[无证据的证据:包容性证据基础的方法论论证]。

Q4 Medicine Tijdschrift voor psychiatrie Pub Date : 2024-01-01
F L Truijens, M M De Smet, M Desmet, R Meganck
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引用次数: 0

摘要

背景:在心理学和精神病学研究中,方法论标准用于为临床实践建立证据基础。每种方法都根据特定的方法假设形成证据。对方法的选择定义了什么算作‘证据’,从而塑造了临床实践的组织形式:在本文中,我们讨论了对心理治疗研究中三位患者参与者的定性分析,他们因明确参与问卷调查而在样本中脱颖而出:这些 "丰富的案例 "说明了方法学假设如何会导致宝贵的临床信息丢失,从而危及证据基础的代表性和实用性:通过在研究之前或研究过程中将患者排除在分析范围之外,或在平均值中将患者排除在外,我们就失去了为这些患者提供经验支持治疗的机会。因此,如果我们想要以证据为基础开展工作,我们也必须为不明显的情况收集证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Evidence for the non-evidenced: A methodological argument for an inclusive evidence-base].

Background: In psychologic and psychiatric research, methodological standards are used to develop an evidence-base for clinical practice. Each method forms ‘evidence’ based on specific methodological assumptions. The choice for a method defines what counts as ‘evidence; thus shaping the organization of clinical practice.

Method: In this paper, we discuss qualitative analyses of three patient-participants in ‘gold standard’ psychotherapy research, who stood out in the sample for their explicit engagement with the questionnaires.

Results: These ‘rich cases’ illustrate how to methodological assumptions can lead to loss of valuable clinical information, which jeopardizes the representativeness and utility of the evidence-base.

Conclusion: By excluding people from analyzes in advance or during the study, or by losing them ‘in the mean’, we lose the opportunity to offer those people an empirically supported treatment. Therefore, if we want to work evidence-based, we also have to collect evidence for the non-evident.

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来源期刊
Tijdschrift voor psychiatrie
Tijdschrift voor psychiatrie Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
118
期刊最新文献
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