一个青少年密集门诊计划的治疗结果,用于抑郁和自杀的青少年
Kelsey M Bero1, Giana I Teresi2, Giovanna Porta1
1University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
JAACAP open
|September 9, 2025
概括
在COVID-19大流行期间,强化门诊计划 (IOP) 在青少年中显示出更快的症状改善. 远程医疗和面对面的IOP在抑郁症,自杀行为和自我伤害方面产生了类似的结果.
科学领域:
- 青少年精神病学 青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 密集门诊计划 (IOP) 为高风险年轻人提供中间护理.
- 由于COVID-19大流行,需要在IOP迅速转向远程医疗服务.
研究的目的:
- 在COVID-19大流行之前和期间,在IOP中比较青少年症状结果.
- 在疫情期间检查面对面和远程医疗IOP治疗的结果.
主要方法:
- 分析了2014年12月至2022年4月期间在IOP治疗的1152名青少年的数据.
- 利用混合效应模型来评估治疗期间的症状变化.
- 比较流行病前 (n=828) 和流行病 (n=324) 队列,以及在流行病期间的人与远程医疗.
主要成果:
- 流行病时代的青少年报告了更高的摄入抑郁症,焦虑和自我伤害 (p ≤ .006).
- 所有IOP患者每周症状显著改善 (p < .001).
- 在大流行期间,改善率更为 (p < .001);在面对面和远程医疗模式之间没有差异.
结论:
- IOPs在自杀青少年中显示出有效的减轻症状.
- 远程医疗和面对面的IOP提供了可比的治疗反应.
- 进一步的研究应该确定有助于加快流行病时代治疗反应的因素.
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