在精神病重症监护室治疗禁忌思想:一个四阶段混合方法单个案例实验设计
Stephen Kellett1,2, Chris Gaskell3, Andy Keslake1
1Rotherham Doncaster and South Humber NHS Foundation Trust, UK.
Behavioural and cognitive psychotherapy
|May 2, 2024
概括
认知行为疗法在精神病重症监护室 (PICU) 的双相情感障碍患者中改善了平静和乐观的承诺. 然而,在放药后出现了复发,这凸显了需要在PICU中采取强有力的结果措施的需要.
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
- 心理健康研究 心理健康研究
背景情况:
- 在精神病重症监护室 (PICU) 中对心理干预的评估很少发生.
- 这项研究解决了在PICU设置中基于证据的心理护理的需求.
研究的目的:
- 评估认知行为疗法 (CBT) 对双相情感障碍患者入住PICU的侵入性禁忌思想的疗效.
- 评估CBT对自我伤害风险和整体心理状态的影响.
主要方法:
- 采用了四个阶段 (A,B,C,D) 和混合方法的单个案例实验设计.
- 分别在每天和关键时间点收集了异形和名字测量.
- 包括一个后续社区阶段和面试,以评估长期结果.
主要成果:
- 与基线相比,行为和认知干预改善了平静,乐观,并减少了反.
- 社会性表现出有限的改善,并在社区跟踪期间观察到复发.
- 参与者在后续采访中报告了与治疗有关的11个意想不到的,个人显著的变化.
结论:
- 单个病例方法通过不同的干预模块和护理途径有效地跟踪患者的进展.
- 对于评估心理护理的PICU,有必要制定强大的结果方法.
- 这些发现强调了CBT在急性精神病学环境中的潜力,同时表明了持续支持的重要性.
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