一个为期6个月的支持在线计划 (感觉更安全) 治疗迫害妄想的有效性:随机对照试验的协议
Daniel Freeman1,2, Richard Emsley3,4, Laina Rosebrock5,2
1Department of Experimental Psychology, University of Oxford, Oxford, UK daniel.freeman@psych.ox.ac.uk.
BMJ open
|June 6, 2025
概括
一个新的在线治疗,感觉更安全,旨在减少在严重的精神健康障碍中的迫害妄想. 这项随机对照试验将由各种心理健康专业人员评估其有效性和交付.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 数字心理健康干预措施 数字心理健康干预措施
背景情况:
- 迫害妄想在精神分裂症等严重精神健康障碍中很常见,现有的治疗方法往往不足.
- 一个面对面的干预,感觉安全,显示显著减少迫害妄想.
- 需要针对迫害妄想的可扩展,可访问的治疗方法.
研究的目的:
- 为了测试受支持的在线干预的有效性,感觉更安全,对于持久的迫害妄想患者.
- 评估同行支持工作者,研究生心理学家和CBT治疗师提供Feeling Safer的可行性.
- 探索"感觉更安全"干预措施的调节和调解效应.
主要方法:
- 一个多中心,单盲,四臂随机对照试验,涉及484名患有持续迫害妄想的患者.
- 参与者随机分配到感觉更安全 (由同行支持工作者,研究生心理学家或CBT治疗师支持) 加上通常的治疗 (TAU) 或单独TAU.
- 评估在0,3,6和9个月进行,主要结果是6个月的迫害妄想的严重程度.
主要成果:
- 这项研究旨在确定"感觉更安全"是否有效减少迫害妄想.
- 它将评估干预措施是否在不同的人口群体和认知功能水平上同样有效.
- 成本效益分析将比较"感觉更安全"与"TAU".
结论:
- 感觉更安全有潜力成为一种可扩展,有效和可访问的治疗迫害妄想.
- 该研究将提供关于支持在线计划广泛实施心理健康服务的临床有效性的证据.
- 调查结果将为各种专业团体提供数字心理健康干预措施的提供提供信息.
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