测量治疗对药物使用的影响:数据链接研究
Julie-Ann Jordan1, Adam Elliott1, David Mongan2
1IMPACT Research Centre, Northern Health and Social Care Trust (HSCT), Northern Ireland.
The British journal of psychiatry : the journal of mental science
|October 18, 2023
概括
接受心理治疗的患者在治疗前更有可能使用抗精神病药物. 然而,那些治疗后改善的人更有可能停止服用抗焦虑药物,而抗抑郁药的使用保持不变.
科学领域:
- 心理健康研究 心理健康研究
- 医疗保健服务研究 医疗服务研究
- 心理药理学 心理药理学
背景情况:
- 心理治疗服务 (PTS) 经常收集中度至重度精神健康问题的成年人的心理测量结果数据.
- 由于潜在的患者和治疗师负担,目前的结果数据库无法完全捕捉治疗的更广泛影响.
- 这项研究开创了数据链接的使用,将患者治疗结果与处方数据联系起来.
研究的目的:
- 为了调查患者在接受心理治疗之前和之后的药物使用模式.
- 了解治疗结果与心理药物处方变化之间的关系.
主要方法:
- 从心理治疗服务 - 常规结果测量数据库 (n=3625) 的数据与使用健康和护理号码的增强处方数据库 (EPD) 进行了链接.
- 包括72,500个对照个体进行比较分析.
- 使用来自诚实经纪人服务的数据来增强处方数据库.
主要成果:
- 与对照人群相比,PTS患者在治疗前一年使用抗精神病药物的几率是治疗前一年的25倍 (OR = 24.53).
- 临床改善的PTS患者在出院后的第一年更有可能停止服用抗焦虑药物,而不是非参与者或非改善者 (OR = 0.61).
- 心理治疗对抗抑郁药处方率没有显著影响.
结论:
- 研究结果强调,在接受心理治疗的人群中,治疗前大量依赖抗精神病药物.
- 成功完成治疗与持续使用抗焦虑药物的可能性降低相关.
- 强调需要加强治疗服务,全科医生和精神病学之间的合作,以优化治疗期间和治疗后的药物管理和分阶段减少策略.
相关概念视频
Drug Therapy
47
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
47
Modeling in Therapy
92
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
92
Pharmacovigilance
860
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
860
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K
Drug Administration and Therapy Phases: Overview
486
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
486
Elements Crucial for Effective Psychotherapy
47
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
47


