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首页> 外文期刊>Psychotherapy >The Development of a Comprehensive Coding System for Evaluating Insight Based on a Clinical Interview: The SUIP-I Coding System
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The Development of a Comprehensive Coding System for Evaluating Insight Based on a Clinical Interview: The SUIP-I Coding System

机译：The Development of a Comprehensive Coding System for Evaluating Insight Based on a Clinical Interview: The SUIP-I Coding System

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摘要

Gaining insight is considered a cornerstone of psychodynamic psychotherapy. Existing tools used to measure insight mainly include patients' self-report questionnaires and external coding of therapy sessions. To expand on the available tools, the present study developed a comprehensive coding system for the Self-Understanding of Interpersonal Patterns Scales-Interview (SUIP-I; Gibbons & Crits-Christoph, 2017). A total of 55 patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression and were interviewed using the SUIP-I at baseline. A comprehensive coding system was developed for rating the interviews, based on a Likert scale for each of the six levels of insight. The content validity, psychometric properties, and the reliability and validity of the coding system were examined. The new SUIP-I coding system demonstrated interrater reliability in the "excellent" range, ICC (1, 1) =.91-.97, for all the six levels, and adequate internal consistency (Cronbach's alpha =.81). Support for convergent validity was gained, as manifested in a significant positive association of the SUIP-I with alliance expectation and affiliation, and a significant negative association with avoidance attachment. Support for discriminant validity was also gained, as manifested in a weak, nonsignificant association between the SUIP-I and self-esteem. The proposed comprehensive coding system shows good initial reliability and validity. Research is needed to further establish the psychometric properties of the new SUIP-I coding system.

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