对临床和心理社会结果的临界时间干预的元分析
Jack Tsai1,2,3,4, Shannon W Schrader3,4, Hind A Beydoun1,2
1U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Homeless Programs Office, Washington, DC.
The Journal of nervous and mental disease
|July 7, 2025
概括
临界时间干预 (CTI) 显示了生活质量的小但显著的改善,减少了无家可归和精神病的积极症状. 需要进一步的研究来评估其他结果,如服务参与.
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.
- 公共卫生 公共卫生
背景情况:
- 临界时间干预 (CTI) 是一种旨在支持面临复杂临床和心理社会挑战的个体的方法.
- 以前的研究已经探讨了CTI的有效性,但需要对其对各种结果的影响进行综合分析.
研究的目的:
- 对对照性研究进行元分析,研究关键时间干预 (CTI) 对临床和心理社会结果的影响.
- 量化CTI对特定领域的影响,包括生活质量,无家可归和精神症状.
主要方法:
- 采用随机效应的元分析模型,从8项实验和准实验研究中汇集标准化平均差异 (SMD).
- 分析了来自14个结果领域和3个广泛指数的数据,以评估CTI的有效性.
主要成果:
- 与对照组相比,CTI组显著改善了生活质量 (SMD = 0.23,p = 0.01) 并减少了无家可归 (SMD = -0.20,p = 0.02).
- 在CTI组 (SMD = -0.16,p = 0.01) 中观察到简要精神病学评分表上的积极症状得分显著减少.
- 在CTI组中发现了更好的一般健康结果的趋势 (SMD = -0.28,p = 0.07).
结论:
- 临界时间干预 (CTI) 在几个关键的临床和心理社会领域产生了小但统计学上显著的效果大小.
- 目前的元分析受限于措施的异质性,排除了对服务承诺等结果的分析.
相关概念视频
Comparing the Survival Analysis of Two or More Groups
297
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
297
Elements Crucial for Effective Psychotherapy
115
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
115
Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97
Interpersonal Psychotherapy
101
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
101
Hazard Ratio
257
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
257
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.4K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.4K


