Andres Karl, Pfammatter Mario, Fries Alexander, Brenner Hans Dieter
Department of Social and Community Psychiatry, University Psychiatric Services Bern, UPD, Bolligenstrasse 111, 3000 60 Bern, Switzerland.
Eur Psychiatry. 2003 Jun;18(4):149-54. doi: 10.1016/s0924-9338(03)00042-7.
Although there is now strong evidence confirming the efficacy of psychological therapies in schizophrenia, the therapeutic processes which they activate remain widely unknown. In order to effectively implement them in clinical practice, identification of these processes is essential. In a controlled study, the efficacy of a coping-oriented therapy approach for schizophrenia patients was tested. Furthermore, the study aimed at establishing preliminary hypotheses on the therapeutically relevant factors. Treatment effects were found in the prominence of psychopathology, the extent of cognizance of the disorder, and the level of social functioning. Moreover, a better psychopathological and social outcome as measured 12 and 18 months after completion of therapy was best predicted by the patients' mastery of active, problem-focused coping strategies immediately after completion of therapy. The findings underscore the clinical relevance of specific coping styles and corroborate the appropriateness of focusing on aspects of coping behavior in psychological interventions for schizophrenia patients.
尽管现在有强有力的证据证实心理治疗对精神分裂症的疗效，但这些治疗所激活的治疗过程仍然广为人知。为了在临床实践中有效实施这些治疗，识别这些过程至关重要。在一项对照研究中，测试了一种针对精神分裂症患者的以应对为导向的治疗方法的疗效。此外，该研究旨在建立关于治疗相关因素的初步假设。在精神病理学的突出程度、对疾病的认知程度和社会功能水平方面发现了治疗效果。此外，治疗结束后12个月和18个月所测量的更好的精神病理学和社会结果，最好由患者在治疗结束后立即掌握积极的、以问题为中心的应对策略来预测。这些发现强调了特定应对方式的临床相关性，并证实了在针对精神分裂症患者的心理干预中关注应对行为方面的适当性。
