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
Department of Psychiatry, Chinese University of Hong Kong and Beijing Anding Hospital, Capital Medical University, Beijing, China.
Br J Psychiatry. 2007 Jan;190:49-56. doi: 10.1192/bjp.bp.106.023697.
Few psychosocial interventions have been developed in China that are suitable for use in the community.
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.
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.
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.
The findings support the feasibility and effectiveness of CRM as a psychosocial intervention for Chinese patients with schizophrenia in the community.
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。
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。
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。
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。
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。
