Using Client Feedback to Improve Couple Therapy Outcomes: A Randomized Clinical Trial in a Naturalistic Setting
Using Client Feedback to Improve Couple Therapy Outcomes: A Randomized Clinical Trial in a Naturalistic Setting
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DOI：
10.1037/a0016062
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发表时间：
2009-08-01
影响因子：
5.9
通讯作者：
Sparks, Jacqueline A.
中科院分区：
文献类型：
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作者：
Anker, Morten G.;Duncan, Barry L.;Sparks, Jacqueline A.
尽管心理治疗总体有效，但退出率很高，许多客户没有受益，治疗师的效果各不相同，并且消费者可能存在信任危机。一种称为以患者为中心的研究的研究范式——一种通过持续进展反馈来提高结果的方法——有望解决这些问题。尽管反馈已被证明可以改善个人心理治疗的结果，但没有研究检验夫妻治疗。目前的研究调查了在夫妻治疗期间向客户和治疗师提供治疗进展和联盟信息的效果。社区家庭咨询诊所的门诊患者 (N = 410) 被随机分配到 2 组中的 I 组：照常治疗 (TAU) 或反馈。处于反馈条件下的夫妇在治疗后表现出比 TAU 条件下的夫妇有显着更大的改善，临床显着变化率达到了近 4 倍，并且在 6 个月的随访中保持了主要指标的显着优势，同时分居或离婚率显着降低。越来越多的证据表明，不同措施和人群的反馈效果表明，定期跟踪客户进展的时代已经到来。
Despite the overall efficacy of psychotherapy, dropouts are substantial, many clients do not benefit, therapists vary in effectiveness, and there may be a crisis of confidence among consumers. A research paradigm called patient-focused research-a method of enhancing outcome via continuous progress feedback-holds promise to address these problems. Although feedback has been demonstrated to improve individual psychotherapy outcomes, no studies have examined couple therapy. The current study investigated the effects of providing treatment progress and alliance information to both clients and therapists during couple therapy. Outpatients (N = 410) at a community family counseling clinic were randomly assigned to I of 2 groups: treatment as usual (TAU) or feedback. Couples in the feedback condition demonstrated significantly greater improvement than those in the TAU condition at posttreatment, achieved nearly 4 times the rate of clinically significant change, and maintained a significant advantage on the primary measure at 6-month follow-up while attaining a significantly lower rate of separation or divorce. Mounting evidence of feedback effects with different measures and populations suggests that the time for routine tracking of client progress has arrived.