为产后抑郁症提供同行认知行为治疗的忠诚度评估
Zoryana Babiy1, Donya Merza1, Haley Layton1
1Neuroscience Graduate Program (Babiy, Merza), Health Research Methodology Graduate Program (Layton), and Department of Psychiatry and Behavioural Neurosciences (Bieling, Van Lieshout), McMaster University, Hamilton, Ontario, Canada.
American journal of psychotherapy
|August 23, 2023
概括
经过培训的同龄人可以可靠地评估产后抑郁症群体认知行为疗法 (CBT) 的忠实性,为专家监督提供可扩展的替代方案. 这项研究支持心理健康干预中的同行指导反.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 行为治疗是一种行为疗法.
背景情况:
- 对同行管理干预措施 (PAI) 的专家忠实性评估是昂贵的,并且限制了可扩展性.
- 产后抑郁症干预通常依赖于同行支持,需要有效的忠诚度监测.
研究的目的:
- 评估同行辅导员是否能够像专家一样有效地评估同行为产后抑郁症提供群体认知行为治疗 (CBT) 的忠实性.
- 建立以同行为主导的反作为专家监督的替代方案的基础.
主要方法:
- 三位同行辅导员在9个会议中评估了干预的坚持和能力.
- 一位专家精神科医生和一名经过培训的研究生在18个会议中评估了相同的情况.
- 通过使用类内相关系数 (ICCs) 确定了interrater可靠性.
主要成果:
- 在同龄人,精神病医生和研究生中,在坚持和能力评级方面发现了良好的至优秀的ICC (0.88-0.98).
- 较高的评级者间可靠性表明不同类型的评级者之间一致的评估.
结论:
- 经过培训的同龄人表明,他们有能力可靠地评估PAI对产后抑郁症的忠实性.
- 这项初步研究表明,以同行为主导的反是同行为主导的小组CBT专家领导的监督的可行替代方案.
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