Early Recognition and Therapy Centre for Beginning Psychoses Berlin/Brandenburg (FETZ), Department of Psychiatry and Psychotherapy, Charité University Medicine Campus Mitte, Berlin, Germany.
Patient Educ Couns. 2009 Jul;76(1):138-42. doi: 10.1016/j.pec.2008.11.003. Epub 2008 Dec 25.
To introduce a psychoeducational program for patients of at-risk mental state and its preliminary evaluation.
The psychoeducational program was designed as a purely informative intervention and consisted of seven 1-h sessions. Sixteen at-risk mental state patients (mean age 26+/-4.9 years, 12 males/4 females, mean score on prodromal psychopathology (Bonn Scale for Assessment of predictive Basis Symptoms [BSABS-P] 18.6+/-13.3) were investigated.
Comparisons of means before and after psychoeducation showed a significant reduction in psychopathology and fatalistic LoC as well as an improvement in knowledge, global functioning and various areas of QoL. A qualitative evaluation of the psychoeducational program also showed advantages from patients' perspectives.
This study provides empirical evidence for benefits of psychoeducation with patients of at-risk mental state for schizophrenia but is exploratory and has some limitations, e.g. the small sample size. Therefore the results have to be replicated in a randomized controlled trial in order to be able to demonstrate conclusively the effectiveness of psychoeducation in the pre-psychotic phase.
Results from this preliminary study suggest that psychoeducation is a promising intervention for patients of at-risk mental state for schizophrenia, and therefore worthy of more investigations.
介绍一种针对处于精神病高危状态患者的心理教育计划及其初步评估。
该心理教育计划设计为纯粹的信息干预，包括七个 1 小时的课程。研究了 16 名处于精神病高危状态的患者（平均年龄 26+/-4.9 岁，12 名男性/4 名女性，前驱期精神病理学的平均得分（Bonn 预测基础症状评估量表[BSABS-P]为 18.6+/-13.3）。
心理教育前后均值的比较显示，精神病理学和宿命论的 LoC 显著降低，知识、整体功能和生活质量的各个领域均有所改善。对心理教育计划的定性评估也显示出了患者视角的优势。
本研究为精神分裂症高危状态患者的心理教育提供了有益的实证证据，但具有探索性且存在一些局限性，例如样本量小。因此，结果必须在随机对照试验中得到复制，以便能够最终证明心理教育在精神病前期的有效性。
这项初步研究的结果表明，心理教育是一种有前途的干预措施，适用于精神分裂症高危状态的患者，因此值得进一步研究。
