Moriana Juan A, Alarcón Eva, Herruzo Javier
Department of Psychology, University of Córdoba, Spain.
Psychiatr Serv. 2006 Feb;57(2):260-2. doi: 10.1176/appi.ps.57.2.260.
The purpose of this study was to test an intervention that adapted the University of California, Los Angeles (UCLA) social and independent living skills program for application in the patient's home and in an outpatient setting in Spain.
An intervention group of 32 patients with schizophrenia was selected for comparison with a matched control group of patients who were undergoing conventional outpatient treatment for schizophrenia during six-month treatment periods. The Positive and Negative Syndrome Scale (PANSS) scoring system was used to compare the two groups, with a pretest-posttest design.
Analysis of variance indicated a significant phase-by-treatment interaction effect of the intervention on PANSS scores.
The results of this study suggest that a combination of outpatient follow-up care and in-home care centered on psychosocial skills training is more effective than conventional treatment in improving general symptoms among individuals with schizophrenia.
本研究旨在测试一种干预措施,该措施改编自加利福尼亚大学洛杉矶分校(UCLA)的社交和独立生活技能项目,以便在西班牙患者家中和门诊环境中应用。
选取32名精神分裂症患者组成干预组,与在六个月治疗期内接受精神分裂症常规门诊治疗的匹配对照组患者进行比较。采用阳性和阴性症状量表(PANSS)评分系统,通过前测-后测设计对两组进行比较。
方差分析表明,干预对PANSS评分有显著的阶段与治疗交互效应。
本研究结果表明,以心理社会技能训练为中心的门诊随访护理和居家护理相结合,在改善精神分裂症患者的一般症状方面比传统治疗更有效。