OUTCOME EVALUATION AND PATIENT/TREATMENT INTERACTION

这是一份研究科学家奖(RSA)申请的修订版。 审查委员会提出的问题已在 引言和应用程序正文中。会议的主要目标是 拟议的研究将解决心理治疗的两个领域的问题 研究：结果评估和患者治疗的作用 互动。在成果方面，我将侧重于以下领域 职能、评核人观点和评估级别 在抑郁症的治疗研究中得到了足够的重视。 这些领域包括功能的积极方面(幸福感 和应对能力)和情绪的行为测量(面部 表达)；附加的观点是指在 病人的生命。L还将讨论实质性和方法性问题 在使用个性化变革措施方面的问题。在……方面 患者与治疗的互动，将开发的方法和假设 将测试患者的角色--治疗“契合度”和治疗师 可能会增强这种契合度的行为。这一概念与 让患者及早参与各种治疗方法。 拟议的研究将利用我在协调 抑郁症的NIMH治疗合作研究计划(TDCRP)及其他 在那项研究中收集的数据和录像带。它与以下方面具有普遍相关性 了解抑郁症的治疗过程和结果 在心理治疗研究中解决重要的方法学问题。 它还将为我的社会工作指导提供一个极好的背景 博士生干预研究方法。

This is a revision of an application for a Research Scientist Award (RSA). Questions raised by the Review Committee have been addressed in the Introduction and in the body of the application. The major goals of the proposed research are to address issues in two areas of psychotherapy research: the evaluation of outcome and the role of patient-treatment interaction. In the area of outcome, I will focus on certain domains of functioning, rater perspectives, and levels of evaluation that have not received sufficient attention in studies of the treatment of depression. The domains include positive aspects of functioning (sense of well-being and coping ability) and behavioral measures of emotion (facial expression); the additional perspective is that of a person significant in the patient's life. l will also address substantive and methodological issues in the use of individualized measures of change. In the area of patient-treatment interaction, methods will be developed and hypotheses will be tested regarding the role of patient-treatment "fit" and therapist behaviors which may enhance that fit. This concept has relevance for the early engagement of patients in a variety of therapeutic approaches. The proposed research will draw both on my experience in coordinating the NIMH Treatment of Depression Collaborative Research Program (TDCRP) and on data and videotapes collected in that study. It has general relevance for understanding processes and outcomes in the treatment of depression and for addressing important methodological issues in psychotherapy research. It will also provide an excellent context for my mentoring of social work doctoral students in intervention research methods.