由医学学生实习生提供抑郁症和焦虑症认知行为疗法
Samuel K Powell1, Randal A Serafini2, Justin J Frere2
1Icahn School of Medicine at Mount Sinai, New York, NY, USA. Samuel.Powell@icahn.mssm.edu.
概括
接受认知行为疗法 (CBT) 培训的医学学生为没有保险的抑郁和焦虑患者提供了有效的治疗. 这一创新计划展示了实习生在扩大精神卫生保健服务的潜力.
科学领域:
- 医学教育 医学教育
- 心理治疗研究 心理治疗研究
- 心理健康服务 心理健康服务
背景情况:
- 对于有心理健康状况的未保险个人来说,对心理治疗的访问有限.
- 需要为医学学生提供基于证据的治疗方法的创新培训模式.
研究的目的:
- 为了评估一个教育计划培训医学学生的认知行为疗法 (CBT).
- 评估由受监督的医学学生向没有保险的患者提供CBT的有效性.
- 检查患者的结果和实习生在CBT中的能力.
主要方法:
- 医学学生接受了教学性CBT培训,并为患者提供监督CBT.
- 认知治疗意识尺度评估知识;监督者检查清单评估能力.
- 混合效应ANOVA和回归建模分析了患者症状严重程度的变化.
- 心理治疗反问卷收集了患者和实习生的反.
主要成果:
- 医学学生表现出更多的CBT知识和令人满意的临床能力.
- 作为通常治疗 (TAU) 的CBT补充改善了抑郁症状,而不是焦虑症状.
- 在TAU + CBT组中,CBT会话数与焦虑症状改善相关.
- 患者报告了积极的反和改善的心理社会功能.
结论:
- 医学学生可以有能力地为抑郁和焦虑提供有益的CBT.
- 研究结果支持将医学学生纳入为服务不足的人群提供心理治疗的过程.
- 这种模式增强了医疗培训,并弥补了心理健康护理获取方面的差距.
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