集群-C个性障碍的群体方案治疗:一个多中心的开放试点研究
Carlijn J M Wibbelink1, Anne-Sophie S M Venhuizen1, Raoul P P P Grasman2
1Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Clinical psychology & psychotherapy
|September 10, 2023
概括
群组方案治疗 (GST) 对集群-C人格障碍 (PD) 显著改善. 这种有前途的治疗方法需要通过对人格障碍患者的随机对照试验进行进一步的研究.
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
- 心理治疗研究 心理治疗研究
背景情况:
- 群组方案治疗 (GST) 正在获得人格障碍 (PDs) 的吸引力,特别是集群-C PDs.
- 虽然个人方案治疗 (ST) 对集群-C PD 有效,但对 GST 的证据有限.
- 这项研究解决了评估GST在Cluster-C PD患者中的有效性的需要.
研究的目的:
- 调查群组方案治疗 (GST) 对集群-C人格障碍 (PDs) 的有效性.
- 探索特定的集群-C PDs (回避性,依赖性和强迫症) 中治疗结果的潜在差异.
主要方法:
- 一个多中心的开放试验,涉及137名被诊断患有集群-C PDs的患者.
- 患者每周接受30次GST课程,可以选择单独的ST课程和助推课程.
- 包括PD严重程度,精神病理,生活质量和模式相关变量在内的结果在2年的随访期间使用混合回归分析进行了评估.
主要成果:
- 在所有集群-CPD中观察到显著改善,在2年随访时效果大小为中大.
- 治疗中断率为11.7%.
- 初步迹象表明,在基线严重程度,变化轨迹和GST有效性方面,特定的集群-C PD之间存在潜在差异.
结论:
- 群组方案疗法 (GST) 显示出作为集群-C人格障碍的有效治疗方法的前景.
- 建议进行进一步的研究,包括随机对照试验,以确认GST的 (成本) 有效性.
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