如何衡量心理干预的负面影响
Alexander Rozental1, Tomáš Řiháček2
1Department of Health, Education and Technology, Luleå University of Technology, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Sweden.
Current opinion in psychology
|July 5, 2025
概括
心理干预的负面影响往往被忽视. 本次审查强调了患者报告的结果和改善的监测,以提高患者安全和治疗透明度.
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:
- 心理干预的负面影响 (例如,恶化,不响应,新症状) 在伦理和临床上是显著的,但未得到充分研究.
- 目前的评估方法通常依赖于症状恶化,这是不够的.
- 需要更直接的,患者报告的措施来捕捉不良结果.
研究的目的:
- 审查目前用于评估心理干预中负面影响的方法.
- 突出现有评估方法的局限性.
- 为改善不良事件的监测和报告提供建议.
主要方法:
- 关于评估心理干预的负面影响的当前文献的综述.
- 八种常用的评估工具的描述和比较.
- 讨论评估负面影响的方法挑战.
主要成果:
- 评估负面影响的现有方法是有限的,特别是那些仅依赖症状恶化的方法.
- 审查了八种仪器,显示内容,覆盖范围和心理测量属性的变化.
- 方法方面的挑战包括评估时间,测量反应性和患者不愿披露信息.
结论:
- 改善对负面影响的监测和报告对于伦理实践和患者安全至关重要.
- 建议侧重于透明度,患者报告的结果和包容性研究实践.
- 需要进一步的研究来开发和验证对不同人群和治疗方法的不良影响的综合措施.
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