人格障碍心理治疗中断:对预测因素的系统审查
Francesca De Salve1, Chiara Rossi1, Elena Gioacchini1
1Department of Psychology, Catholic University of Sacred Heart, Milan, Italy.
对人格障碍的心理治疗学率很高. 年轻的年龄,物质使用和情绪失调预测放弃,而强大的联盟和电话指导可以提高留守率.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 对人格障碍的心理治疗中断对治疗有效性和心理健康护理构成重大挑战.
- 退学预测因素是多方面的,受患者,治疗师和治疗动态的影响.
研究的目的:
- 系统地审查和识别被诊断患有人格障碍的个体中心理治疗中断的预测因素.
- 为旨在提高患者参与度和治疗延续度的策略提供信息.
主要方法:
- 在PsycINFO,PubMed和Scopus进行了系统的文献搜索,确定了22项相关研究.
- 如果这些研究评估了人格障碍 (DSM/ICD) 和报告了在心理治疗中学预测因素,并遵守PRISMA指南,则这些研究被纳入.
- 研究质量使用纽卡斯尔-太华尺度 (NOS) 进行评估.
主要成果:
- 退学率差异很大 (10.4%58%),受治疗方式和患者因素的影响.
- 放弃的重要预测因素包括年轻的年龄,并发性物质使用障碍,情绪失调,痛苦不耐受,童年情绪虐待,治疗师轮流和低动机.
- 保持的积极预测因素是强大的治疗联盟,正念技能和电话指导; 系统因素如护理协调也至关重要.
结论:
- 减少脱学率的策略应侧重于早期参与,治疗师连续性和治疗灵活性.
- 加强治疗联盟和患者的反射功能是改善保留的关键.
- 在护理协调和可访问性方面的系统性改进对于持续的参与和在人格障碍治疗中获得更好的结果至关重要.
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