使用结构化访谈创建的感知因果网络:可行性和可靠性
E Kaariniemi1, V Bosund1, J Reichert2
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden & Stockholm Health Care Services, Region Stockholm, Sweden.
Cognitive behaviour therapy
|February 18, 2025
概括
评估精神病症状之间的因果关系的访谈显示,青少年的测试-重新测试可靠性是有希望的. 这种方法可能提供一种更稳定的方法来理解个性化精神病理网络.
科学领域:
- 心理学和精神病学 心理学和精神病学
- 网络科学 网络科学
- 临床心理学 临床心理学
背景情况:
- 心理病理学的网络方法将心理健康问题视为相互关联的症状,而不是单独的疾病.
- 目前使用个性化症状网络问卷的方法已经证明测试重试可靠性很低.
- 探索替代评估方法对于在临床实践中推进网络方法至关重要.
研究的目的:
- 调查使用采访来评估精神病症状之间的因果关系的可行性,可接受性和测试-重新测试可靠性.
- 基于采访的症状网络评估与现有的基于问卷的方法进行比较.
- 在青少年精神病理学网络中识别中心症状.
主要方法:
- 对21名青少年进行了半结构面试,以评估他们对精神病症状之间的因果关系的看法.
- 在一周的间隔内进行两次面试,以评估测试重复测试的可靠性.
- 分析了节点中心性和因果关系的可靠性,并评估了参与者评级的可行性和可接受性.
主要成果:
- 对节点中心性 (r=0.703) 和因果关系 (r=0.533) 实现了中等到良好的测试-重试可靠性.
- 大多数青少年发现采访形式易于理解和接受.
- 负面情绪被确定为群体层面上最核心和最常见的症状节点.
结论:
- 基于面试的症状网络评估是青少年可行的和可接受的方法.
- 这种方法表明,与以前基于问卷的方法相比,测试重复测试的可靠性有所提高.
- 需要进一步的研究来评估采访衍生网络的临床实用性和面对有效性,以提供治疗指导.
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