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家庭参与对精神分裂症临床稳定门诊患者社会认知训练的影响——一项随机试点研究。

Impact of family involvement on social cognition training in clinically stable outpatients with schizophrenia -- a randomized pilot study.

机构信息

Department of Psychiatry, Celal Bayar University Hospital Manisa, Turkey.

出版信息

Psychiatry Res. 2012 Jan 30;195(1-2):32-8. doi: 10.1016/j.psychres.2011.07.031. Epub 2011 Aug 9.

DOI:10.1016/j.psychres.2011.07.031
PMID:21831453
Abstract

Recovery of social functioning is a largely unattained goal in schizophrenia rehabilitation. In the recent past, new neurocognitive and social cognitive training approaches have been introduced to improve functioning in various domains of patients' social life. These programs have neglected, to some degree, the social environment in which the training takes place. Accordingly, the present study sought to examine if family-assisted social cognitive training could improve quality of life, social functioning and social cognition in schizophrenia patients as compared to a social stimulation approach. In a randomized, controlled, parallel group trial design with two groups, one receiving family-assisted social cognitive training once a week (F-SCIT) and the other, social stimulation once every three weeks (SS), both for 14-weeks period, patients were assessed at baseline, before randomization and 16weeks after randomization. Participants were recruited from Celal Bayar University Psychosis Unit and were in a clinically stable condition. Patients who received F-SCIT significantly improved in quality of life, social functioning and social cognition, whereas the SS group worsened in nearly all outcome variables. Family-assisted SCIT is effective in improving quality of life, social functioning and social cognition.

摘要

在精神分裂症康复中,社会功能的恢复是一个尚未实现的目标。在最近的一段时间里,新的神经认知和社会认知训练方法已经被引入,以改善患者社会生活各个领域的功能。这些方案在某种程度上忽视了训练发生的社会环境。因此,本研究旨在探讨家庭辅助社会认知训练是否可以改善精神分裂症患者的生活质量、社会功能和社会认知,与社会刺激方法相比。在一项随机、对照、平行组试验设计中,两组患者分别接受每周一次的家庭辅助社会认知训练(F-SCIT)和每三周一次的社会刺激(SS),共 14 周,在基线、随机分组前和随机分组后 16 周进行评估。参与者是从 Celal Bayar 大学精神病学系招募的,他们处于临床稳定状态。接受 F-SCIT 的患者在生活质量、社会功能和社会认知方面显著改善,而 SS 组在几乎所有的结果变量上都恶化了。家庭辅助 SCIT 可有效改善生活质量、社会功能和社会认知。

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