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在实践中评估心态化:基于心态化的治疗研究依从性和能力尺度的可靠性
Karen Yirmiya1,2,3, Sophie Marjoribanks1, Peter Fonagy1
1Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
The British journal of clinical psychology
|August 11, 2025
概括
一个新的尺度,即基于心态化的治疗研究坚持和能力尺度 (MBT-RACS),显示了评估基于心态化的治疗 (MBT) 的强大可靠性. 该工具增强了在MBT研究和临床实践中的忠实性评估.
科学领域:
- 精神病学是一个精神病学.
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
背景情况:
- 基于心态化的治疗 (MBT) 需要强大的忠实性评估来准确提供和有效性验证.
- 目前对MBT的依从性测量已经显示出心理测量和概念上的局限性.
- 需要一个可靠的仪器,与当代MBT原则保持一致.
研究的目的:
- 介绍和评估基于心态化的治疗研究坚持和能力尺度 (MBT-RACS) 的心理测量属性.
- 评估MBT-RACS对组和个人MBT会话的相互评价可靠性.
- 为MBT的研究和临床监督提供可靠的工具.
主要方法:
- 使用MBT-RACS评价了126次记录的MBT会议 (104组,22个人).
- 17名受过培训的编程人员使用MBT-RACS评估了会议的遵守和能力.
- 评估者之间的可靠性是使用类内相关系数 (ICCs) 计算的.
主要成果:
- 在大多数领域中,MBT-RACS表现出强大的整体评估者间可靠性,无论是小组会议还是个人会议.
- 观察到的总依守率高的ICC:小组会议为0.84,个人会议为0.95 (两个编码器).
- 可靠性超过了与可比的合规性评估仪器通常报告的可靠性.
结论:
- 该MBT-RACS表现出强大的可靠性,支持其在研究和临床监督中的使用.
- 它的格式,专注于更广泛,临床上有意义的领域,可能会提高评级的一致性.
- 该尺度有助于方法严谨,质量保证和有效的MBT培训和实施.
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