Tsang A W K, Ng R M K, Yip K C
Department of Psychiatry, Kowloon Hospital, Kowloon, Hong Kong, China.
East Asian Arch Psychiatry. 2010 Mar;20(1):23-30.
To investigate the effects of the 'clubhouse' model of rehabilitation on various psychosocial issues for Chinese patients with schizophrenia living in the community.
A longitudinal, case-controlled and naturalistic design was used. A total of 92 participants were recruited via criteria-guided systematic sampling for a study lasting 6 months. Forty-six participants attending a local clubhouse programme were matched for sex and age with a control group of patients recruited from a regional outpatient clinic who were not attending a clubhouse programme. Case note reviews, standardised assessments of psychotic symptoms, depressive symptoms, quality of life, self-esteem, and locus of control were performed at baseline, 3 and 6 months.
Clubhouse participants showed significant improvements in their positive and negative scales, general psychopathology, and total scores after attending the clubhouse for 6 months. The clubhouse participants' employment rate also improved.
The clubhouse model of rehabilitation may have beneficial effects on various psychiatric symptoms in Chinese patients with schizophrenia living in Hong Kong.
探讨“俱乐部会所”康复模式对居住在社区的中国精神分裂症患者各种心理社会问题的影响。
采用纵向、病例对照和自然主义设计。通过标准引导的系统抽样招募了92名参与者，进行为期6个月的研究。46名参加当地俱乐部会所项目的参与者在性别和年龄上与从地区门诊招募的未参加俱乐部会所项目的患者对照组相匹配。在基线、3个月和6个月时进行病例记录审查、精神病症状、抑郁症状、生活质量、自尊和控制点的标准化评估。
参加俱乐部会所6个月后，俱乐部会所参与者在阳性和阴性量表、一般精神病理学及总分方面有显著改善。俱乐部会所参与者的就业率也有所提高。
“俱乐部会所”康复模式可能对居住在香港的中国精神分裂症患者的各种精神症状有有益影响。
