为患有精神病症状的急性精神病医院住院患者开发基于机制的治疗方法:一种干预映射方法
Eva Gussmann1, Susanne Lucae1,2, Peter Falkai1,2
1Max Planck Institute of Psychiatry, Munich, Germany.
Frontiers in psychiatry
|June 16, 2023
概括
为急性精神病住院患者开发了一种新的小组干预,MEBASp. 这种以需求为导向,以机制为基础的计划旨在减少严重疾病阶段的症状和痛苦.
科学领域:
- 精神病学和临床心理学
- 心理社会干预 心理社会干预
- 心理健康治疗 心理健康治疗
背景情况:
- 精神病治疗指南提倡在急性阶段进行心理治疗.
- 现有的干预措施往往缺乏适应住院患者的严重症状和危机.
- 针对患有精神病的急性精神病医院住院患者的量身定制的小组干预措施存在差距.
研究的目的:
- 为患有精神病的急性精神病医院住院患者 (MEBASp) 提供以需求为导向和基于机制的小组干预的科学发展概述.
- 解决严重症状和危机的住院患者的特定需求和关键变化机制.
主要方法:
- 干预映射 (IM) 框架指导了开发过程.
- 包括文献综述,问题定义,需求分析和结果建模.
- 开发了一个模块化小组干预原型 (MEBASp).
主要成果:
- MEBASp是一个为期九个会议的模块化小组干预,旨在针对元认知和社会变革.
- 模块的重点是培养认知洞察力 (I & II) 和认知缓解 (III).
- 干预内容是根据现有的元认知治疗方法进行调整,以一种可访问的方式呈现.
结论:
- 目前,MEBASp正在进行单臂可行性试验.
- 系统开发方法提高了干预的科学基础,有效性和可复制性.
- 详细的开发步骤对于类似的精神病干预研究至关重要.
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