Bridging the gap between laboratory and clinic in child and adolescent psychotherapy.
Bridging the gap between laboratory and clinic in child and adolescent psychotherapy.
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弥合儿童和青少年心理治疗实验室和诊所之间的差距。
DOI：
10.1037//0022-006x.63.5.688
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发表时间：
1995
影响因子：
5.9
通讯作者：
Weiss,B
中科院分区：
文献类型：
--
作者：
Weisz,JR;Donenberg,GR;Han,SS;Weiss,B
实验室结果研究的荟萃分析揭示了心理治疗对儿童和青少年的有益影响。然而，大多数实验室研究中的研究治疗在几个方面与日常临床治疗不同，作者发现的9项临床治疗研究的结果明显低于研究治疗研究。这些发现表明，需要弥合结果研究人员和临床医生之间的长期差距。提出并说明了三种桥接研究：（a）丰富临床环境中从业者治疗效果的研究数据库，包括私人执业和健康维护组织，（B）确定研究治疗的积极成果，并将这些功能应用于临床实践，以及（c）出口实验室测试的治疗诊所，并评估其效果与参考青年。如果这些桥接策略被广泛采用，尽管本文描述了许多障碍，但在临床实践中可能会朝着更有效的治疗取得真实的进展。
Meta-analyses of laboratory outcome studies reveal beneficial effects of psychotherapy with children and adolescents. However, the research therapy in most of those lab studies differs from everyday clinic therapy in several ways, and the 9 studies of clinic therapy the authors have found show markedly poorer outcomes than research therapy studies. These findings suggest a need to bridge the long-standing gap between outcome researchers and clinicians. Three kinds of bridging research are proposed and illustrated:(a) enriching the research data base on treatment effects by practitioners in clinical settings—including private practice and health maintenance organizations,(b) identifying features of research therapy that account for positive outcomes and applying those features to clinical practice, and (c) exporting lab-tested treatments to clinics and assessing their effects with referred youths. If these bridging strategies were widely adopted, despite the numerous obstacles described herein, real progress might be made toward more effective treatment in clinical practice.