Patient perspectives on psychological interventions provided in adult psychiatric inpatient wards: A thematic synthesis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-01-20 DOI:10.1002/cpp.2946

Lydia Carr, Yvonne Awenat, Sinéad Ray, Sara Tai

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Abstract

Objectives

Psychological intervention is an important part of psychiatric inpatient treatment for people experiencing severe problems affecting their mental health. Unfortunately, many service users accessing acute inpatient services are not being offered psychological interventions. Recent research has focussed on effectiveness, facilitators and barriers to providing psychological interventions in this setting. This review aimed to provide a qualitative synthesis of service user perspectives regarding psychological interventions provided on inpatient wards, to understand what is helpful and unhelpful about current provision.

Method

A systematic literature search of four databases was conducted to identify published qualitative literature regarding service user perspectives of NICE-recommended psychological interventions provided on adult acute mental health inpatient wards. Study quality was assessed using the Critical Appraisal Skills Programme tool. Data was analysed and synthesised using thematic analysis.

Results

The search was completed in May 2023. Seventeen studies were included in the review and encapsulated feedback from at least 192 service users. All studies were rated as high or moderate on the quality appraisal tool. Three superordinate themes were identified: ‘Connecting with Others’, ‘Psychological Processes’ and ‘Engaging with the Intervention’. Participants valued supportive relationships with peers and therapists and felt empowered to achieve change through expression, focussing on difficulties and gaining new perspectives. Participants wanted more support to maintain benefits and sometimes struggled to engage with group therapy due to difficult peer dynamics.

Conclusions

The results give a detailed synthesis of some of the important factors, from service users' perspectives, for accessing psychological interventions. Recommendations for clinical practice and future research are provided.

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患者对成人精神科住院病房提供的心理干预的看法：专题综述

目标心理干预是精神病住院治疗的重要组成部分，适用于有严重心理健康问题的患者。遗憾的是，许多接受急诊住院治疗的服务对象并没有得到心理干预。最近的研究集中于在这种情况下提供心理干预的有效性、促进因素和障碍。本综述旨在对住院病人病房中提供心理干预服务的服务使用者的观点进行定性综述，以了解目前提供的心理干预服务中哪些是有益的，哪些是无益的。方法对四个数据库进行了系统性文献检索，以确定已发表的定性文献，这些文献涉及服务使用者对 NICE 推荐的在成人急性期精神疾病住院病房提供的心理干预措施的看法。研究质量采用批判性评估技能计划工具进行评估。采用主题分析法对数据进行分析和综合。结果搜集工作于 2023 年 5 月完成。17 项研究被纳入综述，其中包含至少 192 名服务用户的反馈意见。所有研究在质量评估工具中均被评为高度或中度。确定了三个超主主题：与他人建立联系"、"心理过程 "和 "参与干预"。参与者重视与同伴和治疗师之间的支持性关系，并认为自己有能力通过表达、关注困难和获得新视角来实现改变。参与者希望得到更多的支持，以保持获益，有时由于同伴之间的关系不融洽，他们很难参与到小组治疗中。结论研究结果从服务使用者的角度详细综述了获得心理干预的一些重要因素。对临床实践和未来研究提出了建议。

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来源期刊

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.