학술논문

Outpatient care for adolescents’ and young adults’ mental health: promoting self- and others’ understanding through a metacognitive interpersonal therapy-informed psychological intervention
Document Type
article
Source
Frontiers in Psychiatry, Vol 14 (2023)
Subject
metacognitive interpersonal therapy
psychotherapy
adolescence
treatment adherence
general psychopathology
drop-out rate
Psychiatry
RC435-571
Language
English
ISSN
1664-0640
Abstract
IntroductionPsychological distress may result in impairment and difficulty understanding oneself and others. Thus, addressing metacognitive issues in psychotherapy may improve psychopathology in adolescents and young adults (AYAs). We aimed to compare metacognitive interpersonal therapy (MIT)-informed psychotherapy with other treatment-as-usual (TAU) therapies.MethodsWe administered the Global Assessment of Functioning (GAF) scale, the Clinical Global Impressions–Severity (CGI-S) scale, and the Brief Psychiatric Rating Scale (BPRS) at baseline (BL) and at treatment termination (the endpoint was at 6 months and any last results obtained before that term were carried forward in analyzes). Patients received concomitant psychiatric and psychological treatment.ResultsSixty AYAs were involved in the study. There was a significant reduction in symptomatology after the intervention. Twelve patients (17%) dropped out; treatment adherence was 83%. In the MIT group, 2 patients dropped out (11%), and in the TAU group, 9 patients dropped out (19%). All scales showed a significant reduction in symptoms between baseline (BL) and the 6-month endpoint: GAF (χ2 = 6.61, p