混合心理治疗严重精神疾病的可行性,坚持性和有效性:范围审查
Yamina Ehrt-Schäfer1,2, Milan Rusmir1, Johannes Vetter1,2
1Department of Psychology, University of Zurich, Zurich, Switzerland.
JMIR mental health
|December 26, 2023
概括
混合心理治疗 (bPT) 对严重精神疾病 (SMIs) 有希望,但需要更多的研究. 这次审查发现了可行性和潜在的遵守益处的初步证据,尽管有效性数据有限.
科学领域:
- 心理健康研究 心理健康研究
- 数字健康干预措施 数字健康干预措施
- 心理治疗整合 心理治疗整合
背景情况:
- 混合心理治疗 (bPT) 将面对面治疗与数字工具相结合.
- 对于各种心理健康状况,bPT已被证明是有效的,主要是在功能较高的患者中.
- 对于患有严重精神疾病 (SMIs) 的个人,关于bPT的数据有限.
研究的目的:
- 对bPT在SMI患者的可行性,坚持性和有效性进行范围审查.
- 综合当前关于针对中小规模感染群体量身定制的bPT干预措施的证据.
- 发现研究中的差距,并为临床实施策略提供信息.
主要方法:
- 在主要数据库 (PubMed,MEDLINE,Embase,PsycINFO,PsycArticles) 进行系统搜索,遵循PRISMA-ScR指南.
- 包括25项涉及23项bPT干预和2554名SMI患者的研究.
- 对干预格式,研究设计,可行性,坚持性和有效性数据的分析.
主要成果:
- 初步证据表明,bPT可用于SMI治疗.
- 磨损率从0%到37%不等,表明潜在的坚持效益.
- 有效性的有限和普遍证据;在15项受控试验中,有4项发现bPT有效,但方法上存在差异.
结论:
- bPT为严重精神疾病提供了一个有前途的治疗途径.
- 为了确定SMI的最终有效性,进一步严格的研究是必不可少的.
- 讨论了临床实施的考虑和未来的研究方向.
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