Mental Health Center, West China Hospital, Sichuan University, 28# Dian Xin Nan Jie, Chengdu, China.
University of Hong Kong, Hong Kong, China.
Adm Policy Ment Health. 2020 Jan;47(1):107-114. doi: 10.1007/s10488-019-00976-5.
To investigate the effectiveness of the Clubhouse Model of Psychosocial Rehabilitation on psychosocial functions and recovery of native Chinese individuals with schizophrenia in a community sample. A randomized controlled design was used. A total of 56 participants were recruited from a community sample for a study lasting 6 months, but five participants dropped out. Twenty-eight participants attended the Clubhouse program, and twenty-three participants served as controls. Standardized assessments were performed on three areas at the baseline and the 6-month follow-up: 1. symptom reduction; 2. social function, self-determination, and quality of life; and 3. rehospitalization rate. Compared to the controls, the Clubhouse participants showed reductions in psychiatric symptoms and better social function, self-determination, and quality of life (p < .05), but with no difference in the rehospitalization rate between Clubhouse members and the controls. The Clubhouse Model demonstrates its effectiveness and shows its viability as a service delivery model in psychosocial rehabilitation for individuals with schizophrenia in mainland China.
探讨团体之家心理社会康复模式对社区样本中本土中文精神分裂症患者心理社会功能和康复的效果。
采用随机对照设计。从社区样本中招募了 56 名参与者进行为期 6 个月的研究，但有 5 名参与者退出。28 名参与者参加了团体之家项目，23 名参与者作为对照组。在基线和 6 个月随访时对三个领域进行了标准化评估：1.症状减轻；2.社会功能、自我决定和生活质量；3.再住院率。与对照组相比，团体之家参与者的精神症状减轻，社会功能、自我决定和生活质量更好（p <.05），但团体之家成员和对照组的再住院率没有差异。
团体之家模式在中国大陆精神分裂症患者的心理社会康复中作为一种服务提供模式具有有效性和可行性。
