Early Psychosis Intervention Center (EPICENTER), Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio.
Department of Psychology, The Ohio State University, Columbus, Ohio.
Early Interv Psychiatry. 2019 Dec;13(6):1503-1505. doi: 10.1111/eip.12784. Epub 2019 Jan 15.
Self-determination theory (SDT) has demonstrated that human well-being is associated with the satisfaction of three basic psychological needs (ie, autonomy, competence and relatedness)-with more recent research highlighting the applicability of SDT to individuals with first-episode psychosis (FEP). These findings suggest that satisfaction of basic psychological need may be an important treatment target for specialized clinical programs for FEP.
We examined the effects of participation in specialized, multi-component care for FEP on basic psychological need satisfaction.
After 6 months of treatment, individuals with FEP experienced gains in autonomy and relatedness and a near significant improvement in competence.
Although our results should be interpreted cautiously given the uncontrolled study design and small sample size, our data suggest that the benefits of participation in comprehensive, early intervention for psychotic disorders may include increased satisfaction of basic psychological needs.
自我决定理论(SDT)表明,人类的幸福感与三种基本心理需求(即自主性、能力感和关联性)的满足有关——最近的研究更强调了 SDT 对首发精神病患者(FEP)的适用性。这些发现表明,基本心理需求的满足可能是针对 FEP 的专门临床项目的一个重要治疗目标。
我们研究了参与针对 FEP 的多组分专业护理对基本心理需求满足的影响。
经过 6 个月的治疗,FEP 患者的自主性和关联性得到提高,能力感也有了显著改善。
尽管由于非对照研究设计和小样本量,我们的结果应谨慎解释,但我们的数据表明,参与全面的早期干预精神障碍可能会增加基本心理需求的满足。