社区门诊心理治疗自我伤害服务 (COPESS) 的可行性和可接受性:随机对照试验
Pooja Saini1, Anna Hunt1, Caroline Clements2,3
1School of Psychology, Liverpool John Moores University, Liverpool, UK.
BJPsych open
|August 20, 2025
概括
社区门诊心理参与服务 (COPESS) 是一个可行的短谈治疗社区环境. 这项研究符合进展标准,支持进一步的自我伤害干预试验.
科学领域:
- 心理干预
- 临床心理学
- 公共卫生
背景情况:
- 自伤是严重的公共卫生问题,
- 患有抑郁症的人更容易自伤.
- 有限的基于证据的自我伤害干预措施可用于社区和初级保健机构.
研究的目的:
- 在社区环境中评估社区门诊心理参与服务 (COPESS) 的可行性.
- 评估参与者招募,保留和收集COPESS干预数据的流程.
- 确定COPESS干预在患有抑郁症状和自我伤害史的人群中的可接受性.
主要方法:
- 一种混合方法方法,使用1:1分配的单盲随机对照试验.
- 招募患有抑郁症的成年人以及最近自伤的普通医生.
- 在随机化后的基线,1,2,3个月的二次结果评估.
主要成果:
- 这项研究随机选择了55名参与者,接近60人的目标,保持率高 (> 75%) 和治疗出席率高 (93%).
- 与对照组相比,3个月后,COPESS组的自我伤害冲动,抑郁症状和痛苦减少了.
- 观察到对手动COPESS治疗的适度至高忠实度.
结论:
- 该研究符合所有进展标准,表明在更大的疗效和/或成本效益试验中评估COPESS的可行性.
- 这些发现有助于证据支持自我伤害的简短心理干预.
- 作为一个简短的,以初级保健为基础的干预,
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