对同时出现的精神和慢性健康状况的接受和承诺治疗
Lilian Dindo1, Mackenzie L Shanahan2
1Center for Innovations in Quality Effectiveness and Safety, Michael E. DeBakey VA Medical Center; Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
The Psychiatric clinics of North America
|July 30, 2025
概括
慢性疾病往往与心理健康问题同时发生,但分散的护理是常见的. 接受和承诺疗法 (ACT) 提供了一种跨诊断方法,以改善健康行为并减少患者的痛苦.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 美国近一半的成年人患有慢性疾病,约30%的人患有同时出现的心理健康状况.
- 当前的治疗模式往往提供分散的,疾病特异性的护理,未能满足伴随性疾病患者的复杂需求.
- 接受和承诺治疗 (ACT) 是一种跨诊断干预,旨在解决心理灵活性问题.
研究的目的:
- 突出接受和承诺治疗 (ACT) 的有效性,作为慢性疾病和并发性精神疾病患者的跨诊断干预措施.
- 强调ACT在改善健康行为改变和减少心理痛苦方面的潜力.
- 讨论ACT在各种医疗保健环境中的适应性.
主要方法:
- 本研究回顾了接受和承诺治疗 (ACT) 的原则和应用.
- 它检查了ACT的跨诊断方法,针对的是心理机制,而不是特定的诊断.
- 综合了ACT在促进健康行为改变和减少痛苦方面的有效性证据.
主要成果:
- ACT有效地促进健康行为变化,并减少不同患者群体的心理痛苦.
- 治疗的重点是接受,正念和以价值观为导向的行动,有助于参与有意义的生活活动.
- ACT已经在各种临床环境中成功实施,包括医院,初级保健和专科护理.
结论:
- 接受和承诺疗法 (ACT) 是一种可行的跨诊断干预方法,用于管理慢性疾病和并发性精神健康挑战.
- ACT的原则可以整合到现有的医疗保健系统中,以提供更全面,更有效的患者护理.
- 进一步研究和实施ACT可以改善患有慢性疾病和精神健康并发症的大多数人群的结果.
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