针对中国炎症性肠病患者创伤后成长的叙事疗法方案的构建与初步测试--一项试点研究

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-05-24 DOI:10.1002/cpp.3013
Dandan Chen, Tianrong Zhu, Yunxian Zhou
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引用次数: 0

摘要

背景:针对炎症性肠病(IBD)患者的创伤后成长(PTG)促进计划,尤其是叙事疗法(NT)的研究仍然有限。本试验性研究旨在开发一个促进创伤后成长(PTG)的叙事疗法项目,并评估其可行性、初步效果、参与者的体验和改进建议:通过文献回顾、IBD 患者访谈和专家小组讨论,初步制定了 NT 计划。为了评估该计划的可行性和初步效果,我们开展了一项随机对照试点试验。NT组的参与者每周连续接受五次该计划的治疗,而对照组则接受标准护理。试验结果包括 PTG、焦虑、抑郁和生活质量。此外,还进行了定性访谈,以了解参与者的经验和对计划修改的建议:NT计划是以科学严谨的态度制定的。招募率和保留率分别为 62.5%和 96.7%。据观察,NT 组的焦虑水平明显降低,并出现了 PTG 的表现。参与者对 NT 计划提出了改进建议:在这项研究中,NT 计划的构建促进了 IBD 患者的 PTG,为其可行性和潜在的积极心理变化提供了初步证据。然而,还需要进行大规模的研究,以验证其在更广泛应用中的有效性。
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Constructing and Preliminary Testing a Narrative Therapy Programme for Posttraumatic Growth in Chinese Patients With Inflammatory Bowel Disease—A Pilot Study

Background

The research on posttraumatic growth (PTG) promotion programmes, particularly narrative therapy (NT), for patients with inflammatory bowel disease (IBD) remains limited. This pilot study aims to develop an NT programme to promote PTG and evaluate its feasibility, preliminary effectiveness, participants' experiences and improvement suggestions.

Methods

The NT programme was initially developed through literature review, interviews with IBD patients and expert panel discussions. A randomized controlled pilot trial was conducted to assess the feasibility and preliminary effectiveness of the programme. Participants in the NT group received five consecutive weekly sessions of the programme, while the control group received standard care. Outcomes including PTG, anxiety, depression and quality of life were measured. Qualitative interviews were conducted to explore participants' experiences and suggestions for programme modifications.

Results

The NT programme was developed with scientific rigour. The recruitment rate and retention rate were 62.5% and 96.7%, respectively. A significant reduction in anxiety levels was observed, and manifestations of PTG were reported in the NT group. Suggestions for improvement of the NT programme were received from the participants.

Conclusion

The NT programme was constructed to promote PTG in IBD patients in this study, further offering preliminary evidence for its feasibility and potential positive psychological change. However, large-scale research is needed to validate its effectiveness for broader applications.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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