首发精神病发作后参与者对工作和学校参与度的偏好关联
Association of participant preferences on work and school participation after a first episode of psychosis.
作者信息
de Waal Alexandra, Dixon Lisa B, Humensky Jennifer L
机构信息
Ferkauf Graduate School of Psychology, Yeshiva University, New York, New York.
Department of Psychiatry, Columbia University, New York, New York.
出版信息
Early Interv Psychiatry. 2018 Oct;12(5):959-963. doi: 10.1111/eip.12513. Epub 2017 Oct 20.
AIM
To explore baseline ratings of importance (ROI) across life domains for participants in the Recovery After an Initial Schizophrenia Episode Connection Program (RAISE CP), and investigate whether ratings were correlated with intervention outcomes over time.
METHODS
At baseline, 63 participants rated the importance of reducing symptoms, side-effects, confusion, increasing energy and school/work functioning and improving social relations. ROIs were examined in relation to work/school participation (n = 41) and occupational functioning (n = 37) after 12 months. Participants' mean age was 22.3 (±4.2).
RESULTS
The ROI domain rated as most important was school/work functioning, and higher school/work ROI at baseline predicted work/school participation after 12 months of participation.
CONCLUSIONS
It is particularly important to assess participant preferences and priorities when treating psychotic disorders because most areas of life are affected. Understanding the impact of participant goals on outcomes is essential as programs design patient-centred treatment plans.
目的
探讨首发精神分裂症发作后康复连接项目（RAISE CP）参与者在各个生活领域的重要性基线评分（ROI），并调查这些评分是否随时间与干预结果相关。
方法
在基线时，63名参与者对减轻症状、副作用、困惑、增加精力以及改善学校/工作功能和社会关系的重要性进行了评分。在12个月后，对工作/学校参与情况（n = 41）和职业功能（n = 37）的ROI进行了检查。参与者的平均年龄为22.3（±4.2）。
结果
被评为最重要的ROI领域是学校/工作功能，基线时较高的学校/工作ROI预测了参与12个月后的工作/学校参与情况。
结论
在治疗精神障碍时评估参与者的偏好和优先事项尤为重要，因为生活的大部分领域都会受到影响。随着项目设计以患者为中心的治疗计划，了解参与者目标对结果的影响至关重要。
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