Enhancing psychotherapy outcomes via providing feedback on client progress: A replication
Enhancing psychotherapy outcomes via providing feedback on client progress: A replication
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DOI：
10.1002/cpp.324
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发表时间：
2002-03-01
影响因子：
3.6
通讯作者：
Goates, M
中科院分区：
文献类型：
--
作者：
Lambert, MJ;Whipple, JL;Goates, M
已经开发了几个系统来监控和反馈关于客户对心理治疗的反应的信息，以此作为提高客户结果的一种方法。目前的研究将1020名患者分为四组(两名试验组和两名对照组)，以确定当向治疗师提供关于患者进展的反馈时，是否会影响患者的结果和参加的会话数量。结果表明，反馈延长了治疗持续时间，并改善了被确定为潜在治疗失败的患者的结果，从而重复了使用几乎相同的方法进行的早期研究。在反馈组中，近两倍的患者实现了临床上显著或可靠的变化，更少的患者在治疗结束时被归类为恶化。对于那些被预测对治疗有积极反应的患者，与没有反馈的对照组相比，向治疗师反馈导致相同的治疗次数和相同的结果。结果从常规临床实践中的质量管理以及根据客户对治疗的反应而不是任意的疗程限制来做出治疗决定的必要性进行了讨论。建议进行更多的研究，以加强反馈对客户结果的影响。版权所有(C)2002 John Wiley Sons，Ltd.
Several systems have been developed to monitor and feedback information about a client's responses to psychotherapy as a method of enhancing client outcome. The current study divided 1020 clients into four groups (two experimental and two control) to determine if feedback regarding client progress, when provided to a therapist, affected client outcome and number of sessions attended. Results showed that feedback increased the duration of treatment and improved outcome for clients identified as potential treatment failures thereby replicating an earlier study using nearly identical methodology. Nearly twice as many clients in the feedback group achieved clinically significant or reliable change and fewer were classified as deteriorated by the time treatment ended. For those clients who were predicted to have a positive response to treatment, feedback to therapists resulted in an equal number of treatment sessions and equivalent outcomes compared to the no feedback controls. The results are discussed in terms of quality management in routine clinical practice and the need to base treatment decisions on clients' response to treatment rather than arbitrary session limits. Suggestions for additional research aimed at enhancing the effects of feedback on client outcome are made. Copyright (C) 2002 John Wiley Sons, Ltd.