Annual Review of Clinical Psychology ( IF 17.8 ) Pub Date : 2022-05-09 , DOI: 10.1146/annurev-clinpsy-071720-014821 Wolfgang Lutz 1 , Brian Schwartz 1 , Jaime Delgadillo 2
Outcome measurement in the field of psychotherapy has developed considerably in the last decade. This review discusses key issues related to outcome measurement, modeling, and implementation of data-informed and measurement-based psychological therapy. First, an overview is provided, covering the rationale of outcome measurement by acknowledging some of the limitations of clinical judgment. Second, different models of outcome measurement are discussed, including pre–post, session-by-session, and higher-resolution intensive outcome assessments. Third, important concepts related to modeling patterns of change are addressed, including early response, dose–response, and nonlinear change. Furthermore, rational and empirical decision tools are discussed as the foundation for measurement-based therapy. Fourth, examples of clinical applications are presented, which show great promise to support the personalization of therapy and to prevent treatment failure. Finally, we build on continuous outcome measurement as the basis for a broader understanding of clinical concepts and data-driven clinical practice in the future.
中文翻译:
基于测量和数据的心理治疗
在过去十年中,心理治疗领域的结果测量取得了长足的发展。这篇综述讨论了与结果测量、建模和数据知情和基于测量的心理治疗的实施相关的关键问题。首先,提供概述,通过承认临床判断的一些局限性来涵盖结果测量的基本原理。其次,讨论了不同的结果测量模型,包括事前、逐个会话和更高分辨率的强化结果评估。第三,解决了与变化模式建模相关的重要概念,包括早期反应、剂量反应和非线性变化。此外,还讨论了理性和经验决策工具作为基于测量的治疗的基础。第四,介绍了临床应用示例,这些示例显示了支持个性化治疗和防止治疗失败的巨大希望。最后,我们将持续的结果测量作为对未来临床概念和数据驱动临床实践的更广泛理解的基础。