在接受部分住院计划治疗的患者中,与焦虑和抑郁症的不反应相关的变量
Douglas R Terrill1, Troy Hubert1, Grace Yun2
1Department of Psychology, University of Kentucky, Lexington, Kentucky, USA.
Journal of clinical psychology
|July 15, 2025
概括
许多患者对心理治疗没有反应. 这项研究发现,较高的临床严重程度,功能障碍和错过的预约预测了部分住院计划 (PHP) 中的不响应.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
背景情况:
- 很大一部分患者无法从心理治疗中获得预期的结果.
- 确定不响应的预测因素对于优化治疗策略和患者护理至关重要.
研究的目的:
- 描述在部分住院计划 (PHP) 中对治疗没有反应的患者.
- 确定最能预测心理治疗不响应的基线变量.
主要方法:
- 使用奇平方和独立样本t测试,比较治疗响应者和不响应者之间的变量.
- 采用了两个后勤LASSO回归模型来识别患有高焦虑或抑郁症的患者不响应的预测因素.
主要成果:
- 24.8%的焦虑症患者和36.3%的抑郁症患者被归类为无反应患者.
- 没有反应的患者表现出更大的临床严重性,功能障碍,并发症诊断,以及更高的出席/错过治疗日率.
结论:
- 较大的临床严重程度,功能障碍和缺席预测PHP治疗反应较低.
- 需要对独立样本进行进一步的研究,以验证发现,并为改善治疗结果的临床策略提供信息.
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