Blumberg Lapidus L, Shin S K, Hutton E M
Clinical Psychology Program, Columbia University, Teachers College, New York, NY 10027, USA.
J Clin Psychol. 2001 Dec;57(12):1381-401. doi: 10.1002/jclp.1104.
Community dwelling Korean adults (N = 40) coping with the stress of severe mental illness were randomly assigned to a six-week differentiation furthering intervention (experimental) or a directed problem-solving treatment program (control) and administered pre- and posttreatment measures including the Morey Personality Assessment Screener (PAS) and Group Embedded Figures Test (GEFT). As predicted, the experimental group showed greater improvement on 6 out of 10 mental health subscales (PAS) and on the GEFT than the controls. For the entire sample, differentiation gainers showed more improvement on three PAS subscales compared with the no change or loss in differentiation groups. A three-month follow-up showed greater attendance at mental health appointments for the experimental group over controls and for total sample differentiation gainers over nongainers. Implications are discussed of this empirically tested model of a community intervention to facilitate coping with stress and enhancing competence.
40名应对严重精神疾病压力的韩国社区成年人被随机分配到一个为期六周的促进分化干预组（实验组）或一个定向问题解决治疗项目组（对照组），并在治疗前后进行了包括莫雷人格评估筛选器（PAS）和团体镶嵌图形测验（GEFT）在内的测量。正如预测的那样，实验组在10个心理健康子量表（PAS）中的6个以及GEFT上的改善比对照组更大。对于整个样本，分化增加者在三个PAS子量表上的改善比分化无变化或减少的组更多。三个月的随访显示，实验组比对照组更频繁地参加心理健康预约，并且整个样本中分化增加者比未增加者更频繁。本文讨论了这种经过实证检验的社区干预模型对于促进应对压力和提高能力的意义。
