治疗质量对成年智力障碍者抑郁症行为激活和引导式自助治疗结果的影响。
The influence of therapy quality on outcomes from behavioural activation and guided self-help treatments for depression in adults with intellectual disabilities.
作者信息
Dagnan Dave, Thompson Paul, Hastings Richard P, Hatton Chris, Melville Chris, Cooper Sally-Ann, McMeekin Nicola, Fulton Lauren, Jones Rob S P, McConnachie Alex, Jahoda Andrew
机构信息
Community Learning Disability Services, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Workington, UK.
University of Cumbria, Carlisle, UK.
出版信息
Br J Clin Psychol. 2025 Jun;64(2):139-147. doi: 10.1111/bjc.12502. Epub 2024 Sep 3.
OBJECTIVES
We report the effect of quality of therapy delivery on outcomes in a randomized, controlled trial of behavioural activation (BA) and guided self-help (GSH) for depression in adults with intellectual disabilities.
METHODS
A study specific measure of quality was used in a linear mixed effect model to determine the effects therapy and therapy quality on therapy outcome.
RESULTS
There was a significant interaction between quality and treatment type, with lower quality therapy associated with better outcome for GSH but poorer outcome for BA, with little difference in outcomes at higher levels of therapy quality.
CONCLUSIONS
Factors suggesting high quality in individualized BA may indicate problematic engagement for GSH. More research into processes in therapy for people with intellectual disabilities is required.
目的
在一项针对成年智力残疾者抑郁症的行为激活（BA）和引导式自助（GSH）随机对照试验中，我们报告了治疗实施质量对结果的影响。
方法
在一个线性混合效应模型中使用一项针对该研究的质量测量指标，以确定治疗方法和治疗质量对治疗结果的影响。
结果
质量与治疗类型之间存在显著交互作用，治疗质量较低时，GSH的结果较好，而BA的结果较差，在较高治疗质量水平时结果差异不大。
结论
表明个体化BA高质量的因素可能意味着GSH存在参与问题。需要对智力残疾者的治疗过程进行更多研究。
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