Department of Psychiatry, Case Western Reserve University School of Medicine, 11100 Euclid Ave., Cleveland, OH 44106, USA.
Psychiatr Serv. 2011 Sep;62(9):1001-3. doi: 10.1176/appi.ps.62.9.1001.
Diabetes and obesity among patients with serious mental illness are common. Use of second-generation antipsychotics compounds risk, and widely prevalent unhealthy behaviors further contribute to negative outcomes. This column describes Targeted Training in Illness Management, a group-based psychosocial treatment that blends psychoeducation, problem identification, goal setting, and behavioral modeling and reinforcement. The intervention has been adapted to the primary care setting and is targeted at individuals with serious mental illness and diabetes. A key feature of the intervention is the use of peer educators with serious mental illness and diabetes to teach and model self-management. Promising results from a 16-week trial are reported.
患有严重精神疾病的患者中糖尿病和肥胖症较为常见。使用第二代抗精神病药物会增加风险，而广泛存在的不健康行为则进一步导致不良后果。本专栏介绍了基于目标的疾病管理培训，这是一种基于群体的心理社会治疗方法，融合了心理教育、问题识别、目标设定以及行为建模和强化。该干预措施已适用于基层医疗环境，针对的是患有严重精神疾病和糖尿病的个体。该干预措施的一个关键特征是使用患有严重精神疾病和糖尿病的同伴教育者来教授和示范自我管理。报告了一项为期 16 周的试验的有希望的结果。
