关键词: case management maintenance treatment mobile-aided intervention panic attack panic disorder quality of care

来  源:   DOI:10.3389/fpsyt.2023.1203194   PDF(Pubmed)

Abstract:
UNASSIGNED: Individuals with panic disorder frequently face ongoing symptoms, suboptimal treatment adherence, and increased relapse rates. Although mobile health interventions have shown promise in improving treatment outcomes for numerous mental health conditions, their effectiveness, specifically for panic disorder, has yet to be determined.
UNASSIGNED: This study investigates the effects of a mobile-aided case management program on symptom reduction and quality of care among individuals with panic disorder.
UNASSIGNED: This 3-year cohort study enrolled 138 participants diagnosed with panic disorder. One hundred and eight participants joined the mobile-aided case management group and 30 in the treatment-as-usual group. Data were collected at baseline, 3-month, 6-month, and 12-month treatment checkpoints using self-report questionnaires, in-depth interviews, direct observation, and medical record analysis.
UNASSIGNED: During the maintenance treatment phase, the mobile-assisted case management group decreased both panic severity (p = 0.008) and state anxiety (p = 0.016) more than the control group at 6 months. Participants who underwent case management experienced enhanced control over panic symptoms, heightened self-awareness, and elevated interpersonal support.
UNASSIGNED: The mobile-aided case management is beneficial in managing panic disorder, especially maintenance treatment.
摘要:
患有恐慌症的人经常面临持续的症状,治疗依从性欠佳,和增加复发率。尽管移动健康干预措施在改善许多精神健康状况的治疗结果方面显示出希望,其有效性,特别是对于恐慌症,尚未确定。
本研究调查了移动辅助病例管理计划对惊恐障碍患者症状减轻和护理质量的影响。
这项为期3年的队列研究招募了138名被诊断为惊恐障碍的参与者。108名参与者加入了移动辅助病例管理组,30名参与者加入了照常治疗组。数据在基线时收集,3个月,6个月,使用自我报告问卷进行12个月的治疗检查点,深入采访,直接观察,和医疗记录分析。
在维持治疗阶段,在6个月时,移动辅助病例管理组比对照组减少更多的惊恐严重程度(p=0.008)和状态焦虑(p=0.016).接受病例管理的参与者对恐慌症状的控制得到了加强,自我意识增强,和提升的人际支持。
移动辅助病例管理有益于管理恐慌症,尤其是维持治疗。
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