A new scale for assessing the quality of randomized clinical trials of psychotherapy.

Overview

CONTEXT: In 2004, the American Psychiatric Association's Committee on Research on Psychiatric Treatments appointed a subcommittee to investigate the status of empirical evidence with regard to psychodynamic psychotherapy. OBJECTIVE: As a part of this effort, the committee developed a rating scale designed to assess the quality of randomized controlled trials (RCTs) of psychotherapy. DATA SOURCES: A 25-item RCT of Psychotherapy Quality Rating Scale was generated by expert consensus. Interrater reliability, internal consistency, and validity testing were undertaken using 7 trained raters. STUDY SELECTION: A PubMed search was conducted to locate all RCTs of psychotherapies identified by their authors as being "psychodynamic" or "psychoanalytic" in origin and implementation. DATA EXTRACTION: A total of 69 RCTs were independently rated by 2 raters. DATA SYNTHESIS: The scale was found to have good interrater reliability (total score intraclass correlation = 0.76), internal consistency (Cronbach alpha = .87), and external validity. CONCLUSIONS: This scale establishes a new standard for the design and execution of psychotherapy RCTs and provides a systematic empirical method for evaluating the quality of published RCTs.