关键词: ROM TTN clinical case study feedback personalized psychotherapy

Mesh : Adult Cognitive Behavioral Therapy Connectin Humans Psychotherapy Treatment Outcome

来  源:   DOI:10.1002/jclp.23362

Abstract:
BACKGROUND: Although psychotherapy has shown to be effective for most patients, about one-third of patients do not benefit or deteriorate during treatment. Technical progress has allowed the integration of routine outcome monitoring (ROM) into treatment, helping therapists detect patients at risk for a nonresponse or poor outcome early on. Psychological therapy can be enhanced by providing therapists with individual treatment recommendations for these at-risk patients. One example of such a comprehensive feedback system is the Trier Treatment Navigator (TTN).
OBJECTIVE: This clinical case study aims to illustrate the implementation of the TTN in a cognitive behavioral therapy (CBT) outpatient clinic in the treatment of a 30-year-old patient called Ms. Daun, who has a recurrent depressive disorder. Based on this case, the benefits of applying information from ROM in psychotherapy, important context factors, and possible implementation issues are discussed.
CONCLUSIONS: We conclude by encouraging practitioners to integrate ROM into their clinical thinking and daily practice.
摘要:
背景:尽管心理治疗对大多数患者有效,约三分之一的患者在治疗期间没有获益或恶化。技术进步使常规结果监测(ROM)能够整合到治疗中,帮助治疗师早期发现有无应答或不良结局风险的患者。心理治疗可以通过为这些有风险的患者提供个别治疗建议的治疗师来加强。这种综合反馈系统的一个示例是特里尔治疗导航器(TTN)。
目的:本临床案例研究旨在说明在认知行为疗法(CBT)门诊诊所中实施TTN治疗30岁的患者Daun女士,患有复发性抑郁症的人。基于这个案子,在心理治疗中应用ROM信息的好处,重要的背景因素,并讨论了可能的实施问题。
结论:我们的结论是鼓励从业者将ROM整合到他们的临床思维和日常实践中。
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