University of Maryland School of Medicine, Baltimore, MD, USA.
Acta Psychiatr Scand. 2013 Apr;127(4):279-86. doi: 10.1111/j.1600-0447.2012.01901.x. Epub 2012 Jul 16.
This study examines 6-month follow-up data from participants in a randomized trial of a peer-driven 12-session family support and education program, called family-to-family (FTF) and offered by the US National Alliance on Mental Illness, to determine whether improvements in distress, family functioning, coping and empowerment were sustained.
Individuals randomized to the FTF condition were assessed after program completion and then 3 months later on measures of distress, family functioning, coping, and empowerment. We used a multilevel regression model (sas proc mixed) to test for significant changes over time (baseline, 3 and 9 months).
All significant benefits that FTF participants gained between baseline and immediately post-FTF were sustained at 9 months including reduced anxiety, improved family problem-solving, increased positive coping, and increased knowledge. Greater class attendance was associated with larger increases in empowerment and reductions in depression and displeasure with ill relative.
Evidence suggests that benefits of the FTF program were sustained for at least 6 months without any additional boosters or supports. Peer-based programs may produce sustained benefits for individuals seeking help in addressing challenges and stresses related to having a family member with a mental illness.
本研究分析了美国国家精神疾病联盟提供的同伴驱动的 12 节家庭支持和教育计划(称为家庭到家庭,FTF)的随机试验参与者的 6 个月随访数据,以确定压力、家庭功能、应对和赋权方面的改善是否得以维持。
随机分配到 FTF 条件的个体在完成计划后以及 3 个月后接受评估,评估内容包括压力、家庭功能、应对和赋权。我们使用多层回归模型(sas proc mixed)来测试随时间(基线、3 个月和 9 个月)的显著变化。
FTF 参与者在基线和立即完成 FTF 后获得的所有显著益处都在 9 个月时得以维持,包括焦虑减轻、家庭解决问题能力提高、积极应对能力增强以及知识增加。更多的课程出勤率与赋权的更大增加以及抑郁和对患病亲属的不满的减少有关。
证据表明,FTF 计划的益处至少持续了 6 个月,而无需任何额外的助推或支持。基于同伴的项目可能会为寻求帮助应对与有精神疾病家庭成员相关的挑战和压力的个人带来持续的益处。