La versión española del CORE-OM: Clinical Outcomes in Routine Evaluation - Outcome Measure
DOI:
https://doi.org/10.33898/rdp.v23i89.641Palabras clave:
CORE-OM, Traducción, Psicología Transcultural, Investigación de Resultados en Psicoterapia, Práctica Basada en la evidencia, Evidencia Basada en la PrácticaResumen
Se presenta la versión en español del Clinical Outcomes in Routine Evaluation- Outcome Measure (CORE-OM), un instrumento creado por el Core System Group para la evaluación del cambio terapéutico. El CORE-OM es un cuestionario que evalúa el malestar psicológico a partir de cuatro dimensiones: Bienestar subjetivo, Problemas/Síntomas, Funcionamiento general y Riesgo. Se describe el cuestionario y se exponen los estudios psicométricos realizados, los cuales indican que el instrumento posee un nivel de validez y fiabilidad adecuadas, así como una excelente aceptación y sensibilidad al cambio terapéutico. Con la supervisión y guía de miembros del equipo creador del CORE-OM, se realizó el proceso de traducción de la versión original en inglés. Colaboraron 12 personas competentes en ambas lenguas de diferentes lugares de España; posteriormente 64 castellano-parlantes de distintas condiciones y orígenes lingüísticos participaron en la revisión del instrumento. Así se obtuvo una versión definitiva en español del CORE-OM, de la que se derivaron las versiones más breves resultantes (CORE-SFA, CORE-SFB, CORE-10 y CORE-5) y todas ellas en versión femenina y masculina. Ahora que el CORE-OM está disponible para todos los psicoterapeutas de habla hispana (www.ub.edu/terdep/core), se hace necesario continuar con el estudio de validación con el objetivo de disponer de las propiedades psicométricas del instrumento en su versión en español.
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Bados, A., García-Grau, E. y Fusté, A. (2002). Eficacia y utilidad clínica de la terapia psicológica. Revista Internacional de Psicología Clínica y de la Salud/International Journal of Clinical and Health Psychology, 2, 477–502.
Barkham, M., Bewick, B.M., Mullin, T., Gilbody, S., Connell, J., Cahill, J., Mellor-Clark, J., Unsworth, G., Richards, D., y. Evans, C. (2012). The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, publicado online. doi:10.1080/14733145.2012.729069
Barkham, M., Culverwell, A., Spindler, K. y Twigg, E. (2005). The CORE-OM in an older adult population: Psychometric status, acceptability, and feasibility. Aging and Mental Health, 9, 235–245.
Barkham, M., Evans, C., Margison, F., McGrath, G., Mellor-Clark, J., Milne, D. y Connell, J. (1998). The rationale for developing and implementing core batteries in service settings and psychotherapy outcome research. Journal of Mental Health, 7, 35–47.
Barkham, M., Gilbert, N., Connell, J., Marshall, C. y Twigg, E. (2005). Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care settings. British Journal of Psychiatry, 186, 239-246.
Barkham, M., Hardy, G. E. y Mellor-Clark, J. (2010). Developing and delivering practice-based evidence: a guide for the psychological therapies. Chichester, UK; Malden, MA: Wiley-Blackwell.
Barkham, M., Margison, F., Leach, C., Lucock, M., Mellor-Clark, J., Evans, C., Benson, L., Connell, J., Audin, K. y McGrath, G. (2001). Service profiling and outcomes benchmarking using the CORE-OM: toward practice-based evidence in the psychological therapies. Journal of Consulting and Clinical Psychology, 69: 184-196.
Barkham, M., Mellor-Clark, J., Connell, J. y Cahill, J. (2006). A core approach to practice-based evidence: A brief history of the origins and applications of the CORE-OM and CORE System. Counselling and Psychotherapy Research, 6 (1) 3-15.
Barkham, M., Startup, M. y Hardy, G. E. (1996). The IIP-32: development a short version of the Inventory of Interpersonal Problems. British Journal of Clinical Psychology, 35, 21-35.
Beck, A. T., Epstein, N., Brown, G. y Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., Steer, R. A. y Brown, G. K. (1996). Manual for the Beck Depression Inventory–Second edition (BDIII). Texas, USA: Psychological Corporation.
Beck, A. T. Ward, C. H., Mendelson, M., Mock, J. y Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
Bedford, A., Lukic, G. y Tibbles, J. (2011). Evaluation of risk by patients’ and with clinicians’ ratings: A COREOM and CORE-A investigation. Clinical Psychology and Psychotherapy, 18, 244-249.
Beutler, L. E. (2001). Comparisons of quality assurance systems: From outcome assessment to clinical utility. Journal of Consulting and Clinical Psychology, 69, 197-204.
Botella, L. (2006). Routine evaluation in psychotherapy service: The use of CORE System data. European Journal of Psychotherapy and Counselling, 8, 235-241.
Botella, L. y Feixas, G. (1994). Eficacia de la psicoterapia: Investigaciones de resultados. En M. Garrido y J. García (Eds.), Psicoterapia: Modelos contemporáneos y aplicaciones. Valencia: Promolibro.
Cahill, J., Barkham, M., Stiles, W. B., Twigg, E., Hardy, G. E., Rees, A. y Evans, C. (2006). Convergent validity of the CORE measures with measures of depression for clients in cognitive therapy for depression. Journal of Counseling Psychology, 53, 253–259
Cavanagh, K., Seccombe, N. y Lidbetter, N. (2011). The Implementation of Computerized Cognitive Behavioural Therapies in a Service User-Led, Third Sector Self Help Clinic. Behavioural and Cognitive Psychotherapy, 39, 427-442.
Connell, J., Barkham, M. y Mellor-Clark, J. (2007). Mental health CORE-OM norms of students attending university counselling services benchmarked against an age-matched primary care sample. British Journal of Guidance and Counselling, 35, 41-56.
Connell, J., Barkham, M., Stiles, W.B., Twigg, E., Singleton, N., Evans, C. y Miles, J. V. (2007). Distribution of CORE”OM scores in a general population, clinical cut-off points and comparison with the CIS –R. British Journal of Psychiatry, 190, 69-74.
Conte, H. R., Plutchik, R., Karasu, T. B. y Jerrett, I. (1980). A self-report borderline scale. Journal of Nervous and Mental Diseases, 168, 428-435.
Corbella, S. y Botella, L. (2004). Investigación en Psicoterapia: Proceso, Resultado y Factores Comunes. Madrid: Visión Net.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of test. Psychometrika, 16, 297-334.
Derogatis, L. R. (1983). SCL-90-R: Administration, scoring and procedures: Manual II. Towson, MD: Clinical Psychometric Research.
Derogatis, L. R., Lipman, R. S., y Covi, L. (1973) SCL-90: An out-patient psychiatric rating scale-preliminary report. Psychopharmacological Bulletin, 9, 13-17.
Derogatis, L. R. y Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13, 595-605.
Dias Sales, M. C., de Matos Moleiro, C. M., Evans, C. y Gomes Alves, P. C. (2011). The Portuguese version of the CORE-OM: translation, adaptation, and preliminary study of psychometric properties. Revista de Psiquiatría Clínica, 39, 54-59.
Elfström, M. L., Evans, C., Lundgren, J., Johansson, B., Hakeberg, M. y Carlsson, S. G. (2012). Validation of the Swedish Version of the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM). Clinical Psychological and Psychotherapy, publicado online, doi: 10.1002/cpp.1788.
Evans, C. (in press). The CORE-OM (Clinical Outcomes in Routine Evaluation) and its derivatives. Science and Practice.
Evans, C. (2012). Cautionary notes on power steering for psychotherapy. Canadian Psychology/Psychologie Canadienne, 53, 131–139. doi:10.1037/a0027951
Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J. y Audin, J. (2002). Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE-OM. British Journal of Psychiatry, 180, 51–60.
Evans, C., Connell, J., Barkham, M., Mellor-Clark, J., Margison, F., McGrath, G. y Audin, K. (1998). The CORE outcome measure: user’s manual (version 2.1). Leeds: Core System Group
Evans, C. E., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J. y McGrath, G. (2000). CORE: Clinical outcome in routine evaluation. Journal of Mental Health, 9, 247–255.
Froyd, J. E., Lambert, M. J. y Froyd, J. D. (1996). A review of practices of psychotherapy outcome measurement. Journal of Mental Health, 5, 11-15.
Gampe, K., Biescad, M., Balúnová-Labanicová, L., Timulák, L. y Evans, C. (2007). Slovak Adaptation of COREOM (Clinical Outcomes in Routine Evaluation-Outcome Measure). Èes. a Slovak Psychiatry, 103, 4-13.
Gardner, M. y Altman, D. G. (1986). Confidence intervals rather than P values: estimation rather than hypothesis testing. British Medical Journal, 292, 746-750
Goldberg, D. (1978). Manual of the General Health Questionnaire. Oxford: NFER-NELSON.
Goldberg, D. P. y Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139-145.
Goldberg, D y Williams, P. (1988). A user’s guide to the General Health Questionnaire. Oxford: NFER-NELSON.
Hyler, S. E. y Rieder, R. C. (1987). PDQ-R Questionnaire. New York: New York State Psychiatric Institute.
Horowitz, L. M., Rosenberg, S. E., Baer, B. A., Ureno, G. y Villasenor, V. S. (1988). Inventory of the interpersonal problems: psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology, 56, 885-892.
International Test Commission (2010). International Test Commission Guidelines for Translating and Adapting Tests. [Página web]. Recuperado de http://www.intestcom.org/upload/sitefiles/40.pdf
Jacobson, N. S. y Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
Leach, C., Lucock, M., Barkham, M., Noble, R., Clarke, L. y Iveson, S. (2005). Assessing risk and emotional disturbance using the CORE-OM and HoNOS outcome measures. Psychiatric Bulletin, 29, 419-422.
Lyne, K., Barrett, P., Evans, C. y Barkham, M. (2006). Dimensions of variation on the CORE-OM. British Journal of Clinical Psychology, 45, 185-203.
Margison, F.R., McGrath, G., Barkham, M., Mellor-Clark, J., Audin, K., Connell, J. y Evans, C. (2000). Measurement and psychotherapy: Evidence-based practice and practice-based evidence. British Journal of Psychiatry, 177 123-130.
Mellor-Clark, J. y Barkham, M. (2000). Quality evaluation: methods, measures and meaning. En C. Feltham y I. Horton (Eds.), Handbook of counselling and psychotherapy (pp. 255-270). London, UK: Sage Publications.
Mellor-Clark, J., Barkham, M., Connell, J. y Evans, C. (1999). Practice-based evidence and the need for a standardised evaluation system: Informing the design of the CORE System. European Journal of Psychotherapy, Counselling and Health, 3, 357-374.
Mellor-Clark, J., Barkham, M., Connell, J. y Evans, C. (2007). Practice-based evidence and standardized evaluation: Informing the design of the CORE system. European Journal of Psychotherapy and Counselling, 2, 357-374.
Mellor-Clark, J., Curtis Jenkins, A., Evans, R., Mothersole, G. y McInnes, M. (2006). Resourcing a CORE Network to develop a National Research Database to help enhance psychological therapy and counselling service provision. Counselling and Psychotherapy Research, 6, 16-22.
Palmieri, G., Evans, C., Hansen, V., Brancaleoni, G., Ferrari, S., Porcelli, P., Reitano. F. y Rigatelli, M. (2009). Validation of the Italian version of the Clinical Outcomes in Routine Evaluation Outcome Measure (COREOM). Clinical Psychology and Psychotherapy, 16, 444–449.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Sinclair, A., Barkham, M., Evans, C., Connell, J. y Audin, K. (2005). Rationale and development of a general population well-being measure: Psychometric status of the GP-CORE in a student sample. British Journal of Guidance and Counselling, 33, 153-174.
Snaith, R. P., Constantopoulos, A. A., Jardine, M. Y. y McGuffin, P. (1978). A clinical scale for the self-assessment of the irritability. British Journal of Psychiatry, 132, 164-171.
Strupp, H. H., Horowitz, L. M. y Lambert, M. J. E. (1997). Measuring patient changes in mood, anxiety, and personality disorders: Toward a core battery. Washington DC: American Psychological Association.
The DoH (Departamento de Salud del Reino Unido), (1996). NHS Psychotherapy Services in England: Review of Strategic Policy. Londres, UK: HMSO
Tranter, R., Bell, D., Gutting, P., Harmer, C., Healy, D. y Anderson, I.M. (2009). The effect of serotonergic and noradrenergic antidepressants on face emotion processing in depressed patients. Journal of Affective Disorders, 118, 87-93.
Twigg, E., Barkham, M., Bewick, B. M., Mulhern, B., Connell, J. y Cooper, M. (2009). The YP-CORE: Development and validation of a young person’s version of the CORE-OM. Counselling and Psychotherapy Research, 9, 160-168.
Uji, M., Sakamoto, A., Adachi, K. y Kitamura, T. (2012). Psychometric properties of the Japanese version of the Clinical Outcomes in Routine Evaluation-Outcome Measure. Comprehensive Psychiatry, 53, 600-608.
Unsworth, G., Cowie, H. y Green, A. (2011). Therapists’ and clients’ perceptions of routine outcome measurement in the NHS: A qualitative study. Counselling and Psychotherapy Research, 12, 71-80.
Waskow, I. E. (1975). Selection of a core battery. En M. B. Parloff (Ed.), Psychotherapy change measures (pp. 245-269). Washington, DC: U.S. Government Printing Office.
Zigmond, A. S. y Snaith, R. P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.