在密集家庭治疗后利用精神病医院服务:非随机临床试验
Andreas Bechdolf1,2,3, Konstantinos Nikolaidis1,2, Sebastian von Peter4,5
1Department of Psychiatry, Psychotherapy, and Psychosomatics incorporating FRITZ am Urban and soulspace, Vivantes Hospital am Urban and Vivantes Hospital im Friedrichshain, Berlin, Germany.
JAMA network open
|November 15, 2024
概括
强化家庭治疗 (IHT) 与标准住院治疗 (IT) 相比,显著减少了精神病医院再入院和住院日数. 这表明IHT是急性精神病治疗的有效替代品.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 家庭治疗 (HT) 显示出减少再入院的希望,但对其对整体精神病医疗服务利用的影响的证据有限.
- 强化家庭治疗 (IHT) 在患者的住所提供每日急性精神病治疗.
- 住院治疗 (IT) 代表了急性精神病治疗的传统模式.
研究的目的:
- 为了比较密集的家庭治疗 (IHT) 与住院治疗 (IT) 在减少精神病再入院的有效性.
- 评估IHT与IT对社会和临床结果的影响.
- 评估IHT与整体精神病医院服务使用的相关性.
主要方法:
- 这是一项准实验性,非随机试验,涉及2020年至2022年德国10家精神病医院.
- 倾向性得分 (PS) 匹配被用来比较200名接受IHT的患者和200名接受IT的患者在12个月的随访中.
- 标准化仪器和常规医院数据被用于结果评估.
主要成果:
- 与IT组相比,接受IHT的患者的住院再接收率明显较低 (31.12%与49.74%相比).
- IHT与综合再入院率降低和住院日数减少有关 (平均差异为6.82天).
- 在社会人口和心理特征方面,IHT和IT组之间没有观察到显著的基线差异.
结论:
- 密集的家庭治疗 (IHT) 是一种可行的替代方案,用于住院治疗 (IT) 的急性精神病治疗.
- IHT显著降低了利用医院精神病医疗服务的可能性.
- 进一步的研究应该探索IHT的长期影响和成本效益.
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