The development of a comprehensive coding system for evaluating insight based on a clinical interview: The SUIP-I coding system.

IF 2.6 2区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-06-01 DOI:10.1037/pst0000491

Lirit Yaffe-Herbst, Maya Joffe, Galit Peysachov, Aviv Nof, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Sigal Zilcha-Mano

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Abstract

Gaining insight is considered a cornerstone of psychodynamic psychotherapy. Existing tools used to measure insight mainly include patients' self-report questionnaires and external coding of therapy sessions. To expand on the available tools, the present study developed a comprehensive coding system for the Self-Understanding of Interpersonal Patterns Scales-Interview (SUIP-I; Gibbons & Crits-Christoph, 2017). A total of 55 patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression and were interviewed using the SUIP-I at baseline. A comprehensive coding system was developed for rating the interviews, based on a Likert scale for each of the six levels of insight. The content validity, psychometric properties, and the reliability and validity of the coding system were examined. The new SUIP-I coding system demonstrated interrater reliability in the "excellent" range, ICC (1, 1) = .91-.97, for all the six levels, and adequate internal consistency (Cronbach's α = .81). Support for convergent validity was gained, as manifested in a significant positive association of the SUIP-I with alliance expectation and affiliation, and a significant negative association with avoidance attachment. Support for discriminant validity was also gained, as manifested in a weak, nonsignificant association between the SUIP-I and self-esteem. The proposed comprehensive coding system shows good initial reliability and validity. Research is needed to further establish the psychometric properties of the new SUIP-I coding system. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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基于临床访谈评估洞察力的综合编码系统的发展:SUIP-I编码系统。

获得洞察力被认为是心理动力学心理治疗的基石。现有测量insight的工具主要包括患者自述问卷和治疗过程的外部编码。在现有工具的基础上，本研究开发了一套完整的人际模式自我理解量表——访谈(SUIP-I);Gibbons & Crits-Christoph, 2017)。共有55名患者参加了一项随机对照试验，接受了抑郁症的心理动力学心理治疗，并在基线时使用sup - 1进行了访谈。一个综合的编码系统被开发出来对访谈进行评级，基于李克特量表对六个层次的洞察力进行评估。对编码系统的内容效度、心理测量特性和信度效度进行了检验。新的sup - 1编码系统显示了在“优秀”范围内的互译可靠性，ICC(1,1) = .91-。所有六个水平均为97，且内部一致性充足(Cronbach's α = .81)。聚合效度与联盟期望和隶属关系呈显著正相关，与回避依恋呈显著负相关。我们也获得了对区别效度的支持，正如在sui - i和自尊之间表现出微弱的、不显著的关联。所提出的综合编码系统具有良好的初始信度和有效性。新的suip - 1编码系统的心理测量特性有待进一步研究。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

4.60

自引率

12.00%

发文量

期刊介绍： Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.