Development of a Patient-Report Measure of Psychotherapy for Depression

Published in: Administration and Policy in Mental Health, v. 37, no. 3, May 2010, p. 245-253

Posted on RAND.org on May 01, 2010

by Jeanne Miranda, Kimberly A. Hepner, Francisca Azocar, Greg Greenwood, Victoria K. Ngo, M. Audrey Burnam

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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