对迫害妄想的理论驱动的心理治疗:患者结果的轨迹
Lucy Jenner1,2, Mollie Payne1, Felicity Waite2,3
1Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Psychological medicine
|November 18, 2024
概括
患有迫害妄想的患者对心理治疗的反应各不相同. 确定了四个结果轨迹,其中的预测因素包括对他人的信念,期望和信念,告知潜在的治疗益处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 专家心理治疗用于精神病,特别是迫害妄想.
- 了解患者对治疗的反应对于管理期望和识别益处预测因素至关重要.
研究的目的:
- 为了确定患有精神病的患者接受心理治疗的迫害妄想的共同结果轨迹.
- 确定不同治疗结果的预测因素.
主要方法:
- 从64名接受为期6个月的心理干预 (感觉安全) 的患者的幻觉定罪数据的潜阶级轨迹分析.
- 通过独立评估和六个月的随访来验证轨迹.
- 测试预测因素,包括初始妄想的严重程度,治疗期望和对他人的信仰.
主要成果:
- 确定了四种不同的结果轨迹:小改善,大改善,中度改善和大改善,每个患者的百分比不同.
- 在轨迹组之间没有观察到初始整体错觉严重性的显著差异.
- 迫害的妄想定罪,治疗期望和对他人的积极信念预测了所识别的轨迹.
结论:
- 患者对针对迫害妄想的心理治疗的反应是可变的.
- 具有非常高的妄想信念的患者可以做出很好的反应,尽管可能需要更长的时间,而高的信念可以降低积极结果的可能性.
- 一种轨迹方法可能具有信息性,但需要在更大的数据集中进行验证.
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