减少，同时积极结果并未降低。
