患者和治疗师对标准化群体认知行为疗法的经验:需要个性化方法
Jasmin Rejaye Gryesten1,2, Stig Poulsen3, Christian Moltu4,5
1Psychiatric Research Unit, Copenhagen University Hospital - Psychiatry Region Zealand, Slagelse, Denmark. jgry@regionsjaelland.dk.
Administration and policy in mental health
|September 23, 2023
概括
标准化的群体认知行为疗法 (CBT) 与个性化作斗争. 患者有不同的需求,如个人关注和心理探索,必须解决有效治疗.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
背景情况:
- 标准化的群体认知行为疗法 (CBT) 协议在针对不同患者需求的个性化治疗方面存在挑战.
- 在结构化集团环境中适应个人偏好是复杂的.
- 常规结果监测 (ROM) 和反被整合到组CBT中.
研究的目的:
- 在标准化团体CBT中检查患者和治疗师的经验.
- 为了确定患者的需求,标准的群体CBT协议无法满足.
- 探索未满足的需求如何为没有改善的患者提供额外的干预措施.
主要方法:
- 对被诊断患有抑郁症的患者及其治疗师进行了21次深入的个人采访.
- 采用解说-现象学主题分析来分析采访数据.
- 确定了代表小组CBT期间患者需求的关键主题.
主要成果:
- 确定了五个不同的患者需求:个人关注,心理探索,关注治疗之外的生活,扩展评估和同意治疗任务.
- 未满足的患者需求可能会对小组CBT的整体体验和有效性产生负面影响.
- 一种"适合所有人"的方法不足以优化心理治疗结果.
结论:
- 个性化心理治疗至关重要,因为患者在群体CBT中没有进展时表现出各种需求.
- 通过补充个体会议来承认和解决独特的患者需求,可以增强小组心理治疗的好处.
- 根据个体患者的需求量身定制干预措施对于最大限度地提高治疗成功至关重要.
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