对有双相情感障碍风险的青少年和年轻人的早期心理教育干预:可行性研究。

IF 3.8 3区 医学 Q2 PSYCHIATRY
Kamyar Keramatian, Alexander Levit, Heeva Chavoshi-Nejad, Clara Westwell-Roper, John-Jose Nunez, Ashley Forbes, Emma Morton, Erin E Michalak, Eduard Vieta, Lakshmi N Yatham
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引用次数: 0

摘要

目的双相情感障碍(BD)通常在数年内未被发现和治疗,导致严重的后果。我们最近为双相情感障碍高危人群(PREP-BD)开发了一种基于远程医疗的手动群体心理教育和恢复力增强计划。本研究的主要目的是评估实施PREP-BD以提高高危人群寻求帮助意愿的可行性。方法通过Zoom进行每周一次、每次60分钟的小组心理教育。参与者(N = 21),年龄17至24岁,符合双相情感障碍风险标准,被分配到四个队列中的一个。该可行性试验的主要结果包括注册率、完成率和客户满意度问卷(CSQ-8)测量的可接受性。初步疗效评估采用有效的措施,寻求帮助的意图,恢复力,生活质量,和耻辱,与干预前和干预后的比较。结果研究结果表明,该项目具有良好的可行性,招募及时,报名率100%,完成率76.19%(以参加75%以上的小组会议为标准)。干预显示了寻求帮助意愿的初步改善,特别是在轻度躁狂的情况下。生活质量也有显著的改善,而恢复力和自我耻辱没有明显的改善趋势。结论在双相障碍高危人群中实施心理教育作为早期识别策略是可行的,需要进一步的随机对照试验来研究PREP-BD的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early Psychoeducational Intervention for Youth and Young Adults at Risk for Bipolar Disorder: A Feasibility Study: Intervention psychoéducative précoce pour les adolescents et les jeunes adultes à risque de trouble bipolaire : Une étude de faisabilité.

Objective: Bipolar disorder (BD) often goes unrecognized and untreated for several years leading to serious consequences. We have recently developed a manualized telehealth-based group psychoeducational and resilience enhancement program for individuals at high risk for bipolar disorder (PREP-BD). The primary objective of this study was to assess the feasibility of implementing PREP-BD to enhance help-seeking intentions among high-risk individuals.

Method: The intervention consisted of eight weekly, 60-minute group psychoeducation sessions conducted via Zoom. Participants (N = 21), aged 17 to 24 years, who met the bipolar at-risk criteria, were assigned to one of four cohorts. Primary outcomes for this feasibility trial included sign-up rate, completion rate, and acceptability as measured by the Client Satisfaction Questionnaire (CSQ-8). Preliminary efficacy was assessed using validated measures of help-seeking intentions, resilience, quality of life, and stigma, with pre- and post-intervention comparisons.

Results: Our findings indicate excellent feasibility as evidenced by timely recruitment, 100% sign-up rate, and 76.19% completion rate (defined as attending at least 75% of group sessions). The intervention showed preliminary improvements in help-seeking intentions, particularly for a hypomanic scenario. Quality of life also demonstrated significant improvement, while resilience and self-stigma showed non-significant trends toward improvement.

Conclusion: Our findings suggest the feasibility of implementing psychoeducation as an early identification strategy in individuals at risk for BD. Future randomized controlled trials are needed to investigate the effectiveness of PREP-BD.

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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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