认知团体干预对精神分裂症患者疗效的研究。
An efficacy study of a metacognitive group intervention for people with schizophrenia.
机构信息
Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Israel.
Department of Community Mental Health, Faculty of Social Welfare & Health Sciences, University of Haifa, Israel.
出版信息
Psychiatry Res. 2018 Dec;270:1150-1156. doi: 10.1016/j.psychres.2018.10.037. Epub 2018 Oct 13.
Poor cognitive outcomes among people with schizophrenia are associated with poor function in daily life. Cognitive interventions aimed at improving function lead to better cognitive outcomes, but the question of generalization to real-world functioning remains relevant. The ability to generalize or to apply learned skills in the clinic to everyday functioning must include metacognitive components which are the underlying mechanisms of function. To address such generalization, we developed a metacognitive group intervention based on Toglia's (2005) dynamic interactional model, which aims to promote daily activities and participation by focusing on metacognitive components. We assessed 84 participants with schizophrenia (41 in the control group and 43 in the intervention group) before and after completing the intervention and at a 12-week follow-up. Assessments addressed executive function, performance, and participation. The intervention group's performance, participation, and everyday functions significantly increased post-intervention and at follow-up, compared with the control group. Results provide important information about the potential for change in real-world functioning and a basis for the rationale of employing metacognitive interventions in this population.
精神分裂症患者的认知结果较差与日常生活功能较差有关。旨在改善功能的认知干预措施会导致更好的认知结果,但推广到实际功能的问题仍然相关。将在诊所中学习的技能应用于日常功能的概括或应用能力必须包括元认知成分,这是功能的潜在机制。为了解决这种概括问题,我们根据 Toglia 的(2005)动态相互作用模型开发了一种元认知小组干预措施,该干预措施旨在通过关注元认知成分来促进日常活动和参与。我们在干预前后和 12 周随访时评估了 84 名精神分裂症患者(对照组 41 名,干预组 43 名)。评估包括执行功能、表现和参与。与对照组相比,干预组的表现、参与和日常功能在干预后和随访时显著提高。结果提供了有关实际功能变化潜力的重要信息,并为在该人群中采用元认知干预措施提供了依据。