Yates Kathy, Kunz Michal, Czobor Pal, Rabinowitz Steve, Lindenmayer Jean-Pierre, Volavka Jan
New York University School of Medicine and Manhattan Psychiatric Center, Ward's Island Complex, NY 10035, USA.
J Am Acad Psychiatry Law. 2005;33(2):214-22.
Standard psychiatric treatment programs have limited success in reducing recidivistic violent and criminal behavior in patients with persistent mental illness. A specialized, cognitive behavioral treatment program was developed for such a population. The purpose of this study was to identify factors that contribute to the patients' completing the program and to improve the selection criteria for program admission, so that those who participate are more likely to complete the program and be discharged. One hundred eighty-one patients with persistent mental illness with histories of aggression, crime, or both participated in a cognitive skills inpatient treatment program adapted for use with psychiatric patients. Ninety patients were able to complete the program and were discharged into the community. In comparison with the 91 who did not complete the program, those who did were less cognitively impaired and less impulsive. We present a new, intensive treatment program and define the predictors of successful completion of the program.
标准的精神治疗方案在减少患有持续性精神疾病患者的暴力和犯罪行为复发方面成效有限。针对这类人群开发了一种专门的认知行为治疗方案。本研究的目的是确定有助于患者完成该方案的因素，并改进方案准入的选择标准，以便参与的人更有可能完成方案并出院。181名有攻击、犯罪或两者病史的持续性精神疾病患者参加了一项为精神病患者改编的认知技能住院治疗方案。90名患者能够完成该方案并出院回到社区。与未完成方案的91名患者相比，完成方案的患者认知障碍较轻且冲动性较低。我们提出了一种新的强化治疗方案，并确定了成功完成该方案的预测因素。
