急性住院护理设置的心理团体干预措施很少。而元认知训练为精神病患者(MCT)提供了一个广泛的,对于轻度至中度症状的患者,易于实施的干预措施,就信息的长度和密度而言,这对于急性护理环境来说是不够的。我们介绍了MCT的适应过程和由此产生的适应,MCT-急性,用于急性住院护理设置。我们报告了第一个病人的病例,NK,由于精神分裂症的恶化,她在强制入住锁定的急性病房期间参加了MCT-急性期。NK参与MCT-急性12次,对训练总体评价为积极的,并报告说她使用了在训练期间学到的练习来改善情绪。她还描述了改变自己在日常生活中的行为,以更慢地思考并做出不那么草率的决定,这是MCT和MCT-急性中讨论的中心话题。在急性护理环境中进行MCT的改编版本是可行的,本病例报告提示,MCT-急性可能是多学科治疗计划的有用补充,以稳定急性住院护理中的严重精神疾病患者。
Psychological group interventions for the acute inpatient care setting are scarce. Whereas Metacognitive Training for patients with Psychosis (MCT) provides a widely accessible, easy-to-implement intervention for patients with mild to moderate symptoms, it is less adequate for the acute care setting with respect to length and density of information. We present the adaptation process and the resulting adaptation of MCT, MCT-Acute, for the acute inpatient care setting. We report the
case of a first patient, NK, who participated in MCT-Acute during her mandated stay on the locked acute ward due to an exacerbation of schizophrenia. NK participated in MCT-Acute 12 times, evaluated the training overall as positive and reported that she used exercises she had learned during training to improve her mood. She also described changing her behaviour in everyday life to think more slowly and make less hasty decisions, which is a central topic discussed in MCT and MCT-Acute. Conducting an adapted version of MCT in the acute care setting is feasible, and the present
case report suggests that MCT-Acute may be a useful complement to a multidisciplinary treatment plan to stabilize patients with severe mental illness in acute inpatient care.