在COVID-19大流行之前和期间的远程心理健康护理:使用例行结果测量的回顾性观察性研究
Fabian Lenhard1, Lisa Wahlström Amnéus2, Ida Viklund2
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; WeMind Psykiatri, Stockholm, Sweden.
Journal of psychiatric research
|June 5, 2025
概括
在COVID-19大流行期间,心理健康护理治疗疗效保持稳定,结果没有显著差异. 远程访问的增加并没有影响门诊精神卫生保健服务的有效性.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19疫情对心理健康服务造成了重大干扰.
- 关于在此期间维持治疗疗效的数据有限.
研究的目的:
- 为了比较COVID-19大流行之前和期间的门诊心理健康护理治疗结果.
- 调查远程访问比例对治疗结果的影响.
主要方法:
- 分析了来自瑞典斯德哥尔摩两个门诊的2290名患者的临床队列.
- 2017-2019年 (大流行前) 和2020-2022年 (大流行期间) 之间的治疗结果的比较.
- 主要结局包括减轻抑郁症,焦虑症,强迫症和PTSD的症状.
主要成果:
- 在大流行期间,观察到远程访问的大幅增加 (OR = 10.9).
- 在任何研究的疾病中,在流行病前和流行病期间之间没有发现治疗结果的统计学上显著差异.
- 远程访问的比例没有影响治疗结果.
结论:
- 门诊心理健康护理治疗结果在COVID-19大流行期间保持不变.
- 尽管服务中断,但有效性得到保留,这表明精神卫生保健服务的弹性.
- 远程护理并没有影响治疗的有效性.
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