探讨注意力缺陷/多动障碍成年人治疗坚持,治疗接受度和临床结果之间的关系:来自COMPAS多中心随机对照试验的结果
Carlos López-Pinar1,2, Helena Rosen3, Benjamin Selaskowski3
1Departments of Basic Psychology and Psychobiology, University of Valencia, Valencia, Spain.
Psychotherapy and psychosomatics
|December 24, 2023
概括
辩证行为疗法 (DBT) 对成年ADHD有效,有良好的会议出席率和定期使用技能. 解决技能坚持是最大限度地改善ADHD患者治疗的关键.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 认知行为疗法 (CBT) 和辩证行为疗法 (DBT) 对成人多动症有希望.
- 患者遵守治疗技巧,而不仅仅是会话出席,至关重要,但研究不足.
- 感知治疗有效性,坚持和临床结果之间的联系需要进一步研究.
研究的目的:
- 评估成年ADHD患者的治疗可接受性和坚持性.
- 检查这些因素与治疗结果之间的关系.
- 为了比较基于DBT的干预与安慰剂/非特异性治疗,有或没有甲基化物.
主要方法:
- 这是一项随机对照试验,涉及433名成人多动症患者.
- 评估治疗的有效性,会议出席率和自我报告的技能坚持.
- 统计分析包括描述性,跨组和线性混合模型.
主要成果:
- 心理治疗被评为中度有效,会议出席率高 (78.40-94.37%) 和定期使用技能 (体育,正念最受欢迎).
- 与安慰剂/非特定组相比,DBT和甲基胺组报告了更好的健康和药物有效性.
- 治疗可接受性和主观坚持与ADHD症状和临床结果的改善有显著的相关性.
结论:
- DBT是成年ADHD的可接受和有效治疗方法.
- 提高对治疗技能的坚持对于优化临床结果至关重要.
- 进一步的研究可能会从前性评估中受益.
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