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心理障碍基于心理治疗的长期影响:多中心随机对照试验的5年随访
Jonas Gijs Weijers1, Martin Debbané2, Coriene Ten Kate3
1https://ror.org/02jz4aj89Mental Health and Neuroscience, Maastricht University Faculty of Health, Medicine and Life Sciences: Maastricht, Maastricht, Netherlands.
Psychological medicine
|January 9, 2026
概括
精神病障碍的基于心态化的治疗 (MBTp) 显示,五年后,社会功能持续改善. 这种持久的效果表明,MBTp为患有精神病的人提供了长期的好处.
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
背景情况:
- 之前的随机试验表明,针对精神病障碍的基于心态化的治疗 (MBTp) 与通常治疗 (TAU) 相比,改善了社会功能,长达6个月.
- MBTp的长期结果需要进一步调查.
研究的目的:
- 评估MBTp对社会功能和精神能力影响的持久性,治疗后5年.
- 在患有精神疾病的患者中,将MBTp与TAU的长期结果进行比较.
主要方法:
- 一项为期5年的随访研究评估了以前的MBTp与TAU随机试验中的患者的社会功能和思维能力.
- 通过社会功能量表来衡量社会功能;通过社会认知和对象关系量表和暗示任务来评估心理能力.
- 使用了治疗意图分析,包括完整的重复测量ANOVA和线性混合模型.
主要成果:
- 在治疗后的五年内,MBTp患者在社会功能方面表现出与基线相比持续显著的改善.
- 在5年的随访中,在MBTp和TAU组之间观察到社会功能方面的显著差异.
- MBTp与对社会因果关系的更好理解有关,这是心智化的关键方面,但不是其他心智化的方面.
结论:
- 基于心态化的精神疾病治疗 (MBTp) 在治疗结束5年后对社会功能产生持久的积极影响.
- 这些发现支持MBTp对患有精神病的人的长期疗效,特别是在增强社会功能和特定的精神化技能方面.
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