对精神病住院患者接受和承诺治疗的有效性:从试点随机对照试验的实施可行性和可接受性
Brandon A Gaudiano1, Stacy Ellenberg2, Jennifer E Johnson3
1Alpert Medical School of Brown University, United States of America; Butler Hospital, United States of America; Providence VA Medical Center, United States of America.
Schizophrenia research
|September 16, 2023
概括
住院患者接受和承诺治疗 (ACT-IN) 对精神病患者来说是可行的,降低了再住院的风险. 这种疗法在由前线工作人员在常规护理环境中提供时显示出有希望.
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
- 心理健康服务研究 心理健康服务研究
背景情况:
- 住院患者接受和承诺疗法 (ACT-IN) 在以前的精神病试验中显示出有效性.
- 它在前线工作人员提供的常规临床环境中的有效性仍未得到充分研究.
研究的目的:
- 评估ACT-IN在急性护理环境中的前线临床医生实施时的可行性,可接受性和初步有效性.
- 为了将ACT-IN与精神分裂症谱系障碍患者的时间/注意力匹配的支持条件进行比较.
主要方法:
- 一项试点随机对照有效性试验,涉及46名患有精神分裂症谱系障碍的住院患者.
- 参与者被随机分配到ACT-IN加通常治疗 (TAU) 或时间/注意力匹配 (TAM) 支持条件加TAU.
- 在出院后4个月进行了评估,包括可行性,可接受性,治疗满意度,精神症状,功能,正念,痛苦和再住院的措施.
主要成果:
- ACT-IN是可行的,并由急性护理机构的前线工作人员忠实地交付.
- 在ACT-IN组的患者报告了显著更大的治疗满意度.
- 两组在精神症状,功能和正念方面都有相似的改善;然而,只有ACT-IN在痛苦中得到改善.
- 与TAM组相比,ACT-IN组在4个月内重新住院的风险明显降低 (3.76倍低).
结论:
- ACT-IN是精神病住院患者的可行和可接受的干预措施,由常规医院工作人员实施.
- 研究结果表明,ACT-IN与替代性支持疗法相比,可能导致重新住院率降低.
- 建议进行一项全面的随机对照实施试验,以进一步验证这些发现.
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