对法医精神病诊所门诊患者进行的附加非正式社交网络干预的有效性:随机对照试验的结果
Lise T A Swinkels1,2, Thimo M van der Pol1,2,3, Jos Twisk4
1Department of Forensic Outpatient Care, Inforsa Forensic Mental Healthcare, Amsterdam, Netherlands.
Frontiers in psychiatry
|June 9, 2023
概括
对法医精神病室门诊患者进行的非正式社交网络干预并没有改善心理健康,但显著减少了住院和犯罪行为. 这凸显了在法医心理健康护理中基于社区的社会支持的潜力.
科学领域:
- 法医精神病学 法医精神病学
- 社会心理学 社会心理学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 支持性的社交网络与改善心理健康和减少犯罪行为有关.
- 法医精神科门诊患者经常面临社会融合和支持系统的挑战.
研究的目的:
- 评估非正式社交网络干预的有效性,并添加到法医精神病室门诊患者的通常治疗 (TAU).
- 评估对心理健康,住院率和犯罪行为的影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及102名法医精神病室门诊患者.
- 参与者被分配到具有附加非正式社交网络干预的TAU或仅仅是TAU的12个月.
- 在18个月的时间里,对心理健康,精神功能,住院和犯罪行为进行了评估.
主要成果:
- 与TAU单独相比,添加剂干预并没有显著改善精神健康.
- 接受添加干预的参与者经历了显著更短的住院时间 (12个月内2.1x,18个月后4.1x).
- 添加干预组也报告了显著减少的犯罪行为 (平均减少了2.9倍).
结论:
- 非正式的社交网络干预可以有效地减少法医精神病室门诊患者的住院和犯罪行为,尽管不会影响心理健康.
- 将基于社区的非正式护理计划纳入法医门诊治疗可能会优化患者的治疗结果.
- 需要进一步的研究来确定受益最大的特定患者亚组,并探索最佳的干预持续时间和合规策略.
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