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Evidence Based Practice on Psychological Interventions: A Literature Review on Current Situation

Year 2024, , 205 - 232, 31.05.2024
https://doi.org/10.31682/ayna.1374203

Abstract

Numerous psychological interventions and psychotherapy approaches claim they are effective and functional. To prevent confusion and potential misuse, the American Psychological Association (APA) has established objective criteria for the efficiency and functionality of these approaches that were also internationally agreed upon. Then, it ultimately announced the Evidence-Based Practice (EBP) approach in clinical psychology. This approach merges robust scientific research findings highlighting influential outcomes on certain psychological problems with client preferences and clinician features. In order to raise awareness in the field of clinical psychology in Turkey, this article first outlines the fundamental characteristics and basics of the EBP, as well as its historical context. Moreover, the Society of Clinical Psychology website is the 12th section of the APA that includes a list of psychological interventions announced as Empirically Supported Treatments and relevant resources. Finally, general findings and discussions obtained in the scientific literature review on the concept of the EBP were presented, and later, an evaluation of studies on the dissemination and implementation of the EBP was focused. Relevant implications were also presented based on the current findings of this article.

References

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  • Barrett, J., Gonsalvez, C. J. ve Shires, A. (2019). Evidence‐based practice within supervision during psychology practitioner training: A systematic review. Clinical Psychologist, 24(1), 3-17. https://doi.org/10.1111/cp.12196
  • Bearman, S. K., Wadkins, M., Bailin, A. ve Doctoroff, G. (2015). Pre-practicum training in professional psychology to close the research–practice gap: Changing attitudes toward evidence-based practice. Training and Education in Professional Psychology, 9(1), 13. https://doi.org/10.1037/tep0000052
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  • Djulbegovic, B. ve Guyatt, G. H. (2014). Evidence-based practice is not synonymous with delivery of uniform health care. Jama, 312(13), 1293-1294. https://doi.org/10.1001/jama.2014.10713
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  • Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P. ve Schünemann, H. J. (2008). GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. Bmj, 336(7650), 924-926. https://doi.org/10.1136/bmj.39489.470347.AD
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  • Hamill, N. R. ve Wiener, K. K. K. (2018). Attitudes of Psychologists in Australia towards evidence‐based practice in psychology. Australian Psychologist, 53(6), 477-485. https://doi.org/10.1111/ap.12342
  • Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., Cochrane Bias Methods Group ve Cochrane Statistical Methods Group. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. British Medical Journal, 343(2), 1-9. https://doi.org/10.1136/bmj.d5928
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Psikolojik Müdahalelerde Kanıt Temelli Uygulamalar: Güncel Duruma Dair Genel Bir Bakış

Year 2024, , 205 - 232, 31.05.2024
https://doi.org/10.31682/ayna.1374203

Abstract

Günümüzde işe yarar ve de etkili olduğunu iddia eden pek çok farklı psikolojik müdahale veya psikoterapi yaklaşımı ile karşılaşmak mümkündür. Bu karmaşayı ve kötüye kullanma olasılığını gidermek üzere Amerikan Psikoloji Derneği (APA), özellikle işe yararlık ve etkililiğin ne olduğu uluslararası alanda da kabul gören objektif ölçütler belirlemiş; bunları da geliştirerek Kanıt Temelli Uygulamalar (KTU) yaklaşımını başlatmıştır. Bu yaklaşımda tek başına belirli sorunlara özgü etkin sonuçlar ürettiğini ispatlayan nitelikli bilimsel araştırma bulguları ile danışan tercihleri ve terapist özelliklerinin de harmanlanması temel alınmaktadır. Bu makalede, Türkiye’de klinik psikoloji alanında bu yaklaşıma yönelik farkındalığın arttırılması amacıyla, yaklaşımın tarihsel arka planı ve temel prensipleri detaylıca açıklanmıştır. Buna ek olarak, APA’nın 12. Birimi olan Klinik Psikoloji Topluluğu’nun internet sayfasında yer alan ve KTU yaklaşımının temelini oluşturan Ampirik Olarak Desteklenen Tedavi Yöntemleri listesinden bahsedilmiş; ardından alanyazında KTU yaklaşımına yönelik var olan bilimsel çalışmalar derlenmiştir. Son olarak, alanyazındaki çalışmalardan hareketle KTU yaklaşımının tanınması ve uygulanır hale gelmesi adına atılabilecek adımlara yönelik belli çıkarımlarda bulunulmuştur.

References

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  • Aarons, G. A., Cafri, G., Lugo, L. ve Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence based practice: The evidencebased practice attitude scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 331–340. https://doi.org/10.1007/s10488-010-0302-3
  • American Psychological Association. (1947). Committee on training in clinical psychology. Recommended graduate training program in clinical psychology. American Psychologist, 2(12), 539–558. https://doi.org/10.1037/h0058236
  • American Psychological Association. (1995). Template for developing guidelines: Interventions for mental disorders and psychosocial aspects of physical disorders (1. Basım). Washington DC: Author.
  • American Psychological Association. (2002). Criteria for evaluating treatment guidelines. American Psychologist, 57(12), 1052–1059. https://doi.org/10.1037//0003-066X.57.12.1052
  • American Psychological Association. (2023). Advisory steering committee for development of clinical practice guidelines. Amerikan Psikoloji Derneği (American Psychological Association) sitesinden alınmıştır: https://www.apa.org/about/offices/directorates/guidelines/steering-committee
  • APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. The American Psychologist, 61(4), 271-285. https://doi.org/10.1037/0003-066X.61.4.271
  • Babione, J. M. (2010). Evidence-based practice in psychology: An ethical framework for graduate education, clinical training, and maintaining professional competence. Ethics & Behavior, 20(6), 443-453. https://doi.org/10.1080/10508422.2010.521446
  • Baker, M. ve Kleijnen, J. (2000). The drive towards evidence-based health care. İçinde N. Rowland ve S. Goss (Edl.), Evidence-based Counseling and Psychological Therapies: Research and applications (ss. 13–33). Routledge.
  • Barrett, J., Gonsalvez, C. J. ve Shires, A. (2019). Evidence‐based practice within supervision during psychology practitioner training: A systematic review. Clinical Psychologist, 24(1), 3-17. https://doi.org/10.1111/cp.12196
  • Bearman, S. K., Wadkins, M., Bailin, A. ve Doctoroff, G. (2015). Pre-practicum training in professional psychology to close the research–practice gap: Changing attitudes toward evidence-based practice. Training and Education in Professional Psychology, 9(1), 13. https://doi.org/10.1037/tep0000052
  • Beidas, R. S. ve Kendall, P. C. (2010). Training therapists in evidencebased practice: A critical review of studies from a systemscontextual perspective. Clinical Psychology: Science and Practice, 17(1), 1 – 30. https://doi.org/10.1111/j.1468-2850.2009.01187.x
  • Beutler, L. E. (1998). Identifying empirically supported treatments: What if we didn't? Journal of Consulting and Clinical Psychology, 66(1), 113. https://doi.org/10.1037/0022-006X.66.1.113
  • Booth, A., Clarke, M., Dooley, G., Ghersi, D., Moher, D., Petticrew, M. ve Stewart, L. (2012). The nuts and bolts of PROSPERO: an international prospective register of systematic reviews. Systematic Reviews, 1(1), 1-9. https://doi.org/10.1186/2046-4053-1-2
  • Chambless, D. L. ve Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66(1), 7. https://doi.org/10.1037/0022-006X.66.1.7
  • Clark, D. M., Layard, R., Smithies, R., Richard, D. A., Suckling, R. ve Wright, B. (2009). Improving access to psychological therapy: Initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47(11), 910–920. https://doi.org/10.1016/j.brat.2009.07.010
  • Cuijpers, P. (2019). Targets and outcomes of psychotherapies for mental disorders: an overview. World Psychiatry, 18(3), 276-285. https://doi.org/10.1002/wps.20661
  • Çay, M. ve Daşbaş, S. (2020). Kanıta Dayalı Uygulama Ölçeğinin Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. Toplum ve Sosyal Hizmet, 31(4), 1514-1546. https://doi.org/10.33417/tsh.733462
  • DiLillo, D. ve McChargue, D. (2007). Implementing elements of evidence‐based practice into scientist practitioner training at the University of Nebraska‐Lincoln. Journal of Clinical Psychology, 63(7), 671-684. https://doi.org/10.1002/jclp.20375
  • Djulbegovic, B. ve Guyatt, G. H. (2014). Evidence-based practice is not synonymous with delivery of uniform health care. Jama, 312(13), 1293-1294. https://doi.org/10.1001/jama.2014.10713
  • Fairburn, C. G. (2013). Overcoming binge eating (2. Basım). Guilford Press.
  • Fairburn, C. G., Marcus, M.D. ve Wilson, G. T. (1993). Cognitive-behavioral therapy for binge eating and bulimia nervosa: A comprehensive treatment manual. İçinde C. G. Fairburn ve G. T. Wilson (Edl.), Binge eating: Nature, assessment and treatment (ss. 361-404). Guilford Press.
  • Foa, E. B., Yadin, E. ve Lichner, T. K. (2012). Exposure and response (ritual) prevention for obsessive-compulsive disorder: Therapist guide (2. Basım). Oxford University Press.
  • Frank, G. (1984). The Boulder model: History, rationale, and critique. Professional Psychology: Research and Practice, 15(3), 417. https://doi.org/10.1037/0735-7028.15.3.417
  • Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P. ve Schünemann, H. J. (2008). GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. Bmj, 336(7650), 924-926. https://doi.org/10.1136/bmj.39489.470347.AD
  • Hadjistavropoulos, H. D., Kehler, M. D., Peluso, D., Loutzenhiser, L. ve Hadjistavropoulos, T. (2010). Case presentations: A key method for evaluating core competencies in Professional psychology? Canadian Psychology/Psychologie Canadienne, 51(4), 269–276. https://doi.org/10.1037/a0021735
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There are 71 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology, Psychotherapy Practise and Research
Journal Section Review Articles
Authors

Ezgi Uncu 0000-0002-6734-9886

Orçun Yorulmaz 0000-0002-0017-2668

Publication Date May 31, 2024
Submission Date October 11, 2023
Acceptance Date January 15, 2024
Published in Issue Year 2024

Cite

APA Uncu, E., & Yorulmaz, O. (2024). Psikolojik Müdahalelerde Kanıt Temelli Uygulamalar: Güncel Duruma Dair Genel Bir Bakış. AYNA Klinik Psikoloji Dergisi, 11(2), 205-232. https://doi.org/10.31682/ayna.1374203