Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.
Outpatient treatment facility for psychotherapy, diagnostics and health promotion, Freie Universität Berlin, Berlin, Germany.
Psychother Res. 2024 Jan;34(1):111-123. doi: 10.1080/10503307.2023.2173681. Epub 2023 Feb 5.
This study examined the attainment of individual treatment goals as an approach to measure treatment outcomes retrospectively in comparison to standardized self-report measures. In total, 189 outpatients defined 1-3 treatment goals (= 455) using the Goal Attainment Scaling (GAS) at the beginning of cognitive behavioral therapy (CBT) and indicated the degree of their individual goal attainment post-treatment. The goals were assigned to content-related goal types of the Bern Inventory of Treatment Goals (BIT-T). The extent of goal attainment was, on average, between 1 (goal halfway attained) and 2 (goal attained) (= 1.43), regardless of goal content and diagnostic group. Goals of the goal type "problems and symptoms" were chosen most frequently and showed significantly higher goal attainment than "interpersonal" goals, thereby indicating that outpatients in CBT mainly want to work on treatment goals like coping with problems and symptoms. Additionally, standardized self-report measures (Brief Symptom Inventory, Beck Depression Inventory-II) were assessed, and associations with the GAS were calculated. They correlated significantly but moderately, thus indicating that the two concepts complement each other and should ideally be implemented together.
本研究通过比较标准化的自我报告测量，检查了个体治疗目标的实现情况，以此作为回顾性测量治疗结果的方法。共有 189 名门诊患者在认知行为治疗（CBT）开始时使用目标达成量表（GAS）定义了 1-3 个治疗目标（=455），并在治疗后表示他们的个体目标实现程度。这些目标被分配到伯尔尼治疗目标清单（BIT-T）的与内容相关的目标类型。目标达成的平均程度在 1（目标达到一半）到 2（目标实现）之间（=1.43），与目标内容和诊断组无关。“问题和症状”这一目标类型的目标被选择的频率最高，与“人际”目标相比，其目标实现程度显著更高，这表明 CBT 中的门诊患者主要希望解决治疗目标，如应对问题和症状。此外，还评估了标准化的自我报告测量（简明症状量表、贝克抑郁量表-II），并计算了与 GAS 的相关性。它们显著相关，但相关性适中，这表明这两个概念相互补充，理想情况下应一起实施。
