Center for Psychiatric Rehabilitation, Boston University, Boston, MA 02215, USA.
J Clin Psychol. 2012 May;68(5):490-501. doi: 10.1002/jclp.21852. Epub 2012 Apr 12.
People with schizophrenia have a high prevalence of co-occurring substance use disorders, which is related to a worse course of psychiatric illness, more frequent relapses, and increased depression and suicide, compared with those with schizophrenia alone. The Family Intervention for Dual Diagnosis (FIDD) program, which includes psychoeducation and goal setting and focuses on building communication and problem-solving skills within the family, can aid in decreasing the stress related to having a close relationship with someone with a dual disorder. Here, the case of a young man with psychosis and marijuana dependence is examined. This article describes how the FIDD intervention helped him with his problematic substance use, as well as to build skills within his relationship for increased empathy and reduced interpersonal stress.
精神分裂症患者共病物质使用障碍的患病率较高，与单纯精神分裂症患者相比，其精神疾病病程更差、复发更频繁、抑郁和自杀风险更高。家庭双诊断干预（FIDD）方案包括心理教育和目标设定，并侧重于在家庭中建立沟通和解决问题的技能，可帮助减轻与双相障碍患者密切关系带来的压力。本文通过对一位患有精神病和大麻依赖的年轻男性的案例进行分析，描述了 FIDD 干预如何帮助他解决物质使用问题，并在其人际关系中培养同理心和减轻人际压力的技能。
