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Development of a Patient-Report Measure of Psychotherapy for Depression

  • Author(s): Miranda, Jeanne
  • Hepner, Kimberly A.
  • Azocar, Francisca
  • Greenwood, Greg
  • Ngo, Victoria
  • Burnam, M. Audrey
  • et al.
Abstract

Despite clear indications of need to improve depression treatment, practical tools that efficiently measure psychotherapy are not available. We developed a patient-report measure of psychotherapy for depression that assesses Cognitive Behavioral (CBT), Interpersonal (IPT), and Psychodynamic therapies. 420 patients with depression from a large managed behavioral health care organization completed the measure. The three subscales measuring CBT, IPT, and Psychodynamic Therapy showed good internal consistency, appropriate item-total correlations, and were supported by a 3-factor structure. Our results suggest that a patient questionnaire is a promising approach for assessing psychotherapy in quality improvement interventions.

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