焦虑症患者的亲近他人对治疗有何看法？《治疗顾虑问卷 - 亲近他人》的编制与验证
How do close others to those with anxiety feel about treatment? Development and validation of the Treatment Concerns Questionnaire-Close Others.
作者信息
Merritt Olivia A, Rowa Karen, Purdon Christine L
机构信息
Psychology Department, University of Waterloo, 200 University Ave W, N2L 3G1 Waterloo, ON Canada.
Anxiety Treatment and Research Centre, St. Joseph's Healthcare, Hamilton, ON Canada.
出版信息
Cognit Ther Res. 2022;46(6):1157-1169. doi: 10.1007/s10608-022-10318-9. Epub 2022 Jul 19.
BACKGROUND
The close others (e.g., family members, romantic partners) of people with anxiety and related disorders are typically involved in their treatment decisions. However, we know little about close others' attitudes towards and concerns about their loved one starting cognitive-behavioural therapy (CBT).
METHODS
Study one surveyed close others of those with anxiety and related disorders (n = 33) about their concerns about their loved one starting CBT. Thematic coding was completed, and items were developed to reflect these themes, comprising a measure of treatment concerns in close others. Study two involved the administration of the novel measure to a larger sample (n = 287) to evaluate its structure, reliability, and validity.
RESULTS
Close others endorsed having treatment concerns of moderate intensity. The final 17-item measure, the Treatment Concerns QuestionnaireClose Others (TCQ-C), has a robust four-factor structure, with internally consistent subscales including "Adverse Reactions", "Personal/Family Consequences", "Lack of Commitment", and "Ineffectiveness". The measure shows moderate correlations with treatment expectations (convergent validity) and small correlations with respondent distress (discriminant validity).
CONCLUSIONS
The value of this measure for clinicians and future directions for research are discussed.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s10608-022-10318-9.
背景
焦虑症及相关障碍患者的亲密他人（如家庭成员、恋爱伴侣）通常会参与其治疗决策。然而，我们对亲密他人对其亲人开始认知行为疗法（CBT）的态度和担忧知之甚少。
方法
研究一调查了焦虑症及相关障碍患者的亲密他人（n = 33）对其亲人开始接受CBT的担忧。完成了主题编码，并制定了反映这些主题的项目，构成了一种亲密他人治疗担忧的测量方法。研究二将这种新的测量方法应用于更大的样本（n = 287），以评估其结构、信度和效度。
结果
亲密他人认可存在中等强度的治疗担忧。最终的17项测量工具，即亲密他人治疗担忧问卷（TCQ-C），具有稳健的四因素结构，其内部一致的子量表包括“不良反应”、“个人/家庭后果”、“缺乏承诺”和“无效性”。该测量工具与治疗期望呈中等相关性（聚合效度），与受访者痛苦呈小相关性（区分效度）。
结论
讨论了该测量工具对临床医生的价值及未来研究方向。
补充信息
在线版本包含可在10.1007/s10608-022-10318-9获取的补充材料。
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