在NHS中混合低强度和高强度的认知行为疗法 治疗焦虑和抑郁的说话疗法:初步评估
Graham R Thew1,2,3, Luke O'Reilly3, Alexander Andrews2
1Department of Experimental Psychology, University of Oxford, Oxford, UK.
The British journal of psychiatry : the journal of mental science
|September 19, 2025
概括
使用双重训练有素治疗师治疗焦虑和抑郁症的混合治疗方法比传统的阶段性护理更有效和更快. 这种方法对无的精神健康治疗提供有希望.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
- 医疗服务管理 医疗服务管理
背景情况:
- 阶段性护理是一种标准的焦虑和抑郁症治疗模式.
- 它涉及低强度干预,如果需要,随后进行高强度治疗.
- 在NHS谈话疗法 (NHS TT) 中,这通常意味着改变治疗师,导致治疗延迟.
研究的目的:
- 为了研究混合治疗模型.
- 经过双重培训的治疗师可以根据患者的需要灵活地在低强度和高强度干预之间切换.
主要方法:
- 10名双重培训的治疗师治疗了43名有复杂需求的患者.
- 倾向性得分匹配与混合护理与传统的分步护理进行了比较.
- 分析了治疗结果和患者/治疗师反.
主要成果:
- 混合治疗需要4次较少的治疗,完成时间更快121天.
- 在混合组中,康复率更高 (54.1%),而不是分步护理 (44.7%).
- 患者的反是积极的,尽管治疗师注意到实际挑战.
结论:
- 混合方法是对双重培训的临床医生有希望,高效和有效的治疗方法.
- 需要进一步的大规模研究来应对实施挑战.
- 这种模式为更灵活,更无的患者护理提供了潜力.
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