Most people who undertake psychotherapy seem to benefit from it. How do we know? Arguably, the most important evidence comes from meta-analyses that combine the results from many – sometimes hundreds – of randomly controlled trials. Based on this, it’s been estimated that psychotherapy is effective for about 80 per cent of people (meanwhile, between five to 10 per cent of clients may suffer adverse effects).
大多数接受心理治疗的人似乎都会从中受益,这件事,我们是怎么知道的呢?可以说,最重要的证据来自于结合了许多甚至数百个随机对照试验的结果的元分析,基于此,据估计,心理疗法对约80%的人有效(同时,5%~10%的来访者可能会受到不利影响)。
But now the more concerning news: a team of researchers led by Evangelos Evangelou at the University of Ioannina, Greece has assessed the quality of 247 of these psychotherapy meta-analyses and they report in Acta Psychiatrica Scandinavica that many of them have serious methodological short-comings.
但是,现在出现了相关与此的更多的消息:由希腊的艾奥尼纳大学Evangelos Evangelou领导的一个研究小组评估了发表在斯堪的纳维亚精神病学学报的247个心理治疗的元分析质量报告,其中的很多研究都有非常严重的方法学缺陷。
Coincidentally, a separate research group led by Brent Roberts at the University of Illinois, Urbana-Champaign has just published in Journal of Personality some of the first observational data on how people’s personalities change after undertaking psychotherapy. In contrast to what’s been found in the clinical literature, they report that people who’ve been in therapy seem to show negative changes in personality and other psychological outcomes.
人格期刊Journal of Personality》上发表了关于接受心理治疗后人格的变化的第一手的观察数据。与临床文献中发现的相反,他们报告说,那些一直在治疗的人,似乎表现出负面的人格变化和其他心理结果。
巧合的是,一个由伊利诺伊大学厄本那-香槟分校的Brent Roberts领导独立的研究小组,在刚刚出版的《In their “umbrella review” of the psychotherapy literature, Evangelou and his team chose to include published meta-analyses covering any form of psychotherapy and almost any kind of target mental health condition, but with the proviso that each meta-analysis had itself combined the results from a minimum of ten studies. Their comprehensive search resulted in 247 unique meta-analyses which collectively synthesised data from over five thousand randomly controlled trials.
在他们对心理治疗文献的““伞形回顾”中,Evangelou和他的团队选择的已发表的元分析,涵盖了所有的心理疗法和几乎所有类型的精神健康状况,但每个元分析附带的是结合了自己的数十项的研究结果。他们的全面搜索了247个独一无二的元分析结果,共同合成了超过五千个随机对照试验的数据。