The influence of therapy quality on outcomes from behavioural activation and guided self-help treatments for depression in adults with intellectual disabilities.
Dave Dagnan, Paul Thompson, Richard P Hastings, Chris Hatton, Chris Melville, Sally-Ann Cooper, Nicola McMeekin, Lauren Fulton, Rob S P Jones, Alex McConnachie, Andrew Jahoda
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引用次数: 0
Abstract
Objectives: We report the effect of quality of therapy delivery on outcomes in a randomized, controlled trial of behavioural activation (BA) and guided self-help (GSH) for depression in adults with intellectual disabilities.
Methods: A study specific measure of quality was used in a linear mixed effect model to determine the effects therapy and therapy quality on therapy outcome.
Results: There was a significant interaction between quality and treatment type, with lower quality therapy associated with better outcome for GSH but poorer outcome for BA, with little difference in outcomes at higher levels of therapy quality.
Conclusions: Factors suggesting high quality in individualized BA may indicate problematic engagement for GSH. More research into processes in therapy for people with intellectual disabilities is required.
目的：我们报告了在一项针对智障成人抑郁症的随机对照试验中，治疗质量对疗效的影响：我们报告了在一项针对智障成人抑郁症的行为激活（BA）和指导自助（GSH）随机对照试验中，治疗质量对治疗结果的影响：方法：在一个线性混合效应模型中使用了一种特定的研究质量测量方法，以确定治疗和治疗质量对治疗结果的影响：结果：治疗质量与治疗类型之间存在明显的交互作用，治疗质量越低，GSH的治疗效果越好，但BA的治疗效果越差，治疗质量越高，治疗效果差异越小：结论：表明个体化 BA 治疗质量高的因素可能表明 GSH 的参与存在问题。需要对智障人士的治疗过程进行更多研究。
期刊介绍：
The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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