个性化青年心理治疗：模块化治疗决策的范围界定审查

Personalizing youth psychotherapy: A scoping review of decision-making in modular treatments

——原载《临床心理学：科学与实践》2023年第30卷第1期——

<Clinical Psychology: Science and Practice> 2023, 30 (1)

【摘要】模块化青年心理治疗越来越受欢迎，部分原因是它们的灵活性有助于个性化，但所需的临床决策可能很复杂。我们调查了20种模块化青年心理治疗的决策指导，这些治疗在通过系统搜索确定的67篇文章中进行了描述。由于决策指导有限， 在所有疗法中都推荐临床判断。95%的人建议使用基线评估，65%的人建议使用基于测量的护理，25%的人建议使用之前的研究。最常见的是，指南涉及模块描述（90%）； 一些疗法提供了决策流程图（35%）； 一个提供了在线决策工具。只有40%的人提议征求客户意见。尽管有证据表明统计模型优于临床判断，但没有模块化心理治疗使用统计模型。最大限度地提高治疗效果可能需要建立决策支持，以纳入客户的观点并平衡临床判断与统计方法。

【关键词】青年心理治疗； 模块化心理治疗； 临床决策； 个性化治疗； 范围界定审查

[Abstract] Modular youth psychotherapies are increasingly popular, in part because their flexibility facilitates personalizing, but the clinician decision-making required can be complex. We investigated decision guidance in 20 modular youth psychotherapies, described in 67 articles identified via a systematic search. Decision guidance was limited. Clinical judgment was recommended in all therapies; 95% recommended using baseline assessment, 65% measurement-based care, and 25% prior research. Most commonly, guidance involved module descriptions (90%); some therapies provided decision flow diagrams (35%); one provided an online decision tool. Only 40% proposed seeking client input. Despite evidence that statistical models outperform clinical judgment, no modular psychotherapy used statistical models. Maximizing therapy effectiveness may require building decision supports that incorporate client perspectives and balance clinical judgment with statistical methods.

[Key words] Youth Psychotherapy; Modular Psychotherapy; Clinical Decision Making; Personalized Treatment; Scoping Review

论文原文：Venturo-Conerly, Katherine E. Reynolds, Rachel Clark, Malia Fitzpatrick, Olivia M. Weisz, John R. (2023). Personalizing youth psychotherapy: A scoping review of decision-making in modular treatments. Clinical Psychology: Science and Practice, 30 (1): 45-62.

https://doi.org/10.1037/cps0000130

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