The association between trajectories of change in social functioning and psychological treatment outcome in university students: a growth mixture model analysis.
The association between trajectories of change in social functioning and psychological treatment outcome in university students: a growth mixture model analysis.
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DOI：
10.1017/s0033291723000363
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发表时间：
2023-03-06
影响因子：
6.9
通讯作者：
Pilling, Stephen
中科院分区：
文献类型：
--
作者：
Barnett, Phoebe;Saunders, Rob;Buckman, Joshua E. J.;Naqvi, Syed Ali;Singh, Satwant;Stott, Joshua;Wheatley, Jon;Pilling, Stephen
向大学的过渡以及由此产生的社会支持网络的中断可能对大学生的心理健康有害。由于对心理健康支持的需求在学生中越来越普遍，确定与较差结果相关的因素是一个优先事项。社会功能的变化与心理健康具有双向关系，但尚不清楚这些措施如何与心理治疗的有效性相关。对5221名接受常规心理健康服务的学生样本进行生长混合模型估计，以确定治疗过程中社会休闲活动和亲密关系中自评损害的不同变化轨迹。多项回归探讨了轨迹类别与治疗结果之间的关系。社会休闲活动障碍分为5类，亲密关系障碍分为3类。在这两项测试中，大多数学生仍然是轻度受损。其他轨迹包括严重损害有限改善，严重损害延迟改善，以及仅在社会休闲活动中，快速改善和恶化。改善的轨迹与积极的治疗结果相关，而恶化或稳定的严重损害轨迹与消极的治疗结果相关。社会功能障碍的变化与学生的心理治疗结果有关，表明这些变化可能与治疗效果和康复经历有关。未来的研究应该寻求建立是否存在因果关系，以了解在心理治疗中整合社会支持是否会给学生带来额外的好处。
The transition to university and resultant social support network disruption can be detrimental to the mental health of university students. As the need for mental health support is becoming increasingly prevalent in students, identification of factors associated with poorer outcomes is a priority. Changes in social functioning have a bi-directional relationship with mental health, however it is not clear how such measures may be related to effectiveness of psychological treatments. Growth mixture models were estimated on a sample of 5221 students treated in routine mental health services to identify different trajectories of change in self-rated impairment in social leisure activities and close relationships during the course of treatment. Multinomial regression explored associations between trajectory classes and treatment outcomes. Five trajectory classes were identified for social leisure activity impairment while three classes were identified for close relationship impairment. In both measures most students remained mildly impaired. Other trajectories included severe impairment with limited improvement, severe impairment with delayed improvement, and, in social leisure activities only, rapid improvement, and deterioration. Trajectories of improvement were associated with positive treatment outcomes while trajectories of worsening or stable severe impairment were associated with negative treatment outcomes. Changes in social functioning impairment are associated with psychological treatment outcomes in students, suggesting that these changes may be associated with treatment effectiveness as well as recovery experiences. Future research should seek to establish whether a causal link exists to understand whether integrating social support within psychological treatment may bring additional benefit for students.
DOI：
10.1007/s12144-021-02076-w
发表时间：
2023
期刊：
Current psychology (New Brunswick, N.J.)
影响因子：
--
作者：
Nola M;Guiot C;Damiani S;Brondino N;Milani R;Politi P
通讯作者：
Politi P