从业者的适应力和正念在有效实践中的作用：一项基于实践的可行性研究。
The Role of Practitioner Resilience and Mindfulness in Effective Practice: A Practice-Based Feasibility Study.
作者信息
Pereira Jo-Ann, Barkham Michael, Kellett Stephen, Saxon David
机构信息
Department of Psychology, University of Sheffield, Sheffield, UK.
Centre for Psychological Services Research, Department of Psychology, University of Sheffield, Sheffield, UK.
出版信息
Adm Policy Ment Health. 2017 Sep;44(5):691-704. doi: 10.1007/s10488-016-0747-0.
A growing body of literature attests to the existence of therapist effects with little explanation of this phenomenon. This study therefore investigated the role of resilience and mindfulness as factors related to practitioner wellbeing and associated effective practice. Data comprised practitioners (n = 37) and their patient outcome data (n = 4980) conducted within a stepped care model of service delivery. Analyses employed benchmarking and multilevel modeling to identify more and less effective practitioners via yoking of therapist factors and nested patient outcomes. A therapist effect of 6.7 % was identified based on patient depression (PHQ-9) outcome scores. More effective practitioners compared to less effective practitioners displayed significantly higher levels of mindfulness as well as resilience and mindfulness combined. Implications for policy, research and practice are discussed.
越来越多的文献证实了治疗师效应的存在，但对此现象的解释却很少。因此，本研究调查了复原力和正念作为与从业者幸福感及相关有效实践相关的因素所起的作用。数据包括在分级护理服务模式下开展的从业者（n = 37）及其患者结局数据（n = 4980）。分析采用基准测试和多层次建模，通过关联治疗师因素和嵌套的患者结局来识别效果较好和较差的从业者。基于患者抑郁（PHQ - 9）结局评分，确定了6.7%的治疗师效应。与效果较差的从业者相比，效果较好的从业者表现出显著更高水平的正念以及复原力和正念的综合水平。文中讨论了对政策、研究和实践的启示。
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