双重诊断的精神病住院患者的应急管理
Lise Docx1,2, Marianne Destoop1,2, Geert Dom1,2
1Multiversum, 2530 Boechout, Belgium.
概括
应急管理 (CM) 在住院诊断的双重诊断的精神病患者中没有改善禁欲. 现金和奖品都同样有效,这表明CM可能不适合这个群体.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 行为健康 行为健康
背景情况:
- 应急管理 (CM) 是一种基于证据的药物滥用干预措施.
- 在双重诊断的精神病患者中,特别是在住院治疗中,它的有效性仍未得到充分研究.
研究的目的:
- 评估CM对在住院环境下双重诊断患有精神病的患者的疗效.
- 在CM中,比较现金与奖励奖励的有效性.
主要方法:
- 一个为期8周的鱼碗CM干预,使用主体内逆转设计 (基线干预后续).
- 招募了67名患者;34人完成了该方案.
主要成果:
- 应急管理对戒断率没有显著影响.
- 没有观察到CM疗效与临床或人口统计学变量之间的相互作用.
- 现金奖励被发现与奖励奖励一样有效.
结论:
- 应急管理可能无法有效地促进双重诊断的精神病患者在住院环境中的禁欲.
- 未来的研究应该探索精神病和治疗设置对CM疗效的影响,并纳入患者报告的结果.
更多相关视频
相关概念视频
Mania and Antimanic Drugs: Overview
172
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
172
Psychosis: Goals of Pharmacotherapy
123
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
123
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Methods of Documentation VI: Case Management Model
569
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
569
Psychosis and Antipsychotic Drugs: Overview
236
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
236
Psychological and Sociocultural Causes of Schizophrenia
83
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
83


