SCIRehab Project Series: The Psychology Taxonomy
SCIRehab Project Series: The Psychology Taxonomy
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DOI：
10.1080/10790268.2009.11760785
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发表时间：
2009-06-01
影响因子：
1.7
通讯作者：
Gassaway, Julie
中科院分区：
文献类型：
--
作者：
Wilson, Catherine;Huston, Toby;Gassaway, Julie
背景：将心理学家整合为康复团队成员的同时，跨学科团队的发展和采用成为脊髓损伤(SCI)康复护理的标准。虽然康复期间心理服务的价值得到了广泛的认可，但具体的干预措施及其与患者结果的相关性尚未得到充分的检验。目的：针对这一缺陷，来自6个SCI中心的心理学家合作制定了心理干预分类和文献框架。方法：来自6个中心的首席心理学家利用互动过程，编制了一份在参与康复机构的常规心理实践中评估和提供干预措施的患者特征的包容性清单。这些被系统地分组、定义和比较。结果：由此产生的分类成为心理学家用于研究的文献框架的基础。心理分类包括4个主要的临床类别(评估、心理治疗干预、心理教育干预和咨询)，每个类别有5到10项具体活动。结论：对持续脊髓损伤患者的心理干预及其与积极结果的潜在关联需要建立一个分类法。这些努力的结果说明了SCI中心在心理实践方面的相似和不同之处，并提供了机会，以创新的方法将研究和临床实践结合起来，以改进循证实践。建立的分类法为未来心理干预效果的研究提供了一个基本框架。
Context: The integration of psychologists as members of the rehabilitation team has occurred in conjunction with the evolution and adoption of interdisciplinary teams as the standard of care in spinal cord injury (SCI) rehabilitation. Although the value of psychological services during rehabilitation is endorsed widely, specific interventions and their association with patient outcomes have not been examined adequately.Objective: To address this shortcoming, psychologists from 6 SCI centers collaborated to develop a psychology intervention taxonomy and documentation framework.Methods: Utilizing an interactive process, the lead psychologists from 6 centers compiled an inclusive list of patient characteristics assessed and interventions delivered in routine psychological practice at the participating rehabilitation facilities. These were systematically grouped, defined, and compared.Results: The resulting taxonomy became the basis of a documentation framework utilized by psychologists for the study. The psychology taxonomy includes 4 major clinical categories (assessment, psychotherapeutic interventions, psychoeducational interventions, and consultation) with 5 to 10 specific activities in each category.Conclusions: Examination of psychological interventions and their potential association with positive outcomes for persons who sustain SCI requires the development of a taxonomy. Results of these efforts illustrate similarities and differences in psychological practice among SCI centers and offer the opportunity to blend research and clinical practice in an innovative approach to evidence-based practice improvement. The established taxonomy provides a basic framework for future studies on the effect of psychological interventions.