Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicología del Principado de Asturias).
We currently publish four issues per year, which accounts for some 100 articles annually. We admit work from both the basic and applied research fields, and from all areas of Psychology, all manuscripts being anonymously reviewed prior to publication.
Concepción Fernández-Rodríguez* 1 , Víctor Loredo-Martínez* 2 and Rocío Coto-Lesmes1
1 Universidad de Oviedo (Spain),
2 Universidad de Zaragoza (Spain)
Background: Discrepancies between therapists’ and patients’ measures regarding therapeutic results indicate the need to analyze which symptoms and processes are being taken into consideration when reporting clinical change. This study analyzes the concordance between patient and therapist, at pre- and post-treatment, when reporting about anxiety, depression, Experiential Avoidance (EA), Cognitive Fusion (CF) and Activation (A). Method: Convergence was examined between information obtained by means of standardized measures and visual analogical scales (VAS) in 94 patients with anxiety and/or depression who participated in a controlled clinical study (TRANSACTIVA study). Results: Statistically significant correlation (p < .05) was found between all the measures of anxiety and depression, regardless of the source, timepoint, and measures procedure at 95% confidence. In the VAS, patient and therapist agreed (p < .05) in their evaluation of specific symptoms. For EA, CF and A, the therapists’ measures demonstrated stronger correlations than those of the patients, although, in each condition, all the patients’ measures correlated with each other (p < .05). Conclusions: Suitable agreement was found between therapist and patient when reporting clinical change. One-item VAS appeared to b suitable for identifying anxiety, depression and the transdiagnostic patterns of EA, CF and A.
Antecedentes: Las discrepancias entre terapeutas y pacientes sobre los resultados terapéuticos indican la necesidad de analizar qué síntomas y procesos se tienen en cuenta al evaluar el cambio clínico. Se analizó la correspondencia entre paciente y terapeuta, en pre y post tratamiento, al informar sobre ansiedad, depresión, Evitación Experiencial (EA), Fusión Cognitiva (FC) y Activación (A). Método: Se examinó la convergencia entre la información obtenida mediante cuestionarios estandarizados y escalas analógicas visuales (EVA) en 94 pacientes con ansiedad y/o depresión que participaron en un estudio clínico controlado (estudio TRANSACTIVA). Resultados: Se encontró correlación significativa (p < .05) entre todas las medidas de ansiedad y depresión, independientemente de la fuente, momento y procedimiento de medida al 95% de confianza. En la EVA, paciente y terapeuta coincidieron (p < .05) al valorar síntomas específicos. Respecto a EA, CF y A, las medidas del terapeuta mostraron correlaciones más altas y significativas que las del paciente, aunque, en cada condición, todas las medidas del paciente se correlacionaron entre sí (p < .05). Conclusiones: Se observó adecuada correspondencia entre terapeuta y paciente al informar sobre el cambio clínico. La EVA de un ítem parece adecuada para identificar ansiedad, depresión y patrones transdiagnósticos de EA, CF y A.
SPANISH
ENGLISH
https://doi.org/10.7334/psicothema2022.416