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个性化高频监测以问题为导向的心理治疗方法治疗癫痫障碍:治疗利用情况和参与者的反馈。

Personalized high-frequency monitoring of a process-oriented psychotherapeutic approach to seizure disorders: Treatment utilization and participants' feedback.

机构信息

Integrated Curriculum for Anthroposophic Medicine.

Faculty of Psychology and Educational Sciences.

出版信息

Psychotherapy (Chic). 2022 Dec;59(4):629-640. doi: 10.1037/pst0000430. Epub 2022 Feb 24.

DOI:10.1037/pst0000430
PMID:35201832
Abstract

High-frequency monitoring of psychological variables has been recommended to monitor and manage psychotherapeutic processes. However, high-frequency monitoring might be regarded as burdensome for participating patients. This feasibility study applied the concept of high-frequency treatment monitoring in patients with seizures and psychiatric comorbidities in an outpatient neurology service. The treatment monitoring entailed the development of a personalized process questionnaire, daily online monitoring, and regular reflection of the current time series graphs. Participants' feedback on user-friendliness and usefulness of this treatment monitoring was evaluated quantitatively and qualitatively. Participants' compliance rates (CRs) of daily self-assessments after 6 months were correlated with their quantitative feedback on user-friendliness and usefulness and the number of scheduled treatment sessions during this time period. Twenty patients, 15 women/5 men, median age 48 years (range: 23-73 years), were recruited. The median number of scheduled sessions was 11 sessions (range: 6-22). Participants reported a high overall satisfaction with the user-friendliness and usefulness of treatment monitoring. No notable correlations could be found between CRs and quantitative feedback nor between CRs and the number of scheduled treatment sessions. Personalized high-frequency monitoring of psychological variables seems to be feasible to monitor and manage process-oriented psychotherapeutic care in patients with seizures and psychiatric comorbidities. The results support the user-friendliness and usefulness of high-frequency monitoring and suggest that high-frequency monitoring may be suitable for monitoring of low-frequent treatment sessions and patients with attendance issues. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

高频监测心理变量已被推荐用于监测和管理心理治疗过程。然而,高频监测可能会被参与患者视为负担。本可行性研究将高频治疗监测的概念应用于门诊神经科服务中的癫痫和精神共病患者。治疗监测包括制定个性化的过程问卷、每日在线监测以及定期反映当前时间序列图。通过定量和定性评估参与者对这种治疗监测的易用性和有用性的反馈。参与者在 6 个月后每天自我评估的遵守率(CR)与他们对易用性和有用性的定量反馈以及在此期间安排的治疗次数相关。共招募了 20 名患者,15 名女性/5 名男性,中位年龄 48 岁(范围:23-73 岁)。计划治疗次数中位数为 11 次(范围:6-22 次)。参与者报告对治疗监测的易用性和有用性总体满意度很高。CR 与定量反馈之间或 CR 与计划治疗次数之间没有明显相关性。对心理变量进行个性化的高频监测似乎可以用于监测和管理癫痫和精神共病患者的面向过程的心理治疗护理。结果支持高频监测的易用性和有用性,并表明高频监测可能适用于监测低频治疗次数和有出勤问题的患者。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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