GGZ Noord-Holland-Noord.
Clinical Psychology Unit, Leiden University.
Psychotherapy (Chic). 2018 Jun;55(2):151-163. doi: 10.1037/pst0000164.
There is evidence that progress feedback combined with a clinical support tool (CST) improves treatment outcome in individual psychotherapy. This study examined the effect of feedback in combination with a CST in outpatient group psychotherapy. A prospective cohort study was performed with patients meeting diagnostic criteria for a major depressive disorder or an anxiety disorder. Patients received cognitive-behavioral group therapy or interpersonal group therapy and completed the Outcome Questionnaire-45 on a session by session basis. In the control cohort (N = 132), no feedback was provided. In the feedback cohort (N = 137), patients and clinicians received feedback on the treatment progress based on the Outcome Questionnaire-45. If a patient was deteriorating as compared with the start of treatment or the previous session, the CST was offered. Both cohorts showed a significant decrease in symptoms during therapy, but no significant differences existed on treatment outcome. The number of sessions was significantly lower in the feedback cohort. The results suggest that feedback in outpatient group psychotherapy does not improve outcomes but that fewer sessions may be sufficient to obtain outcomes similar to treatment as usual. More research with the use of progress feedback in outpatient group therapy is needed, especially with CSTs. (PsycINFO Database Record
有证据表明，进展反馈结合临床支持工具（CST）可改善个体心理治疗的治疗效果。本研究考察了反馈结合 CST 在门诊团体心理治疗中的效果。采用符合主要抑郁障碍或焦虑障碍诊断标准的患者进行前瞻性队列研究。患者接受认知行为团体治疗或人际团体治疗，并在每一次治疗中完成《症状自评量表-45》。在对照组（N=132）中，不提供反馈。在反馈组（N=137）中，根据《症状自评量表-45》，患者和临床医生会收到关于治疗进展的反馈。如果与治疗开始或前一次治疗相比，患者病情恶化，则会提供 CST。两个队列在治疗过程中症状均显著减轻，但治疗结果无显著差异。反馈组的治疗次数明显减少。结果表明，门诊团体心理治疗中的反馈并不会改善治疗效果，但可能只需较少的治疗次数即可获得与常规治疗相似的效果。需要更多使用进展反馈的门诊团体治疗研究，特别是 CST 的研究。
