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家庭工作干预对精神分裂症的效果:来自加泰罗尼亚多中心研究的证据。

Effectiveness of family work interventions on schizophrenia: evidence from a multicentre study in Catalonia.

机构信息

Mental Health Department, Parc Tauli Hospital, Barcelona, Spain.

出版信息

Int J Soc Psychiatry. 2012 Nov;58(6):587-95. doi: 10.1177/0020764011415595. Epub 2011 Aug 1.

Abstract

BACKGROUND

Despite their proven efficacy, family work interventions on families of patients with schizophrenia are not being implemented in routine clinical practice in contexts where expressed emotion levels among caregivers are relatively high.

AIMS

This study aimed to explore the effectiveness of a family work intervention in a Mediterranean environment in Catalonia, Spain.

METHOD

Participants were 23 patients and 35 key relatives in five different clinical settings. The family intervention was provided by 10 trained health care professionals during a nine-month period. A six-month follow-up was also conducted.

RESULTS

Statistically significant improvements were found in patients' clinical status, global functioning and social functioning levels, as well as in caregivers' burden of care. These results were maintained during follow-up.

CONCLUSION

This is the first study to explore the effectiveness of family intervention in a high-expressed emotion context in Catalonia. The findings add weight to the growing literature supporting these interventions in different cultural settings.

摘要

背景

尽管家庭工作干预措施已被证实对精神分裂症患者的家庭有效,但在看护者表达情感水平相对较高的情况下,这些干预措施并未在常规临床实践中实施。

目的

本研究旨在探讨在西班牙加泰罗尼亚的地中海环境中实施家庭工作干预措施的效果。

方法

参与者为来自五个不同临床环境的 23 名患者和 35 名主要亲属。家庭干预由 10 名经过培训的医疗保健专业人员在九个月内提供,同时还进行了为期六个月的随访。

结果

患者的临床状况、总体功能和社会功能水平以及看护者的照顾负担均有显著改善,这些结果在随访期间得到了维持。

结论

这是第一项在加泰罗尼亚高表达情感环境中探索家庭干预效果的研究。这些发现为支持在不同文化背景下进行这些干预措施的不断增加的文献提供了更多证据。

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