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针对患有精神障碍的成年人的社会认知与互动训练(SCIT):芬兰的一项可行性研究。

Social Cognition and Interaction Training (SCIT) for Adults with Psychotic Disorders: A Feasibility Study in Finland.

作者信息

Voutilainen Greta, Kouhia Tiina, Roberts David L, Oksanen Jorma

机构信息

Social Services and Health Care,City of Helsinki,Finland.

University of Texas Health Science Center,San Antonio,USA.

出版信息

Behav Cogn Psychother. 2016 Nov;44(6):711-716. doi: 10.1017/S1352465816000151. Epub 2016 May 4.

Abstract

BACKGROUND

Social Cognition and Interaction Training (SCIT) is a psychosocial treatment designed to improve social functioning in schizophrenia by improving social cognition. Positive results have been reported from several studies, mainly from the USA, but more studies are needed to determine the feasibility of SCIT in different cultural contexts.

AIMS

The objective of this study was to evaluate the feasibility and acceptability of the Finnish translation of SCIT in Finland.

METHOD

This was an uncontrolled, within-group study. Thirty-three patients with psychotic disorders participated in SCIT groups and also received the standard services provided at their respective care facilities. We measured participant attendance, attrition and responses on feedback surveys. Participants also completed measures of emotion perception, Theory of Mind (ToM), attributional bias and metacognitive overconfidence both before and after SCIT.

RESULTS

The attendance rate was high, attrition was low, and the patients expressed satisfaction with SCIT. Preliminary efficacy analyses showed a statistically significant pre to posttest improvement in emotion perception and ToM, but not attributional bias or overconfidence.

CONCLUSIONS

SCIT is feasible and well accepted and may remediate social cognitive dysfunction in people with psychotic disorders in Finland.

摘要

背景

社会认知与互动训练(SCIT)是一种心理社会治疗方法,旨在通过改善社会认知来提高精神分裂症患者的社会功能。多项研究已报道了积极结果,主要来自美国,但仍需要更多研究来确定SCIT在不同文化背景下的可行性。

目的

本研究的目的是评估SCIT芬兰语翻译版本在芬兰的可行性和可接受性。

方法

这是一项非对照的组内研究。33名精神障碍患者参加了SCIT小组,同时还接受了各自护理机构提供的标准服务。我们测量了参与者的出勤率、损耗率以及对反馈调查的回答。参与者还在SCIT前后完成了情绪感知、心理理论(ToM)、归因偏差和元认知过度自信的测量。

结果

出勤率高,损耗率低,患者对SCIT表示满意。初步疗效分析显示,情绪感知和ToM在测试前到测试后有统计学上的显著改善,但归因偏差或过度自信没有改善。

结论

SCIT在芬兰是可行的且被广泛接受,可能会改善精神障碍患者的社会认知功能障碍。

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