White River Junction VA Medical Center, White River Junction, VT, USA.
Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Int J Psychiatry Clin Pract. 2021 Jun;25(2):206-215. doi: 10.1080/13651501.2020.1794010. Epub 2020 Jul 23.
Paper introduces Conflict Analysis (CA), an online self-guided therapeutic assessment. CA combines a diagnostic self-report scale with narrative exercises and self-analytical tasks. CA automatically generates detailed diagnostic records and frameworks for changes.
To evaluate therapeutic and diagnostic benefits associated with CA over time.
This online study compared CA over 2 weeks on outcome measures predicting psychotherapy outcome. Novel scale measuring perceived diagnostic benefit and perceived therapeutic benefit was delivered at post and follow-up. Cohort (n = 59, average age = 35, 50% female) was either in therapy or interested to start therapy in near future.
Repeated-measure ANOVAs suggest that scores significantly changed on measures predicting negative affect, depression, performance and appearance self-esteem, insight, and growth initiative. Agreement rates on items measuring perceived diagnostic and therapeutic benefits were at least 74.5% for both post and follow-up.
Evidence supports further exploration of CA as a self-guided diagnostic and therapeutic resource.Key pointsResults demonstrate feasibility and utility of online self-guided therapeutic assessment.Described model is associated with increased perceived diagnostic and therapeutic benefits.Described model illustrates therapeutic benefits over time.Results demonstrate that even self-guided assessment can have therapeutic implications.
本文介绍了冲突分析（CA），一种在线自我引导的治疗评估方法。CA 将诊断自评量表与叙事练习和自我分析任务相结合。CA 可自动生成详细的诊断记录和变化框架。
随着时间的推移，评估 CA 在治疗和诊断方面的益处。
本在线研究比较了 CA 在 2 周内对预测心理治疗结果的结果测量上的疗效。在治疗结束和随访时，采用一种新的量表来测量感知的诊断益处和治疗益处。队列（n=59，平均年龄 35 岁，女性占 50%）或正在接受治疗，或有在不久的将来开始治疗的意愿。
重复测量方差分析表明，预测负性情绪、抑郁、表现和外貌自尊、洞察力和成长主动性的测量指标的分数显著变化。对测量感知的诊断和治疗益处的项目进行的一致性分析，在治疗结束和随访时的同意率至少为 74.5%。
证据支持进一步探索 CA 作为一种自我引导的诊断和治疗资源。研究结果证明了在线自我引导治疗评估的可行性和实用性。所描述的模型与增加的感知诊断和治疗益处相关。所描述的模型说明了随着时间的推移的治疗益处。研究结果表明，即使是自我引导的评估也可能具有治疗意义。
