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A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

机译：心理动力学心理治疗结果的荟萃分析：评估特定研究程序的效果。

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The aim of this research was to examine the extent to which the use of research-specific procedures in psychodynamic psychotherapy impacts upon treatment effectiveness and which variables moderate this potential relationship. Effects of audio/video recording of sessions, use of treatment manuals, and checks of treatment fidelity were examined. A meta-analysis was conducted on randomized controlled trials of psychodynamic psychotherapy. Forty-six independent treatment samples totaling 1615 patients were included. The magnitude of change between pretreatment and posttreatment aggregated across all studies (45 treatment samples) for overall outcome was large (d = 1.01), and further improvement was observed between posttreatment and an average 12.8-month follow-up (d = 0.18). Subgroup analyses comparing studies that used research-specific procedures and those that did not revealed that for posttreatment data no differences in treatment effects were found. However, the use of treatment manuals and fidelity checks were significantly associated with improvement between the end of treatment and follow-up assessment. Within the limitations of analyses, this data offered preliminary evidence that use of research-specific procedures does not contribute in a negative manner to posttreatment outcomes in psychodynamic psychotherapy, and their use contributes to positive differences that emerge with time. These findings, although observational in nature, make a case for reconsidering how dimensions of clinical utility and experimental control may be integrated in psychodynamic psychotherapy to enable further elucidation of principles that evidently work. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
机译：这项研究的目的是研究在心理动力学心理治疗中使用研究特定程序对治疗效果的影响程度以及哪些变量可以缓解这种潜在关系。会议的音频/视频录制效果，治疗手册的使用以及治疗保真度的检查都得到了检查。对心理动力学心理治疗的随机对照试验进行了荟萃分析。包括总共1615例患者的46例独立治疗样本。所有研究（45个治疗样本）的总体治疗结果在治疗前和治疗后的变化幅度很大（d = 1.01），并且在治疗后和平均12.8个月的随访（d = 0.18）之间观察到进一步的改善。亚组分析比较了使用研究特定程序的研究和未发现治疗后数据的治疗效果的差异。但是，使用治疗手册和保真度检查与治疗结束和随访评估之间的改善显着相关。在分析的范围内，该数据提供了初步证据，证明使用特定于研究的程序不会对心理动力心理治疗的治疗后结果产生负面影响，并且它们的使用会导致随着时间的推移出现积极的差异。这些发现，尽管本质上是观察性的，但为重新考虑临床效用和实验控制的维度如何整合到心理动力学心理疗法中提供了理由，以进一步阐明显然有效的原理。 （PsycINFO数据库记录（c）2012 APA，保留所有权利）。

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