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首页> 外文期刊>Nordic journal of psychiatry. >The effects of psychological treatment in primary care in Sweden-A practice-based study
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The effects of psychological treatment in primary care in Sweden-A practice-based study

机译：心理治疗在瑞典初级保健中的作用-基于实践的研究

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Background: Practice-based studies have found substantial effects of psychological treatment in routine care, often equivalent between treatment methods. Factors that moderate treatment outcome may be important to assess. Aim: The purpose of this study was to evaluate treatment outcome in psychological treatment in primary care, and to compare outcome between the most frequently used methods. An additional aim was to study factors that might moderate outcome differences. Method: The Clinical Outcome in Routine Evaluation (CORE) system was used to evaluate psychological treatment at Swedish primary care centers. Treatment methods were coded by the therapists after treatment. Three major treatment orientations-directive (cognitive, behavioral and CBT), reflective (psychodynamic and relational) and supportive therapy were compared. Patient and therapist variables were studied as treatment moderating factors. Results: Analyses of 733 therapies, delivered by 70 therapists, showed good results in short psychological treatments (median session number = 6). Forty-three percent of the patients were remitted, 34% recovered. For patients receiving at least five sessions, the figures were 50% and 40%. Directive therapy and reflective therapy had comparable outcome, and better than supportive treatment. Patients in supportive therapy had higher age and received fewer therapy sessions. The patients 'motivation, alliance capacity and reflective ability, as rated by the therapist after treatment, were lower for patients in supportive treatment. Conclusions: Psychological treatment in primary care obtains god results. Supportive therapy should be studied more systematically, particularly with regard to variables that may moderate treatment outcome.
机译：背景：基于实践的研究发现，心理治疗在常规护理中具有显着效果，通常在治疗方法之间是等效的。评估中等治疗结果的因素可能很重要。目的：本研究的目的是评估初级保健中心理治疗的治疗效果，并比较最常用的方法之间的效果。另一个目的是研究可能缓解结果差异的因素。方法：使用常规评估的临床结果（CORE）系统评估瑞典初级保健中心的心理治疗。治疗方法由治疗师在治疗后编码。比较了三种主要的治疗方向：指导性（认知，行为和CBT），反思性（心理动力学和关系性）和支持疗法。研究了患者和治疗师的变量作为治疗调节因素。结果：由70位治疗师进行的733种疗法的分析显示，在短期心理治疗中效果良好（中位数为6）。百分之四十三的患者被缓解，百分之三十四的患者康复。对于至少接受了五次治疗的患者，这一数字分别为50％和40％。定向疗法和反射疗法的结果相当，并且优于支持疗法。支持治疗的患者年龄较大，接受的治疗次数较少。治疗师对患者进行支持治疗后，其动机，同盟能力和反思能力较低。结论：初级保健中的心理治疗取得了良好的效果。支持治疗应更系统地进行研究，尤其是在可能影响治疗结果的变量方面。

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