当前临床杆的患病率和与门诊和社区精神病学环境中的强迫感相关:加拿大首次进行的研究
Arash Nakhost1, Frank Sirotich1, Alexander I F Simpson2,3
1Canadian Mental Health Association (CMHA), Toronto Branch, Assistant Professor (Status Only) Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Community mental health journal
|January 15, 2025
概括
临床杆,利用财务或家庭因素,在心理健康护理中很常见. 这种做法与强迫感的增加有关,可能会损害患者的结果和治疗关系.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床杆在精神病学环境中经常被使用,尽管临床医生意识到它们具有争议性.
- 临床医生经常认为这些杆是有用的,相对无害的.
- 强迫的感知被认为对治疗联盟和临床结果有害.
研究的目的:
- 评估加拿大精神病医院患者中临床杆体验的流行程度.
- 检查临床杆和强制感知之间的关联.
- 了解临床杆对患者护理和结果的影响.
主要方法:
- 一项涉及137名在门诊和社区精神病诊所接受护理的个人的研究.
- 评估临床杆 (财务,住房,儿童/家庭接入) 的当前经验和对胁迫的看法.
- 使用通用线性模型识别关联的统计分析.
主要成果:
- 34.8%的参与者报告了临床杆,儿童/家庭访问 (15.7%) 和财务 (14.6%) 杆是最常见的.
- 精神病症状和当前的财务杆与强迫感受有积极的关联 (分别p < 0.001和p = 0.035).
- 临床杆很普遍,并且与强迫感觉的增加有关.
结论:
- 临床杆在精神病治疗中很常见,并且与患者对胁迫的看法有关.
- 这些做法可能会对患者的护理和治疗结果产生负面影响.
- 需要采取干预措施,以减轻心理健康环境中临床杆的有害影响.
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