系统审查:跨诊断青少年部分住院计划中的患者结果
Miriam P Rubenson1, Kyrill Gurtovenko1, Shannon W Simmons1
1Seattle Children's Hospital, Seattle, Washington; University of Washington, Seattle, Washington.
概括
部分住院计划 (PHPs) 对改善青少年心理健康和功能有希望. 然而,需要更多的随访数据的受控研究来证实它们与其他治疗方法相比的长期有效性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年健康 青少年健康
背景情况:
- 部分住院计划 (PHP) 为急性心理健康问题提供了住院护理的替代方案.
- PHP旨在稳定具有高风险行为,包括自杀和自我伤害的青少年.
- 对于跨诊断的青少年群体PHP的有效性在很大程度上是未知的.
研究的目的:
- 系统地审查关于PHPs对青少年心理健康症状的影响的证据.
- 评估PHPs对青少年功能的影响.
- 确定关于PHP疗效的研究中的差距.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括自2000年以来出版的青少年PHP的同行评审评估.
- 专注于报告定量临床结果的研究.
主要成果:
- 包括来自四大洲的10个PHP的15项研究.
- 所有研究都报告了从入院到出院的青少年功能和心理健康的改善.
- 对于比较有效性或长期结果的证据有限;辩证行为疗法 (DBT) 显示出潜力.
结论:
- 目前的证据表明,青少年在PHP方面有所提高,但相对有效性的数据很少.
- 有必要进行随访的受控研究,以确定PHP的疗效.
- 进一步的研究应检查治疗效益在出院后的持续性.
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