Hasson-Ohayon Ilanit, Roe David, Kravetz Shlomo
Department of Psychology, Bar-Ilan University, Ramat Gan 52900, Israel.
Psychiatr Serv. 2007 Nov;58(11):1461-6. doi: 10.1176/ps.2007.58.11.1461.
This study evaluated the effectiveness of the Illness Management and Recovery program implemented in a group format.
A total of 210 persons with a severe mental illness receiving treatment at rehabilitation centers in the community in Israel were randomly assigned to either the Illness Management and Recovery program or treatment as usual. The Illness Management and Recovery Scale (client and clinician versions) and measures of coping and social support were administered to participants before and after the intervention.
Participants in the Illness Management and Recovery program showed significant improvement in knowledge about their illness and progress toward their personal goals compared with those receiving treatment as usual. Clinician ratings also indicated significant improvement in overall outcome for clients in the Illness Management and Recovery program compared with those who received treatment as usual. Significant improvement in coping was found in both groups, and no change in social support was found for either group.
The Illness Management and Recovery program was effective in increasing clients' knowledge of their illness and helping them make progress toward personal goals.
本研究评估了以小组形式实施的疾病管理与康复项目的有效性。
共有210名在以色列社区康复中心接受治疗的重度精神疾病患者被随机分配到疾病管理与康复项目组或常规治疗组。在干预前后,对参与者进行疾病管理与康复量表(患者版和临床医生版)以及应对方式和社会支持的测量。
与接受常规治疗的患者相比,参与疾病管理与康复项目的患者在对自身疾病的认知以及朝着个人目标取得的进展方面有显著改善。临床医生的评分也表明,与接受常规治疗的患者相比,疾病管理与康复项目组患者的总体结局有显著改善。两组患者的应对方式均有显著改善,两组患者的社会支持均无变化。
疾病管理与康复项目在增加患者对自身疾病的认知以及帮助他们朝着个人目标取得进展方面是有效的。