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在苏格兰实施长期条件 (ADAPT-LTC) 计划的可访问抑郁和焦虑心理疗法:一个开放的试点试验
Vilas Sawrikar1,2, Leeanne Nicklas3,4
1Growing Minds Australia, School of Psychology, University of Sydney, Cemperdown, New South Wales, Australia.
The British journal of clinical psychology
|February 2, 2026
概括
长期条件的可访问抑郁和焦虑心理疗法 (ADAPT-LTC) 计划在英国长期条件的初级护理中显示出有效性. 虽然许多患者的情况有所改善,但参与挑战表明该计划并不适合所有人.
科学领域:
- 心理健康 心理健康
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 英国国家卫生服务 (NHS) 正在为患有长期疾病 (LTC) 的患者扩大心理干预.
- 在初级保健中对这些干预措施的有效实施策略仍未得到充分研究.
- 这项研究评估了苏格兰初级保健中的长期条件 (ADAPT-LTC) 计划的可访问抑郁和焦虑心理疗法.
研究的目的:
- 在现实世界初级保健环境中评估 ADAPT-LTC 计划的结果.
- 评估 ADAPT-LTC 计划的可行性,适宜性,临床结果和客户体验.
- 确定对LTC实施心理干预的挑战和潜在改进.
主要方法:
- 一个务实的,现实世界的落实评估 ADAPT-LTC 计划.
- 使用常规结果监测数据进行分析.
- 测量实施 (可行性,适用性),服务 (临床结果) 和客户 (护理经验,满意度) 的结果,包括恢复和可靠的改善率.
主要成果:
- 大约50%的转诊患者正在接受治疗.
- 在ADAPT-LTC中,认知行为疗法 (CBT) 在治疗前后显著减少了抑郁症,焦虑症和功能障碍.
- 35-40%的人不再符合精神病诊断标准,60%的人显示出临床可靠的改善,具有积极的患者护理经验.
结论:
- 在初级保健中进行的简短心理干预可以对许多LTC患者有效.
- 一部分患者在开始或参加治疗时遇到困难,这表明该计划可能不适合所有人.
- 需要进一步研究加强ADAPT-LTC计划的参与和实施策略.
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