Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Turuntie, Espoo, Finland.
Early Interv Psychiatry. 2011 Aug;5(3):212-8. doi: 10.1111/j.1751-7893.2011.00269.x. Epub 2011 Apr 26.
As research in the care of people at risk of developing first-episode psychosis has mostly focused on cognitive behavioural therapy and antipsychotic medication, little is known about associations between changes in mental well-being and effect of people participating in the care.
Multiprofessional early intervention team met with adolescents who are at risk of psychosis, including coworkers and their families. Correlations were calculated between change scores in prepsychotic, functioning ability, quality of life (QoL), depression and anxiety scales, and number of family, coworker and adolescent-participating social network meetings, and total number of social network meetings during the care.
Larger change scores in functioning ability were positively associated with the number of social network meetings with participating coworker (P = 0.041), but not with other types of participant meetings. Larger change scores in prepsychotic symptoms were positively associated with the number of meetings where the adolescent was participating (P = 0.001), the number of network meetings where the coworker was participating (P = 0.007) and the number of all meetings (P = 0.001). The number of any other type of meetings did not associate with change scores in QoL, depression and anxiety.
According to the present results, adolescents at risk of psychosis seem to benefit from the inclusion of coworkers from the adolescents' natural surroundings in care; this could help to increase functioning ability. Different combinations of meetings, such as larger number of total meetings, larger number of meetings with the adolescent and larger number of meetings with coworkers from the adolescents' natural surroundings, seem to associate with stronger decrease in pre-psychotic symptoms.
由于针对首发精神病风险人群的护理研究主要集中在认知行为疗法和抗精神病药物上，因此对于参与者参加护理后心理健康状况的变化及其效果之间的关联知之甚少。
多专业早期干预团队与有精神病风险的青少年及其同事和家人会面。计算了精神病前期、功能能力、生活质量（QoL）、抑郁和焦虑量表的变化评分与家庭、同事和青少年参与的社交网络会议次数以及护理期间社交网络会议总数之间的相关性。
功能能力变化评分较大与参与同事的社交网络会议次数呈正相关（P=0.041），但与其他类型的参与者会议无关。精神病前期症状变化评分较大与青少年参与的会议次数（P=0.001）、同事参与的网络会议次数（P=0.007）和所有会议次数（P=0.001）呈正相关。任何其他类型会议的次数与 QoL、抑郁和焦虑的变化评分无关。
根据目前的结果，有精神病风险的青少年似乎受益于将青少年自然环境中的同事纳入护理中；这有助于提高他们的功能能力。不同类型的会议组合，例如更多的总会议次数、更多的青少年会议次数和更多的青少年自然环境中的同事会议次数，似乎与精神病前期症状的明显减轻有关。
