Senior Resident (Rehabilitation), Central Institute of Psychiatry, Kanke, Ranchi 834 006, Jharkhand, India
Indian J Psychiatry. 2004 Jul;46(3):244-55.
Assessment of needs of patients with schizophrenia permits practitioners to prioritize, formulate and implement rehabilitation goals. Negative symptoms have been shown to present greater obstacles to effective rehabilitation. The study compared the rehabilitation needs of in and out-patients with schizophrenia, and its relationship with negative symptoms. Thirty each of out patients and short term in-patients who fulfilled DSM-IV criteria for schizophrenia were recruited for the study. Patients currently exhibiting severe unmanageable psychoses and depression were excluded. Tools used for the study were DSM-IV-TR, Rehabilitation Needs Assessment Schedule, SANS, HDRS, BPRS, and UKU. Significant difference across the groups were observed as far as needs regarding requirement of help from a voluntary agency, employment, accommodation, leisure activities and help for family was concerned. Moreover, negative symptoms significantly correlated with rehabilitation needs among both groups of patients. The study also elicited family's expectations of their patients regarding their rehabilitation needs. Further, the implications of the association between some negative symptoms and the felt needs of the patients in their rehabilitation were discussed. A full spectrum of functional behaviours needs to be assessed soon after patients recover from their most recent exacerbation and suitable interventions need to be planned.
评估精神分裂症患者的需求可以使从业者能够优先考虑、制定和实施康复目标。已经表明，阴性症状对有效的康复构成了更大的障碍。本研究比较了住院和门诊精神分裂症患者的康复需求及其与阴性症状的关系。研究纳入了符合 DSM-IV 标准的 30 名住院患者和 30 名门诊患者。排除了目前患有严重不可控制的精神病和抑郁症的患者。研究中使用的工具包括 DSM-IV-TR、康复需求评估表、SANS、HDRS、BPRS 和 UKU。研究发现，在需要志愿机构帮助、就业、住宿、休闲活动和家庭帮助方面，两组患者之间存在显著差异。此外，阴性症状与两组患者的康复需求显著相关。研究还了解了患者家属对患者康复需求的期望。此外，还讨论了一些阴性症状与患者在康复过程中感受到的需求之间的关联的意义。在患者从最近的恶化中恢复后，需要尽快评估其全面的功能行为，并计划进行适当的干预。
