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住院患者家庭干预:一项随机临床试验。II. 出院时的结果

Inpatient family intervention: a randomized clinical trial. II. Results at hospital discharge.

作者信息

Haas G L, Glick I D, Clarkin J F, Spencer J H, Lewis A B, Peyser J, DeMane N, Good-Ellis M, Harris E, Lestelle V

机构信息

Payne Whitney Clinic, New York Hospital-Cornell Medical Center, New York, NY 10021.

出版信息

Arch Gen Psychiatry. 1988 Mar;45(3):217-24. doi: 10.1001/archpsyc.1988.01800270025003.

DOI:10.1001/archpsyc.1988.01800270025003
PMID:3277578
Abstract

Although family intervention is practiced in most psychiatric hospitals, to our knowledge, no adequately controlled studies of its efficacy exist. This study was designed to answer, in part, the question of the relative efficacy of hospitalization with family intervention as compared with hospitalization without family intervention for patients (1) with major psychiatric disorders, (2) in need of hospital treatment, and (3) for whom both treatments are judged clinically feasible. This article compares treatment results at the time of hospital discharge for 169 patients randomly assigned to the inpatient Family Intervention or comparison conditions. Inpatient Family Intervention had greater efficacy than the comparison treatment, mostly attributable to its effect on female patients, especially those patients (and their families) with affective disorder.

摘要

尽管大多数精神病医院都采用家庭干预,但据我们所知,尚无充分对照的关于其疗效的研究。本研究旨在部分回答以下问题:对于(1)患有重度精神疾病、(2)需要住院治疗且(3)两种治疗在临床上均被判定可行的患者,与无家庭干预的住院治疗相比,有家庭干预的住院治疗的相对疗效如何。本文比较了169例随机分配到住院家庭干预组或对照组的患者出院时的治疗结果。住院家庭干预组比对照治疗更有效,这主要归因于其对女性患者的影响,尤其是那些患有情感障碍的患者(及其家庭)。

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引用本文的文献

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Family-based interventions versus standard care for people with schizophrenia.家庭为基础的干预与标准照护对精神分裂症患者的比较。
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Cochrane Database Syst Rev. 2011 Jun 15;2011(6):CD002831. doi: 10.1002/14651858.CD002831.pub2.
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Family intervention for schizophrenia.精神分裂症的家庭干预
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Family therapy for depression.抑郁症的家庭治疗
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Bipolar depression: management options.双相抑郁:治疗选择
CNS Drugs. 2003;17(1):9-25. doi: 10.2165/00023210-200317010-00002.
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Studying inpatient treatment practices in schizophrenia: an integrated methodology.精神分裂症住院治疗实践研究:一种综合方法。
Psychiatr Q. 1995 Winter;66(4):293-320. doi: 10.1007/BF02238751.
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Maintenance treatment of schizophrenia: a review of dose reduction and family treatment strategies.精神分裂症的维持治疗:剂量减少与家庭治疗策略综述
Psychiatr Q. 1995 Winter;66(4):279-92. doi: 10.1007/BF02238750.