我们如何知道治疗是否失败? 与年轻人进行咨询的矛盾结果
John McLeod1, Erik Stänicke2, Hanne Weie Oddli2
1Institute for Integrative Counselling and Psychotherapy, Dublin, Ireland.
Frontiers in psychology
|June 19, 2024
概括
通过标准化症状量表来衡量心理治疗结果可能与年轻人对帮助的看法不一致. 这凸显了需要考虑客户报告的经验以及症状变化,以更充分地了解治疗成功的必要性.
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:
- 标准化的自我报告症状测量通常用于评估心理治疗的成功.
- 基于症状的结果和其他评估方法之间的差异,称为悖论性结果,是已知的,但尚未完全理解的.
- 评估结果数据的可信性对于理解失败的心理治疗至关重要.
研究的目的:
- 分析通过标准化自我报告措施评估的结果与咨询后访谈中客户报告的帮助度等级之间的关系.
- 调查青年心理治疗中悖论性结果的程度.
主要方法:
- 评估了50名年轻人 (13-16岁) 在学校进行的人文咨询试验.
- 年轻人核心 (YP-CORE) 被用作主要的标准化衡量标准.
- 独立评级者从咨询后的访谈成绩单中得分帮助 (评级者之间的可靠性:克伦巴赫的阿尔法=0.94,麦当劳的欧米茄=0.96).
- 敏感性分析探讨了与其他结果 (ESQ,GBO) 和过程措施 (WAI-S,BLRI) 的相关性.
主要成果:
- 有助性评级与YP-CORE分数的变化没有显著相关.
- 绝对地说,38%的那些在YP-CORE上显示出可靠的改善的人低于自我描述的帮助度的中位数.
- 相反,47%的那些没有显示可靠的变化的人在自我描述的帮助中位数或以上.
- 帮助度评级与其他结果和流程指标的相关性更为密切.
结论:
- 仅仅依赖症状改变措施可能会误导心理治疗的成功和失败.
- 客户报告的帮助性为治疗有效性提供了一个有价值的,但往往是不同的观点.
- 未来的研究和实践应该将客户的观点与标准化措施相结合,以全面评估心理治疗结果.
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