Hampshire Early Intervention in Psychosis Service, Fairways House, Mount Pleasant Industrial Estate, Southampton, UK.
J Psychiatr Ment Health Nurs. 2010 Sep;17(7):628-35. doi: 10.1111/j.1365-2850.2010.01564.x.
A significant amount of evidence has demonstrated that families and carers play an important role in an individual's recovery from a first episode of psychosis (FEP) and can significantly reduce relapse rates. This, in addition to the fact that caring for an individual experiencing their FEP can be incredibly stressful, suggests that the development of appropriate support for carers must be an integral part of any Early Intervention in Psychosis Service (EIPS). This study examines the efficacy of a closed structured group designed for carers of individuals experiencing their FEP based in Southampton city. A 12-session cognitively orientated group programme covering a range of areas was attended by 18 carers over a 6-month period. Following the group, a significant decrease was found in the carer's negative appraisals of the impact of psychosis, feelings of burden, depression and anxiety rates as measured by the Experience of Caregiving Inventory (ECI), Caregiver Burden Inventory (CBI), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). A significant positive correlation was also found between carer's negative appraisals and their anxiety and depression rates, although further research is needed to clarify the causality of this relationship.
大量证据表明，家庭和照顾者在个体首次精神病发作（FEP）的康复过程中发挥着重要作用，可以显著降低复发率。此外，照顾经历 FEP 的个体可能会带来巨大的压力，这表明必须为照顾者提供适当的支持，这是任何精神病早期干预服务（EIPS）的一个组成部分。本研究调查了为南安普顿市经历 FEP 的个体的照顾者设计的封闭式结构化小组的疗效。该小组为期 6 个月，共举办了 12 次认知为导向的小组课程，涵盖了一系列领域，共有 18 名照顾者参加。小组结束后，照顾者对精神病影响的负面评价、负担感、抑郁和焦虑率（通过照顾体验量表（ECI）、照顾者负担量表（CBI）、贝克抑郁量表（BDI）和贝克焦虑量表（BAI）测量）显著降低。照顾者的负面评价与他们的焦虑和抑郁率之间也存在显著的正相关，尽管需要进一步的研究来澄清这种关系的因果关系。
