针对精神病症状的急性住院患者的元认知变化机制:模块化小组干预的可行性和可接受性
Eva Gussmann1, Christoph Lindner2, Susanne Lucae2,3
1Max Planck Institute of Psychiatry, Munich, Germany. eva_gussmann@psych.mpg.de.
European archives of psychiatry and clinical neuroscience
|September 23, 2023
概括
对于急性住院患者来说,一种新的精神病群体干预是可行的和可以接受的. 这种超认知疗法在减少症状和痛苦方面表现有前途,需要在随机对照试验中进一步研究.
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
- 认知行为疗法是认知行为疗法.
背景情况:
- 针对元认知变化机制的心理干预对精神病有很大的希望.
- 很少有研究将这些干预措施适用于急性住院患者的环境.
研究的目的:
- 评估一种针对急性精神病的新型模块化小组干预措施的可行性,可接受性和初步临床结果.
- 该干预旨在通过增强认知洞察力和通过认知缓解痛苦来减少急性症状.
主要方法:
- 一个37名患有急性精神病的参与者的样本接受了多达9次会议.
- 通过招聘,保留和出席率 (基准:80%) 评估可行性.
- 通过反问卷和采访探索了可接受性;临床结果和变化机制在干预前后被评估.
主要成果:
- 符合可行性基准,招聘,留住和出席率超过80%.
- 干预得到了好评,参与者报告了清晰的结构,积极的氛围和有帮助的内容.
- 在所有临床结果中观察到显著的中大时间效应,包括减少精神病理学,精神病症状和痛苦,以及增加认知洞察力和减少认知融合.
结论:
- 这种模块化小组干预对于患有精神病的急性住院患者来说是可行的和可以接受的.
- 初步的临床结果和假设机制的变化表明潜在的治疗益处.
- 随机对照试验的进一步调查是有必要的,以证实这些发现.
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