Vreeland Betty, Minsky Shula, Yanos Philip T, Menza Matthew, Gara Michael, Kim Edward, Toto Anna Marie, Allen Lesley
University Behavioral HealthCare (UBHC) and Robert Wood Johnson Medical School of the University of Medicine and Dentistry of New Jersey (UMDNJ), Piscataway, New Jersey 08855, USA.
Psychiatr Serv. 2006 Jun;57(6):822-8. doi: 10.1176/ps.2006.57.6.822.
Despite the demonstrated efficacy of psychosocial approaches to schizophrenia treatment that include a psychoeducational component, such as illness management, the implementation of these approaches into routine mental health treatment has been slow. The authors sought to examine the efficacy of a comprehensive, modularized, psychoeducational program called Team Solutions, which was designed to educate patients with major mental illnesses about their illness and how to manage it. Team Solutions was chosen for study because it is available over the Internet and other venues at no cost and is used by mental health agencies across the United States and Canada.
Seventy-one persons with schizophrenia or schizoaffective disorder from three day treatment settings participated in this randomized, single-blind study. Participants were randomly assigned to attend one of two interventions: the Team Solutions intervention, which consisted of participating in a 24-week psychoeducational group focused on illness management, or treatment as usual.
For participants who attended the experimental group, significant improvement was observed in knowledge about schizophrenia. In addition, client satisfaction was high. However, no changes were observed in symptoms or functioning.
Results indicated that participation in the Team Solutions psychoeducational group improved participants' knowledge. However, participation in the program did not demonstrate superiority over treatment as usual with respect to secondary and tertiary outcomes, such as symptom severity, treatment adherence, and global functioning.
尽管包括疾病管理等具有心理教育成分的精神分裂症治疗的社会心理方法已证明具有疗效，但将这些方法纳入常规心理健康治疗的进程一直缓慢。作者试图检验一个名为“团队解决方案”的综合性、模块化心理教育项目的疗效，该项目旨在教育患有重度精神疾病的患者了解其疾病及如何管理疾病。选择“团队解决方案”进行研究是因为它可通过互联网及其他途径免费获取，且被美国和加拿大的心理健康机构所使用。
来自三个日间治疗机构的71名精神分裂症或分裂情感性障碍患者参与了这项随机、单盲研究。参与者被随机分配接受两种干预措施之一：“团队解决方案”干预，即参加一个为期24周、专注于疾病管理的心理教育小组，或接受常规治疗。
对于参加实验组的参与者，在精神分裂症知识方面观察到显著改善。此外，客户满意度较高。然而，在症状或功能方面未观察到变化。
结果表明，参与“团队解决方案”心理教育小组提高了参与者的知识水平。然而，就次要和三级结果而言，如症状严重程度、治疗依从性和整体功能，参与该项目并未显示出优于常规治疗的优势。
