自傷行為のためのコミュニティの外科医心理療法サービス (COPESS) の実現可能性と受け入れ性:ランダム化制御試験
Pooja Saini1, Anna Hunt1, Caroline Clements2,3
1School of Psychology, Liverpool John Moores University, Liverpool, UK.
BJPsych open
|August 20, 2025
まとめ
自傷に対するコミュニティ・アウトパシント・サイコロジック・エンゲージメント・サービス (COPESS) は,コミュニティの環境で実行可能な短い会話療法です. この研究は進行基準を満たし,自己傷害介入のさらなる試験を支持しました.
科学分野:
- 心理学的介入
- 臨床心理学
- 公衆衛生
背景:
- 自傷は公衆衛生上の重要な問題で 病院で診察を受けることなく コミュニティーで頻繁に発生します
- うつ病の症状がある人は 自傷行為のリスクが高くなります
- 地域社会や初等保健施設では 自傷行為に対する根拠に基づいた介入が 限られている.
研究 の 目的:
- 自傷行為に対するコミュニティの外科医心理介入サービス (COPESS) の実現可能性を評価する.
- COPESSの参加者募集,維持,データ収集のプロセスを評価する.
- 鬱症状と自己傷害歴のある人に対してCOPESS介入の許容性を決定する.
主な方法:
- 1:1配分による単盲ランダム化対照試験を用いた混合手法である.
- 鬱病の症状や 最近の自己傷害を患った成人を一般診療所から募集
- ランダム化後のベースライン,1,2,3ヶ月における二次結果の評価.
主要な成果:
- この研究は55人の参加者をランダムに選択し,60人の目標に近づき,高い保持率 (> 75%) と治療の出席率 (93%) を示した.
- 傾向は,自己傷害の衝動,うつ症状,およびコントロールと比較してCOPESSグループで3ヶ月で減少したことを示しました.
- 手動的なCOPESS療法に対する中等から高精度が観察されました.
結論:
- この研究はすべての進行基準を満たしており,より大きな有効性および/または費用対効果試験でCOPESSを評価する可能性を示しています.
- 自傷行為の短期的な心理的介入を 支持する証拠に 貢献しています
- COPESSは 自己傷害を経験する個人に 短期的な,プライマリケアベースの介入として有望です.
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