没有核心专业培训的青年精神卫生工作者提供青少年抑郁症的人际咨询:ICALM可行性RCT
Jon Wilson1,2, Viktoria Cestaro3, Eirini Charami-Roupa1
1Research and Development, Norfolk and Suffolk NHS Foundation Trust, Norwich, UK.
Health and social care delivery research
|December 14, 2024
概括
这项可行性试验发现,在非专业精神卫生服务中对青少年进行人际辅导的随机对照试验是不可行的. 挑战包括招聘,出席和COVID-19的干扰,尽管数据收集方法是合适的.
科学领域:
- 心理健康研究 心理健康研究
- 青少年心理学 青少年心理学
- 临床试验设计 临床试验设计
背景情况:
- 轻微的青少年抑郁症病例往往缺乏专业心理健康服务,导致来自非合格专业人员的支持.
- 早期的心理干预对于管理有限资源的需求至关重要.
研究的目的:
- 评估青少年人际辅导 (ICA) 试验程序的可行性和可接受性.
- 探索ICA交付与通常治疗 (TAU) 相比.
- 评估对照臂的污染情况以及ICA与TAU之间的潜在临床意义.
主要方法:
- 在13个非专业精神卫生服务中进行可行性随机对照试验 (RCT).
- 在ICA接受培训的非合格专业人员;参与者随机分配到ICA + TAU或仅TAU.
- 基线,第5,第10和第23周的评估包括健康经济学和过程评估.
主要成果:
- 可行性结果没有达到进步标准;招聘 (80%) 和出席率 (70%) 没有实现.
- 保持率高 (85.7%);健康经济措施表现良好. 对ICA原则的忠诚度为100%,没有对照臂的污染.
- 干预措施没有显示出临床上显著的差异,这是由于研究能力不足.
结论:
- 由于实施挑战,ICA在非专业服务中的RCT是不可行的.
- COVID-19,服务不熟悉,人员短缺和培训问题影响了试验的进行.
- 需要进一步努力,以提高在这些环境中进行RCT的可行性.
相关概念视频
Treatment Strategies for Psychological Disorders
89
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
89
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
Psychodynamic Therapy
56
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
56
Psychotherapy
76
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...
76
Modeling in Therapy
46
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
46
Depression: Overview
215
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
215


