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首次发作精神病后家庭干预参与者的感知益处:一项定性研究。

Participants' perceived benefits of family intervention following a first episode of psychosis: a qualitative study.

作者信息

Nilsen Liv, Frich Jan C, Friis Svein, Norheim Irene, Røssberg Jan Ivar

机构信息

Centre of Competence for Early Intervention in Psychosis, Oslo University Hospital, Oslo, Norway.

Institute of Health and Society, University of Oslo, Oslo, Norway.

出版信息

Early Interv Psychiatry. 2016 Apr;10(2):152-9. doi: 10.1111/eip.12153. Epub 2014 May 27.

Abstract

AIM

To explore the perceived benefits for patients and family members of psychoeducational family intervention following a first episode of psychosis.

METHODS

A qualitative exploratory study using data from interviews with 12 patients and 14 family members who participated in a psychoeducational multi- or single-family treatment programme. Semi-structured interviews were digitally recorded and transcribed verbatim with slight modifications, after which they were analysed by systematic text condensation.

RESULTS

Patients and family members reported benefits that could be classified in five categories: (i) developing insight and acceptance requires understanding of the fact that the patient has an illness, and recognizing the need for support; (ii) recognizing warning signs requires an understanding of early signs of deterioration in the patient; (iii) improving communication skills is linked to new understanding and better communication both within the family and in groups; (iv) Learning to plan and solve problems requires the ability to solve problems in new ways; (v) becoming more independent requires patients to take responsibility for their own life.

CONCLUSION

The study suggests that developing insight and acceptance, learning about warning signs, improving communications skills, learning to plan and solve problems, and becoming more independent are perceived as benefits of a psychoeducational family intervention.

摘要

目的

探讨首次发作精神病后接受心理教育家庭干预对患者及其家庭成员的预期益处。

方法

采用定性探索性研究方法,收集12例患者和14名家庭成员的数据,这些患者和家庭成员参与了多家庭或单家庭心理教育治疗项目。半结构化访谈进行了数字录音,并逐字转录,稍作修改后,通过系统的文本浓缩进行分析。

结果

患者和家庭成员报告的益处可分为五类:(i)形成洞察力和接受度需要理解患者患病这一事实,并认识到需要支持;(ii)识别警示信号需要了解患者病情恶化的早期迹象;(iii)提高沟通技巧与在家庭内部和群体中获得新的理解及更好的沟通相关;(iv)学习规划和解决问题需要以新的方式解决问题的能力;(v)变得更加独立需要患者对自己的生活负责。

结论

该研究表明,形成洞察力和接受度、了解警示信号、提高沟通技巧、学习规划和解决问题以及变得更加独立被视为心理教育家庭干预的益处。

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