The adherence/resource priming paradigm – a randomised clinical trial conducting a bonafide psychotherapy protocol for generalised anxiety disorder
The adherence/resource priming paradigm – a randomised clinical trial conducting a bonafide psychotherapy protocol for generalised anxiety disorder
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依从性/资源启动范式——一项针对广泛性焦虑症进行真实心理治疗方案的随机临床试验
作者：
C. Flückiger
背景与不治疗相比，Bonafide心理治疗是治疗广泛性焦虑症的有效方法。研究临床研究设计的另一种方法可能是增加对已经有效的心理治疗的理解，而不是在医学元模型中创造越来越多的新的整体治疗包。治疗手册和方案允许治疗师实施整体治疗手册的方式具有相对较高的自由度。对于治疗师应该如何定制这些整体协议，存在系统性的知识缺乏。本研究实验探讨三种方式进行一个真正的心理治疗的基础上15届时间限制认知行为疗法（CBT）协议和它们的关系的治疗师的协议遵守和治疗effictiveness.Methods/designThis试验将探讨三种不同的方法定制一个真正的CBT协议使用二元同侪辅导方法（引发）。GAD患者将被随机分配到三种启动条件（资源启动、支持性资源启动或依从性启动）中的一种。将随机进行受试者治疗分配。治疗师将被分配到一个同伴辅导合作伙伴和启动条件的基础上相互协议。治疗结果将在以下时间进行评估：观察员为基础的会话结果，会话会话后的结果，治疗结果在后评估和治疗结果在6个月follow.DiscussionThe拟议的试验解决了临床相关的问题，如何定制一个真正的心理治疗协议使用串联同侪辅导方法（三个启动条件）。通过开发和测试所提出的预充程序，本研究描述了依从性水平以及如何以更系统化的方式进行整体治疗方案。试验注册来自ClinicalTrials.gov标识符：NCT 02039193
BackgroundBonafide psychotherapy is an effective treatment for generalised anxiety disorder compared to no-treatment. Rather than creating increasing numbers of new overall treatment-packets within a medical meta-model, an additional approach to investigating clinical research designs may be to increase the understanding of already effective psychotherapies. Treatment manuals and protocols allow a relatively high degree of freedom for the way therapists implement the overall treatment manuals. There is a systematic lack of knowledge on how therapists should customise these overall protocols. The present study experimentally examines three ways of conducting a bonafide psychotherapy based on a 15 session time-limited cognitive-behavioural therapy (CBT) protocol and their relation to the therapists’ protocol adherence and treatment efficacy.Methods/designThis trial will investigate three different methods of customising a bonafide CBT-protocol using dyadic peer-tutoring methodology (primings). The individuals with GAD will be randomly assigned to one of three priming conditions (resource priming, supportive resource priming, or adherence priming). The participant treatment allocation will be performed randomly. Therapists will be assigned to a peer-tutoring partner and priming condition based on a mutual agreement. Treatment outcomes will be assessed at the following times: observer based in-session outcomes, session-by-session post-session outcomes, treatment outcome at post assessment and treatment outcome at 6-month follow-up.DiscussionThe proposed trial addresses the clinically relevant question of how to customise a bonafide psychotherapy protocol using tandem peer-tutoring methodology (three priming conditions). Through the development and testing of the proposed priming procedures, this study describes levels of adherence and how to conduct an overall treatment protocol in a more systematised way.Trial registrationFrom ClinicalTrials.gov Identifier: NCT02039193
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DOI：
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发表时间：
1970
期刊：
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影响因子：
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作者：
C. Spielberger;R. Gorsuch;R. Lushene
通讯作者：
C. Spielberger;R. Gorsuch;R. Lushene
应用放松和认知行为疗法治疗广泛性焦虑症的疗效。
影响因子：
5.9
作者：
Borkovec,TD;Costello,E
通讯作者：
Costello,E
影响因子：
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作者：
H. Wittchen;Shanyang Zhao;Ronald C. Kessler;W. Eaton
通讯作者：
H. Wittchen;Shanyang Zhao;Ronald C. Kessler;W. Eaton
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA
人际关系问题清单：心理测量特性和临床应用。
影响因子：
5.9
作者：
Horowitz,LM;Rosenberg,SE;Baer,BA;Ureño,G;Villaseñor,VS
通讯作者：
Villaseñor,VS