Kaminer Y, Blitz C, Burleson J A, Kadden R M, Rounsaville B J
Alcohol Research Center, Department of Psychiatry, University of Connecticut Health Center, Farmington 06030-1410, USA.
J Nerv Ment Dis. 1998 Jul;186(7):407-13. doi: 10.1097/00005053-199807000-00004.
The state of the art for treatment efficacy studies now requires manual guided treatments and tests of therapist adherence. This report provides findings regarding adherence assessment of therapists participating in an investigation of treatment matching in adolescent substance abusers. The Group Sessions Rating Scale (GSRS), a group-therapy process measure, was studied to determine its appropriateness for assessing group treatment of adolescents with a) substance use disorders (SUD), b) interrater reliability, c) internal consistency, and d) ability to discriminate the active ingredients of cognitive-behavioral therapy (CBT) from interactional therapy (IT). Interrater reliabilities were moderate to high, with those for CBT generally higher than those for IT. Internal consistency of CBT items was moderate, whereas those of IT were moderately high. Discriminability between the two treatment modalities was high. The frequency of active ingredients was generally therapy-specific: high for the relevant and low for the nonrelevant therapeutic modality items. The GSRS was found to be effective in the measurement of treatment process in adolescents with SUD.
目前，治疗效果研究的前沿水平要求进行人工指导治疗以及对治疗师的依从性进行测试。本报告提供了有关参与青少年药物滥用者治疗匹配调查的治疗师依从性评估的结果。研究了团体治疗过程测量工具——团体治疗会话评定量表（GSRS），以确定其在评估青少年团体治疗方面的适用性，具体包括：a）物质使用障碍（SUD）、b）评分者间信度、c）内部一致性，以及d）区分认知行为疗法（CBT）与互动疗法（IT）的有效成分的能力。评分者间信度为中等至高度，其中CBT的信度通常高于IT。CBT项目的内部一致性为中等，而IT的内部一致性为中等偏高。两种治疗方式之间的可区分性较高。有效成分的出现频率通常因治疗方式而异：相关治疗方式项目的出现频率较高，不相关治疗方式项目的出现频率较低。研究发现，GSRS在测量患有SUD的青少年的治疗过程方面是有效的。
