Berry Katherine, Barrowclough Christine
Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield S102TP, UK.
Clin Psychol Rev. 2009 Feb;29(1):68-76. doi: 10.1016/j.cpr.2008.09.010. Epub 2008 Oct 4.
The paper assesses whether the needs of people with schizophrenia over 65 years differ from those of younger adults with the diagnosis. It reviews studies comparing older and younger adults and older adults with schizophrenia and non-clinical or clinical controls on measures of psychosocial functioning. It also considers how psychological interventions can be best designed to cater for the specific needs of older adults. There are relatively few studies assessing how the needs of people with schizophrenia change over the life course and studies comparing the needs of older and younger adults. However, compared to same age peers older adults with schizophrenia have needs in relation to symptoms, cognitive functioning, social functioning, psychological resilience factors, social support, quality of life, physical health and medication adherence. Psychosocial interventions for this group therefore need to target these areas and there is evidence from three groups of researchers in the USA to suggest that cognitive behavioural or social skills interventions can be successfully adapted for older people. The paper concludes by summarising recommendations for future research and treatment.
该论文评估了65岁以上精神分裂症患者的需求是否与年轻的精神分裂症患者不同。它回顾了比较老年人与年轻人以及患有精神分裂症的老年人与非临床或临床对照在心理社会功能测量方面的研究。它还考虑了如何最好地设计心理干预措施以满足老年人的特定需求。评估精神分裂症患者的需求如何随生命历程变化以及比较老年人和年轻人需求的研究相对较少。然而，与同龄人相比，患有精神分裂症的老年人在症状、认知功能、社会功能、心理恢复力因素、社会支持、生活质量、身体健康和药物依从性方面有需求。因此，针对该群体的心理社会干预需要针对这些领域，并且来自美国的三组研究人员的证据表明，认知行为或社交技能干预可以成功地适用于老年人。论文最后总结了对未来研究和治疗的建议。
