Sibitz Ingrid, Gössler Ralf, Katschnig Heinz, Amering Michaela
Klinische Abteilung für Sozialpsychiatrie und Evaluationsforschung, Universitätsklinik für Psychiatrie, Wien/Osterreich.
Psychiatr Prax. 2006 May;33(4):170-6. doi: 10.1055/s-2004-834628. Epub 2006 Jan 18.
As a result of a recent paradigm change in medicine the improvement of quality of life has become a central goal of treatment next to reducing symptoms. In order to address this demand we designed a new psychoeducational program for outpatients, which -- in contrast to traditional psychoeducation -- attaches as much importance to quality of life topics as it does to illness related topics. The seminar was developed especially in view of the score resources available today. First results of the evaluation are presented.
Psychiatrists in the community are encouraged to refer patients suffering from schizophrenia or schizoaffective disorders to this psychoeducational program as an additional component to regular treatment. The program is carried out in 9 group sessions at weekly intervals with 6-8 group members. At the beginning and at the end of the seminar different objective and subjective outcomes were assessed and predictors for seminar success were identified.
98 participants could be included in data analysis. After completing the program the seminar participants had significantly more knowledge about the illness, a significantly better quality of life and significantly more competence and control. Furthermore there were changes in the illness concept: prejudices about medication decreased, confidence in medication increased, and beliefs about susceptibility to illness and to relapse increased.
First experiences with a psychoeducational seminar for persons with psychosis, putting equal stress on disease related and quality of life topics are encouraging, but require further confirmation through a randomised controlled trial.
由于医学领域最近的范式转变，提高生活质量已成为除减轻症状之外治疗的核心目标。为了满足这一需求，我们为门诊患者设计了一个新的心理教育项目，与传统心理教育不同的是，该项目对生活质量主题和疾病相关主题同样重视。该研讨会是尤其鉴于当今可用的资源而制定的。展示了评估的初步结果。
鼓励社区精神科医生将患有精神分裂症或分裂情感性障碍的患者转介到这个心理教育项目，作为常规治疗的一个补充部分。该项目以每周一次的频率进行9次小组会议，每组有6 - 8名成员。在研讨会开始和结束时，评估了不同的客观和主观结果，并确定了研讨会成功的预测因素。
98名参与者可纳入数据分析。完成该项目后，研讨会参与者对疾病有了显著更多的了解，生活质量显著提高，能力和掌控感也显著增强。此外，疾病观念也有变化：对药物治疗的偏见减少，对药物治疗的信心增加，对患病易感性和复发的信念增强。
针对精神病患者开展的一个对疾病相关主题和生活质量主题同样重视的心理教育研讨会的初步经验令人鼓舞，但需要通过随机对照试验进一步证实。
