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曼氏限时心理治疗的随机对照结局与随访研究

A randomized controlled outcome and follow-up study of Mann's time-limited psychotherapy.

作者信息

Shefler G, Dasberg H, Ben-Shakhar G

机构信息

Latner Institute for Social Psychiatry and Psychotherapy Research, Herzog Ezrat-Nashim Community Mental Health Center, Jerusalem, Israel.

出版信息

J Consult Clin Psychol. 1995 Aug;63(4):585-93. doi: 10.1037//0022-006x.63.4.585.

DOI:10.1037//0022-006x.63.4.585
PMID:7673536
Abstract

Thirty-three patients were assessed for suitability for time-limited psychotherapy (TLP). A battery of outcome measures was composed of patient self-report measurements and objective judgments by external ("masked") raters. Patients were randomly assigned to either the experimental group, which received TLP immediately, or the control group, whose TLP was delayed for 3 months. Patients were evaluated on outcome measures at TLP termination and again at 6 and 12 months after termination. Significant improvement was observed in the experimental group after TLP, but the control patients did not show any systemic changes after waiting. However, after TLP, the control patients improved significantly. The average effect size measured by the differences between gain scores of the experimental patients (before vs. after treatment) and those of the control patients (before vs. after waiting) was 0.986 SD. The gains achieved after therapy were stable in both groups after 6- and 12-month follow-ups.

摘要

对33名患者进行了限时心理治疗(TLP)适用性评估。一系列结果测量指标由患者自我报告测量和外部(“盲法”)评估者的客观判断组成。患者被随机分配到实验组(立即接受TLP)或对照组(TLP延迟3个月)。在TLP结束时以及结束后6个月和12个月对患者进行结果测量评估。实验组在接受TLP后观察到显著改善,但对照组患者在等待后未出现任何系统性变化。然而,在接受TLP后,对照组患者有显著改善。通过实验组患者(治疗前与治疗后)与对照组患者(等待前与等待后)得分增益差异测量的平均效应大小为0.986标准差。在6个月和12个月的随访后,两组治疗后取得的改善均保持稳定。

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