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针对早期精神病青年患者的一项基于接纳与正念的团体干预(感觉良好团体)的主观体验

Subjective experiences of an acceptance and mindfulness-based group intervention (Feel-Good-Group) in young people with early psychosis.

作者信息

von Hardenberg Laura, Leopold Karolina, Pfennig Andrea, Kuhn Céline, Kallenbach Michèle, Aliakbari Navid, Mehl Stephanie, Bechdolf Andreas

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatic Medicine incorporating FRITZ and soulspace, Vivantes Hospital am Urban and Vivantes Hospital im Friedrichshain, Berlin, Germany.

Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, TUD Dresden University of Technology, Dresden, Germany.

出版信息

Front Psychiatry. 2024 Oct 7;15:1369629. doi: 10.3389/fpsyt.2024.1369629. eCollection 2024.

Abstract

BACKGROUND

Mindfulness-based interventions are promising psychological treatment approaches that may have more substantial long-lasting intervention effects than cognitive behavioral therapy when treating individuals with early psychosis. A pilot study analyzed mindfulness-based inpatient group therapy's feasibility and potential efficacy (Feel-Good).

OBJECTIVE

This paper explores the subjective experiences of participants in the Feel-Good inpatient therapy group to gain insight into the possible changes brought about by the mindfulness-based intervention.

METHODS

A semi-structured change interview was used to examine the experience of ten participants who participated in the Feel-Good intervention and the additional qualitative assessment. The interviews were conducted 16 weeks after the Feel-Good group ended (16-week Follow-Up). Interviews were transcribed verbatim and analyzed using thematic analysis.

RESULTS

The analysis generated five themes-one about personal changes brought about by the Feel-Good group, three about the group therapy experience, and one about wishes/modification suggestions to change and improve the Feel-Good group. The findings suggested that the Feel-Good group was perceived as very helpful, leading to numerous changes in one's overall well-being and relation to emotions. However, patients recommended a more directive therapeutic style and reduced time required for study assessments.

CONCLUSION

Gathering qualitative insight from participants on the Feel-Good intervention revealed meaningful insight into patients' experience of change processes. In addition, participant suggestions help to improve the intervention and study design to increase therapy attendance rates and treatment satisfaction, potentially increasing treatment effectiveness in the future.

CLINICAL TRIAL REGISTRATION

ClinicalTrials.gov, identifier NCT04592042.

摘要

背景

基于正念的干预措施是很有前景的心理治疗方法,在治疗早期精神病患者时,可能比认知行为疗法具有更显著的长期干预效果。一项试点研究分析了基于正念的住院患者团体治疗的可行性和潜在疗效(“感觉良好”疗法)。

目的

本文探讨“感觉良好”住院治疗组参与者的主观体验,以深入了解基于正念的干预可能带来的变化。

方法

采用半结构化的变化访谈来考察10名参与“感觉良好”干预及额外定性评估的参与者的体验。访谈在“感觉良好”组结束16周后进行(16周随访)。访谈逐字转录并采用主题分析法进行分析。

结果

分析产生了五个主题——一个关于“感觉良好”组带来的个人变化,三个关于团体治疗体验,一个关于对“感觉良好”组进行改变和改进的愿望/改进建议。研究结果表明,“感觉良好”组被认为非常有帮助,导致个人整体幸福感和与情绪的关系发生了许多变化。然而,患者建议采用更具指导性的治疗方式,并减少研究评估所需的时间。

结论

收集参与者对“感觉良好”干预的定性见解,揭示了对患者改变过程体验的有意义洞察。此外,参与者的建议有助于改进干预措施和研究设计,以提高治疗参与率和治疗满意度,可能在未来提高治疗效果。

临床试验注册

ClinicalTrials.gov,标识符NCT04592042。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3542/11492832/37358a269b02/fpsyt-15-1369629-g001.jpg

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