• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Revista Brasileira de Psiquiatria >Clinical outcomes of psychotherapy dropouts: does dropping out of psychotherapy necessarily mean failure?
【24h】

Clinical outcomes of psychotherapy dropouts: does dropping out of psychotherapy necessarily mean failure?

机译：心理治疗辍学的临床结果：退出心理治疗是否必然意味着失败？

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: A large proportion of psychotherapy patients remain untreated, mostly because they drop out. This study compares the short- and long-term outcomes of patients who dropped out of psychotherapy to those of therapy completers. Methods: The sample included 63 patients (23 dropouts and 40 completers) from a controlled clinical trial, which compared narrative therapy vs. cognitive-behavioral therapy for major depressive disorder. Patients were assessed at the eighth session, post-treatment, and at 31-month follow-up. Results: Dropouts improved less than completers by the last session attended, but continued to improve significantly more than completers during the follow-up period. Some dropout patients improved with a small dose of therapy (17% achieved a clinically significant change before abandoning treatment), while others only achieved clinically significant change after a longer period (62% at 31-month follow-up). Conclusion: These results emphasize the importance of dealing effectively with patients at risk of dropping out of therapy.Patients who dropped out also reported improvement of depressive symptoms without therapy, but took much longer to improve than did patients who completed therapy. This might be attributable to natural remission of depression. Further research should use a larger patient database, ideally gathered by meta-analysis.
机译：目的：大部分心理治疗患者仍未接受治疗，主要是因为他们辍学。这项研究比较了退出心理治疗的患者和完成治疗者的短期和长期结果。方法：该样本包括来自对照临床试验的63名患者（23名辍学者和40名完成者），该研究比较了叙事疗法与认知行为疗法对重度抑郁症的影响。在第八次治疗，治疗后和31个月的随访中对患者进行了评估。结果：在上一届会议上，辍学率的提高不及完成者，但在后续阶段，辍学率继续明显高于完成者。一些辍学患者通过小剂量治疗即可改善（17％的患者在放弃治疗前取得了临床上的重大改变），而其他患者仅在更长的时期后才取得了临床上的重大改变（在31个月的随访中达到62％）。结论：这些结果强调了有效治疗可能退出治疗的患者的重要性。辍学的患者也报告了未经治疗可改善抑郁症状，但改善时间要比完成治疗的患者长得多。这可能归因于抑郁症的自然缓解。进一步的研究应使用更大的患者数据库，最好通过荟萃分析收集。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号