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全科医疗中的心理治疗。

Psychological treatment in general practice.

作者信息

Ives G

出版信息

J R Coll Gen Pract. 1979 Jun;29(203):343-51.

PMID:522038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2159214/
Abstract

A clinical psychologist was attached to two group practices in Sheffield for 1.5 sessions each per week. A total of 238 patients was seen during 26 months. Of those completing therapy, 72 per cent made satisfactory progress. In the three months after stopping treatment patients made significantly fewer (36 per cent) visits to the surgeries and received significantly fewer (50 per cent) prescriptions for psychotropic drugs than in the three months before referral. These changes were maintained one year later in the three-month period 12 to 15 months after discharge. The result has been to provide largely successful therapy for a population of patients for whom adequate treatment was previously unavailable. This suggests that it would be worthwhile to expand psychological services in general practice still further as advised by the Department of Health and Social Security.

摘要

一名临床心理学家每周在谢菲尔德的两个团体诊所各工作1.5个时段。在26个月期间共接待了238名患者。完成治疗的患者中,72%取得了令人满意的进展。在停止治疗后的三个月里,患者去诊所就诊的次数显著减少(减少了36%),并且与转诊前的三个月相比,精神药物的处方量也显著减少(减少了50%)。这些变化在出院后12至15个月的三个月期间保持了一年。结果是为以前无法获得充分治疗的一群患者提供了基本上成功的治疗。这表明按照卫生和社会保障部的建议,进一步扩大全科医疗中的心理服务是值得的。

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引用本文的文献

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Work of the clinical psychologist in general practice: preliminary communication.临床心理学家在全科医疗中的工作:初步交流
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J R Coll Gen Pract. 1983 Jan;33(246):29-31.
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The clinical psychologist in general practice: a six-year study of consulting patterns for psychosocial problems.普通科临床心理学家:一项关于社会心理问题咨询模式的六年研究。
J R Coll Gen Pract. 1984 Jul;34(264):377-80.
5
The psychologist's contribution to primary care: a reappraisal.心理学家对初级保健的贡献:重新评估。
J R Coll Gen Pract. 1984 Apr;34(261):190-3.
6
Psychological treatment in general practice: its effect on patients and their families.全科医疗中的心理治疗:对患者及其家庭的影响。
J R Coll Gen Pract. 1986 May;36(286):209-11.
7
The effectiveness of psychological intervention in primary care: a comparative analysis of outcome ratings.基层医疗中心理干预的有效性:结局评分的比较分析
J R Coll Gen Pract. 1986 Jul;36(288):310-2.
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本文引用的文献

1
The clinical psychologist in a health centre: one year's work.健康中心的临床心理学家:一年的工作
Br Med J. 1975 Nov 29;4(5995):513-4. doi: 10.1136/bmj.4.5995.513.