Bechdolf A, Maier S, Knost B, Wagner M, Hambrecht M
Früherkennungs- und Therapiezentrum für psychische Krisen (FETZ), Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität zu Köln, Joseph-Stelzmann-Strasse 9, 50924 Köln.
Nervenarzt. 2003 May;74(5):436-9. doi: 10.1007/s00115-002-1322-3.
We introduce a multimodular, psychological outpatient, intervention program for the treatment of the early prodromal stage which includes individual and group psychotherapy, cognitive training, and family support. The conceptual framework is comprised of the vulnerability and stress-coping concept for schizophrenia. We use cognitive-behavioural strategies which are derived from first-episode and relapse prevention in the treatment of schizophrenia and from the treatment of anxiety disorders and depression. We report the case of a 25-year-old college student in the early prodromal state who was treated by the program. His self-experienced neuropsychological deficits improved, depressive and anxiety symptoms decreased, and positive self-concept was stabilised. During the treatment period of 1 year, social deterioration and prepsychotic and psychotic symptoms were prevented.
我们推出了一项针对早期前驱期治疗的多模块心理门诊干预计划，其中包括个体和团体心理治疗、认知训练以及家庭支持。概念框架由精神分裂症的易感性和应激应对概念组成。我们采用源自精神分裂症首发和复发预防以及焦虑症和抑郁症治疗的认知行为策略。我们报告了一名处于早期前驱状态的25岁大学生接受该计划治疗的案例。他自我感知的神经心理缺陷得到改善，抑郁和焦虑症状减轻，积极的自我概念得以稳定。在为期1年的治疗期间，防止了社会功能衰退以及精神病前期和精神病性症状的出现。
