Lindhiem Oliver, Bennett Charles B, Orimoto Trina E, Kolko David J
University of Pittsburgh.
University of Pittsburgh Medical Center.
Clin Psychol (New York). 2016 Jun;23(2):165-176. doi: 10.1111/cpsp.12153. Epub 2015 Jun 17.
The aim of this study was to explore the hypothesis that psychotherapy has larger effect sizes for personalized treatment goals than for symptom checklists. We conducted a meta-analysis of clinical trials that measured treatment success in terms of symptom checklists and personalized treatment goals. Our search of the literature yielded 12 studies that met our inclusion criteria. Effect sizes were substantially larger for personalized treatment goals (ES = .86, < .0001) than for symptom checklists (ES = .32, = .003). The magnitude of this difference was significant ( < .05). Our results suggest that psychotherapy is perhaps more effective in helping patients with individual goals than reducing scores on broad measures of symptoms. Estimates of the effectiveness of psychotherapy that are based on symptom checklists perhaps underestimate the true benefit of psychotherapy. We discuss the implications for research and clinical practice.
本研究的目的是探讨心理治疗对个性化治疗目标的效应量是否比对症状清单的效应量更大这一假设。我们对根据症状清单和个性化治疗目标来衡量治疗成功与否的临床试验进行了荟萃分析。我们对文献的检索得到了12项符合我们纳入标准的研究。个性化治疗目标的效应量（ES = 0.86，P < 0.0001）显著大于症状清单的效应量（ES = 0.32，P = 0.003）。这种差异的幅度具有显著性（P < 0.05）。我们的结果表明，心理治疗在帮助患者实现个人目标方面可能比降低宽泛症状指标的得分更有效。基于症状清单对心理治疗效果的估计可能低估了心理治疗的真正益处。我们讨论了这些结果对研究和临床实践的意义。
