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中国北京社区重返模块对精神分裂症患者的疗效:2年随访结果

Efficacy of the Community Re-Entry Module for patients with schizophrenia in Beijing, China: outcome at 2-year follow-up.

作者信息

Xiang Yu-Tao, Weng Yong-Zhen, Li Wen-Yong, Gao Liang, Chen Guo-Lan, Xie Ling, Chang Yan-Li, Tang Wai-Kwong, Ungvari Gabor Sandor

机构信息

Department of Psychiatry, Chinese University of Hong Kong and Beijing Anding Hospital, Capital Medical University, Beijing, China.

出版信息

Br J Psychiatry. 2007 Jan;190:49-56. doi: 10.1192/bjp.bp.106.023697.

Abstract

BACKGROUND

Few psychosocial interventions have been developed in China that are suitable for use in the community.

AIMS

To evaluate the effectiveness of the Chinese version of the Community Re-Entry Module (CRM; a module of a standardised, structured social skills training programme devised at the University of California, Los Angeles) for patients with schizophrenia compared with standard group psychoeducation.

METHOD

Patients with schizophrenia (n=103) were randomly allocated to CRM or psychoeducation groups and followed up for 24 months. Outcome measures included social functioning, psychiatric symptoms, insight, re-employment, relapse and re-hospitalisation rates.

RESULTS

The CRM group significantly improved in terms of social functioning, insight and psychiatric symptoms compared with the psychoeducation group; the re-employment rate was significantly higher and relapse and rehospitalisation rates were significantly lower in the CRM group.

CONCLUSIONS

The findings support the feasibility and effectiveness of CRM as a psychosocial intervention for Chinese patients with schizophrenia in the community.

摘要

背景

在中国,很少有适合在社区使用的心理社会干预措施被开发出来。

目的

与标准的团体心理教育相比,评估中文版社区重新融入模块(CRM;加利福尼亚大学洛杉矶分校设计的标准化、结构化社交技能培训项目的一个模块)对精神分裂症患者的有效性。

方法

将103名精神分裂症患者随机分配到CRM组或心理教育组,并随访24个月。结果测量包括社会功能、精神症状、洞察力、再就业、复发和再住院率。

结果

与心理教育组相比,CRM组在社会功能、洞察力和精神症状方面有显著改善;CRM组的再就业率显著更高,复发和再住院率显著更低。

结论

研究结果支持CRM作为一种心理社会干预措施,对中国社区精神分裂症患者具有可行性和有效性。

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