预测最佳治疗分配的认知分析引导的自助与认知行为引导的自助
Caroline Wojnarowski1, Melanie Simmonds-Buckley1,2, Stephen Kellett1,2
1University of Sheffield, Sheffield, UK.
The British journal of clinical psychology
|October 24, 2024
概括
使用患者优势指数 (PAI) 针对焦虑的个性化指导自助 (GSH) 显著改善了结果. 将患者与他们的最佳GSH相匹配,无论是认知分析疗法引导的自我帮助 (CAT-GSH) 还是认知行为疗法引导的自我帮助 (CBT-GSH),都会导致更好的焦虑减轻.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理健康干预 心理健康干预
背景情况:
- 低强度指导自助 (GSH) 干预措施在常规心理健康服务中得到广泛使用.
- 优化患者选择GSH可以提高组织效率和治疗效率.
- 确定哪些患者从特定的GSH类型中获益最多,对于有效的治疗匹配至关重要.
研究的目的:
- 定义患者特征,预测对两种不同类型的焦虑指导自助 (GSH) 的最佳反应.
- 通过识别认知分析疗法引导的自我帮助 (CAT-GSH) 和认知行为疗法引导的自我帮助 (CBT-GSH) 的成功预测因素,使未来的治疗匹配更好.
主要方法:
- 利用了来自患者偏好试验 (N=209) 的结果数据,比较CAT-GSH和CBT-GSH.
- 雇佣弹性网规范化和Boruta随机森林用于变量选择.
- 使用回归模型计算患者优势指数 (PAI),以确定每个患者最有效的GSH.
主要成果:
- 较低的基线抑郁和焦虑严重程度与两种GSH类型的更好的结果有关.
- 接受PAI指定的最佳GSH的患者显示可靠和临床显著的焦虑减轻率明显更高 (35.9%vs16.6%治疗后;36.6%vs19.2%随访).
- 没有一个患有大量PAI的患者在不接受最佳GSH时实现了可靠和临床显著的焦虑减轻.
结论:
- 治疗匹配算法,如PAI,显示了支持基于证据的GSH干预措施选择的潜力.
- 整合治疗选择与患者选择对于有效的心理健康护理至关重要.
- 需要使用更大,更平衡的样本进行未来的研究,以进一步调查PAI对GSH治疗匹配的研究.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.0K
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
9.7K
相关概念视频
Cognitive Therapy
146
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
146
Rational Emotive Behavior Therapy
43
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
43
Beck's Cognitive Therapy
39
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
39
Self-Help Support Groups
27
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
27
Treatment Strategies for Psychological Disorders
98
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
98
Group Design
8.9K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
8.9K
