1 Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China.
2 Department of Psychology, Florida Agricultural & Mechanical University, Tallahassee, FL, USA.
Aust N Z J Psychiatry. 2018 Apr;52(4):375-382. doi: 10.1177/0004867417712460. Epub 2017 Jun 6.
The argument surrounding the safety and effectiveness of interventions for the population of individuals at a clinical high risk of developing psychosis has been ongoing for the past 30 years. However, few studies have assessed the needs of this special young population, who are struggling with the recent onset of psychotic symptoms.
The sample consisted of 171 family members of 108 clinical high-risk individuals included from the ShangHai at Risk for Psychosis research programme. A 'WeChat' group was established to provide mutual support. There were 22,007 valid messages sent within the group between 1 April 2015 and 27 June 2016. Chat records were subsequently analysed to determine the needs of families during intervention at the early stages of psychosis.
Families of clinical high-risk individuals were highly involved in the entire medical process, and the major concerns of the families of clinical high-risk individuals focused on both functional recovery and medication. The themes of 'take medication', 'go to school' and 'study in school' were often discussed within the group.
A family-focused intervention targeting functional recovery and real-time professional explanations of medication would meet the major needs of families of Chinese clinical high-risk individuals.
围绕针对有发展为精神病风险的个体人群的干预措施的安全性和有效性的争论已经持续了 30 多年。然而，很少有研究评估这一特殊年轻人群的需求，他们正与精神病症状的近期发作作斗争。
该样本包括来自上海精神病风险研究计划的 108 名临床高危个体的 171 名家属。建立了一个“微信”小组以提供互助。在 2015 年 4 月 1 日至 2016 年 6 月 27 日期间，该小组共发送了 22007 条有效消息。随后对聊天记录进行了分析，以确定在精神病早期干预阶段家庭的需求。
临床高危个体的家属高度参与整个医疗过程，而临床高危个体家属最关心的问题是功能恢复和药物治疗。小组中经常讨论“服药”、“上学”和“在校学习”的主题。
针对功能恢复和药物治疗的实时专业解释的以家庭为中心的干预措施将满足中国临床高危个体家庭的主要需求。
