同行工作者作为精神病学预先指示的促进者:关于康复的混合方法研究
Saphir Desvignes1, Aster Harrison1, Frédéric Mougeot2
1CEReSS (Health Service Research and Quality of Life Center), https://ror.org/035xkbk20Aix-Marseille University, Marseille, France.
Irish journal of psychological medicine
|October 24, 2025
概括
同行支持在起草精神病预先指令 (PADs) 时显著改善严重精神疾病患者的康复结果. 同行工作者培养信任和批判性反思,提高PADs的有效性.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神病学预先指示 (PADs) 对于严重精神疾病患者的自主性至关重要.
- 同行支持在提高PAD完成和其对恢复的影响方面的作用尚未得到充分探索.
研究的目的:
- 评估同行工作者在起草精神病学预先指令 (PADs) 方面的支持有效性.
- 探索通过同行支持影响严重精神疾病患者康复结果的机制.
主要方法:
- 混合方法设计,将随机试验与定性访谈整合在一起.
- 118名患有精神分裂症,双相I型或精神分裂情绪障碍的成年人完成了PAD,其中84人获得了同行支持.
- 恢复使用恢复评估量表进行评估,采访进行了专题分析.
主要成果:
- 获得同行支持的参与者表现出明显更高的恢复得分 (系数 = 4.77,p = 0.03).
- 同行工作者培养了信任,关系对称性,批判性反射性,并解决了过去的创伤.
- 参与者的反强调了同行工作者的灵活性,同情心,赋权和更深入的反思.
结论:
- 同行促进显著增强PAD起草,并有助于改善恢复结果.
- 信任,批判性反思和创伤知情的方法是同行支持的关键机制.
- 同行工作者融入PAD框架需要量身定制的培训和系统性改革.
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