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Avaliação da experiência de terapia pelos clientes com perturbações de uso de substâncias: estudo das características psicométricas do Session Evaluation Questionaire
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Abstract(s)
O Session Evaluation Questionnaire (SEQ) foi concebido por William B. Stiles (1980) com o objetivo de avaliar o impacto das sessões (profundidade e suavidade) e o humor pós-sessão (positividade e ativação). Através da avaliação das sessões pretendia-se tomar conhecimento acerca do modo como estas se associavam, por exemplo, com as técnicas usadas pelos terapeutas ou com os resultados obtidos na terapia. A experiência dos clientes com perturbações de uso de substâncias em terapia tem sido estudada recorrendo maioritariamente a metodologias qualitativas. O uso de instrumentos como o SEQ permitiria aprofundar os conhecimentos sobre a processo e resultados terapêuticos na população com perturbação de uso de substâncias (PUS). Assim, o presente trabalho tem como objetivo estudar as características psicométricas do SEQ na população com perturbação de uso de substâncias.
A amostra era composta por 113 sujeitos adultos e adolescentes com uma média de idade de 25,8 anos (DP = 10,74) residentes em três comunidades terapêuticas. Para além do SEQ, os participantes responderam também aos questionários sociodemográfico e historial de consumos e tratamento, Inventário de Aliança Terapêutica e o OQ-10. Foi estudada a estrutura interna (Análise Fatorial Confirmatória) da adaptação do SEQ à língua portuguesa, a fiabilidade (compósita e alfa Cronbach) e validade (convergente, discriminante e externa).
Relativamente aos resultados da análise fatorial confirmatória (AFC), a primeira secção do SEQ, referente à avaliação da sessão, revelou melhores índices ajustamento (Stiles et al., 1994), do que a segunda secção do questionário, relacionada com o Humor pós-sessão. As dimensões profundidade e suavidade, estavam positivamente relacionadas com as características do terapeuta, e as dimensões positividade e ativação estavam significativamente relacionadas com as características do terapeuta e com os fatores objetivos e tarefas da aliança terapêutica.
The Session Evaluation Questionnaire (SEQ) was designed by William B. Stiles (1980) to evaluate the impact of sessions (depth and smoothness) and post-session mood (positivity and arousal). Through the evaluation of the sessions it was intended to learn about how they were associated, for example, with techniques used by therapists or with the results obtained in therapy. The experience of clients with drug use disorders in therapy has been studied using almost exclusively qualitative methodologies. The use of instruments such as the SEQ would allow to deepen the knowledge about the process and therapeutic results in the population with substance use disorders. Thus, the present study aims to study the psychometric characteristics of the Session Evaluation Questionnaire in the population with substance use disorders. The sample consisted of 113 adults and adolescents (25.8 years of age (SD = 10.74) residents of three therapeutic communities. In addition to the SEQ, the participants also answered the sociodemographic and history of consumption and treatment questionnaire, Working Alliance Inventory – Short Revised (WAI-SR) and OQ-10. A Factorial Confirmatory Analysis (FCA) was performed to verify the adjustment of the indexes of the two sections of the SEQ. One-way ANOVAs were used to analyse the mean differences between WAI-SR, OQ-10, Bad-Good item, and therapist characteristics according to the type of session and type of post- session. In respect of the results of the confirmatory factorial analysis (CFA), the first section of the SEQ, concerning the evaluation of the session, showed better indexes adjustment to the model (Stiles et al., 1994) than the second section of the questionnaire, related to Humor post-session. Regarding the results of the one-way ANOVAS, the depth and smoothness dimensions were positively related to the characteristics of the therapist, and the positivity and arousal dimensions were significantly related to the characteristics of the therapist and to the objectives and tasks factors of the WAI-SR.
The Session Evaluation Questionnaire (SEQ) was designed by William B. Stiles (1980) to evaluate the impact of sessions (depth and smoothness) and post-session mood (positivity and arousal). Through the evaluation of the sessions it was intended to learn about how they were associated, for example, with techniques used by therapists or with the results obtained in therapy. The experience of clients with drug use disorders in therapy has been studied using almost exclusively qualitative methodologies. The use of instruments such as the SEQ would allow to deepen the knowledge about the process and therapeutic results in the population with substance use disorders. Thus, the present study aims to study the psychometric characteristics of the Session Evaluation Questionnaire in the population with substance use disorders. The sample consisted of 113 adults and adolescents (25.8 years of age (SD = 10.74) residents of three therapeutic communities. In addition to the SEQ, the participants also answered the sociodemographic and history of consumption and treatment questionnaire, Working Alliance Inventory – Short Revised (WAI-SR) and OQ-10. A Factorial Confirmatory Analysis (FCA) was performed to verify the adjustment of the indexes of the two sections of the SEQ. One-way ANOVAs were used to analyse the mean differences between WAI-SR, OQ-10, Bad-Good item, and therapist characteristics according to the type of session and type of post- session. In respect of the results of the confirmatory factorial analysis (CFA), the first section of the SEQ, concerning the evaluation of the session, showed better indexes adjustment to the model (Stiles et al., 1994) than the second section of the questionnaire, related to Humor post-session. Regarding the results of the one-way ANOVAS, the depth and smoothness dimensions were positively related to the characteristics of the therapist, and the positivity and arousal dimensions were significantly related to the characteristics of the therapist and to the objectives and tasks factors of the WAI-SR.
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Keywords
Experiência do cliente Questionário da avaliação da sessão Resultados terapêuticos População com perturbações de uso de substâncias