Sancassiani Federica, Cocco Alessio, Cossu Giulia, Lorrai Stefano, Trincas Giuseppina, Floris Francesca, Mellino Gisa, Machado Sergio, Nardi Antonio Egidio, Fabrici Elisabetta Pascolo, Preti Antonello, Carta Mauro Giovanni
Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Center of Liaison Psychiatry and Psychosomatic, University Hospital, Cagliari, Italy.
Clin Pract Epidemiol Ment Health. 2017 Nov 13;13:200-212. doi: 10.2174/1745017901713010200. eCollection 2017.
It has been proposed that sailing can improve quality of life, personal and social skills of people with severe psychosocial disabilities. This study aimed to assess the efficacy of a psychosocial rehabilitative intervention focused on sailing on quality of life, self-efficacy and sense of coherence in people with severe psychosocial disabilities.
The study was a randomized, with parallel groups, waiting-list controlled trial. Participants were 51 people with severe psychosocial disabilities. The intervention was a structured course to learn sailing in a crew lasting three months. A randomized group began the sailing course immediately after a pre-treatment assessment; the waitlist group began the sailing course after a three months period of treatments as usual. Participants were assessed before and after the sailing course, or the waiting list period, on the General Self-Efficacy scale (GSES), Sense Of Coherence scale (SOC) and Health Survey-short form (SF-12).
Self-efficacy significantly increased after the sailing course and decreased after treatment as usual (p=0.015). Sense of coherence and the levels of quality of life tended to improve after the sailing course, albeit below levels of statistical significance.
When compared to more traditional psychosocial rehabilitative activities, an intervention focused on sailing in a crew positively impacts the sense of coherence and the levels of quality of life and significantly improves self-efficacy of people with severe psychosocial disabilities. Further longitudinal research is required.
有人提出，航海可以提高患有严重心理社会残疾者的生活质量、个人技能和社交技能。本研究旨在评估一项以航海为重点的心理社会康复干预措施对患有严重心理社会残疾者的生活质量、自我效能感和连贯感的疗效。
该研究为随机平行组等待列表对照试验。参与者为51名患有严重心理社会残疾的人。干预措施是一个为期三个月的在船员中学习航海的结构化课程。一个随机分组在治疗前评估后立即开始航海课程；等待列表组在三个月的常规治疗期后开始航海课程。在航海课程前后或等待列表期结束后，使用一般自我效能量表（GSES）、连贯感量表（SOC）和健康调查简表（SF-12）对参与者进行评估。
航海课程后自我效能感显著提高，而常规治疗后下降（p = 0.015）。航海课程后连贯感和生活质量水平有改善趋势，尽管未达到统计学显著水平。
与更传统的心理社会康复活动相比，一项以在船员中航海为重点的干预措施对连贯感和生活质量水平有积极影响，并显著提高患有严重心理社会残疾者的自我效能感。需要进一步的纵向研究。
