在以创伤为重点的社区心理健康环境中,与治疗时间相关的因素
Jason Fly1, Erika Felix1, Bita Ghafoori2
1Department of Counseling, Clinical and School Psychology, University of California, Santa Barbara, CA 93106, USA.
Behavioral sciences (Basel, Switzerland)
|July 29, 2025
概括
许多受过创伤的成年人提前离开心理治疗. 较低的教育程度,强大的社会关系和非洲裔美国人种族与早期终止有关,尽管完成者显示症状有所改善.
科学领域:
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 参与卫生服务的行为模型为了解治疗持续时间提供了一个框架.
- 了解影响治疗持续时间的因素对于改善社区环境中心理治疗结果至关重要.
研究的目的:
- 评估与创伤重点心理治疗治疗时间相关的客户特征.
- 确定早期终止和持续参与精神卫生服务的预测因素.
主要方法:
- 分析了一组893名成年参与者,他们在社区诊所接受了以创伤为中心的心理治疗.
- 后勤回归模型检查了与初始,参与和维持阶段治疗持续时间相关的人口和临床因素.
- 对创伤和抑郁症症状的数据在服用时收集,并在整个治疗过程中定期收集.
主要成果:
- 70.3%的参与者在9次治疗之前终止治疗.
- 更低的教育,更高质量的社会关系和非洲裔美国人种族与早产有关.
- 完成治疗的参与者表现出创伤和抑郁症状的显著改善,这表明了剂量反应效应.
结论:
- 在以创伤为重点的心理治疗中,早期终止是常见的,受社会经济和人口因素的影响.
- 持续参与心理治疗与创伤患者显著减轻症状有关.
- 解决与教育,社会支持和种族有关的障碍的干预措施可能会改善治疗的保留.
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