认知行为疗法培训计划对家庭医生实践的影响:挪威的横截面研究
Ole R Haavet1, Kristin S Myhrer2, Nick Kates3
1Professor Emeritus in the Department of General Practice, Institute of Health and Society, at the University of Oslo in Norway.
Canadian family physician Medecin de famille canadien
|November 14, 2023
概括
家庭医生在经过一年的培训课程后广泛采用认知行为疗法 (CBT) 工具和策略. 这种全面的CBT培训也减少了转诊到专业精神卫生保健的情况.
科学领域:
- 精神病学和行为科学
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知行为疗法 (CBT) 是一种公认的心理治疗方法.
- 将CBT整合到初级保健机构可以改善对心理健康服务的可访问性.
- 家庭医生 (FP) 在管理常见的心理健康状况方面发挥着至关重要的作用.
研究的目的:
- 评估一年的综合性CBT培训课程对FP临床实践的影响.
- 评估FP自我报告使用CBT技术和转诊模式的变化.
主要方法:
- 一项涉及挪威124名FP的横截面研究,他们完成了为期一年的CBT培训课程.
- 采用CBT工具的采用情况,工作组织的变化以及结构化CBT咨询的频率的调查数据.
- 对接受CBT的患者群体的分析以及与转诊减少相关的因素.
主要成果:
- 99.2%的FP报告说,在培训后每天使用CBT工具.
- 超过75%的人修改了他们的工作日,每月使用结构化的CBT咨询.
- 法国医生通常治疗轻度/中度抑郁症和焦虑症患者.
- 特定的CBT技术 (苏格拉底式询问,咨询摘要) 和复习课程与更少的转诊有关.
结论:
- 综合性CBT培训有效地促进CBT工具和策略在家庭实践中的整合.
- 这种培训似乎减少了对专门心理健康护理的转诊的需求.
- 需要进一步的研究,包括随机对照试验,以确认患者的结果.
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