改善对常见精神障碍心理治疗的坚持的干预措施:系统性审查
Bijayalaxmi Biswal1, Yashi Gandhi2, Daisy R Singla3
1Addictions and Related Research Group, Sangath, India.
Global mental health (Cambridge, England)
|October 28, 2024
概括
像提醒和激励面试这样的干预措施显著改善了患者对常见精神障碍的心理治疗的坚持. 这些策略提高了会议出席率,并可以带来更好的心理健康结果.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 患者遵守心理治疗对于管理常见精神障碍至关重要.
- 坚持的变化可能会阻碍治疗的有效性和患者的结果.
- 需要基于证据的策略来改善遵守.
研究的目的:
- 系统地审查和综合有关旨在改善患者遵守心理治疗的干预措施的证据.
- 确定有效的策略,以加强参与心理健康护理.
- 探索坚持干预措施对临床和福祉结果的影响.
主要方法:
- 在六个电子数据库中进行了系统的文献搜索.
- 研究的重点是常见的精神障碍,坚持,心理治疗和受控试验设计.
- 由于异质性,采用了叙事合成;使用Cochrane工具评估了偏差风险.
主要成果:
- 包括23项涉及2779名参与者的研究,所有来自高收入或中高收入国家.
- 干预措施包括提醒,会议间参与,激励面试,治疗方向和病例管理.
- 十八项研究 (18/23) 成功改善了坚持结果 (例如,会议出席);一些也改善了临床或福祉措施.
结论:
- 有针对性的干预措施可以有效地提高患者对心理治疗的坚持.
- 提醒和激励面试等策略在提高参与度方面显示出有希望.
- 将这些干预措施整合到服务中可以改善患者的治疗结果和整体幸福感.
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