随机对照可行性试验在线团体接受和承诺治疗功能性认知障碍
Norman Poole1,2, Sarah Cope1,2, Serena Vanzan1
1South West London and St George's Mental Health NHS Trust, London, UK.
BJPsych open
|May 2, 2025
概括
一个简短的在线接受和承诺疗法 (ACT) 对功能性认知障碍的干预是可行的. 这项研究显示了良好的留住率和参与者满意度,这表明可能进行更大的试验.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 功能性认知障碍 (FCD) 是一种功能性神经系统障碍的亚型,治疗选择有限.
- 一个简短的在线群体接受和承诺疗法 (ACT) 干预方案是为FCD开发的.
- 目前对FCD的治疗方法有限,需要新的治疗方法.
研究的目的:
- 为了确定随机对照试验 (RCT) 在线ACT干预的可行性,与FCD的通常治疗 (TAU) 相比.
- 评估潜在的RCT的招聘和保留率.
- 评估干预措施的可接受性和初步的疗效信号.
主要方法:
- 进行了一项平行组,单盲随机对照试验.
- 参与者从伦敦的认知神经学,神经精神病学和记忆诊所招募.
- 通过招聘/保留,干预的可接受性和在接受和行动问卷II (AAQ-II) 上的有效性信号来评估可行性.
主要成果:
- 44名参与者被随机分配,参与率为51.1%.
- 观察到高保留率,81.8%的ACT参与者参加了至少四次会议.
- 在ACT组显示了改善心理灵活性 (AAQ-II) 的趋势,以及生活质量和情绪的积极趋势.
结论:
- 对FCD进行在线ACT与TAU的随机对照试验是可行的.
- 干预表明参与者的满意度很高,保留率很好.
- 初步数据表明潜在的疗效,需要在全功率试验中进一步调查.
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