情绪调节训练对精神分裂症患者照顾者韧性的影响：一项平行随机对照试验。
The effect of the emotion regulation training on the resilience of caregivers of patients with schizophrenia: a parallel randomized controlled trial.
机构信息
Yazd University of Medical Sciences, Yazd, Iran.
Department of Public Health, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
BMC Psychol. 2021 Mar 2;9(1):39. doi: 10.1186/s40359-021-00542-5.
BACKGROUND
Schizophrenia is the most severe mental chronic disabling disease that the majority of the patients need constant care in a variety of aspects. Regarding the role of family caregivers in taking care of these patients, caregivers need to be resilient, in addition to other psychological traits, to adapt to the circumstance. This study aimed to investigate the effect of the emotion regulation training on the resilience of caregivers of patients with schizophrenia in southeastern Iran.
METHODS
The study was a parallel randomized controlled trial. Seventy caregivers of patients with schizophrenia were selected by convenience sampling method and randomly assigned to an emotion regulation training group and a control group. The intervention group received eight 90-min training sessions (one session weekly) about emotion regulation. The participants completed the Conner-Davidson resilience scale before and one month after the intervention.
RESULTS
The mean scores of the resilience increased in the control and intervention groups at the end of the study. A significant difference was found between the two groups (p < 0.001). At the beginning of the study, the mean score of the resilience was 59.94 in the control group and 51.97 in the intervention group. However, the mean score of the resilience in the control group was 61.28 after the intervention, which was not significant, but it was 69.08 in the intervention group, which was significant. A significant difference was observed between two groups in the mean scores (p = 0.01).
CONCLUSIONS
According to the results of this study, cognitive and metacognitive skills of emotion regulation can be suggested as one of the methods for increasing the psychological well-being of schizophrenia patients' caregivers. The increase of mental well-being and resilience of caregivers can help them better manage a patient with schizophrenia. Trial registration IRCT registration number: IRCT2017061733997N2, Registration date: 2017-08-16, 1396/05/25, Registration timing: prospective, https://en.irct.ir/trial/26116.
背景
精神分裂症是最严重的精神慢性致残性疾病，大多数患者需要在各个方面得到持续的照顾。关于家庭照顾者在照顾这些患者方面的作用，照顾者除了其他心理特征外，还需要有弹性，以适应环境。本研究旨在调查伊朗东南部精神分裂症患者照顾者情绪调节训练对其韧性的影响。
方法
这是一项平行随机对照试验。采用便利抽样法选取 70 名精神分裂症患者的照顾者，随机分为情绪调节训练组和对照组。干预组接受了 8 次 90 分钟的情绪调节培训（每周一次）。参与者在干预前和干预后一个月完成了 Connor-Davidson 韧性量表。
结果
对照组和干预组在研究结束时的韧性得分均有所提高。两组之间存在显著差异（p<0.001）。研究开始时，对照组的韧性平均得分为 59.94，干预组为 51.97。然而，干预后对照组的韧性平均得分为 61.28，没有显著差异，但干预组的韧性平均得分为 69.08，差异显著。两组间平均得分差异有统计学意义（p=0.01）。
结论
根据本研究结果，情绪调节的认知和元认知技能可以作为提高精神分裂症患者照顾者心理健康的方法之一。照顾者心理健康和韧性的提高可以帮助他们更好地管理精神分裂症患者。试验注册：IRCT 注册号：IRCT2017061733997N2，注册日期：2017-08-16，1396/05/25，注册时间：前瞻性，https://en.irct.ir/trial/26116。
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