针对成人和青少年双相情感障碍的家庭聚焦治疗。
Family-focused treatment for bipolar disorder in adults and youth.
作者信息
Morris Chad D, Miklowitz David J, Waxmonsky Jeanette A
机构信息
University of Colorado at Denver and Health Sciences Center, Denver, CO 80220, USA.
出版信息
J Clin Psychol. 2007 May;63(5):433-45. doi: 10.1002/jclp.20359.
Abstract
Levels of familial expressed emotion during an acute episode are consistently associated with rates of recurrence among bipolar patients. This article briefly reviews the evidence for expressed emotion (EE) as a prognostic indicator and then illustrates family-focused treatment (FFT) with adults and adolescents suffering from bipolar disorder. FFT is a time-limited, modularized treatment consisting of psychoeducation, communication enhancement training, and problem-solving skills. Controlled trials indicate that FFT is an efficacious adjunct to pharmacotherapy for patients with bipolar disorder. We describe its recent application to early onset bipolar patients and include a clinical vignette.
摘要
双相情感障碍患者急性发作期间的家庭情感表达水平一直与复发率相关。本文简要回顾了将情感表达（EE）作为预后指标的证据，然后阐述了针对双相情感障碍成人和青少年患者的家庭聚焦治疗（FFT）。FFT是一种限时的、模块化的治疗方法，包括心理教育、沟通增强训练和问题解决技巧。对照试验表明，FFT是双相情感障碍患者药物治疗的有效辅助手段。我们描述了其最近在早发性双相情感障碍患者中的应用，并纳入了一个临床案例。
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