Estimating treatment duration for psychotherapy in primary care
Estimating treatment duration for psychotherapy in primary care
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DOI：
10.1108/17465729200600023
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发表时间：
2006-01-01
影响因子：
1.4
通讯作者：
Carey, Timothy A.
中科院分区：
文献类型：
--
作者：
Carey, Timothy A.
社会上的心理健康问题越来越多。为了有效地处理这些问题，必须提供适当的治疗。一些证据表明，患者往往不会完成许多心理治疗的全部疗程。这项研究的目的是估计一家大型临床心理科成人专科转诊患者的平均治疗时间。选择了分层抽样策略，以获得对档案在一日历年内关闭的患者群体(n=3021)的平均治疗时间的无偏和准确的估计。对总体平均值的分层抽样均值估计值为3.9个预约；标准的心理治疗通常计划为十个以上的预约。这些结果表明，许多患者未能得到心理健康专业人员计划的全面治疗。也许更多的心理治疗需要在较少的预约次数中提供。分层抽样可以用来估计特定情况下的治疗持续时间，从而使治疗能够设计成满足当地需求。
Mental health problems are increasing in society. To deal with these problems effectively, it is imperative that appropriate treatments are delivered. Some evidence suggests that patients often do not complete the full course of many psychotherapy treatments. The aim of this study was to estimate the average length of treatment for patients referred to the adult specialty of a large clinical psychology department. A stratified sampling strategy was chosen to obtain an unbiased and precise estimator of the average treatment length for the population of patients whose files had been closed in one calendar year (n = 3021). The stratified sampling mean estimator for the population mean was 3.9 appointments; standard psychotherapy treatments are often planned to be more than ten appointments. These results suggest that many patients are failing to receive the full treatment planned by mental health professionals. Perhaps more psychotherapy treatments need to be delivered in a smaller number of appointments. Stratified sampling could be used to estimate treatment duration in particular contexts, thereby allowing treatments to be designed to meet local needs.