I would like to access questionnaires or scales (assessment tools) designed to compare the quality of available psychological/psychiatric treatments, e.g., psychotherapy A vs. psychotherapy B, psychotherapy A/B vs. psychopharmacology, etc.
Hi,
Thank you so much for your excellent paper. I have read it with interested. It seems to be really useful to differentiate the type of psychotherapy that is being delivered. I will certainly make use of the MULTI to assess Trial-Based Therapy (TBT), a psychotherapy model I recently developed. TBT is founded in cognitive therapy and in the work of Franz Kafka, but I tried to incorporate elements of other evidenced-based models like metacognitive therapy and ACT, as well as a lot of chair work. Please, find attached a short paper published in Medical Hypotheses in which I explain TBT.
On the other hand, my question was based on the recent publication by Jesse Cougle (please, see abstract below) suggesting specific features related to quality that should be considered in psychotherapy research.
Behav Ther. 2012 Sep;43(3):468-81. Epub 2011 May 25.
What makes a quality therapy? A consideration of parsimony, ease, and efficiency.
Cougle JR.
Source
Department of Psychology, Florida State University, Tallahassee, FL 32306, USA. [email protected]
Abstract
Evaluations of psychotherapy have traditionally focused on symptom reduction as the primary standard by which their value is determined. This has contributed to the appearance of equivalence between many therapies that may differ considerably in complexity, feasibility, amount of homework and therapist contact required, expected cost, speed of symptom decline, and transdiagnostic utility. In the current paper, I make the case that these are fundamental features related to quality that should be considered in psychotherapy development, randomized controlled trials, and dissemination efforts. Empirically supported treatments for different disorders are evaluated based on these criteria, and special consideration is given to cognitive-behavioral treatments for anxiety disorders. Specific recommendations for a quality-oriented clinical research agenda are also provided.
Copyright © 2011. Published by Elsevier Ltd.
Thanks I have done some work on therapists' competence that is relevant but very little of it is comparative across therapies:
But see the following two
Barber, J.P., Crits-Christoph, P., & Luborsky, L. (1996). Effects of therapist adherence and competence on patient outcome in brief dynamic therapy. Journal of Consulting and Clinical Psychology, 64, 619-622. doi: 10.1037/0022-006X.64.3.619
Barber, J.P., Stratt, R., Halperin, G., & Connolly, M.B. (2001). Supportive techniques: Are they found in different therapies? Journal of Psychotherapy, Practice and Research, 10, 165-172.
Thank you for sharing this - the tool would be very useful for some work I am doing!
Compare the quality of treatments by assessing and comparing the outcome in terms of symptom reduction (or improved functioning/quality of life). Generic self-report measures to do so are the SCL90/BSI or the OQ-45 or the WHODAS and the SF36 or MANSA. Modern alternative measures are the PROMIS set (see www.nihppromis.org).
You can try CORE-OM http://www.coreims.co.uk/About_Measurement_CORE_Tools.html
I've find this instrument as very useful and user fiendly.
There are a number of evidence based meta-analyses available comparing outcomes of different therapies for speciific axis I and ii disorders, e.g.
STRAND: Standards for the Reporting of Diagnostic Accuracy Studies. http://www.stard-statement.org
Cochrane Database of Systematic Reviews. http://www.consort-statement.org
The simplest thing is to measure QOL before and after treatment; you can also measure selfassessed mental health (use QOL5, QOL1, SEQOL, ScreenQOL) or another generic measure.
It was heuristic to use for assessment of efficiency of group psychotherapy 60 therapeutic factors, revealed by IRVIN D. YALOM. You can find the detailed description of research and the tools in his THE THEORY AND PRACTICE OF GROUP PSYCHOTHERAPY (FOURTH EDITION). CHAPTER 4 "The Therapeutic Factors: An Integration", Table 4.1
I would like to thank you all for the very helpful and interesting suggestions.
Hello ! what think is necessary in evaluation of psychotherapy is that togeteher
with ratings scales or psychological tests biological parameters should be measured.
For instance Cortisol in case of relaxation therapys, by depression anxiety and compulsive disorders, sleep quality, other hormones if indicated and if possible
electro -psychophysiological parametes like EEG, FMRI and so on.
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