Dodding Cj, Nasel Dd, Murphy M, Howell C
Research Fellow, Discipline of General Practice, University of Adelaide, South Australia.
Ment Health Fam Med. 2008 Mar;5(1):41-9.
Background A need to provide treatment for people with anxiety and/or depression, and to provide preventive strategies for individuals who love them has been identified. In response, an innovative group therapy programme for people with anxiety and/or depression and a significant other of their choice was developed and implemented.Methods Mixed methods were employed. Five 'significant other' groups were held between May 2005 and June 2006. All group participants were requested to complete the Depression Anxiety Stress Scale (DASS), World Health Organization Quality of Life Assessment (WHOQol) and Connor-Davidson Resilience Scale (CD-RISC), pre- and post-therapy, and three months after their last therapy session. In addition, participants who attended groups between July and September 2005 were invited to provide feedback about the group therapy in an individual semi-structured interview.Results Pilot results indicate positive responses from clients, related to facilitation of knowledge and understanding and skills development. For people referred to the group significant improvements were found in the DASS scores, resilience, psychological health and living environment.Limitations Due to the small sample size, and lack of follow-up data and control group, the findings need to be considered with caution and indicate the necessity to collect further data to provide conclusive findings.Conclusions Overall, the outcome of the 'significant other' pilot programme was useful, in that it facilitated a number of positive outcomes for participants. Areas for further research have been identified including strategies to improve social relationships, the de-identification with the sick/supporter role, and testing this model with diverse populations and clinical groups.
背景 已确定有必要为焦虑症和/或抑郁症患者提供治疗，并为关爱他们的人提供预防策略。作为回应，针对焦虑症和/或抑郁症患者及其选择的重要他人制定并实施了一项创新的团体治疗方案。
方法 采用混合方法。2005年5月至2006年6月期间举办了五个“重要他人”团体。要求所有团体参与者在治疗前、治疗后以及最后一次治疗 session 三个月后完成抑郁焦虑压力量表（DASS）、世界卫生组织生活质量评估（WHOQol）和康纳-戴维森复原力量表（CD-RISC）。此外，邀请了2005年7月至9月期间参加团体的参与者在个人半结构化访谈中提供有关团体治疗的反馈。
结果 试点结果表明客户有积极反应，与知识和理解的促进以及技能发展有关。对于被转介到该团体的人，在DASS评分、复原力、心理健康和生活环境方面发现了显著改善。
局限性 由于样本量小、缺乏随访数据和对照组，这些发现需要谨慎考虑，并表明有必要收集进一步的数据以提供确凿的结果。
结论 总体而言，“重要他人”试点方案的结果是有用的，因为它为参与者促成了一些积极成果。已确定了进一步研究的领域，包括改善社会关系的策略、消除与患病/支持者角色的认同，以及在不同人群和临床组中测试该模型。
