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[心理治疗研究——它应该(不应该)如何进行。对Grawe等人(1994年)比较研究的专家重新分析]

[Psychotherapy research--how it should (not) be done. An expert reanalysis of comparative studies by Grawe et al. (1994)].

作者信息

Tschuschke V, Bänninger-Huber E, Faller H, Fikentscher E, Fischer G, Frohburg I, Hager W, Schiffler A, Lamprecht F, Leichsenring F, Leuzinger-Bohleber M, Rudolph G, Kächele H

机构信息

Arbeitsgruppe Medizinische Psychologie im Institut und der Poliklinik für Psychosomatik und Psychotherapie, Universität Köln.

出版信息

Psychother Psychosom Med Psychol. 1998 Nov;48(11):430-44.

PMID:9857719
Abstract

22 psychotherapy outcome studies used in the Bernese meta-analysis by Grawe, Donati and Bernauer (1994) for a treatment comparison between behavioural and psychoanalytic-psychodynamic treatment concepts were reanalysed by 12 expert psychotherapy researchers independent of each other. Three clinical criteria served as basic criteria for the assessment of the methodological quality of the 22 comparative studies: treatment dosage, therapists' competence or expertise, and an adequate realisation of the intended treatment concept. The expert ratings were then compared with an evaluation of an assessment of a research team from the University of Ulm and with the one from the Bernese research team. Contrary to the Bernese meta-analysis, both the experts and the Ulm research group conclude that only 5 or 8 of the 22 studies, respectively, could be accepted for a relatively fair comparison between the treatments under study. Out of the 5/8 studies, none could be considered fully suitable for a treatment comparison, at the most only moderately suitable. These remaining 5 or 8 studies, respectively, do not prove superiority of one treatment over the other. Hence, the "Dodo Bird Verdict" stands up under scrutiny.

摘要

由格劳韦、多纳蒂和伯瑙尔(1994年)在伯尔尼元分析中使用的22项心理治疗结果研究,用于行为治疗与精神分析-心理动力治疗概念之间的治疗比较,由12位相互独立的专业心理治疗研究人员进行了重新分析。三项临床标准作为评估这22项比较研究方法质量的基本标准:治疗剂量、治疗师的能力或专业知识,以及对预期治疗概念的充分实现。然后,将专家评分与乌尔姆大学一个研究团队的评估结果以及伯尔尼研究团队的评估结果进行比较。与伯尔尼元分析相反,专家和乌尔姆研究小组都得出结论,在22项研究中,分别只有5项或8项研究可被接受用于所研究治疗之间的相对公平比较。在这5/8项研究中,没有一项可被认为完全适合进行治疗比较,至多只是适度适合。这些剩下的5项或8项研究,分别都没有证明一种治疗优于另一种治疗。因此,“渡渡鸟裁决”经得起推敲。

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