Psychiatric Hospital of the University of Basel, Switzerland.
Eur Arch Psychiatry Clin Neurosci. 2012 Aug;262(5):431-40. doi: 10.1007/s00406-012-0291-1.
Despite evidence for its efficacy, diagnosis-specific psychoeducation is not routinely applied. This exploratory randomized controlled trial analyses the efficacy of an easily implementable bifocal diagnosis-mixed group psychoeducation in the treatment of severe psychiatric disorders regarding readmission, compliance and clinical variables, for example global functioning. Inpatients of the Psychiatric Hospital of the University of Basel (N = 82) were randomly assigned to a diagnosis-mixed psychoeducational (PE) or a non-specific intervention control group. Relatives were invited to join corresponding family groups. Results at baseline, 3- and 12-month follow-ups are presented. Better compliance after 3 months and a lower suicide rate were significant in favour of PE. For most other outcome variables, no significant differences, however advantages, in PE were found. In summary, it can be concluded that diagnosis-mixed group psychoeducation is effective in the treatment of severe psychiatric disorders. The effects can be classified as induced by distinctive psychoeducational elements. Findings similar to those on psychosis-specific programmes justify clinical application and further investigation.
尽管有证据表明其有效性，但诊断特异性心理教育并未常规应用。本探索性随机对照试验分析了一种易于实施的双焦点诊断混合组心理教育在治疗严重精神障碍方面的疗效，例如再入院、依从性和临床变量，例如总体功能。巴塞尔大学精神病院的住院患者（N=82）被随机分配到诊断混合心理教育（PE）或非特异性干预对照组。邀请亲属参加相应的家庭小组。介绍了基线、3 个月和 12 个月随访的结果。3 个月后依从性更好，自杀率更低，这对 PE 有利。然而，对于大多数其他结果变量，PE 并没有发现显著差异，但有优势。总之，可以得出结论，诊断混合组心理教育在治疗严重精神障碍方面是有效的。这些效果可以归类为独特的心理教育元素所引起的。与精神病特异性方案相似的发现证明了临床应用和进一步研究的合理性。
