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Randomized Controlled Trials of Psychological Treatment in Korea: A Systematic Analysis by Journals and Periods

Abstract

Randomized controlled trial (RCT) is one of the gold standards of evidence for efficacy of psychotherapy that allows causal interpretations between a specific psychotherapeutic approach and outcomes. Thus, results from the RCTs are considered a basis for determining which psychotherapeutic approaches should be delivered to the public. In the current study, we aimed to systematically review psychotherapy RCTs conducted in South Korea and to analyze them according to the journals published in and their publication periods (i.e., 1983-2003, 2004-2006, 2007-2011, and 2012-2015). In addition, we have evaluated the quality of RCTs by employing the Randomized Controlled Trial of Psychotherapy Quality Rating Scale (RCT-PQRS). A total of 91 RCTs were finally selected for the current analysis. Four journals (i.e., Korean Journal of Counseling and Psychotherapy, Korean Journal of Clinical Psychology, Korean Journal of Health Psychology, and Korean Journal of East West Mind Science) were included in the analysis since they published at least five RCTs. The results showed that there were no differences in study characteristics (e.g., sample characteristics, types of psychotherapy) between the research periods whereas RCT quality scores have increased over time. Overall, RCTs published in Korean Psychological Association (KPA) Journals had greater RCT quality scores than those published in non-KPA Journals. In terms of the analysis of published journals, there were significant differences in study characteristics (e.g., sample characteristics, types of control groups, types of psychotherapy) between journals. Several issues and implications are discussed for researchers and policy makers in order to enhance quality of RCTs and to disseminate evidence-based information about efficient psychotherapeutic approaches to the public.

keywords
psychological treatment, randomized controlled trial, RCT-PQRS, evidence-based practice, 심리치료, 심리훈련, 무선통제연구, RCT-PQRS, 근거기반실무

Reference

1.

American Psychological Association. (1995). Template for developing guidelines: Interventions for mental disorders and psychosocial aspects of physical disorders. Washington, DC: Author.

2.

APA Presidential Task Force on Evidence-based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271-285.

3.

Chambless, D. L., & Hollon, S. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18.

4.

Department of Health (DoH). (2008). Improving access to psychological therapies implementation plan: Curriculum for high-intensity therapies workers. London: DoH.

5.

Editorial. (2012). Therapy deficit: Studies to enhance psychological treatments are scandalously under-supported. Nature, 489, 473-474.

6.

Gerber, A. J., Kocsis, J. H., Milrod, B. L., Roose, S. P., Barber, J. P., Thase, M. E., ... Leon, A. C. (2011). A quality-based review of randomized controlled trials of psychodynamic psychotherapy. American Journal of Psychiatry, 168, 19-28.

7.

Greenberg, L. S., & Newman, F. L. (1996). An approach to psychotherapy change process research: Introduction to the special section. Journal of Consulting and Clinical Psychology, 64, 435-438.

8.

Greenhalgh, T. (1997). Papers that summarise other papers (systematic reviews and meta-analyses). British Medical Journal, 315, 672-675.

9.

Health and Social Care Information Centre (HSCIC). (2015). Psychological therapies, annual report on the use of IAPT services: England-2014/15 Experimental statistics. London: HSCIC.

10.

Hill, C. E., Nutt, E. A., & Jackson, S. (1994). Trends in psychotherapy process research: Samples, measures, researchers, and classic publications. Journal of Counseling Psychology, 41, 364-377.

11.

Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427-440.

12.

Jaekal, E. J., Jang, S. K., Lee, G. Y., & Choi, K. H. (2014). Systematic review of randomized controlled trials of psychotherapy in Korea. Korean Journal of Clinical Psychology, 33, 943-961.

13.

Jo, S. H. (2003). Analysis of research in the Korean Journal of Counseling and Psychotherapy (1988-2003). Korean Journal of Counseling and Psychotherapy, 15, 811-832.

14.

Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63, 146-159.

15.

Kim, K. W., Jeong, J. J., Kwan, H. Y., Lee, Y. J., & Kim, C. K. (2011). Analysis of research in the Korean Journal of Counseling and Psychotherapy (2000-2009). Korean Journal of Counseling and Psychotherapy, 23, 521-542.

16.

Kocsis, J. H., Gerber, A J., Milrod, B., Roose, S. P., Barber, J., Thase, M. E., ... Leon, A. C. (2010). A new scale for assessing the quality of randomized clinical trials of psychotherapy. Comprehensive Psychiatry, 51, 319-324.

17.

Koo, H. J., Choi, S. M., & Kwon, J. H. (2012). Youth psychotherapy outcome research: Methodological review and meta-analysis. Korean Journal of Clinical Psychology, 31, 43-73.

18.

Levant, R. F., & Hasan, N. T. (2008). Evidence-based practice in psychology. Professional Psychology: Research and Practice, 39, 658-662.

19.

McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73-84.

20.

Moher, D., Schulz, K. F., & Altman, D. G. (2001). The CONSORT statement: Revised recommendations for improving the quality of reports of parallel group randomized trials. Lancet, 357, 1191-1194.

21.

Mukuria, C., Brazier, J., Barkham, M., Connell, J., Hardy, G., Hutten, R., ... Parry, G. (2013). Cost-effectiveness of an improving access to psychological therapies service. The British Journal of Psychiatry, 202, 220-227.

22.

Persons, J. B., & Silverschatz, G. (1998). Are results of randomized controlled trials useful to psychotherapist. Journal of Consulting and Clinical Psychology, 66, 126-135.

23.

Rubin, A., & Bellamy, J. (2012). Practitioner's guide to using research for evidence-based practice. New York: John Wiley & Sons.

24.

Spring, B. (2007). Evidence-based practice in clinical psychology:What it is, why it matters; what you need to know. Journal of Clinical Psychology, 63, 611-631.

25.

Strippoli, G. F., Craig, J. C., & Schena, F. P. (2004). The number, quality, and coverage of randomized controlled trials in nephrology. Journal of the American Society of Nephrology, 15, 411-419.

26.

Thoma, N. C., McKay, D., Gerber, A J., Milrod, B., Edwards, A. R., & Kocsis, J. H. (2012). A quality-based review of randomized controlled trials of cognitive-behavioral therapy for depression. American Journal of Psychiatry, 169, 22-30.

27.

Yim, M. K., Lee, J. H., Lee, H. N., Kim, T. D., & Choi, K. H. (2013). Evidence-based practice in psychotherapy. Korean Journal of Psychology: General, 32, 251-270.

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