接受和承诺治疗对主要精神病患者中精神病严重性的有效性:随机对照试验
Mohamed Ali Zoromba1,2, Linda Sefouhi3, Atallah Alenezi4
1College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
International journal of mental health nursing
|July 22, 2024
概括
与通常治疗相比,接受和承诺疗法 (ACT) 显著降低了精神病症状,改善了初级精神病患者的情绪调节,恢复和心理灵活性. 在复杂的条件下,ACT提供了一种有希望的方法来提高心理健康结果.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 初级精神病在症状管理和患者康复方面存在重大挑战.
- 情绪失调和心理灵活性降低在患有精神病的人群中很常见.
- 现有的治疗方法往往需要增强,以改善综合患者的治疗结果.
研究的目的:
- 评估接受和承诺疗法 (ACT) 与通常治疗 (TAU) 在管理精神病症状中的有效性.
- 评估ACT对初级精神病患者情绪失调,恢复和心理灵活性的影响.
- 确定ACT整合是否能在复杂的心理健康状况下提高治疗结果.
主要方法:
- 进行了一项开放式,双臂并行随机对照试验.
- 患有初级精神病的参与者 (n=65) 被随机分配到ACT (n=33) 或TAU (n=32) 组.
- 该干预涉及六个结构化的ACT会议,结果使用积极和消极综合征量表,情绪调节困难量表,恢复评估量表以及接受和行动问卷进行评估.
主要成果:
- 与TAU (130至117) 相比,ACT显著减少了精神病症状 (128至104).
- 在ACT组 (73到55) 与TAU (73到70) 相比,情绪调节显著改善.
- 康复 (50至88对比51至61) 和心理灵活性 (33至25对比33至31) 也显示了ACT的显著改善.
结论:
- 接受和承诺疗法 (ACT) 有效地减少精神病症状,增强情绪调节,恢复和心理灵活性在患有初级精神病的患者.
- 将ACT纳入标准护理方案可以改善复杂心理健康状况患者的治疗结果.
- 在精神疾病中,ACT提供了一种有价值的治疗选择,用于改善精神疾病患者幸福感的多方面的方面.
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