从患者的角度来看,治疗师坚持认知行为疗法和护理质量
Hillevi Bergvall1, Gerhard Andersson1,2,3, Tobias Lundgren1
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm 113 64, Sweden.
Cognitive behaviour therapy
|August 19, 2025
概括
这项研究发现,认知行为疗法 (CBT) 在治疗抑郁症和焦虑症的常规护理中表现出高质量. 治疗师遵守CBT技术与患者症状改善和满意度有积极的相关性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 对认知行为疗法 (CBT) 建立了基于证据的指导方针,但常规临床实践中的质量仍未得到充分研究.
- 很少有人知道患者报告的抑郁症,焦虑症,强迫症和创伤后应激障碍的护理质量.
研究的目的:
- 从患者的角度调查治疗师对CBT技术和程序的遵守.
- 评估患者报告的护理质量,包括症状改善和治疗满意度.
主要方法:
- 这是一项涉及斯德哥尔摩21个精神病室门诊病房的90名参与者的横截面研究.
- 基于网络的调查在CBT后进行,以评估坚持,症状改善和治疗满意度.
主要成果:
- 患者报告了治疗师对CBT的高度坚持 (M=3.02/4),特别是在社会焦虑症和创伤后应激障碍方面.
- 治疗师坚持适度与患者改善相关 (τs=.37-.38).
- 报告了高症状改善 (M=3.10) 和治疗满意度 (M=3.38),中位数为15次.
结论:
- 在常规的临床实践中,CBT提供了高质量的治疗,由治疗师的高度坚持和患者报告的结果证明.
- 虽然总体上质量很高,但注意到一些过度治疗和不符合指导方针的精神药物使用情况.
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