在精神病治疗期间经历强迫的途径:网络分析
Benedetta Silva1,2, Stéphane Morandi3,4, Mizue Bachelard3
1Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. benedetta.silva@chuv.ch.
BMC psychiatry
|August 2, 2024
概括
仅仅减少正式的胁迫是不足以减少患者在心理健康护理中被强迫的感觉. 干预措施必须解决患者参与决策和工作人员互动等因素,以有效地减少经历过的胁迫.
科学领域:
- 精神病学是一个精神病学.
- 心理健康护理 心理健康护理
- 患者体验 患者体验
背景情况:
- 经历强迫或感知强迫是一种患者被强迫的主观感觉.
- 除了正式的胁迫之外,其他因素也会影响这种体验.
- 了解这些相互作用因素对于改善心理健康护理至关重要.
研究的目的:
- 探索促使人们经历强迫的因素的相互作用.
- 提供关于精神病学环境中经验强迫的发展的见解.
主要方法:
- 对225名精神病患者的数据进行横截面网络分析.
- 高斯图形模型 (GGM) 与EBIC玻璃正规化.
- 分析了13个变量,包括网络稳定性的中心性指数.
主要成果:
- 网络分析显示了一个密集连接的结构.
- 正式的胁迫与经验强迫的联系很弱.
- 患者对决策的感知影响,羞辱和与工作人员的分离感觉是影响经历强迫的关键因素.
结论:
- 仅仅减少正式的胁迫是不足以缓解经历过的胁迫.
- 干预措施应考虑影响患者体验的特定阶段因素.
- 建议制定针对决策参与和人际关系动态的量身定制策略.
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