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An evaluation of the effectiveness of psychological therapy in reducing general psychological distress for adults with autism spectrum conditions and comorbid mental health problems

机译：心理治疗对成年人普通心理困扰的效果评价及综合性心理健康问题

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Objective >To investigate the effectiveness of psychological therapy in reducing psychological distress for adults with autism spectrum conditions (ASC) and co‐morbid mental health conditions in routine clinical practice. To explore the effect of individual characteristics and service factors on change in general distress. </section> <section xml:id="cpp2108-sec-0002" numbered="no"> <title type="main">Method >In a specialist psychological therapies service for adults with ASC, the Clinical Outcomes in Routine Evaluation‐Outcome Measure (CORE‐OM) self‐report questionnaire of psychological distress is completed by clients at start and end of therapy. Change over time and reliable and clinical change was assessed for 81 of a total of 122 clients (66.4%). Factors which may influence change over time were explored using available clinical information. </section> <section xml:id="cpp2108-sec-0003" numbered="no"> <title type="main">Results >Overall, there was a significant reduction in CORE‐OM score during therapy with a small effect size. Most clients showed an improvement in psychological distress over therapy (75.4% improved, with 36.9% of these showing reliable changes). Significant and comparable reductions from pre‐therapy to post‐therapy were seen across the sample, showing that individual differences did not mediate therapy effectiveness. CORE‐OM scores mediate the association between age of ASD diagnosis and hours of therapeutic input required, with greater age at diagnosis and higher distress associated with longer therapy duration. </section> <section xml:id="cpp2108-sec-0004" numbered="no"> <title type="main">Conclusions >Our preliminary findings s </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”> <section xml：id =“cpp2108-sec-0001”编号=“no”> <title type =“main “>目的</标题> >调查心理治疗在常规临床实践中减少自闭症谱条件（ASC）和共病心理健康状况的成年人心理困扰的有效性。探讨各个特征和服务因素对常规遇险变化的影响。</ p> </段> <章节XML：ID =“CPP2108-SEC-0002”编号=“否”> <标题类型=“main” >方法</标题> >在专业的心理疗法中为ASC的成人服务，常规评估 - 结果措施（核心OM）的临床结果由客户在开始和结束时完成了心理困境的自我报告问卷治疗。随着时间的推移和可靠和临床变化的改变，共计持续122个客户（66.4％）。使用可用的临床信息探讨可能影响时间变化的因素。</ p> </ section> <section xml：id =“cpp2108-sec-0003”编号=“否”> <标题类型=“main”>结果总体而言，在效果大小的疗法期间，在治疗过程中，核心分数显着减少。大多数客户在治疗方面表现出改善心理困扰（75.4％，其中36.9％，显示可靠的变化）。在样品中可以看到从治疗前对治疗后治疗的显着和相当的降低，表明个体差异没有调节治疗效果。核心分数介导ASD诊断年龄和治疗性的小时数所需的时间，诊断较大，诊断和更高的痛苦与较长的治疗持续时间相关。</ p> </ section> <section XML：ID =“CPP2108- sec-0004“编号=”否“> <标题类型=”main“>结论</ title> >我们的初步发现 </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-16678/'>《Clinical Psychology & Psychotherapy》</a> <b style="margin: 0 2px;">|</b><span>2017年第6期</span><b style="margin: 0 2px;">|</b><span>共11页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Blainey Sarah H.&option=202" target="_blank" rel="nofollow">Blainey Sarah H.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Rumball Freya&option=202" target="_blank" rel="nofollow">Rumball Freya;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Mercer Louise&option=202" target="_blank" rel="nofollow">Mercer Louise;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Evans Lauren Jayne&option=202" target="_blank" rel="nofollow">Evans Lauren Jayne;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Beck Alison&option=202" target="_blank" rel="nofollow">Beck Alison;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>National Adult ADHD and Autism ServiceSouth London and Maudsley NHS Foundation TrustLondon UK;</p> <p>Department of PsychologyInstitute of Psychiatry Psychology and NeuroscienceLondon UK;</p> <p>Department of Psychology and Psychotherapy Maudsley HospitalSouth London and Maudsley NHS Foundation TrustLondon UK;</p> <p>Department of Psychology and Psychotherapy Maudsley HospitalSouth London and Maudsley NHS Foundation TrustLondon UK;</p> <p>Department of Psychology and Psychotherapy Maudsley HospitalSouth London and Maudsley NHS Foundation TrustLondon UK;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5893.html" title="医学心理学">医学心理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=autism spectrum conditions&option=203" rel="nofollow">autism spectrum conditions;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=CORE‐OM&option=203" rel="nofollow">CORE‐OM;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=psychological therapy&option=203" rel="nofollow">psychological therapy;</a> </p> <div class="translation"> 机译：自闭症谱条件;核心OM;心理治疗; 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