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Everyday evidence: Outcomes of psychotherapies in swedish public health services

机译：日常证据：瑞典公共卫生服务中的心理治疗结果

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This naturalistic study presents outcomes for three therapy types practiced in psychiatric public health care in Sweden. Data were collected over a 3-year period at 13 outpatient psychiatric care services participating in the online Quality Assurance of Psychotherapy in Sweden (QAPS) system. Of the 1,498 registered patients, 14% never started psychotherapy, 17% dropped out from treatment, and 36% dropped out from data collection. Outcome measures included symptom severity, quality of life, and self-rated health. Outcomes were studied for 180 patients who received cognitive- behavioral, psychodynamic, or integrative/eclectic therapy after control for dropout representativity. Among treatment completers, patients with different pretreatment characteristics seem to have received different treatments. Patients showed significant improvements, and all therapy types had generally good outcomes in terms of symptom reduction and clinical recovery. Overall, the psychotherapy delivered by the Swedish public health services included in this study is beneficial for the majority of patients who complete treatment. Multilevel regression modeling revealed no significant effect for therapy type for three different outcome measures. Neither did treatment duration have any significant effect. The analysis did not demonstrate any significant therapist effects on the three outcome measures. The results must be interpreted with caution, as there was large attrition and incomplete data, nonrandom assignment to treatment, no treatment integrity control, and lack of long-term follow-up. ? 2013 American Psychological Association.
机译：这项自然主义的研究介绍了瑞典在精神科公共卫生保健中实践的三种治疗类型的结果。在3年期间，收集了参与瑞典在线心理治疗质量保证（QAPS）系统的13个门诊精神病护理服务的数据。在1,498名注册患者中，有14％从未开始接受心理治疗，有17％退出治疗，有36％退出数据收集。结果指标包括症状严重程度，生活质量和自我评估的健康状况。研究了180​​名在控制辍学代表性后接受认知行为，心理动力或综合/折衷治疗的患者的结局。在治疗完成者中，具有不同预处理特征的患者似乎接受了不同的治疗。患者表现出明显的改善，并且在症状减少和临床恢复方面，所有治疗类型通常都具有良好的疗效。总体而言，本研究中包括的瑞典公共卫生服务机构提供的心理治疗对大多数完成治疗的患者有益。多级回归模型显示，对于三种不同的结局指标，治疗类型均无明显影响。治疗持续时间也没有任何显着影响。该分析未显示出对三种结果指标有任何显着的治疗师效果。对结果的解释必须谨慎，因为有大量的消耗量和不完整的数据，没有随机分配治疗方案，没有控制治疗的完整性，并且缺乏长期随访。 ？ 2013美国心理学会。

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