使用个性化优势指数来确定哪些退伍军人可能受益于更全面或更少的强化PTSD治疗计划
Philip Held1, Emily Patton1, Sarah A Pridgen1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
European journal of psychotraumatology
|November 27, 2023
概括
强化PTSD治疗计划 (ITP) 的长度和服务各不相同. 一个机器学习模型发现,大多数患有PTSD的退伍军人从或多或少全面的ITPs中获得了类似的好处,这表明更短的程序是有效的.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 机器学习在医疗保健中的应用
- 临床心理学 临床心理学
背景情况:
- 强化创伤后应激障碍治疗计划 (ITP) 是有效的,但在持续时间和辅助服务方面有所不同.
- 了解个体对ITP综合性的不同治疗反应至关重要.
- 目前存在关于基于ITP强度的差异性结果的知识差距.
研究的目的:
- 开发和验证一种机器学习模型,即个性化优势指数 (PAI).
- 预测个体对更全面的ITP和更不全面的ITP的治疗反应.
- 利用临床和人口因素为个性化的ITP建议.
主要方法:
- 在747名被诊断患有PTSD的退伍军人身上开发并测试了PAI.
- 对比了3周 (更全面) 和2周 (不那么全面) ITP之间的结果.
- 使用DSM-5的PTSD检查清单进行症状变化评估.
主要成果:
- 大约12.32%的参与者表现出对ITP强度的预测差异反应.
- 对于前25%的PAI得分,最佳和非最佳方案之间的症状变化效应大小是d=0.35.
- 对于大多数人来说,预测结果没有实质性的差异.
结论:
- 少数个人可能会从特定的ITP强度中获益更多.
- 对于大多数患有PTSD的人来说,不那么全面,更具经济可持续性的ITP似乎是有效的.
- PAI模型显示了在PTSD护理中指导个性化治疗选择的潜力.
关键词:
认知处理疗法是一种认知处理疗法.创伤后应激障碍 (PTSD) 是一种个性化优势指数个性化优势指数认知处理疗法 认知处理疗法创伤后应激障碍是一种创伤后应激障碍.进行密集治疗治疗.按摩治疗 按摩治疗选择治疗方法的选择强化治疗 强化治疗大规模的治疗.治疗选择,治疗选择.退伍军人 退伍军人 退伍军人退伍军人的退伍军人个性化的销售指数.认知加工疗法;强化治疗;集中治疗;治疗选择;个性化优势指数;退伍军人;PTSD.更多相关视频
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