认知行为疗法和支持服务,为那些经历无家可归的严重精神疾病患者提供
Jane E Hamilton1, Constanza de Dios1, Raena Williams1
1Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston.
Psychiatric services (Washington, D.C.)
|December 3, 2025
概括
认知行为疗法 (CBT) 与支持性服务相结合,显著减少了创伤症状,并改善了无家可归者的心理健康恢复. 这种方法为改善服务不足人群的治疗延续提供了潜在的目标.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 临床心理学 临床心理学
- 社会工作 社会工作 社会工作
背景情况:
- 经历无家可归和严重精神疾病 (SMI) 的个人经常面临着获得有效心理健康护理的重大障碍.
- 认知行为疗法 (CBT) 是对创伤和心理健康状况的公认治疗方法,但其在无家可归者服务环境中的交付需要检查.
- 将支持性服务与治疗干预相结合,对于解决这一群体复杂需求至关重要.
研究的目的:
- 为了评估12次认知行为疗法 (CBT) 干预的有效性.
- 评估将参与者与支持服务联系起来的影响.
- 鉴定无家可归和SMI的个人中与治疗保留相关的因素.
主要方法:
- 一组508名参与者在多个无家可归服务机构接受服务.
- 通过随机效应模型分析了创伤症状和心理健康恢复观念的变化.
- 机器学习,特别是弹性净回归,确定了与治疗保留相关的因素.
主要成果:
- 通过第12次CBT会话观察到自我报告的创伤症状和对心理健康恢复的看法有统计学上显著的改善.
- 较高的基线社区归属,不安,过去30天的急诊室使用和酒精使用与更大的治疗保留有关.
- 相反,情绪障碍,可卡因使用和更强的社交联系与较低的治疗保留率有关.
结论:
- 一个12个会话的CBT干预,加上支持性服务联系,有效地减少创伤症状,增强无家可归的SMI个人的心理健康恢复感知.
- 影响治疗延续的基线因素突出了适应CBT干预措施的潜在途径.
- 这些发现强调了量身定制方法的重要性,以改善这种脆弱人群的参与和结果.
更多相关视频
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
811
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
7.3K
相关概念视频
Cognitive Therapy
742
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
742
Rational Emotive Behavior Therapy
322
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
322
Community Based Intervention
255
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
255
Modeling in Therapy
356
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
356
Behavior Therapy
471
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
471
Beck's Cognitive Therapy
307
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
307
