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[心理治疗结果的阶段模型:《心理治疗改变过程评估问卷》(FEP)的验证]

[The Phase Model of Psychotherapeutic Outcome: Validation of the "Questionnaire for the Evaluation of Psychotherapeutic Change Processes" (FEP)].

作者信息

Sembill Anja, Vocks Silja, Schöttke Henning

机构信息

Fachgebiet Klinische Psychologie und Psychotherapie, Poliklinische Psychotherapieambulanz, Universität Osnabrück, Osnbrück.

出版信息

Psychother Psychosom Med Psychol. 2016 Jan;66(1):39-46. doi: 10.1055/s-0035-1565215. Epub 2016 Jan 14.

DOI:10.1055/s-0035-1565215
PMID:26764904
Abstract

Sufficiently theoretically founded and validated measures in German language to assess psychotherapeutic change are rare. The German Questionnaire for the Evaluation of Psychotherapeutic Change Processes (FEP) was designed on the basis of the Phase model of psychotherapeutic outcome. In the present study, the psychometric properties of the FEP and especially its factorial structure are validated. Psychometric values were calculated and confirmatory factor analyses were performed (outpatient sample, N=427). Itemindices, reliability - with exception of retest-reliability - and validity reached overall good to very good values. The best model-fit indices were obtained for the 3-factor-structure corresponding to the FEP-subscales Well-being, Symptoms and Interpersonal relations which represent the dimensions postulated by the Phase model. The FEP proved to be a psychometrically well-founded transdiagnostic measure of outcome and change which represents multidimensional phases of change. Its application in outcome monitoring is recommended.

摘要

在德语中,有充分理论依据且经过验证的用于评估心理治疗变化的测量工具很少见。德国心理治疗变化过程评估问卷(FEP)是基于心理治疗结果的阶段模型设计的。在本研究中,对FEP的心理测量特性,尤其是其因子结构进行了验证。计算了心理测量值并进行了验证性因子分析(门诊样本,N = 427)。除重测信度外,项目指标、信度和效度总体上达到了良好到非常好的值。对应于FEP子量表幸福感、症状和人际关系的三因子结构获得了最佳的模型拟合指标,这些子量表代表了阶段模型所假设的维度。FEP被证明是一种在心理测量学上有充分依据的跨诊断结果和变化测量工具,它代表了变化的多维阶段。建议将其应用于结果监测。

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