CBT/Anxiety Training for Psychology & Psychiatry

CBT/心理学焦虑训练

• 批准号: 8055489
• 负责人: CHERYL N CARMIN
• 金额: $ 3.08万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-26 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8055489
• 关键词: Accreditation; Address; Anxiety; Anxiety Disorders; Basic Science; Behavior Therapy; Benchmarking; Boat; Characteristics; Clinic; Clinical; Clinical Psychology; Clinical Research; Clinical Sciences; Clinical Services; Clinical Skills; Clinical assessments; Cognitive Therapy; Communities; Coupled; Diagnosis; Diagnostic; Discipline; Education; Educational Curriculum; Educational process of instructing; Educational workshop; Ensure; Evidence based intervention; Evidence based treatment; Faculty; Foundations; Grant; Guidelines; Head; Individual; Institute of Medicine (U.S.); Instruction; Internships; Knowledge; Laboratories; Learning; Literature; Manuals; Measures; Mental disorders; Methods; Nature; Outcome; Patients; Play; Population Heterogeneity; Professional Organizations; Psychiatry; Psychology; Psychotherapy; Randomized Clinical Trials; Randomized Controlled Trials; Recommendation; Recording of previous events; Recruitment Activity; Reporting; Research; Research Design; Research Ethics; Research Methodology; Research Project Grants; Residencies; Role; Sampling; Screening procedure; Services; Stress; Supervision; Surveys; Symptoms; Time; Training; Training Programs; Training Support; Treatment outcome; Update; Work; base; clinical practice; design; evidence base; experience; improved; interest; medical specialties; programs; skills; theories

DESCRIPTION (provided by applicant): Within the past decade, clinical psychology and psychiatry professional organizations have embraced the evidence supported treatments (ESTs) for specific mental disorders. In fact, recommendations as well as requirements to provide training in ESTs and/or cognitive behavior therapy (CBT) have become a part of accreditation guidelines for these professional groups. A recent survey (Weissman et al., 2006) noted that despite the importance of offering training in scientifically validated psychotherapies, very few programs in any discipline incorporate both didactic education coupled with supervision in these approaches to treatment. One consequence of limited training opportunities is that there are an insufficient number of individuals in the community who are skilled in the delivery of these treatments. Further, it is likely that specialty services, such as treatment for anxiety disorders, count even fewer practitioners who have had adequate training among their numbers. Manuals that address methods for treating anxiety disorders have been available for some time. However, it is not sufficient that a clinician simply follow the manual or be able to apply a set of "how to" instructions. In order to be proficient in the delivery of ESTs, it is critical that training is theory driven and has its foundation in the overarching principles of evidence based research. Training of this nature is especially important as the diverse populations likely to be seen by most clinicians vary considerably from subjects in randomized, controlled trials (RCTs) on whom manualized treatments are generally based. The purpose of this application is to improve upon and expand our current training curriculum for psychology interns and psychiatry residents. While clinical science is already stressed, greater importance will be placed on research with small, often N = 1, samples that form the underpinnings for evidence based treatment. Considerable emphasis will be placed on how such treatments can be generalized to anxiety clinic patients whose symptoms are often more multifaceted than those of patients recruited for RCTs. Both interns and residents will continue to receive training and supervision in CBT for anxiety disorders; however, training in evidence based assessment will be added to the curriculum. In addition to making important changes to and/or restructuring several of our seminars, we will add a research-based anxiety/CBT case seminar for interns and residents that will also require a year-long, collaborative clinical research project.

描述（由申请人提供）：在过去的十年中，临床心理学和精神病学专业组织已经接受了针对特定精神障碍的证据支持的治疗方法（EST）。事实上，提供 EST 和/或认知行为治疗 (CBT) 培训的建议和要求已成为这些专业团体认证指南的一部分。最近的一项调查（Weissman 等，2006）指出，尽管提供经过科学验证的心理治疗培训很重要，但任何学科中很少有项目将教学教育与这些治疗方法的监督结合起来。培训机会有限的后果之一是社区中熟练提供这些治疗的人员数量不足。此外，在专业服务（例如焦虑症治疗）中，接受过充分培训的从业人员可能更少。介绍治疗焦虑症方法的手册已经面世一段时间了。然而，临床医生仅仅遵循手册或能够应用一组“如何做”说明是不够的。为了精通 EST 的交付，培训必须以理论为导向，并以循证研究的总体原则为基础，这一点至关重要。这种性质的培训尤其重要，因为大多数临床医生可能看到的不同人群与手动治疗通常所基于的随机对照试验（RCT）中的受试者存在很大差异。此应用程序的目的是改进和扩展我们当前针对心理学实习生和精神病学住院医师的培训课程。虽然临床科学已经受到重视，但更重要的是小样本（通常为 N = 1）的研究，这些样本构成了循证治疗的基础。我们将重点关注如何将此类治疗推广到焦虑症诊所患者，这些患者的症状往往比随机对照试验招募的患者更加多方面。实习生和住院医生都将继续接受针对焦虑症的 CBT 培训和监督；然而，基于证据的评估培训将被添加到课程中。除了对我们的几个研讨会进行重大改变和/或重组之外，我们还将为实习生和住院医生增加一个基于研究的焦虑/CBT 案例研讨会，这也需要一个为期一年的合作临床研究项目。