预测初级保健中的可靠改善 青少年心理健康
Jeff Moore1, Elizabeth Doyle1, Eleanor Carey1
1Jigsaw: The National Centre for Youth Mental Health, Dublin, Ireland.
Early intervention in psychiatry
|January 14, 2025
概括
早期干预服务对患有高危情绪的年轻人是有效的. 尽量减少等待时间至关重要,特别是对于年轻的青少年来说,以改善心理健康结果.
科学领域:
- 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 在日益严重的危机中,青少年心理健康服务至关重要.
- 了解预测早期干预结果的因素是提高疗效的关键.
- 目前关于青少年心理健康服务预测因素的知识不足.
研究的目的:
- 调查与年轻人可靠改善相关的个人和服务相关因素.
- 分析了从4565名12-25岁的个人获取简短的初级保健青年谈话治疗的数据.
- 检查14个不同服务站点的结果.
主要方法:
- 使用常规评估 (YP-CORE和CORE-10) 措施的临床结果来评估可靠的改善.
- 收集了基线和后续数据以跟踪进展.
- 普森回归分析确定了与可靠改善相关的因素.
主要成果:
- 较高的初始应急水平强烈预测了更大的可靠改善 (调整后的风险比率235.7-415.1,p < 0.001).
- 延长的等待时间 (>60天) 对12至16岁的结果产生了负面影响 (调整后风险比率 = 89.2,p < 0.01),但对17至25岁的结果没有负面影响.
- 参加九次或更多的治疗会话与可靠改善的可能性较低有关.
结论:
- 尽量减少等待时间对于提高青少年心理健康早期干预的有效性至关重要.
- 定制方法对于优化社区服务的结果至关重要.
- 解决等待时间和服务提供问题可以改善年轻人的心理健康.
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