挪威为期两年的坚定的社区治疗的临床结果和结果预测因素:一项探索性的前后研究
Torleif Ruud1,2, Maria Lie Selle3, Hanne K Clausen4,5
1Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway. torleif.ruud@medisin.uio.no.
BMC psychiatry
|October 25, 2024
概括
坚定的社区治疗 (ACT) 显著改善了严重精神疾病患者的心理健康结果. 这项在挪威进行的为期两年的研究表明,症状减少,功能和社区任职时间增加.
科学领域:
- 心理健康研究 心理健康研究
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 强有力的社区治疗 (ACT) 是高收入国家严重精神疾病的关键干预措施.
- 了解挪威的ACT结果对于服务发展至关重要.
- 这项研究解决了对挪威ACT结果数据的需求.
研究的目的:
- 评估挪威ACT团队的临床结果.
- 探索患者/治疗特征和结果之间的关联.
- 调查不同ACT团队的结果的变化.
主要方法:
- 在两年内对142名患者进行的探索性,前性,前后多中心研究.
- 主要结局:临床医生评估的精神病症状变化.
- 二次结果:运作,参与,社区持有,以及ACT模式的忠实性.
主要成果:
- 观察到精神症状 (消极,焦虑,抑郁,兴奋) 的显著减少.
- 功能,参与和社区任期显著增加.
- 患者/治疗因素和团队忠诚度与症状和功能结果有关.
结论:
- 两年的ACT证明了精神病症状,功能,参与和社区任期的显著积极结果.
- 预测因素和团队层面的变化影响了结果.
- 长期的ACT可能会带来更大的改善.
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