[The adherence of clinical management in a randomized controlled trial. Results from a psychotherapy study].
[The adherence of clinical management in a randomized controlled trial. Results from a psychotherapy study].
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[随机对照试验中临床管理的依从性。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
E. Schramm
中科院分区：
文献类型：
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作者：
I. Zobel;Asad Karim;S. Kech;M. Berger;E. Schramm
CM越来越多地被用作抑郁症研究中的控制条件。在本研究中，抑郁症住院患者的标准化CM会话的遵守情况及其对结果的影响进行了首次调查。在一项随机对照试验中，43名诊断为重度抑郁症的住院患者接受药物治疗加每周三次的CM治疗，持续5周。17项版本的汉密尔顿抑郁评定量表是结果测量。共167个随机选择的录音带的CM会议进行了评估，使用的坚持规模。精神科住院医师提供的CM会议总体上显示出高质量，包括医生的广泛支持。延长了会期。会议的纯洁性与较高的响应率有关。轴II疾病或性状的诊断和医生多年的临床经验是较少粘附体治疗的预测因素。然而，这两个都没有作为调节变量。
CM is increasingly used as a control condition in depression research. In the present study, the adherence of standardized CM sessions and their influence on outcome in depressed inpatients was investigated for the first time. In a randomized controlled trial, 43 inpatients with a diagnosis of Major Depression received medication treatment plus three-weekly CM sessions for 5 weeks. The 17-item version of the Hamilton Depression Rating Scale was the outcome measure. A total of 167 randomly selected audiotapes of CM sessions were evaluated using an adherence scale. The CM sessions delivered by psychiatric residents showed overall a high quality and included extensive support by the physician. The length of sessions was extended. The purity of sessions was associated with higher response rates. A diagnosis of Axis II-disorders or -traits and the clinical experience of the physician in years were predictors for less adherend treatments. However, both of them did not function as moderator variables.