精神分裂谱系障碍患者和治疗人员的工作联盟,日常活动和情绪:使用经验抽样方法进行的一项研究
Elena Toffol1, Fabio Panariello2, Marta Magno1
1Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Journal of mental health (Abingdon, England)
|December 18, 2025
概括
在精神分裂症谱系障碍 (SSD) 中,强大的治疗联盟 (工作联盟) 与更好的结果有关. 长时间住院与较弱的联盟相关,而社会参与和流动性则加强了它们,突出了联系和自主性的重要性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 积极工作联盟 (WA) 对于有效的治疗结果至关重要.
- 在精神分裂谱系障碍 (SSD) 患者中影响WA的因素仍未得到充分研究.
- 经验采样方法 (ESM) 为研究这些因素提供了一种新的方法.
研究的目的:
- 探索在SSD患者中WA和日常生活变量之间的关系.
- 识别与WA相关的特定活动和情绪状态.
- 了解患者特征如何影响治疗联盟.
主要方法:
- 利用ESM来捕获患者日常活动和情绪的实时数据.
- 使用通用线性模型 (GLM) 来分析 WA 和 ESM 变量之间的关联.
- 根据ESM数据将患者分组应用k-means集群.
主要成果:
- 长时间住院 (1-5年) 与较低的患者评级WA (WAI-P) 有关.
- 工作人员评价的WA (WAI-T) 与花在"四处走动"",与其他人"和"独自"的时间正相关.
- 集群分析显示,单独度过更多时间的患者表现出更严重的症状和较弱的WA.
结论:
- 长时间住院可能会对WA产生负面影响,因为信任和参与度降低.
- 增加的社交互动和功能移动性似乎加强了治疗联盟.
- 在SSD治疗中,人际联系和患者自主性对于强大的治疗关系至关重要.
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