对于患有主要焦虑问题的青少年,通常的临床护理内容
Bryce D McLeod1, Stephanie Violante2, Erica Ross3
1Department of Psychology, Virginia Commonwealth University, 806 W. Franklin Street, PO Box 842018, Richmond, VA, 23284-2018, USA. bmcleod@vcu.edu.
Administration and policy in mental health
|April 18, 2024
概括
治疗青少年焦虑症的临床医生在社区心理健康中心使用了低到中等强度的多种治疗技术. 在这两种研究样本中,治疗方法有所不同,这表明儿童焦虑障碍的通常护理方式有所不同.
科学领域:
- 临床心理学 临床心理学
- 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 年轻人中主要的焦虑问题很普遍,需要有效的社区精神健康干预措施.
- 了解常规的临床护理对于提高治疗疗效和指导基于证据的实践至关重要.
- 儿童心理治疗的治疗过程观察编码系统 - 修订策略尺度 (TPOCS-RS) 评估了五个领域的治疗技术.
研究的目的:
- 描述在社区精神卫生机构中为患有主要焦虑问题的青少年提供通常的临床护理.
- 分析日常护理中使用的治疗技术的范围,频率和剂量.
- 为了比较两个不同的随机有效性试验之间的治疗过程变化.
主要方法:
- 利用观察者评级的TPOCS-RS编码来自两个随机试验的403次治疗:青少年焦虑研究 (YAS) 和儿童STEPS多站点试验.
- 包括患有主要焦虑症的年轻人 (平均年龄~10岁) 和来自社区心理健康中心的临床医生.
- 分析了每次会议观察到的TPOCS-RS项目的数量,技术的复发率和7点级别的剂量.
主要成果:
- 临床医生采用了来自多个理论领域的各种技术,平均每次会议使用超过10个TPOCS-RS项目.
- 大多数观察到的技术每例至少发生一次,并在会议中重复出现,表明一致的使用.
- 所有观察到的技术的剂量一般为低到中 (在7点级别上低于5),在YAS和Child STEPS样本之间存在差异.
结论:
- 社区心理健康临床医生在治疗青少年焦虑时使用广泛的治疗策略.
- 在通常的护理环境中,技术应用的强度主要是低到中等的.
- 在不同常规护理样本中,治疗技术的类型和剂量存在显著差异.
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