Trepka C, Laing I, Smith S
J R Coll Gen Pract. 1986 Mar;36(284):114-7.
This study examined the effects on anxiety levels and primary care team workload of group psychological treatment for anxiety compared with individual treatment. Patients making high demands on primary care services were selected for group treatment, following which demands for services were considerably reduced. Two types of group treatment were used: the anxiety support group required less staff time to run than the anxiety management group but neither treatment had a clinically significant impact on anxiety symptoms. Individual psychological treatment was more effective in reducing levels of anxiety but required slightly more staff time per patient. These findings show that there is no close correspondence between reduction of anxiety and reduction of service costs and underline the importance of evaluating treatment effects with reference to the specific objectives of treatment.
本研究考察了与个体治疗相比，团体心理治疗对焦虑水平及初级保健团队工作量的影响。对初级保健服务有高需求的患者被选入团体治疗，之后服务需求大幅降低。使用了两种团体治疗：焦虑支持团体运行所需的工作人员时间比焦虑管理团体少，但两种治疗对焦虑症状均无临床显著影响。个体心理治疗在降低焦虑水平方面更有效，但每位患者所需的工作人员时间略多。这些发现表明，焦虑减轻与服务成本降低之间没有密切对应关系，并强调了参照治疗的具体目标评估治疗效果的重要性。
