Nowak Izabela, Świtaj Piotr, Sabariego Carla, Oberhauser Cornelia, Anczewska Marta
First Department of Psychiatry,Institute of Psychiatry and Neurology,Sobieskiego 9,02-957 Warsaw,Poland.
Department of Medical Informatics,Biometry and Epidemiology,IBE,Chair for Public Health and Health Services Research,Research Unit for Biopsychosocial Health,Ludwig-Maximilians-Universität (LMU) München,Munich,Germany.
Behav Cogn Psychother. 2019 May;47(3):400-406. doi: 10.1017/S1352465818000607. Epub 2018 Oct 30.
There is a need to develop culturally adapted interventions that support the personal recovery and real-world functioning of people diagnosed with schizophrenia.
This study reports on the development and evaluation of a culturally adapted, recovery-oriented, cognitive behavioural workshop for service users with schizophrenia.
The feasibility and acceptability were assessed, as were changes over time in personal recovery and psychosocial functioning (primary outcomes) along with psychopathology and health-related behaviours (secondary outcomes), using multi-level modelling. It was also assessed whether personal recovery predicts psychosocial functioning.
The workshop was feasible and was received favourably. Participants improved over time regarding confidence and hope, feeling less dominated by symptoms, psychosocial functioning, and psychopathology. Personal recovery predicted decreased psychosocial difficulties.
The workshop is a promising intervention. It shows potential in terms of both improving personal recovery as well as real-life functioning of people diagnosed with schizophrenia. Further workshop evaluation in a randomized controlled study is required.
需要开发适应文化的干预措施，以支持被诊断为精神分裂症的患者实现个人康复并在现实世界中正常生活。
本研究报告了一项为精神分裂症服务使用者量身定制的、以康复为导向的认知行为工作坊的开发与评估情况。
采用多层次模型评估了该工作坊的可行性和可接受性，以及个人康复和心理社会功能随时间的变化（主要结果），同时评估了精神病理学和与健康相关的行为（次要结果）。还评估了个人康复是否能预测心理社会功能。
该工作坊是可行的，且受到好评。随着时间推移，参与者在信心和希望方面有所改善，受症状的影响减少，心理社会功能和精神病理学状况也有所改善。个人康复预示着心理社会困难的减少。
该工作坊是一项有前景的干预措施。它在改善被诊断为精神分裂症患者的个人康复以及现实生活功能方面都显示出了潜力。需要在随机对照研究中对该工作坊进行进一步评估。
