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首页> 外文学位 >Therapist effects and treatment effects in psychotherapy: Analysis on the National Institute of Mental Health Treatment of Depression Collaborative Research Program (NIMH TDCRP).
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Therapist effects and treatment effects in psychotherapy: Analysis on the National Institute of Mental Health Treatment of Depression Collaborative Research Program (NIMH TDCRP).

机译：心理治疗中的治疗师效果和治疗效果：美国国立精神卫生研究院抑郁症治疗合作研究计划（NIMH TDCRP）的分析。

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摘要

In the past, psychotherapy outcome research has been directed toward detecting treatment effects, mostly ignoring other sources of variability, particularly patient and therapist factors. However, in recent years, leading researchers have become interested in therapist effects, which are defined as the degree to which therapists vary in the outcomes they produce, apart from the effects due to treatment. Specific ingredient models of psychotherapy tend to focus on the benefits that result from particular treatments whereas common factor or contextual models of psychotherapy give primacy to the person of the therapist. Consequently, if the ratio of variability due to therapists to variability due to treatments is large, evidence accrues for a common factor or contextual model of psychotherapy.;The present study estimated the size of therapist effects as well as treatment effects in a particularly well conducted large-scale psychotherapy outcome study: the National Institute of Mental Health Treatment of Depression Collaborative Research Program (NIMH TDCRP). The estimate of therapist effects under cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) conditions was 12.4 percent of outcome variance in the termination score analysis, whereas the estimate of treatment effects was zero percent. On the other hand, when change rate across time was modeled, 19.7 percent of within-treatment variance in the rate of change was identified with therapist effects, and no more than seven percent of variance was ascribed to treatment. These results, indicating that therapist effects were greater than treatment effects, confirm the prediction of the common factor approach. The implications of the result for practice and future research are discussed.
机译：过去，心理治疗结果研究一直致力于检测治疗效果，但大多忽略了其他变异性来源，尤其是患者和治疗师因素。但是，近年来，领先的研究人员对治疗师的作用产生了兴趣，这被定义为治疗师除产生治疗作用外，其产生的结果变化的程度。心理治疗的特定成分模型倾向于集中于特定治疗所产生的收益，而心理治疗的共同因素或情境模型则将治疗师视为首要问题。因此，如果治疗师引起的变异性与治疗引起的变异性之比很大，则心理疗法的共同因素或情境模型应获得证据。本研究估计了治疗师作用的大小以及在进行得特别好的情况下的治疗作用大规模心理治疗结果研究：美国国家心理卫生研究所抑郁症协作研究计划（NIMH TDCRP）。在终止评分分析中，认知行为治疗（CBT）和人际心理治疗（IPT）条件下的治疗师效果估计为结果差异的12.4％，而治疗效果的估计值为零。另一方面，当模拟跨时变化率时，通过治疗师的作用，可以确定治疗内变化率的19.7％，并且归因于治疗的变化不超过7％。这些结果表明治疗师的作用大于治疗作用，这证实了对公共因素方法的预测。讨论了结果对实践和未来研究的影响。

著录项

  • 作者

    Kim, Dong Min.;

  • 作者单位

    The University of Wisconsin - Madison.;

  • 授予单位 The University of Wisconsin - Madison.;
  • 学科 Clinical psychology.
  • 学位 Ph.D.
  • 年度 2002
  • 页码 86 p.
  • 总页数 86
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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