临床督导对认知行为治疗中的被督导者和患者的影响：系统评价的研究方案。

The effects of clinical supervision on supervisees and patients in cognitive-behavioral therapy: a study protocol for a systematic review.

机构信息

Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet and Stockholm Health Care Services, Norra Stationsgatan 69, SE-113 64, Stockholm, Sweden.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

Syst Rev. 2017 May 11;6(1):94. doi: 10.1186/s13643-017-0486-7.

DOI:10.1186/s13643-017-0486-7

PMID:28490376

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5425973/

Abstract

BACKGROUND

Clinical supervision by a senior therapist is a very common practice in psychotherapist training and psychiatric care settings. Though clinical supervision is advocated by most educational and governing institutions, the effects of clinical supervision on the supervisees' competence, e.g., attitudes, behaviors, and skills, as well as on treatment outcomes and other patient variables are debated and largely unknown. Evidence-based practice is advocated in clinical settings but has not yet been fully implemented in educational or clinical training settings. The aim of this systematic review is to synthesize and present the empirical literature regarding effects of clinical supervision in cognitive-behavioral therapy.

METHODS

This study will include a systematic review of the literature to identify studies that have empirically investigated the effects of supervision on supervised psychotherapists and/or the supervisees' patients. A comprehensive search strategy will be conducted to identify published controlled studies indexed in the MEDLINE, EMBASE, PsycINFO, and Cochrane Library databases. Data on supervision outcomes in both psychotherapists and their patients will be extracted, synthesized, and reported. Risk of bias and quality of the included studies will be assessed systematically.

DISCUSSION

This systematic review will rigorously follow established guidelines for systematic reviews in order to summarize and present the evidence base for clinical supervision in cognitive-behavioral therapy and may aid further research and discussion in this area.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42016046834.

摘要

背景

临床督导是心理治疗师培训和精神科护理环境中非常常见的实践。尽管大多数教育和管理机构都提倡临床督导，但关于临床督导对被督导者的能力（如态度、行为和技能）以及治疗结果和其他患者变量的影响，仍存在争议，且大部分影响尚不清楚。循证实践在临床环境中得到提倡，但尚未在教育或临床培训环境中得到全面实施。本系统评价的目的是综合和呈现关于认知行为治疗中临床督导效果的实证文献。

方法

本研究将对文献进行系统综述，以确定对监督心理治疗师和/或被监督者的患者的监督效果进行实证研究的研究。将采用全面的搜索策略，以确定在 MEDLINE、EMBASE、PsycINFO 和 Cochrane Library 数据库中索引的已发表对照研究。将提取、综合和报告监督结果的数据，包括治疗师和患者的监督结果。将系统评估纳入研究的偏倚风险和质量。