干预在减少患者成年人感觉耻辱的有效性:一个随机对照试验
Kirandeep Kaur1, Gautam Sharma1, Rekha Dwivedi1
1From the Department of Neurology (K.K., R.D., B.R., M.T.), All India Institute of Medical Sciences, New Delhi; MEG Resource Facility (K.K.), National Brain Research Institute, Manesar; Centre for Integrative Medicine and Research (G.S., N.P., M.S.J., S.M.), Department of Cardiology (G.S.), Department of Neuropsychology (A.N.), Department of Biostatistics (A.D.U.), Department of Physiology (K.K.D.), and Department of Psychiatry (R.S.), All India Institute of Medical Sciences, New Delhi, India.
和心理教育显著减少了感觉的耻辱感,并改善了患者的控制. 这种干预也提高了生活质量,解决了神经精神病症状,为管理提供了整体的方法.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 综合医学是一个整体医学.
背景情况:
- 经常伴随着耻辱,焦虑和抑郁等并发症,对生活质量产生负面影响.
- 在资源有限的环境中,这些挑战往往被忽视.
- 为了解决这些未满足的需求,进行了一项随机对照试验 (RCT).
研究的目的:
- 评估和精神教育在减少患者感受到的耻辱的有效性.
- 评估这种干预对神经精神病的结果和发作频率的影响,与假冒干预相比.
主要方法:
- 一个评估者盲目的,假控制的RCT,涉及160名患有的成年患者.
- 参与者接受了疗法加上精神教育或假疗法加上精神教育3个月.
- 结果包括感觉的耻辱感 (Kilifi耻辱度表),发作频率和生活质量在基线,3个月和6个月被评估.
主要成果:
- 与对照组相比,干预组显示感觉的耻辱感显著减少 (p=0.006).
- 在干预手臂中观察到明显更高的减率 (>50%) 和完全缓解率 (分别为p=0.01和p=0.005).
- 在干预组中,人们注意到焦虑,认知障碍,正念和生活质量的改善.
结论:
- 疗法与精神教育相结合,是减轻症负担的有效策略.
- 这种干预成功地减少了感知到的耻辱感,并提高了患者的整体生活质量.
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