Reynolds Nicola, Desai Roopal, Zhou Zheng, Fornells-Ambrojo Miriam, Garden Paul
Early Intervention Inpatient Unit, South London and Maudsley NHS Trust, London, UK.
Department of Clinical Psychology, Kings College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Early Interv Psychiatry. 2018 Dec;12(6):1094-1099. doi: 10.1111/eip.12419. Epub 2017 Jun 29.
This study explored engagement with psychology on a specialist early intervention psychosis inpatient unit, with a focus on whether demographics or admission factors impacted on engagement.
This was a retrospective cohort study using data extracted from patient notes for all service users who were admitted to an Early Intervention ward during a specified 6-month period. One hundred and one records were identified.
Sixty-eight (67.3%) of the service users engaged in psychological therapy, 45.6% (n = 47) attended psychology groups and 58.4% (n = 59) engaged in individual psychology sessions. Service users admitted to the ward voluntarily were more likely to engage in individual psychology sessions in comparison to those admitted under section of the mental health act (β = -0.270, P < .005). Length of admission predicted engagement with groups (β = 0.38, P < .001) and individual psychology sessions (β = 0.408, P < .001). Ethnicity, gender and number of admissions did not predict engagement in psychology.
Psychological interventions are acceptable on a specialist early intervention psychosis inpatient ward and offer an opportunity to engage service users. Engagement was not predicted by demographic factors typically seen in community settings. Implications arising from these differences are discussed.
本研究探讨了在一个专门的早期干预精神病住院单元中患者对心理治疗的参与情况，重点关注人口统计学特征或入院因素是否会对参与度产生影响。
这是一项回顾性队列研究，使用从特定6个月期间入住早期干预病房的所有服务使用者的病历中提取的数据。共识别出101份记录。
68名（67.3%）服务使用者接受了心理治疗，45.6%（n = 47）参加了心理治疗小组，58.4%（n = 59）接受了个体心理治疗。与根据《精神卫生法》被收治的患者相比，自愿入住病房的服务使用者更有可能接受个体心理治疗（β = -0.270，P <.005）。住院时间可预测参与小组治疗（β = 0.38，P <.001）和个体心理治疗（β = 0.408，P <.001）。种族、性别和入院次数不能预测对心理治疗的参与度。
在专门的早期干预精神病住院病房中，心理干预是可接受的，并且为服务使用者提供了参与治疗的机会。社区环境中常见的人口统计学因素并不能预测参与度。本文讨论了这些差异所带来的影响。
