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精神病谱系障碍青年的社区康复。

Community Rehabilitation for Youth with Psychosis Spectrum Disorders.

机构信息

Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.

Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2020 Jan;29(1):225-239. doi: 10.1016/j.chc.2019.08.012. Epub 2019 Oct 9.

DOI:10.1016/j.chc.2019.08.012
PMID:31708049
Abstract

Recovery-oriented treatment for youth with psychosis goes beyond a symptom and deficit-amelioration model, promoting engagement and functioning within the community. Given the challenges young people with psychosis face, early psychosis treatment programs often integrate rehabilitative components targeting functional outcomes. The current article reviews 4 community rehabilitation programs in early psychosis: care coordination, cognitive rehabilitation, supported education and employment, and peer support. For each of these rehabilitative intervention programs, we discuss challenges faced by youth with psychosis, clinical intervention practices, the current state of evidence, and clinical and/or research considerations.

摘要

面向青年精神病患者的康复治疗超越了症状和缺陷改善模式,促进了他们在社区中的参与和功能。鉴于精神病青年面临的挑战,早期精神病治疗计划通常整合了针对功能结果的康复成分。本文回顾了早期精神病中的 4 个社区康复计划:护理协调、认知康复、支持性教育和就业以及同伴支持。对于这些康复干预计划中的每一个,我们讨论了精神病青年面临的挑战、临床干预实践、当前证据状况以及临床和/或研究考虑因素。

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本文引用的文献

1
Integrative cognitive remediation for early psychosis: Results from a randomized controlled trial.综合认知矫正治疗早期精神病:一项随机对照试验的结果。
Psychiatry Res. 2019 Mar;273:690-698. doi: 10.1016/j.psychres.2019.02.007. Epub 2019 Feb 3.
2
NYC START: A New Model for Securing Community Services for Individuals Hospitalized for First-Episode Psychosis.纽约启动计划:为首次入院治疗精神分裂症的个体提供社区服务保障的新模式。
Psychiatr Serv. 2019 Aug 1;70(8):644-649. doi: 10.1176/appi.ps.201800385. Epub 2019 May 14.
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Peer support for people with schizophrenia or other serious mental illness.
为精神分裂症或其他严重精神疾病患者提供同伴支持。
Cochrane Database Syst Rev. 2019 Apr 4;4(4):CD010880. doi: 10.1002/14651858.CD010880.pub2.
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Neuropsychological deficits in participants at clinical high risk for psychosis recruited from the community: relationships to functioning and clinical symptoms.社区招募的精神病临床高危人群的神经心理学缺陷:与功能和临床症状的关系。
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A Systematic Review of the Attributes and Outcomes of Peer Work and Guidelines for Reporting Studies of Peer Interventions.同伴工作的属性和结果的系统评价及同伴干预研究报告指南。
Psychiatr Serv. 2018 Sep 1;69(9):961-977. doi: 10.1176/appi.ps.201700564. Epub 2018 Jul 2.
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Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review.近期发病精神病主观康复的概念及其相关因素:系统评价。
Early Interv Psychiatry. 2019 Apr;13(2):181-193. doi: 10.1111/eip.12698. Epub 2018 Jun 21.
10
Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis: A Systematic Review, Meta-analysis, and Meta-regression.早期精神病干预服务与常规治疗的比较:系统评价、荟萃分析和荟萃回归。
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