圖片勝于雄辯:開創(chuàng)性的精神病治療試驗啟動
指南者留學 2022-07-21 16:37:41 閱讀量:1239
<div data-page-id="doxcnDtDnlD5zcj4n4wAkrY2uvb" data-docx-has-block-data="true"> <div class="ace-line ace-line old-record-id-doxcnKSQqkOGou8eUQ35MWyvHAf" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="image-uploaded gallery old-record-id-doxcnWQAqeoaUwy2a89lEIz4Edf" style="text-align: justify;" data-type="image" 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old-record-id-doxcnU44IAawmuqCsO6xnIRJx6d" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnmeC2IwgAW4u6yeMF7FxxQg" style="text-align: justify;"><span class="p">一項開創(chuàng)性療法的臨床試驗正在曼徹斯特啟動,該療法可幫助精神病和精神分裂癥患者控制可怕和侵入性圖像。</span></div> <div class="ace-line ace-line old-record-id-doxcnmauKmYckyKKaMrd4N2bb6b" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnO4AayqA8Y6yCOyKHtLZoif" style="text-align: justify;"><span class="p">由Pennine Care NHS基金會信托基金和曼徹斯特大學領(lǐng)導(dǎo),這項耗資255,000英鎊的研究由國家健康與護理研究所(NIHR)資助。</span></div> <div class="ace-line ace-line old-record-id-doxcnkasGc0eAUyYUC2YSqbKkwb" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnkAseyEUqaWiUFOguTBMTrH" style="text-align: justify;"><span class="p">可行性研究將在12個月內(nèi)在大曼徹斯特招募45名患者,這將是迄今為止在精神病中使用以圖像為中心的治療方法的最大試驗之一。</span></div> <div class="ace-line ace-line old-record-id-doxcnIAM0u04w2AcAUdRTyyAjlc" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcn2OEsaeG8UuuEHrqG50patk" style="text-align: justify;"><span class="p">研究小組希望這種療法能夠幫助高達74%的精神病患者,他們看到腦海中的侵入性圖片,幫助他們理解和改變圖像,并用更積極的圖像取而代之。</span></div> <div class="ace-line ace-line old-record-id-doxcneywUmqWyIEaOsBD2HjLARg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnYsIs0a2YgAC2usV0RWXCtc" style="text-align: justify;"><span class="p">這些&ldquo;頭腦中的圖片&rdquo;通常與其他人聽不到的痛苦聲音以及其他人想要傷害他們的信念有關(guān)。</span></div> <div class="ace-line ace-line old-record-id-doxcnWqSW0uQKyyEsYpVVbuoQje" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnWmSYegWaI2yaULJCZgLtkh" style="text-align: justify;"><span class="p">談話療法每周進行12次,除了一個人過去的圖像(或他們擔心將來發(fā)生的事情)之外,還使用純粹想象的圖像。</span></div> <div class="ace-line ace-line old-record-id-doxcniAuies8awGCekhTuxETtyg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnOmMmGO4MQg6MovSMjTSov9" style="text-align: justify;"><span class="p">抗精神病藥物可以治療精神病的一些癥狀,然而,大約74%的患者在18個月內(nèi)停止使用它或在18個月內(nèi)更換藥物,因為副作用使人衰弱,或者沒有報告益處,這突顯了對有效治療的迫切需要。</span></div> <div class="ace-line ace-line old-record-id-doxcnaMCY4gcsyoW2Wo3Vkfmn4c" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnmM8aosIACCOuIsHF4W0pL4" style="text-align: justify;"><span class="p">在過去兩年中對10名患者進行的初始測試顯示,稱為iMAPS的方法是可以接受的,一些患者報告了減少精神病經(jīng)歷和癥狀的積極益處。</span></div> <div class="ace-line ace-line old-record-id-doxcnYAmu0uYsaiiIMfrUqauWrf" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnCo0KsSe66y6SuFCCdkYH9l" style="text-align: justify;"><span class="p">現(xiàn)在,研究小組正在轉(zhuǎn)向一項更大的研究。</span></div> <div class="ace-line ace-line old-record-id-doxcnUkUs0osiwuWCg3KbnT1C3b" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnIIMIqsYsa6SY8Qa0TLHP5b" style="text-align: justify;"><span class="p">首席研究員Chris Taylor博士是Pennine Care NHS基金會信托基金會的臨床心理學家顧問,曼徹斯特大學名譽臨床講師,他說:&ldquo;我們的研究旨在改善精神病患者目前的治療方法。</span></div> <div class="ace-line ace-line old-record-id-doxcnMUYq88OuIci2YLUgNDWgWf" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnkiCyqISuyEquSke4I6ORgf" style="text-align: justify;"><span class="p">&ldquo;認知行為療法(CBT)是目前NICE推薦的心理療法之一,已經(jīng)顯示出對精神病經(jīng)歷(如幻覺和妄想)的強大但很小的影響。</span></div> <div class="ace-line ace-line old-record-id-doxcnC6uq64iuSSum8rJJJKoCSg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcn04oOyGY0iwKoQDUmqL6P2d" style="text-align: justify;"><span class="p">&ldquo;我們知道,諸如閃回和閃回之類的侵入性心理圖像對于患有精神病的人來說很常見,早期的生活經(jīng)歷可能導(dǎo)致對自己和他人產(chǎn)生負面信念。</span></div> <div class="ace-line ace-line old-record-id-doxcncqMQ88coieqKSUeo45qqPg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnQOYY4Uww8Mss4568QkE9gg" style="text-align: justify;"><span class="p">他補充說:&ldquo;iMAPS治療方法可以直接處理這些圖像和過去的負面經(jīng)歷,我們希望這也會導(dǎo)致精神病經(jīng)歷的下降。</span></div> <div class="ace-line ace-line old-record-id-doxcnwOmwkS6A8ooSGqMAFx6s6b" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnImAS4cwEiaAKKzO2XxvIWd" style="text-align: justify;"><span class="p">&ldquo;在許多方面,說圖片勝于雄辯是真的。</span></div> <div class="ace-line ace-line old-record-id-doxcnaggSI8Q4Oaae2ksFJjB3ZC" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcng4QSoWmCkSQ0eeDw83TP2g" style="text-align: justify;"><span class="p">&ldquo;我們的可行性研究旨在從患者那里了解他們參加試驗的經(jīng)歷,接受治療和改進建議,以計劃更大的確定性試驗。</span></div> <div class="ace-line ace-line old-record-id-doxcnKUg4qkekMmq0Yre7lrJXMd" style="text-align: justify;"><span class="p">&nbsp;</span></div> <blockquote class=" old-record-id-doxcnOguAQO4EGuYUsTOWkYEvYO" data-type="quote_container"> <div class="ace-line ace-line old-record-id-doxcnCgkiGKqSQ6ymmCjD1fgRWh" style="text-align: center;"><span class="h6">在許多方面,說圖片勝于雄辯是真的。 <em>&mdash;&mdash;</em><strong>克里斯&middot;泰勒博士</strong></span></div> </blockquote> <div class="ace-line ace-line old-record-id-doxcnQAmooOcq4i0ICGRzJS3Qhg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnmygaSye4Ki2CSaLgQPpSrg" style="text-align: justify;"><span class="p">NIHR心理健康研究發(fā)起e的資金是英格蘭北部心理健康項目快速呼吁的一部分,以解決區(qū)域需求與心理健康研究活動之間的差異。</span></div> <div class="ace-line ace-line old-record-id-doxcn8Q4eO02qYsO6iWg4iyRrjd" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnk682YWuAwKsOcTyu3WMgld" style="text-align: justify;"><span class="p">曼徹斯特大學臨床心理學教授、高級共同申請人Katherine Berry教授說:&ldquo;這項研究正在英格蘭西北部開始,這是個好消息。</span></div> <div class="ace-line ace-line old-record-id-doxcnq0mMSii6QukWEffpDfklGf" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcn0goeCyOOu0AwCo266mp0gf" style="text-align: justify;"><span class="p">&ldquo;該項目是專門針對令人痛苦的圖像的精神病患者的最大治療試驗。這是當?shù)匦睦斫】笛芯康闹匾徊?。我個人非常高興能成為這個項目的一部分。</span></div> <div class="ace-line ace-line old-record-id-doxcneKGsuOQAseWo4B7EYIejEg" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnuUyqKEW22kmyIZSGMIPnfb" style="text-align: justify;"><span class="p"><strong>湯姆的故事</strong></span></div> <div class="ace-line ace-line old-record-id-doxcnuos4YmksyI6KCyLKdOTTih" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnECEuqUgkkswCO08oBtD8vf" style="text-align: justify;"><span class="p">當湯姆二十多歲時在北方大學讀書時,他被他在腦海中看到的陰險無特征的面孔所創(chuàng)傷。</span></div> <div class="ace-line ace-line old-record-id-doxcnG0IEkMAASig4I5RcvURPub" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcn4cIiA0aSKOog6jKbtc4HKd" style="text-align: justify;"><span class="p">他被迫放棄了他的課程,因為異象使他充滿了恐懼,恐懼和偏執(zhí)。</span></div> <div class="ace-line ace-line old-record-id-doxcnsYqukoKIAYCgMJiQdWjDNf" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcngugSUqQsoOig4L0sLvOJdh" style="text-align: justify;"><span class="p">但是,當他的治療師每周只進行八次治療時,他幫助他理解了這些圖像,并想象一個密封的牢房/盔甲包裹在臉上,恐懼和偏執(zhí)就消失了。</span></div> <div class="ace-line ace-line old-record-id-doxcna2MuCeS8QMYWieYEUnmxoc" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnSYES8g8O0gGME3S28QGnGh" style="text-align: justify;"><span class="p">湯姆回到大學,以優(yōu)異的成績通過了心理學本科學位,并繼續(xù)攻讀該學科的碩士學位。他現(xiàn)在希望在支持其他有心理健康問題的人的角色中工作。</span></div> <div class="ace-line ace-line old-record-id-doxcnow46qseEeSOi2dEUFRqY2d" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnoAC6aImw6Ys6ONlj2gYhC9" style="text-align: justify;"><span class="p">湯姆說:&ldquo;這種療法對我來說真的很有用。它讓我平靜下來,而我卻一點也不平靜。</span></div> <div class="ace-line ace-line old-record-id-doxcnKyqsaawGwCqK1X6HydNuya" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnQOGYCGUQW4040sFU8AqYGc" style="text-align: justify;"><span class="p">&ldquo;這種療法幫助我擺脫了對腦海中事物的關(guān)注,并將圖像與那些惡意威脅的感覺分開。</span></div> <div class="ace-line ace-line old-record-id-doxcneEOeg8GWO2YsUjr1h2AWWd" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnOW6USg8WeeqCqt7nE6yrCv" style="text-align: justify;"><span class="p">&ldquo;我意識到威脅我的不是數(shù)字,而是我的感受,這給了我很大的幫助。</span></div> <div class="ace-line ace-line old-record-id-doxcniCqswWIKUYGMq6v8eZ4Gge" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnoAOw0m8wcOu8gF8tgLvCvf" style="text-align: justify;"><span class="p">泰勒博士說:&ldquo;這種療法對湯姆來說效果很好,他現(xiàn)在過著成功而幸福的生活。對于嘗試過這種方法的最初精神病患者來說,這種方法似乎是可以接受的,他們的反饋使我們感到鼓舞。</span></div> <div class="ace-line ace-line old-record-id-doxcnGO4iEqSaCwyGglSmdLkw6f" style="text-align: justify;"><span class="p">&nbsp;</span></div> <div class="ace-line ace-line old-record-id-doxcnmaoimcoYMgQOmejgEGtcWc" style="text-align: justify;"><span class="p">&ldquo;iMAPS-2是為該方法建立證據(jù)的重要一步,他的經(jīng)驗強調(diào)了我們希望這種療法能夠改善生活的潛力。</span></div> </div>
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