Treatment integrity in psychotherapy research: Analysis of the studies and examination of the associated factors
Treatment integrity in psychotherapy research: Analysis of the studies and examination of the associated factors
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DOI：
10.1037/0022-006x.75.6.829
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发表时间：
2007-12-01
影响因子：
5.9
通讯作者：
Kazdin, Alan E.
中科院分区：
文献类型：
--
作者：
Perepletchikova, Francheska;Treat, Teresa A.;Kazdin, Alan E.
治疗完整性是指按预期提供干预措施的程度。两项研究评估了在心理治疗研究中实施的治疗完整性程序（包括建立，评估，评价和报告完整性;治疗师治疗依从性;和治疗师能力）的充分性，以及其实施的预测因素。对发表在6种有影响力的心理学和精神病学期刊上的心理社会干预的随机对照试验进行了回顾，并对治疗完整性实施进行了编码。结果表明，调查，系统地解决治疗的完整性程序几乎没有在文献中。只有3.50%的被评估的心理社会干预措施充分解决了治疗的完整性。出版杂志和治疗方法预测了完整性的实施。技能培养治疗（例如，认知-行为）与非技能培养干预（例如，心理动力学，非指导性咨询）的实施更重视完整性程序。需要重新评估实施治疗完整性程序的准则。
Treatment integrity refers to the degree to which an intervention is delivered as intended. Two studies evaluated the adequacy of treatment integrity procedures (including establishing, assessing, evaluating, and reporting integrity; therapist treatment adherence; and therapist competence) implemented in psychotherapy research, as well as predictors of their implementation. Randomized controlled trials of psychosocial interventions published in 6 influential psychological and psychiatric journals were reviewed and coded for treatment integrity implementation. Results indicate that investigations that systematically addressed treatment integrity procedures are virtually absent in the literature. Treatment integrity was adequately addressed for only 3.50% of the evaluated psychosocial interventions. Journal of publication and treatment approach predicted integrity implementation. Skill-building treatments (e.g., cognitive-behavioral) as compared with non-skill-building interventions (e.g., psychodynamic, nondirective counseling) were implemented with higher attention to integrity procedures. Guidelines for implementation of treatment integrity procedures need to be reevaluated.