在治疗试图自杀的精神病患者中,个人和小组解决问题的疗法的有效性:随机对照试验
M Neslihan Turgut1, Mehmet Eskin2
1Department of Psychology, Aydın Adnan Menderes University, Aydın, Türkiye.
Psychology, health & medicine
|August 28, 2025
概括
解决问题疗法 (PST) 可以有效地减少精神病患者自杀和抑郁的可能性,同时提高认知灵活性和社会解决问题的能力. 这些积极结果在三个月的随访中得到维持.
科学领域:
- 精神病学
- 临床心理学
- 心理健康研究
背景情况:
- 精神病室门诊患者的自杀企图是一个重大的临床挑战.
- 解决问题疗法 (PST) 是一种被公认的治疗各种精神疾病的方法.
- 对于自杀症患者的个人与小组PST的比较疗效需要进一步研究.
研究的目的:
- 对比个人 (indPST) 和团体 (grPST) 解决问题的疗法 (PST) 与等待名单对照的精神病室门诊患者的疗效.
- 评估PST对自杀概率,抑郁,认知灵活性和社会问题解决能力的影响.
- 评估治疗效果在3个月的随访期保持.
主要方法:
- 这是一项随机对照试验,
- 参与者被随机分配到indPST,grPST或等候名单对照组.
- 在干预前和干预后,对PST组进行了标准化衡量,以衡量自杀概率,抑郁症,认知灵活性和社会问题解决能力,并在三个月后进行后续评估.
主要成果:
- 无论是indPST还是grPST都显示出可比的疗效.
- 两种PST条件的参与者显示自杀概率和抑郁症得分显著降低.
- 认知灵活性和社会问题解决得分在PST组显著增加,影响大小很大.
- 在等待名单对照组中没有发现显著变化.
- 在3个月的随访期内,治疗效果保持不变.
结论:
- 个人和团体PST在治疗自杀精神病患者中同样有效.
- 在与自杀风险相关的关键心理指标上,PST干预显著改善.
- PST的积极效果是持久的,持续至少三个月的干预后.
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