以认知补救干预为目标,以解决退伍军人的自杀预防问题:一项试点研究
Kim E Goldstein1, Alice Medalia2, Emily R Nicholas2
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
概括
这项研究表明,10周的认知补救计划 (NEAR-SB) 对患有严重抑郁症和自杀行为的退伍军人来说是可行的和可以接受的. 该计划改善了临床,认知和适应功能,表明有可能降低自杀风险.
科学领域:
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 大型抑郁症 (MDD) 和自杀行为 (SB) 与特定的认知缺陷有关.
- 认知补救 (CR) 之前没有研究过这种人群的自杀风险降低.
- 需要有效的干预措施来解决认知障碍,并减少MDD和SB的退伍军人中自杀风险.
研究的目的:
- 评估一个简短的,以小组为基础的CR计划 (NEAR-自杀行为或NEAR-SB) 的可行性和可接受性,适用于MDD和SB的退伍军人.
- 评估NEAR-SB计划对自杀想法/行为,抑郁,适应性功能和解决问题的结果.
- 探索问题解决能力的提高与抑郁症的减少之间的关系.
主要方法:
- 实施了一个为期10周的,以小组为基础的,远程交付的CR计划 (NEAR-SB).
- 九名美国退伍军人门诊患者与MDD和SB参加了20次会议.
- 通过参与度,满意度,忠诚度和保留度来评估可行性和可接受性. 结局在治疗前,治疗后和10周后期进行了测量.
主要成果:
- 该NEAR-SB计划展示了可行性和可接受性,具有良好的参与度,满意度,忠诚度和保留率.
- 参与者在治疗后和10周的随访中显示出临床,认知和适应性功能显著改善.
- 治疗后增强的问题解决能力与抑郁症状的更大减少有关.
结论:
- NEAR-SB计划是MDD和SB的退伍军人可行的和可接受的干预措施.
- 该计划有望改善认知和适应功能,并可能降低自杀风险.
- 试验数据支持通过随机临床试验进一步调查,以确认疗效并探索对照条件.
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