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首页> 外文期刊>General hospital psychiatry >Controlled trial of problem-solving therapy and consultation-liaison for common mental disorders in general medical settings in Taiwan.
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Controlled trial of problem-solving therapy and consultation-liaison for common mental disorders in general medical settings in Taiwan.

机译:台湾一般医学环境中常见精神障碍的解决问题治疗和咨询联络的对照试验。

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摘要

OBJECTIVE: Common mental disorders (CMD) are prevalent high-impact illnesses seen in general medical settings worldwide. There has been no investigation on the efficacy of enhanced care in Chinese societies. The aim of this study was to compare the outcome of three interventions for treating CMD: usual care (UC), problem-solving therapy plus UC (PST-UC), and psychiatric consultation plus UC (PC-UC). METHOD: The sample for this randomized controlled trial consisted of 254 patients with CMD being managed in general medical care settings. Clinical and functional assessments were done at baseline and at 16 weeks. RESULTS: Two hundred six patients had complete data at 16 weeks (66 in the UC group, 63 in the PST-UC group, 77 in the PC-UC group). All patients had significant improvement on all scales over time, with no significant differences among the three treatment groups. CONCLUSION: This trial failed to demonstrate the efficacy of enhanced care with consultation-liaison by mental health professionals forpatients with CMD in general medical settings in Taiwan. Improved outcomes may require more integrated interventions.
机译:目的:常见精神障碍(CMD)是在全球范围内的一般医疗环境中常见的高影响力疾病。在中国社会,尚未有关于加强护理的功效的调查。这项研究的目的是比较三种用于治疗CMD的干预措施的结果:常规护理(UC),解决问题的治疗加UC(PST-UC)和精神病咨询加UC(PC-UC)。方法:该随机对照试验的样本包括254名在常规医疗机构中接受治疗的CMD患者。在基线和第16周进行临床和功能评估。结果:206例患者在16周时获得了完整的数据(UC组66例,PST-UC组63例,PC-UC组77例)。随着时间的推移,所有患者的所有规模均有明显改善,三个治疗组之间无显着差异。结论:该试验未能证明在台湾的一般医疗环境中,由心理健康专家对CMD患者进行咨询后加强护理的效果。改善结果可能需要更多的综合干预措施。

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