青少年部分住院计划中的基于测量的护理:利用顶级问题评估评估,探索治疗进展和预测因素
Angela W Chiu1, Milan Sandhu1, Yiyuan Yu2
1Department of Psychiatry, Weill Cornell Medicine, New York, New York, USA.
概括
在青少年部分住院计划 (PHP) 中,以测量为基础的护理 (MBC) 显示了患者的显著改善. 年轻人报告的问题在早期治疗中得到更快的改善,特别是那些焦虑程度更高的人.
科学领域:
- 青少年精神病学 青少年精神病学
- 临床心理学 临床心理学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 部分住院计划 (PHP) 是针对具有严重心理健康问题的青少年的密集治疗.
- 基于测量的护理 (MBC) 将患者报告的结果纳入治疗规划和监测.
- 了解治疗轨迹和影响改善的因素对于优化青少年心理健康护理至关重要.
研究的目的:
- 检查使用MBC的青少年PHP在治疗期间的患者改善和变化轨迹.
- 根据人口统计,症状严重程度和诊断,探索青少年治疗轨迹的变化.
- 评估顶级问题评估 (TPA) 与标准化症状措施的实用性.
主要方法:
- 研究了一组124名青少年 (年龄在13-18岁),在PHP中诊断出焦虑和抑郁症.
- 每周给药时,应采用表达式顶级问题评估 (TPA) 和标准化焦虑/抑郁调查问卷.
- 对治疗结果和轨迹的分析,检查与基线变量的关联.
主要成果:
- 在PHP治疗期间,青少年在所有结果指标上都表现出显著的改善.
- 随着时间的推移,TPA的改善速度减缓了,与标准化的症状测量措施不同.
- 较高的基线焦虑严重程度和焦虑障碍诊断与较慢的TPA改善有关.
结论:
- 青少年从PHP治疗中受益,年轻人报告的问题显示出迅速的初步改善.
- 对接受PHP的高焦虑年轻人来说,治疗修改或更密切的监测可能是有益的.
- 在PHP中整合MBC和个性化评估可以确定哪些年轻人最受益,在什么条件下.
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