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首页> 外文期刊>Psychological medicine >Effectiveness of cognitive-behavioural, person-centred and psychodynamic therapies as practised in UK National Health Service settings.
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Effectiveness of cognitive-behavioural, person-centred and psychodynamic therapies as practised in UK National Health Service settings.

机译：在英国国家卫生署（National Health Service）机构中实践的认知行为，以人为中心和心理动力疗法的有效性。

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BACKGROUND: Psychotherapy's equivalence paradox is that treatments have equivalently positive outcomes despite non-equivalent theories and techniques. We compared the outcomes of contrasting approaches practised in routine care. METHOD: Patients (n = 1309) who received cognitive-behavioural therapy (CBT), person-centred therapy (PCT) and psychodynamic therapy (PDT) at one of 58 National Health Service (NHS) primary and secondary care sites in the UK during a 3-year period completed the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the beginning and end of their treatment. Therapists indicated which treatment approaches were used on an End of Therapy form. We compared outcomes of six groups: three treated with CBT, PCT or PDT only, and three treated with one of these plus one additional approach (e.g. integrative, supportive, art), designated CBT+1, PCT+1 or PDT+1 respectively. RESULTS: All six groups averaged marked improvement (pre-post effect size = 1.36). Treatment approach and degree of purity ('only' vs. '+1') each accounted for statistically significant but comparatively tiny proportions of the variance in CORE-OM scores (respectively 1% and 0.5% as much as pre-post change). Distributions of change scores were largely overlapping. CONCLUSIONS: Results for these three treatment approaches as practised routinely across a range of NHS settings were generally consistent with previous findings that theoretically different approaches tend to have equivalent outcomes. Caution is warranted because of limited treatment specification, non-random assignment, lack of a control group, missing data and other issues.
机译：背景：心理疗法的等价悖论是，尽管理论和技术不尽相同，治疗也具有同样积极的结果。我们比较了常规护理中不同方法的结果。方法：n期间在英国58个国家卫生服务（NHS）一级和二级护理地点之一接受认知行为疗法（CBT），以人为本的疗法（PCT）和心理动力疗法（PDT）的患者（n = 1309）在治疗的开始和结束时，为期3年的时间完成了常规评估的临床结果-措施（CORE-OM）。治疗师指出“治疗结束”表格上使用了哪种治疗方法。我们比较了六组的结果：三组仅使用CBT，PCT或PDT治疗，三组使用其中一种加上一种其他方法（例如，整合，支持，艺术）治疗，分别指定为CBT + 1，PCT + 1或PDT + 1 。结果：所有六个组的平均显着改善（事前效应大小= 1.36）。处理方法和纯度（“仅”与“ +1”）各占CORE-OM分数方差的统计学上显着但相对较小的比例（分别为岗位变更前的1％和0.5％）。变化分数的分布在很大程度上是重叠的。结论：这三种治疗方法在一系列NHS设置中的常规操作结果与以前的发现基本一致，即理论上不同的方法往往具有相同的结果。由于治疗规范有限，分配不随机，缺少对照组，数据丢失和其他问题，因此应谨慎行事。

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