ISSN 1671-3710
CN 11-4766/R
主办：中国科学院心理研究所
出版：科学出版社

心理科学进展 ›› 2017, Vol. 25 ›› Issue (7): 1197-1207.doi: 10.3724/SP.J.1042.2017.01197

• 研究前沿 • 上一篇    下一篇

 心理治疗中的正式反馈

 佘 壮1,2;  孙启武1;  江光荣1;  史燕伟1   

  1.  (1华中师范大学心理学院暨湖北省人的发展与心理健康重点实验室, 武汉 430079) (2上海应用技术大学大学生心理健康教育中心, 上海 201418)
  • 收稿日期:2016-08-29 出版日期:2017-07-15 发布日期:2017-05-26
  • 通讯作者: 孙启武，E-mail: sunqiwu@mail.ccnu.edu.cn E-mail: sunqiwu@mail.ccnu.edu.cn
  • 基金资助:
      2016年国家社科基金重大招标项目：国民心理卫生素养及其提升机制与对策(16ZDA232)、教育部人文社科青年基金项目(13YJC190021)资助。

 Formal feedback in psychotherapy

 SHE Zhuang1,2; SUN Qi-wu1; JIANG Guangrong1; SHI Yanwei1   

  1.  (1 School of Psychology, Central China Normal University and Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan 430079, China) (2 Shanghai Institute of Technology, Shanghai 201418, China)
  • Received:2016-08-29 Online:2017-07-15 Published:2017-05-26
  • Contact: SUN Qi-wu, E-mail: sunqiwu@mail.ccnu.edu.cn E-mail: sunqiwu@mail.ccnu.edu.cn
  • Supported by:
     

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摘要：  正式反馈是近年来发展出的一项提高临床实践的有效方法, 它是指利用标准化的治疗效果测量工具, 系统监控当事人评定的治疗进展情况, 并将当事人的进展信息提供给治疗师, 以供其随后的治疗作参考之用。治疗效果问卷评定系统和合作−改变效果管理系统是目前使用较为广泛的正式反馈测量工具。正式反馈的使用不仅能够改善偏离预期进展当事人(not on track, NOT)的治疗效果, 提高当事人治疗进展的速率, 同时还能够促进治疗双方更好的合作。正式反馈的作用机制可以使用概念化反馈干预理论和交互作用论进行解释。影响正式反馈作用效果的因素包括反馈本身的特征、当事人初始症状严重程度、治疗师方面因素以及治疗的时长等。未来研究需关注正式反馈的研究方法、作用机制及其跨文化研究的差异。

关键词:  正式反馈, 心理治疗, 循证治疗

Abstract:  Formal feedback refers to the systematic monitoring of client perception of progress throughout therapy through the use of standardized scales and a real-time comparison with an expected treatment response (ETR) to gauge client progress, and then provide this information to clinicians inform further treatment. Outcome Questionnaire System (OQS) and Partners for Change Outcome Management System (PCOMS) are two main measuring tools that are widely used to collect client feedback. Formal feedback appears to be effective for clients who are not progressing well in therapy, the so-called not-on-track (NOT) cases. It also increases the overall speed of progress in clients and promotes better cooperation between therapists and clients. The current study sought to investigate the mechanisms of formal feedback based on contextualized feedback intervention theory (CFIT) and the interactions between therapists and clients. Factors affecting the intervention effects of formal feedback included feedback itself, initial distress level, impact from therapists, and duration of therapy. The article included discussion on methodological problems and limitations, shortcomings of the mechanisms, and recommendations for further cross-cultural research on formal feedback in China.

Key words:  formal feedback, psychotherapy, evidence-based treatment

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