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心理教育干预对精神分裂症患者家属观点的影响:来自 OASIS 意大利多中心研究的结果。

The impact of a psychoeducational intervention on family members' views about schizophrenia: results from the OASIS Italian multi-centre study.

机构信息

Department of Psychiatry, University of Naples SUN.

出版信息

Int J Soc Psychiatry. 2011 Nov;57(6):596-603. doi: 10.1177/0020764010376607. Epub 2010 Jul 22.

DOI:10.1177/0020764010376607
PMID:20650976
Abstract

BACKGROUND

The opinions of relatives of patients with schizophrenia about this disorder can influence its course and outcome.

AIMS

In 2003, the Italian Psychiatric Association promoted a study on family psychoeducational intervention to explore its effectiveness in improving relatives' opinions and beliefs about schizophrenia.

METHODS

In each of the 10 Italian mental health centres, 30 patients with schizophrenia and 30 key relatives were randomly recruited to receive the experimental intervention or the standard care. The experimental intervention consisted of 12 manual-based informative sessions on schizophrenia. Each relative filled in the self-reported questionnaire on family opinions about schizophrenia.

RESULTS

The treated sample included 107 patients and 112 relatives; the control group consisted of 105 patients and 118 relatives. In both groups, stress, traumas, heredity and family difficulties were most frequently mentioned as causing the disorder. Relatives' opinions about patients' civil rights and social competence, in particular the right to get married, to have children and to vote, improved and the belief that patients with schizophrenia are unpredictable decreased at the end of the intervention.

CONCLUSIONS

These results confirm that relatives of patients with schizophrenia should receive psychoeducational interventions, particularly in Italy where family involvement in schizophrenia care is particularly frequent.

摘要

背景

精神分裂症患者亲属对该疾病的看法可能会影响其病程和结局。

目的

2003 年,意大利精神病学协会发起了一项家庭心理教育干预研究,旨在探索其对改善亲属对精神分裂症的看法和信念的有效性。

方法

在每个意大利的 10 个心理健康中心,随机招募 30 名精神分裂症患者和 30 名主要亲属接受实验干预或标准护理。实验干预包括 12 次基于手册的关于精神分裂症的信息性会议。每位亲属都填写了关于家庭对精神分裂症看法的自我报告问卷。

结果

治疗组包括 107 名患者和 112 名亲属;对照组包括 105 名患者和 118 名亲属。在两组中,压力、创伤、遗传和家庭困难被认为是导致该疾病的最常见原因。亲属对患者公民权利和社会能力的看法,特别是结婚、生育和投票的权利,在干预结束时有所改善,对精神分裂症患者不可预测性的信念有所下降。

结论

这些结果证实,精神分裂症患者的亲属应该接受心理教育干预,特别是在意大利,那里家庭参与精神分裂症护理的情况特别频繁。

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Int J Soc Psychiatry. 2011 Nov;57(6):596-603. doi: 10.1177/0020764010376607. Epub 2010 Jul 22.
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