Propiedades psicométricas del Clinical Outcomes in Routine Evaluation (CORE-10) en Argentina

• Areas, Malenka ^[1] ; Varela, Camila ^[1] ; Roussos, Andrés Jorge ^[1] ; Paz, Clara ^[3] ; Evans, Chris ^[2] ; Gómez Penedo, Juan Martín ^[1]
  1. [1] Universidad de Buenos Aires

     Universidad de Buenos Aires

     Argentina

     
  2. [2] University of Roehampton

     University of Roehampton

     Wandsworth, Reino Unido

     
  3. [3] Universidad de Las Américas, Escuela de Psicología y Educación, Quito, Ecuador

  Mostrar afiliaciones +
• Localización: Revista Argentina de Ciencias del Comportamiento ( RACC ), ISSN-e 1852-4206, Vol. 17, Nº. 1, 2025 (Ejemplar dedicado a: Revista Argentina de Ciencias del Comportamiento), págs. 61-71
• Idioma: español
• DOI: 10.32348/1852.4206.v17.n1.37272
• Títulos paralelos:
  • Psychometric properties of Clinical Outcomes in Routine Evaluation (CORE-10) in Argentina
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    La falta de instrumentos breves validados para monitorizar resultados en psicoterapia es un desafío para la práctica clínica en Argentina. Este estudio analiza las propiedades psicométricas del CORE-10 (Clinical Outcomes in Routine Evaluation-10) en español, un instrumento que evalúa bienestar, síntomas generales, funcionamiento y riesgo en psicoterapia. Una muestra de 343 participantes completó la versión adaptada del CORE-10, junto con medidas de depresión y ansiedad. La consistencia interna se evaluó mediante el alfa de Cronbach y el alfa ordinal, además de las correlaciones ítem-total corregidas. Para examinar la validez, realizamos un análisis factorial confirmatorio, correlaciones entre medidas y diferencias en el CORE-10 entre quienes recibieron psicoterapia en el último año y quienes no. Los resultados evidencian fiabilidad y validez del CORE-10, sugiriendo que es una herramienta útil para evaluar la calidad de la psicoterapia en Argentina.

  • English

    The lack of brief and valid instruments to assess psychotherapy outcomes poses a major challenge for routine measurement in clinical practice in Argentina. This study examines the psychometric properties of the Spanish version of the CORE-10 (Clinical Outcomes in Routine Evaluation-10), a tool for routine assessment of psychotherapy quality, evaluating domains like well-being, symptoms, functioning, and risk. A sample of 343 participants completed the adapted CORE-10 and additional measures of depression and anxiety. Internal consistency was assessed using Cronbach's alpha and ordinal alpha, alongside corrected item-total correlations. To examine validity, a confirmatory factor analysis was conducted, and external validity was explored through correlations with other measures and comparisons of CORE-10 scores between individuals who received psychotherapy in the past year and those who did not. Results demonstrated reliability and validity, indicating that the CORE-10 is a valuable instrument for psychotherapy assessment in Argentina.

• Referencias bibliográficas
  • Abuín, M. R., & de Rivera, L. (2014). La medición de síntomas psicológicos y psicosomáticos: el Listado de Síntomas Breve (LSB-50). Clínica...
  • Barkham, M., Bewick, B., Mullin, T., Gilbody, S., Connell, J., Cahill, J., Mellor-Clark, J., Richards, D., Unsworth, G., & Evans, C. (2013)....
  • Barkham, M., & Margison, F. (2007). Practice-based evidence as a complement to evidence-based practice: From dichotomy to chiasmus. En...
  • Caldas de Almeida, J. M. (2013). Mental health services development in Latin America and the Caribbean: achievements, barriers and facilitating...
  • Casullo, M., & Pérez (1999/2008). El inventario de síntomas SCL90-R de L. Derogatis. Documento de Trabajo. Facultad de Psicología, UBA....
  • Cornelio, C., & Contreras, A. (2020). WHO-5 Index: Validez, confiabilidad y aplicaciones de una escala para evaluar el bienestar subjetivo...
  • Elosua Oliden, P., & Zumbo, B. D. (2008). Coeficientes de fiabilidad para escalas de respuesta categórica ordenada. Psicothema, 20(4),...
  • Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J., & McGrath, G. (2000). CORE: Clinical Outcomes in Routine...
  • Feixas, G., Evans, C., Trujillo, A., Saúl Gutiérrez, L. A., Botella, L., Corbella, S., González, E., Bados López, A., Garcia Grau, E., &...
  • Freiberg Hoffmann, A., Stover, J. B., de la Iglesia, G., & Fernández Liporace, M. (2013). Correlaciones policóricas y tetracóricas en...
  • Gadermann, A. M., Guhn, M., & Zumbo, B. D. (2012). Estimating ordinal reliability for likert-type and ordinal item response data: A conceptual,...
  • Gómez Penedo, J. M., Areas, M. A., Manubens, R., Babl, A. M., Challú, L., Juan, S., Muiños, R., Fernández-Álvarez, J., Alalú, N., Roussos,...
  • Harrell, F. E. Jr. (2020). Hmisc: Harrell Miscellaneous. R package (Versión 4.4-0) [Software]. https://CRAN.R-project.org/package=Hmisc
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research....
  • Lambert, M. J. (2013). Outcome in psychotherapy: the past and important advances. Psychotherapy, 50(1), 42–51. https://doi.org/10.1037/a0030682
  • Lambert, M. J., Gregersen, A. T., & Burlingame, G. M. (2004). The Outcome Questionnaire-45. En M. E. Maruish (Ed.), The use of psychological...
  • Li, C.-H. (2016). The performance of ML, DWLS, and ULS estimation with robust corrections in structural equation models with ordinal variables....
  • Lucas-Carrasco, R. (2012). The WHO Quality of Life (WHOQOL) Questionnaire: Spanish development and validation studies. Quality of Life Research,...
  • Lutz, W., Tholen, S., Schürch, E., & Berking, M. (2006). Reliabilität von Kurzformen gängiger psychometrischer Instrumente zur Evaluation...
  • Mîndrilă, D. (2010). Maximum Likelihood (ML) and Diagonally Weighted Least Squares (DWLS) estimation procedures: A comparison of estimation...
  • Paz, C., Adana-Díaz, L., & Evans, C. (2020). Clients with different problems are different and questionnaires are not blood tests: A template...
  • Paz, C., & Evans, C. (2019). The Clinical Outcomes in Routine Evaluation-Outcome Measure: A useful option for routine outcome monitoring...
  • Paz, C., Mascialino, G., & Evans, C. (2020). Exploration of the psychometric properties of the clinical outcomes in routine evaluation-outcome...
  • R Core Team. (2020). R: A language and environment for statistical computing. (Versión 4.4-0) [Software]. R Foundation for Statistical Computing,...
  • Rattray, J., & Jones, M. C. (2007). Essential elements of questionnaire design and development. Journal of Clinical Nursing, 16(2), 234-243....
  • Revelle, W. (2019). Psych: Procedures for personality and psychological research (1.9.12). R package (Versión 4.4-0) [Software]. https://CRAN.R-project.org
  • Reynolds, S. (2000). Evidence based practice and psychotherapy research. Journal of Mental Health, 9(3), 257-266. https://doi.org/10.1080/jmh.9.3.257.266
  • Rial Boubeta, A., Varela Mallou, J., Abalo Piñeiro, J., & Lévy Mangin, J. P. (2006). El análisis factorial confirmatorio. En J. P. Lévy...
  • Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1-36. https://doi.org/10.18637/jss.v048.i02
  • Schumacker, R. E., & Lomax, R. G. (2004). A beginner’s guide to structural equation modeling. Psychology Press. https://doi.org/10.4324/9781410610904
  • Stover, J. B., Uriel, F., & Fernández Liporace, M. (2012). Inventario de estrategias de aprendizaje y estudio: análisis psicométricos...
  • Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2(1), 53-55. https://doi.org/10.5116/ijme.4dfb.8dfd
  • World Health Organization [WHO]. (1998). Wellbeing measure in primary health care/The Depcare Project: report on a WHO meeting: Stockholm,...
  • Zumbo, B. D., Gadermann, A. M., & Zeisser, C. (2007). Ordinal versions of coefficients alpha and theta for Likert rating scales. Journal...