Methodological Recommendations for Trials of Psychological Interventions

Methodological Recommendations for Trials of Psychological Interventions
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DOI:
10.1159/000490574
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发表时间:
2018-01-01
影响因子:
22.8
通讯作者:
Fava, Giovanni A.
Fava, Giovanni A.
中科院分区:
医学1区
文献类型:
--
作者:
Guidi, Jenny;Brakemeier, Eva-Lotta;Fava, Giovanni A.

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近年来,心理治疗研究取得了重大进展,表明有必要解决关键的方法论问题。这些建议由国际研究小组制定,并不取代随机对照试验的建议,而是补充考虑心理治疗时需要考虑的策略。概述了传统分类和评估方法的局限性,并提出了考虑分期方法的建议。建议采用积极的心理治疗对照组,适应性和拆除研究设计提供了重要的机会。需要详细描述实验组和对照组所使用的治疗方法,特别是其具体成分。治疗前后以及长期随访时应进行盲法评估。建议结合观察者和自我评估措施。应使用适当的方法评估心理治疗的副作用。最后,应根据用于定义反应或缓解的方法记录治疗后病情恶化的参与者人数。 (c) 2018 S. Karger AG,巴塞尔
Recent years have seen major developments in psychotherapy research that suggest the need to address critical methodological issues. These recommendations, developed by an international group of researchers, do not replace those for randomized controlled trials, but rather supplement strategies that need to be taken into account when considering psychological treatments. The limitations of traditional taxonomy and assessment methods are outlined, with suggestions for consideration of staging methods. Active psychotherapy control groups are recommended, and adaptive and dismantling study designs offer important opportunities. The treatments that are used, and particularly their specific ingredients, need to be described in detail for both the experimental and the control groups. Assessment should be performed blind before and after treatment and at long-term follow-up. A combination of observer-and self-rated measures is recommended. Side effects of psychotherapy should be evaluated using appropriate methods. Finally, the number of participants who deteriorate after treatment should be noted according to the methods that were used to define response or remission. (c) 2018 S. Karger AG, Basel