Polibienestar Research Institute, University of Valencia, Valencia, Spain.
Department of Personality, Evaluation, and Psychological Treatments, University of Valencia, Valencia, Spain.
Adm Policy Ment Health. 2024 Sep;51(5):792-804. doi: 10.1007/s10488-024-01394-y. Epub 2024 Jul 12.
There are few studies exploring intake diagnostic characteristics as predictors of change in integrative naturalistic settings. The aim of this study is to explore baseline variables at the intake process and establish the predictive value of the individual trajectories of the patients. We recruited 259 patients undergoing an integrative psychotherapy network of psychotherapists from Buenos Aires, Argentina. Every therapist completed the intake form of each patient involved in the routine outcome monitoring. Thereafter step-wise regressions based on forward selection strategies were used, in order to identify meaningful baseline predictors of patients' clinical evolution, derived from the intake process. The selected predictors were social support network, subjective distress, the initial measure of clinical distress, unemployment, sociocultural status and reactance. When including those six variables in a multilevel model, the results indicate that social support network, subjective distress, and the initial measure of clinical distress were significant predictors of the trajectories of OQ-30, whereas unemployment, sociocultural status and reactance were not significant. The results regarding social support network are in line with the literature, while results of socioeconomic status (unemployment and sociocultural level) move in an opposite direction in comparison to the available evidence. Moreover, the mental health findings (initial OQ-30 and subjective distress) confirm the contradictory body of literature produced in this domain. Finally, reactance seems to be a significant predictor in previous study in contradiction of our results. Overall, this endeavor constitutes important but preliminary evidence to enhance the production of bottom-up science within practice research networks in the global south.
几乎没有研究探索摄入诊断特征作为综合自然主义环境中变化的预测指标。本研究旨在探索摄入过程中的基线变量，并确定患者个体轨迹的预测价值。我们招募了 259 名正在接受阿根廷布宜诺斯艾利斯的综合心理治疗网络的心理治疗师治疗的患者。每位治疗师都填写了参与常规结果监测的每位患者的摄入表格。然后，根据前向选择策略使用逐步回归，以确定患者临床演变的有意义的基线预测因子，这些预测因子来自摄入过程。选定的预测因子包括社会支持网络、主观困扰、临床困扰的初始测量、失业、社会文化地位和抵触。当将这六个变量纳入多层次模型时，结果表明，社会支持网络、主观困扰和临床困扰的初始测量是 OQ-30 轨迹的显著预测因子，而失业、社会文化地位和抵触则不是。关于社会支持网络的结果与文献一致，而社会经济地位（失业和社会文化水平）的结果与现有证据相反。此外，心理健康发现（初始 OQ-30 和主观困扰）证实了该领域相互矛盾的文献。最后，抵触似乎是之前研究中的一个重要预测因子，与我们的结果相反。总的来说，这一努力构成了在全球南方的实践研究网络中加强自下而上的科学研究的重要但初步的证据。
