University of Manchester and Manchester Health and Social Care Trust, UK.
Behav Cogn Psychother. 2014 Mar;42(2):199-210. doi: 10.1017/S1352465812001075. Epub 2013 Jan 29.
There is a strong evidence base for psychological treatments in younger adults with schizophrenia, but limited work has been done on adapting these interventions for older people.
We describe a study of a pilot psychosocial intervention group specifically designed to meet the needs of older people with schizophrenia in NHS settings.
We used a mixed-methods approach to evaluate the group. We assessed feasibility and acceptability by monitoring uptake and retention in the study. We used a within groups design comparing participants on a range of potentially relevant outcomes at baseline and posttreatment. Treatment acceptability was also assessed by semi-structured interviews conducted at the end of treatment.
We recruited 11 participants to the study and 7 of these completed the majority of the group sessions. At a group level participants made improvements in self-esteem and negative symptoms that were statistically significant even in this small sample. Feedback interviews suggested that participants valued the social contact provided by the group and made actual changes in their day-to-day lives as a result of attending.
The intervention could offer help with some of the secondary disability associated with the diagnosis of schizophrenia and is acceptable to older adults. Further evaluation is, however, warranted.
针对年轻精神分裂症患者，已经有大量的心理学治疗的循证医学证据，但针对老年人的相关干预措施的适应性工作却很有限。
我们描述了一项针对精神分裂症老年患者的特定心理社会干预小组的试点研究，该研究旨在满足 NHS 环境下老年精神分裂症患者的需求。
我们采用混合方法评估了该小组。我们通过监测研究中的参与率和保留率来评估可行性和可接受性。我们使用了一种群组内设计，比较了基线和治疗后一系列潜在相关结局的参与者。通过治疗结束时进行的半结构化访谈评估治疗的可接受性。
我们招募了 11 名参与者参与该研究，其中 7 名参与者完成了大部分小组课程。在小组层面，参与者的自尊和负性症状均有显著改善，即使在这个小样本中也是如此。反馈访谈表明，参与者重视小组提供的社交联系，并因参加小组而在日常生活中做出实际改变。
该干预措施可能有助于减轻与精神分裂症诊断相关的一些继发性残疾，并且可以被老年人接受。然而，进一步的评估是必要的。
