对于抑郁症的标准化治疗方法与标准化治疗方法之间的治疗师之间的差异效应
Anuj H P Mehta1, Michael J Constantino1, Jack J M Dekker2,3
1Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Cogent mental health
|November 20, 2025
概括
治疗师的有效性在不同文化中各不相同. 在荷兰,精神动力疗法 (PDT) 比认知行为疗法 (CBT) 有更大的治疗效果,这表明治疗标准化影响结果.
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:
- 治疗师的有效性各不相同,但在美国/英国之外以及在治疗环境中普遍性需要进一步研究.
- 了解治疗师的影响对于优化心理健康护理中的患者结果至关重要.
研究的目的:
- 在荷兰的一项随机试验中检查治疗师对抑郁和痛苦结果的影响,比较认知行为疗法 (CBT) 和精神动力疗法 (PDT).
- 根据治疗标准化 (手动化CBT与灵活的PDT) 来调查治疗师效果是否不同.
主要方法:
- 一项随机试验涉及254名成年患者,接受16次CBT或PDT治疗抑郁症.
- 59名治疗师被嵌入治疗条件中,并使用多层模型来分析患者的治疗结果.
- 治疗师的影响被量化为个别治疗师解释的结果差异百分比.
主要成果:
- 对于抑郁和一般应急结果 (3-8%的变异) 发现了显著的治疗师效应.
- 与认知行为疗法 (CBT) 治疗师 (2-6%) 相比,精神动态疗法 (PDT) 治疗师的结果差异较大 (10-16%) .
- 在PDT和CBT之间治疗师效应的差异对于临床医生评级的抑郁症结局是统计学上显著的.
结论:
- 治疗师效应可以将其推广到非美国/英国文化背景,特别是在荷兰.
- 治疗标准化可能会影响治疗师效应的程度,较少标准化的治疗可能会显示出更大的疗效差异.
- 需要进一步的研究来确定哪些治疗师从特定水平的治疗标准化中获益最多,以提高患者的治疗结果.
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