La Tona Antonino, Tagini Sofia, Brugnera Agostino, Poletti Barbara, Aiello Edoardo Nicolò, Lo Coco Gianluca, Del Piccolo Lidia, Compare Angelo
Department of Human and Social Sciences, University of Bergamo.
Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan.
Res Psychother. 2023 Apr 4;26(1):671. doi: 10.4081/ripppo.2023.671.
The customization of the intervention using patient feedback is an evidence-based practice aimed at the continuous evaluation, during treatment, of the patient's change at a clinical level. There are few easy-to-use tools for common assessment of psychological distress, designed to be used for screening and during treatment to monitor progress. The Clinical Outcomes in Routine Evaluation-10 (CORE-10) is definitely one of them. Thus, the aim of the present study was to examine the psychometric properties of the Italian version of the CORE-10. A sample of 548 participants (females, N=463, 84.5%; mean age 23.29±7.21 years) was recruited in the study and filled out a battery of measures. The internal validity of the CORE-10 was investigated through a confirmatory factor analysis which evidenced a good fit to the data, suggesting a unidimensional factorial structure of the measure. Further, the scale had a good internal reliability and was significantly associated with other measures of distress, interpersonal problems, well-being, and insecure attachment. Finally, it showed excellent diagnostic accuracy, as well as intrinsic and post-test diagnostics. Given its validity and reliability, the CORE-10 may be adopted by Italian-speaking psychotherapists and researchers to evaluate the outcomes of mental health interventions as well as to track the session-to-session changes over time in psychological distress among patients.
利用患者反馈对干预措施进行定制是一种循证实践，旨在在治疗过程中持续评估患者在临床层面的变化。用于心理困扰常规评估的易于使用的工具很少，这些工具旨在用于筛查以及在治疗期间监测进展情况。《常规评估临床结果-10》（CORE-10）绝对是其中之一。因此，本研究的目的是检验CORE-10意大利语版本的心理测量特性。该研究招募了548名参与者（女性，N = 463，84.5%；平均年龄23.29±7.21岁），并让他们填写了一系列测量问卷。通过验证性因素分析对CORE-10的内部效度进行了调查，结果表明该测量与数据拟合良好，表明该测量具有单维因子结构。此外，该量表具有良好的内部信度，并且与困扰、人际问题、幸福感和不安全依恋的其他测量指标显著相关。最后，它显示出出色的诊断准确性以及内在诊断和测试后诊断能力。鉴于其效度和信度，讲意大利语的心理治疗师和研究人员可以采用CORE-10来评估心理健康干预的结果，以及跟踪患者心理困扰随时间逐次治疗的变化情况。
