基于正念的心理教育方案对中国精神分裂症患者的影响：2 年随访。

Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up.

机构信息

Wai Tong Chien, PhD, MPhil, BN, RMN, FPHKAN, School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China; David R. Thompson, PhD, MBA, BSc, RN, FRCN, FAAN, FESC, Cardiovascular Research Centre, Australian Catholic University and Department of Psychiatry, University of Melbourne, Melbourne, Australia.

出版信息

Br J Psychiatry. 2014 Jul;205(1):52-9. doi: 10.1192/bjp.bp.113.134635. Epub 2014 May 8.

DOI:10.1192/bjp.bp.113.134635

PMID:24809397

Abstract

BACKGROUND

Psychoeducation programmes for people with schizophrenia are shown to reduce relapses but few studies have indicated significant improvements in patients' illness awareness and insight, functioning, symptom severity or rates of readmission to hospital.

AIMS

To examine the effects of a mindfulness-based psychoeducation programme for Chinese people with schizophrenia.

METHOD

A multisite randomised controlled trial was conducted with 107 out-patients with schizophrenia: 36 and 35 received a 6-month mindfulness-based psychoeducation and a conventional psychoeducation programme, respectively, and 35 received routine care alone. Patient outcome measures were psychiatric symptom severity, psychosocial functioning, social support, insight into illness/treatment, and frequency and duration of readmissions to hospital (ClinicalTrials.gov: trial registration NCT01667601).

RESULTS

The mindfulness-based psychoeducation group reported significantly greater improvements in psychiatric symptoms, psychosocial functioning, insight into illness/treatment and duration of readmissions to hospital over 24 months when compared with the other two groups.

CONCLUSIONS

Mindfulness-based psychoeducation appears to be a promising approach to treatment for Chinese patients with schizophrenia.

摘要

背景

针对精神分裂症患者的心理教育计划已被证明可降低复发率，但很少有研究表明患者的疾病意识和洞察力、功能、症状严重程度或住院再入院率有显著改善。

目的

检验正念为基础的心理教育计划对中国精神分裂症患者的效果。

方法

采用多地点随机对照试验，纳入 107 名门诊精神分裂症患者：36 名和 35 名分别接受 6 个月的正念为基础的心理教育和常规心理教育计划，35 名仅接受常规护理。患者的结局评估指标包括精神症状严重程度、心理社会功能、社会支持、对疾病/治疗的认识以及住院再入院的频率和持续时间（ClinicalTrials.gov：试验注册号 NCT01667601）。