Center for Urban Community Services, 198 E. 121st St., 5th Floor, New York, NY 10035, USA.
Psychiatr Serv. 2009 Dec;60(12):1629-36. doi: 10.1176/ps.2009.60.12.1629.
This study evaluated the effects of the illness management and recovery program on mental illness and functional outcomes of persons with serious mental illness who were receiving supportive housing services.
A randomized controlled trial was conducted with 104 persons with serious mental illness who were assigned either to illness management classes for six months or to a waitlist control group, with follow-up assessments conducted six months posttreatment. Assessments included self-reports, nonblinded clinical ratings, and blinded interview ratings and included the domains of illness management, symptoms, psychosocial functioning, hospitalizations, and substance abuse and dependence.
Participants assigned to the program showed significantly greater improvements than the control group in self-reported and clinician ratings of illness management, interview-based ratings of symptoms on the Brief Psychiatric Rating Scale, and interview-based ratings of psychosocial functioning on the abbreviated Quality of Life Scale. Participants in both groups improved in self-ratings of symptom distress and had low rates of hospitalization and substance abuse over the course of the study.
The results suggest that the program was effective at improving illness management and functional outcomes for persons with serious mental illness who were receiving supportive housing services.
本研究评估了疾病管理和康复计划对接受支持性住房服务的严重精神疾病患者的精神疾病和功能结果的影响。
对 104 名严重精神疾病患者进行了随机对照试验，将他们分为疾病管理课程组（接受六个月的疾病管理课程）或候补对照组，并在治疗后六个月进行随访评估。评估包括自我报告、非盲临床评分和盲访谈评分，包括疾病管理、症状、心理社会功能、住院和物质滥用和依赖等领域。
与对照组相比，接受该计划的参与者在自我报告和临床医生对疾病管理的评分、简短精神病评定量表（Brief Psychiatric Rating Scale）上基于访谈的症状评分以及简短生活质量量表（Quality of Life Scale）上基于访谈的心理社会功能评分方面均有显著改善。在研究过程中，两组参与者的症状困扰自我评分都有所改善，住院率和物质滥用率均较低。
结果表明，该计划对接受支持性住房服务的严重精神疾病患者的疾病管理和功能结果有效。
