不适合所有人:影响谁接受多发性硬化症患者心理治疗的因素
David E Freedman1, Jiwon Oh2, Anthony Feinstein1
1Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada.
Multiple sclerosis and related disorders
|January 7, 2025
概括
对于患有多发性硬化症 (pwMS) 的人来说,心理治疗的机会是有限的. 较高的神经障碍和较长的疾病持续时间预测pwMS中心理治疗的使用率较低.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床神经学 临床神经学
背景情况:
- 抑郁和焦虑在患有多发性硬化症 (pwMS) 的人中很普遍.
- 对于pwMS来说,获得心理治疗服务的机会往往受到限制.
- 了解影响治疗利用的因素对于改善护理至关重要.
研究的目的:
- 确定pwMS中心理治疗利用的临床预测因素.
- 为提高pwMS获得非药物精神健康治疗的机会制定战略.
主要方法:
- 在第三级神经精神病学诊所对267名pwMS的回顾性图表审查.
- 分析包括人口统计,疾病特征 (EDSS,亚型,持续时间),症状得分 (焦虑,抑郁,疲劳) 和药物使用.
- 反向渐进后勤回归确定了心理治疗使用的显著预测因素 (p<.05).
主要成果:
- 22.47%的pwMS患者接受了心理治疗.
- 增加扩展残疾状况尺度 (EDSS) 的得分预测了心理治疗使用量的减少 (OR=0.74,p=.02).
- 疾病持续时间延长也预测了心理治疗使用量的减少 (OR=0.94,p=.03).
结论:
- 神经障碍和疾病持续时间是影响pwMS中心理治疗使用的重要因素.
- 需要进一步的研究来了解这些关联的根本原因.
- 调查结果强调需要解决障碍,并扩大pwMS的心理治疗机会.
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