Division of Clinical Psychology, Yokohama City University Hospital, 3-9 Fukuura, Kanazawaku, Yokohama 236-0004, Japan.
Psychiatr Serv. 2010 Nov;61(11):1157-61. doi: 10.1176/ps.2010.61.11.1157.
This study investigated the feasibility and outcomes of the illness management and recovery program in Japan.
Thirty-five patients with schizophrenia were recruited. Participants were assigned (not randomly) to the intervention and wait-list comparison groups. Symptom severity, functioning, activation level in self-management, quality of life, satisfaction, self-efficacy in community living, and satisfaction with services were measured before and after the intervention.
Over two years 25 patients completed the intervention (some after being wait-listed). In the pre-post comparison, they showed significant improvement in symptoms and functioning, self-reported activation in self-management, quality of life, satisfaction, and self-efficacy in community living. Compared with the ten participants in a wait-list comparison group, the eight participants in the first intervention group showed an increased quality of life in social functioning, satisfaction in living, and self-efficacy for social relationships in community living.
Findings suggest that the program is effective for participants with severe mental illness in Japan.
本研究旨在探讨日本疾病管理和康复计划的可行性和结果。
招募了 35 名精神分裂症患者。参与者被分配（非随机）到干预组和等待名单对照组。在干预前后测量了症状严重程度、功能、自我管理中的激活水平、生活质量、满意度、社区生活中的自我效能感以及对服务的满意度。
在两年内，25 名患者完成了干预（有些是在等待名单后）。在前后比较中，他们的症状和功能显著改善，自我报告的自我管理中的激活水平、生活质量、满意度和社区生活中的自我效能感也有所提高。与等待名单对照组的 10 名参与者相比，第一组干预组的 8 名参与者在社会功能、生活满意度和社区生活中的社会关系自我效能感方面的生活质量有所提高。
研究结果表明，该计划对日本严重精神疾病患者有效。
