开发和评估一个实用措施的坚持辩证行为疗法:个人治疗的DBT坚持检查清单

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Melanie S Harned^1,2,3, Sara C Schmidt⁴, Kathryn E Korslund⁵

¹VA Puget Sound Health Care System, 1660 South Columbian Way, Mailstop S-116-MHC, Seattle, WA, 98108, USA. melanie.harned@va.gov.

Administration and policy in mental health

|June 7, 2023

概括

个人治疗的DBT坚持检查清单 (DBT AC-I) 有效地测量了训练有素的观察员使用时治疗师对辩证行为疗法 (DBT) 的坚持. 然而,治疗师在DBT AC-I上的自我评分被发现是不准确的.

科学领域:

心理学心理学心理学
临床心理学临床心理学
心理治疗研究心理治疗研究

背景情况:

辩证行为疗法 (DBT) 的坚持对于治疗疗效至关重要.
现有的DBT依从度的测量方法在常规临床使用中可能缺乏务实的实用性.

研究的目的:

开发和评估个人治疗的DBT坚持检查清单 (DBT AC-I),作为治疗师坚持的务实衡量标准.
评估DBT AC-I的心理测量特性,作为自我报告和观察者评级的测量.

主要方法:

对1271个DBT会话的项目响应分析,从DBT坚持编码量表 (DBT ACS) 中选择项目.
根据33位最终用户的反,对项目进行代改进.
对DBT AC-I在50个治疗师-客户二位数的100个会议中的心理测量评估.

主要成果:

作为自我报告措施,DBT AC-I与DBT ACS的整体一致性,收性和标准有效性不佳.
治疗师在自我评价中的准确性是由DBT知识,坚持和客户自杀念头严重程度预测的.
作为观察者评级的指标,DBT AC-I表现出卓越的评级者间可靠性和有效性.

结论:

当被训练有素的观察员使用时,DBT AC-I是DBT遵守的有效和可靠的衡量标准.
治疗师在DBT AC-I上的自我评分不是实际遵守的可靠指标.
DBT AC-I提供了一种有效的工具,用于评估DBT在临床实践中的遵守.

关键词:

坚持的坚持坚持的坚持辩证行为疗法是一种辩证行为疗法.忠诚度忠诚度忠诚度心理测量是一种心理测量.

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