随着时间的推移,探索治疗师在多个领域的有效性
Jeremy J Coleman1, Emma Freetly Porter2, Sabina Musliu3
1Department of Educational Psychology, Counseling/Counseling Psychology Program, University of Utah.
Journal of counseling psychology
|September 9, 2024
概括
治疗师的经验并没有改善患者的结果;相反,随着时间的推移,一般的痛苦,生活功能和焦虑略有恶化. 病例数量和严重程度并不能预测这项心理治疗研究的结果.
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:
- 常见的假设是,治疗师的经验改善了客户的结果.
- 然而,研究表明,治疗师的经验和治疗的有效性之间存在不一致的关系.
- 很少有研究研究治疗师的有效性如何随着时间的推移而改变各种客户的结果.
研究的目的:
- 通过多个客户结果指标,研究治疗师效率随时间的变化.
- 在一个大,自然主义的样本中,检查治疗师经验和客户结果之间的关系.
- 探索病例数量和基线严重程度对治疗有效性的影响.
主要方法:
- 使用行为健康测量-17 (BHM-17) 进行数据收集.
- 分析了大约12年的613名专业治疗师和42,690名客户的数据.
- 采用大规模的自然化样本来评估心理治疗结果.
主要成果:
- 随着时间的推移,观察到患者的总体痛苦,生活功能和焦虑的结果显著下降.
- 这些结果变化的效果大小很小.
- 治疗师病情和基线严重程度与预测客户结果无关;病情严重程度随着时间的推移出乎意料地下降.
结论:
- 这些发现挑战了治疗师经验普遍导致改善客户结果的假设.
- 对治疗师有效性的细微了解至关重要.
- 结果可能支持根据特定的结果领域将治疗师与客户匹配.
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