Noel S B, Howard K I
University of Wisconsin-Milwaukee.
J Clin Psychol. 1989 Sep;45(5):798-805. doi: 10.1002/1097-4679(198909)45:5<798::aid-jclp2270450517>3.0.co;2-c.
This study addressed whether the fact that the initial screening interview was with the treating therapist or with another clinician differentially affected engagement in treatment for those patients who actually entered psychotherapy. Patients (N = 418) accepted for individual psychotherapy were separated into two groups: (1) those who entered therapy with the same clinician who did the intake screening (same); and, (2) those who saw one clinician for intake screening and were subsequently assigned to another clinician for therapy (different). Chi-square was used to test the hypothesis that a greater proportion of patients who saw the same clinician from the beginning would complete at least 8 sessions of psychotherapy than would those who saw a different clinician. The results indicated that a greater proportion of patients who were assigned to therapy with the same clinician who conducted the initial screening evaluation returned for their next appointment. However, a greater proportion of patients who saw one clinician for intake screening and were assigned another clinician for therapy continued beyond eight sessions.
本研究探讨了对于那些实际进入心理治疗的患者而言，初次筛查访谈是由主治治疗师还是由另一位临床医生进行，是否会对治疗参与度产生不同影响。接受个体心理治疗的患者（N = 418）被分为两组：（1）与进行 intake 筛查的同一位临床医生开始治疗的患者（相同组）；以及，（2）由一位临床医生进行 intake 筛查，随后被分配给另一位临床医生进行治疗的患者（不同组）。使用卡方检验来验证这一假设：从一开始就由同一位临床医生治疗的患者中，完成至少8次心理治疗疗程的比例会高于由不同临床医生治疗的患者。结果表明，被分配给进行初始筛查评估的同一位临床医生进行治疗的患者中，有更大比例的人会返回进行下一次预约。然而，由一位临床医生进行 intake 筛查并被分配给另一位临床医生进行治疗的患者中，有更大比例的人会持续接受超过八次的治疗。
