影响临床决策的客户特征评估量表的开发与初步分析

IF 1.7 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Rational-Emotive and Cognitive-Behavior Therapy Pub Date : 2023-10-30 DOI:10.1007/s10942-023-00529-8

Bruno Faustino, António Branco Vasco

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引用次数: 0

摘要

了解与临床决策相关的来访者变量是心理治疗的核心特征。先前的荟萃分析强调了心理治疗阶段、改变动机阶段、联盟、抗拒、应对、依恋风格和情绪稳定性对心理治疗结果的影响。然而，缺乏一种临床测量方法来捕捉这些基于经验的临床差异。本研究描述了临床决策清单(CDMI)的发展和初步分析，在一个样本的个人从事心理治疗过程。123名参与心理治疗过程的参与者(M = 20.28, SD = 5.80)采用横断面设计进行评估。一方面，心理治疗阶段、改变动机阶段、抗拒、应对、依恋类型和情绪稳定性与症状学、认知融合、人际问题、应对机制和表达抑制呈负相关。另一方面，与元认知和认知重评呈正相关。依恋类型和情绪稳定性预测症状。CDMI显示了令人鼓舞的结果;然而，心理测量分析还需要更多的研究来深化。

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Development and Preliminary Analysis of a Scale to Assess Client Characteristics that Influence Clinical Decision-Making

Abstract Understanding client variables relevant to clinical decision-making is a core feature of psychotherapy. The previous meta-analysis emphasized variables related to stages of psychotherapy, motivational stages of change, alliance, reactance, coping, attachment styles, and emotional stability in psychotherapy outcomes. However, a clinical measure that captures these empirically based clinical variances is missing. The present study describes the development and preliminary analysis of the Clinical Decision-Making Inventory (CDMI) in a sample of individuals engaged in a psychotherapeutic process. One hundred and twenty-three participants ( M = 20.28, SD = 5.80) engaged in a psychotherapy process, were assessed in a cross-sectional design. On one hand, the stages of psychotherapy, motivational stages of change, reactance, coping, attachment styles, and emotional stability were negatively correlated with symptomatology, cognitive fusion, interpersonal problems, coping mechanisms, and expressive suppression. On the other hand, correlated positively with metacognition and cognitive reappraisal. Attachment style and emotional stability predicted symptomatology. The CDMI showed promising results; however, more research is required to deepen the psychometric analysis.

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来源期刊

Journal of Rational-Emotive and Cognitive-Behavior Therapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

18.80%

发文量

期刊介绍： The Journal of Rational-Emotive and Cognitive Behavior Therapy is an international journal that publishes scholarly original papers concerning Rational Emotive Behavior Therapy (REBT), Cognitive Behavior Therapy (CBT), behavior therapy, cognitive-behavioral hypnosis, and hypnotherapy, clinical and counseling psychology, psychiatry, mental health counseling, and allied areas of science and practice. The journal encourages scholarly debate amongst professionals involved in practice, theory, research, and training in all areas of scholarship relevant to REBT and CBT. The Journal is particularly interested in articles that define clinical practice and research and theoretical articles that have direct clinical applications. The Journal seeks theoretical discussions and literature reviews on the cognitive bases of the development and alleviation of emotional, behavioral, interpersonal, personality, and addictive disorders. We consider submissions on the applications of REBT and CBT to new areas of practice and client populations. The Journal considers the term Cognitive Behavior Therapy to represent a generic, overriding category or school of psychotherapy approaches that includes many different theories and techniques. The journals encourages research that clearly identifies the specific hypothetical constructs and techniques being measured, tested, and discussed, and the comparison of the relative influence of different cognitive processes, constructs, and techniques on emotional and behavioral disturbance. The Journal provides a timely introduction to unexplored avenues on the cutting edge of REBT and CBT research, theory, and practice.The Journal publishes:discussions of the philosophical foundations of psychotherapiestheory-buildingtheoretical articlesoriginal outcome research articlesbrief research reportsoriginal research on the support of theoretical models development of scales to assess cognitive and affective constructsresearch reviewsclinical practice reviewsempirically-based case studiesdescriptions of innovative therapeutic techniques and proceduresadvances in clinical trainingliterature reviews book reviewsUnder the guidance of an expanded, international editorial board consisting of acknowledged leaders in the field, the journal disseminates current, valuable information to researchers and practitioners in psychology, psychotherapy, psychiatry, mental health counseling, social work, education, and related fields.Manuscripts usually are less than 35 pages, double-spaced, and using 11 or 12-point font. If the authors need more space to communicate their research or ideas, they should write to the editors to discuss this issue and provide a rationale why more than the commended number of pages is needed.