治疗师参与基于测量的护理:客户结果与治疗师观看频率之间的关联
Matteo Bugatti1, Jesse Owen1, Zachary Richardson2
1University of Denver, Denver, Colorado, USA.
Clinical psychology & psychotherapy
|December 10, 2023
概括
治疗师审查客户抑郁症得分 (PHQ-9) 并没有直接影响结果. 然而,治疗师经常审查他们的案例负载中的得分,改善了客户治疗结果,突出了基于测量的一致护理 (MBC) 的价值.
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:
- 基于测量的护理 (MBC) 被认为可以优化心理治疗结果.
- 最佳实践强调治疗师必须始终审查客户的评分.
- 评分审查频率对MBC有效性的具体影响需要进一步澄清.
研究的目的:
- 调查治疗师审查客户抑郁症得分的频率与心理治疗结果之间的关联.
- 确定个人治疗师评分审查频率是否预测客户治疗成功.
主要方法:
- 分析了来自实践研究小组的6182名被诊断患有抑郁症的客户和2248名治疗师的大样本.
- 使用多级建模来检查治疗师对患者健康问卷-9 (PHQ-9) 评分和客户结果的审查之间的关系.
- 通过治疗师门户,治疗师可以访问客户PHQ-9分数.
主要成果:
- 治疗师查看个体客户PHQ-9结果的频率不是治疗结果的重要预测因素.
- 在整个病例中更频繁查看客户PHQ-9分数的治疗师表现出更好的治疗结果.
- 持续的MBC参与,由病例范围的得分审查表明,与改善的治疗结果有关.
结论:
- 虽然个体评分审查频率可能无法直接预测结果,但在案件中频繁审查的模式表明有效的MBC参与.
- 这些发现强调了治疗师经常使用MBC原则来提高客户结果的重要性.
- 讨论了临床实践和心理治疗未来研究方向的影响.
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