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本文引用的文献

1
PACE trial authors continue to ignore their own null effect.PACE 试验作者继续无视他们自己的无效结果。
J Health Psychol. 2017 Aug;22(9):1134-1140. doi: 10.1177/1359105317703785. Epub 2017 Apr 27.
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Special issue on the PACE Trial.PACE 试验特刊。
J Health Psychol. 2017 Aug;22(9):1103-1105. doi: 10.1177/1359105317722370.
3
Predictors of emotional exhaustion, disengagement and burnout among improving access to psychological therapies (IAPT) practitioners.改善心理治疗可及性（IAPT）从业者中情绪耗竭、工作投入度降低和职业倦怠的预测因素
J Ment Health. 2017 Apr;26(2):172-179. doi: 10.1080/09638237.2016.1276540. Epub 2017 Jan 13.
4
'PACE-Gate': When clinical trial evidence meets open data access.PACE-Gate：当临床试验证据遇到开放数据访问
J Health Psychol. 2017 Aug;22(9):1106-1112. doi: 10.1177/1359105316675213. Epub 2016 Nov 1.
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Enhancing recovery rates: lessons from year one of IAPT.提高康复率：IAPT 第一年的经验教训。
Behav Res Ther. 2013 Sep;51(9):597-606. doi: 10.1016/j.brat.2013.06.004. Epub 2013 Jul 4.
6
Meta-analyses of agreement between diagnoses made from clinical evaluations and standardized diagnostic interviews.对临床评估诊断与标准化诊断访谈诊断之间一致性的荟萃分析。
Int J Methods Psychiatr Res. 2009 Sep;18(3):169-84. doi: 10.1002/mpr.289.
7
Diagnostic co-morbidity in 2300 psychiatric out-patients presenting for treatment evaluated with a semi-structured diagnostic interview.采用半结构式诊断访谈对2300名前来治疗的精神科门诊患者进行诊断合并症评估。
Psychol Med. 2008 Feb;38(2):199-210. doi: 10.1017/S0033291707001717. Epub 2007 Oct 22.
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The PHQ-9: validity of a brief depression severity measure.PHQ-9：一种简短抑郁严重程度测量工具的效度
J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.
9
Principal and additional DSM-IV disorders for which outpatients seek treatment.门诊患者寻求治疗的主要及附加的《精神疾病诊断与统计手册》第四版（DSM-IV）中的疾病。
Psychiatr Serv. 2000 Oct;51(10):1299-304. doi: 10.1176/appi.ps.51.10.1299.
10
Is posttraumatic stress disorder underdiagnosed in routine clinical settings?创伤后应激障碍在常规临床环境中是否诊断不足？
J Nerv Ment Dis. 1999 Jul;187(7):420-8. doi: 10.1097/00005053-199907000-00005.

改善心理治疗服务（IAPT）——需要彻底改革。

Improving Access to Psychological Therapies (IAPT) - The Need for Radical Reform.

机构信息

Psychological Therapies Unit, Liverpool.

出版信息

J Health Psychol. 2018 Aug;23(9):1136-1147. doi: 10.1177/1359105318755264. Epub 2018 Feb 2.

DOI:10.1177/1359105318755264
PMID:29390891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6047202/
Abstract

Improving Access to Psychological Therapies is a UK government-funded initiative to widen access to the psychological treatment of depression and anxiety disorders. The author has had the opportunity to independently assess 90 Improving Access to Psychological Therapies clients, using a standardised semi-structured interview, the Structured Clinical Diagnostic Interview for DSM Disorders (SCID) and to listen to their account of interaction with the service. The results suggest that only the tip of the iceberg fully recovers from their disorder (9.2%) whether or not they were treated before or after a personal injury claim. There is a pressing need to re-examine the modus operandi of the service.

摘要

改善心理治疗服务是英国政府资助的一项计划，旨在扩大对抑郁症和焦虑症等心理疾病的治疗。作者有机会通过使用标准化半结构化访谈、DSM 障碍结构性临床诊断访谈 (SCID) 对 90 名改善心理治疗服务的客户进行独立评估，并听取他们对服务互动的描述。结果表明，无论他们是否在人身伤害索赔之前或之后接受治疗，只有冰山一角的人能够完全康复（9.2%）。迫切需要重新审视服务的运作方式。