在有自杀念头的成年人中,药物治疗和心理治疗的感知有用性
Mathilde M Husky1, Christophe Léon2, Enguerrand du Roscoät2,3
1Bordeaux Population Health Research Center, ACTIVE Team, INSERM U1219, Université de Bordeaux, Bordeaux, France.
概括
在法国,大多数有自杀念头的成年人认为药物有帮助. 然而,那些患有严重抑郁症的人发现药物更有帮助,而最近的自杀企图减少了感知到的帮助.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 自杀念头影响了成年人口的很大一部分.
- 了解治疗的有用性对于改善心理健康护理结果至关重要.
研究的目的:
- 调查药物治疗和心理治疗对有自杀念头的成年人有所帮助的感知.
- 在法国国家样本中确定与这些治疗方法的感知有效性相关的因素.
主要方法:
- 分析了2017年健康晴雨表数据,这是法国对25,319名成年人进行的一项全国性代表性调查.
- 后勤回归模型被用来检查影响药物 (n=590) 和心理治疗 (n=247) 在过去一年报告自杀念头的个体中感知到的帮助因素.
主要成果:
- 很高的百分比 (80.4%) 发现药物有帮助,56.5%的人认为心理治疗非常有帮助.
- 重度抑郁症与药物的感知效益更高有关 (AOR=2.18).
- 最近的自杀企图与较低的感知药物有用性相关 (AOR=0.42),而接受心理治疗增加了感知药物有用性 (AOR=1.89).
结论:
- 在法国,药物通常被认为有助于自杀念头.
- 治疗的感知效益受到特定条件的影响,例如严重抑郁症和之前的自杀企图.
- 需要进一步的研究来探索心理治疗类型和充分性对治疗感知的影响.
相关概念视频
Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39
Elements Crucial for Effective Psychotherapy
34
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
34
Psychotherapy
77
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
77
Psychosis: Goals of Pharmacotherapy
104
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
104
Antidepressant Drugs: MAOIs and Other Agents
196
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
196
Interpersonal Psychotherapy
22
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
22


