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新冠肺炎大流行期间,部分住院环境下远程医疗治疗边缘型人格障碍患者:与面对面治疗相比的安全性、患者满意度和有效性。

Telehealth Treatment of Patients With Borderline Personality Disorder in a Partial Hospital Setting During the COVID-19 Pandemic: Comparative Safety, Patient Satisfaction, and Effectiveness of In-Person Treatment.

机构信息

Department of Psychiatry and Human Behavior, Brown Medical School, and the Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island.

出版信息

J Pers Disord. 2022 Jun;36(3):277-295. doi: 10.1521/pedi_2021_35_539. Epub 2021 Nov 8.

Abstract

There are no studies of the safety and effectiveness of telehealth psychiatric treatment of partial hospital level of care, in general, and for borderline personality disorder (BPD) in particular. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, the authors compared the effectiveness of their partial hospital treatment program in treating patients with BPD. For both the in-person and telehealth partial hospital level of care, patients with BPD were highly satisfied with treatment and reported a significant reduction in symptoms from admission to discharge. Both groups reported a significant improvement in functioning, coping ability, positive mental health, and general well-being. A large effect size of treatment was found in both treatment groups. No patients attempted suicide. Telehealth partial hospital treatment was as effective as in-person treatment in terms of patient satisfaction, symptom reduction, and improved functioning and well-being for patients with BPD.

摘要

目前还没有研究远程医疗在精神病学方面的安全性和有效性,特别是在门诊治疗水平上,也没有专门针对边缘型人格障碍(BPD)的研究。在罗德岛改善诊断评估和服务(MIDAS)项目的这份报告中,作者比较了他们的门诊治疗项目对 BPD 患者的治疗效果。对于面对面和远程医疗门诊治疗水平的患者,BPD 患者对治疗非常满意,并报告说从入院到出院症状有显著减轻。两组患者的功能、应对能力、心理健康和整体幸福感都有显著改善。在两个治疗组中都发现了治疗的大效应量。没有患者试图自杀。远程医疗门诊治疗在患者满意度、症状减轻以及改善 BPD 患者的功能和幸福感方面与面对面治疗一样有效。

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