Sự bỏ trị sớm trong liệu pháp tâm lý cho trầm cảm với các nhà trị liệu nhóm và mạng lưới

Administration in mental health - Tập 39 - Trang 440-447 - 2011
Gregory E. Simon1, Victoria Ding1, Rebecca Hubbard1, Paul Fishman1, Evette Ludman1, Leo Morales1, Belinda Operskalski1, James Savarino1
1Group Health Research Institute, Seattle, USA

Tóm tắt

Dữ liệu hành chính đã được sử dụng để xem xét sự bỏ trị sớm trong số 16.451 thành viên của kế hoạch chăm sóc sức khỏe đã gọi để yêu cầu liệu pháp tâm lý cho trầm cảm. So với các thành viên được giới thiệu đến các nhà trị liệu nhóm, những người được giới thiệu đến các nhà trị liệu mạng lưới có xác suất bỏ trị trước buổi hẹn đầu tiên cao hơn (OR 2.33, 95% CI 2.17–2.50) nhưng ít có khả năng bỏ trị sau buổi hẹn đầu tiên (OR 0.45, 95% CI 0.43–0.48). Những khác biệt này không bị ảnh hưởng bởi việc điều chỉnh theo thu nhập khu vực và trình độ học vấn, việc sử dụng thuốc chống trầm cảm, hoặc độ hào phóng của bảo hiểm y tế. Các nỗ lực nhằm tăng cường hiệu quả của liệu pháp tâm lý có thể cần các chiến lược khác nhau trong thực hành mô hình nhóm và mạng lưới.

Từ khóa

#liệu pháp tâm lý #trầm cảm #sự bỏ trị #nhà trị liệu #dữ liệu hành chính

Tài liệu tham khảo

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