在基于认知行为疗法 (CBT) 的干预中,参与会议间工作的预测因素:混合方法系统审查和"最适合"框架综合
Mia Bennion1, Karina Lovell1, Amy Blakemore1
1Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
Cognitive behaviour therapy
|July 9, 2024
概括
患者对治疗任务的信念和从业人员在指导会议间工作 (BSW) 中的技能预测了认知行为疗法 (CBT) 的参与. 会议期间患者的耐药性表明他们脱离了BSW.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 在认知行为疗法 (CBT) 中,会议间工作 (BSW) 对于将治疗技能转化为日常生活变化至关重要.
- 患者与BSW的接触对于治疗成功至关重要,但完成任务的挑战是常见的.
- 影响患者与BSW接触的因素仍然不太清楚.
研究的目的:
- 在CBT干预中系统地审查和综合有关BSW参与预测因素的证据.
- 开发一个概念模型,确定影响患者参与会议间任务的因素.
主要方法:
- 采用了混合方法系统审查和"最适合"框架综合.
- 通过对五个数据库进行搜索,确定了59项符合条件的研究.
- 使用理论和经验证据的综合方法被用来合成发现.
主要成果:
- 确定了10个BSW参与的预测主题,包括个人,关系和上下文因素.
- 患者对BSW的积极信念和感知到的帮助与更大的参与有关.
- 实践者在规划,审查和解决BSW困难方面的能力预测了更高的参与度.
- 患者在会话中的抵抗,例如反变化谈话,与从BSW中解脱联系在一起.
- 患者症状,社会文化环境,从业者的信仰和治疗关系的影响需要进一步调查.
结论:
- 积极的患者信念和有效的从业者支持在规划和审查BSW是提高参与度的关键.
- 患者在治疗期间的耐药性可能是未来脱离会议间任务的信号.
- 提出的概念模型为未来的研究和临床实践准则提供了一个框架,以改善BSW对CBT的参与.
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