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一项针对年轻精神病患者的简短住院社交技能训练的初步研究。

A pilot study of a brief inpatient social-skills training for young adults with psychosis.

机构信息

Department of Psychiatry and Behavioral Health.

出版信息

Psychiatr Rehabil J. 2021 Sep;44(3):284-290. doi: 10.1037/prj0000471. Epub 2021 Mar 18.

Abstract

Psychotic disorders are serious illnesses that are most amenable to early intervention. Though inpatient units are typically the first care setting for young people with psychosis, almost all early intervention work has been limited to outpatient settings. Social difficulties are a core feature of psychotic illnesses, and despite need for empirically supported social-skills treatments there are few interventions intended specifically for the developmental phase during which psychosis manifests (i.e., late teenage to early adult years). Our group implemented an adapted social-skills training intervention (SST) designed for young adults on a psychiatric inpatient unit. Nineteen young adult inpatients (aged 18-35) with psychosis participated. Psychiatric symptoms and aspects of social functioning, including reported social self-efficacy and performance on social skills role-plays, were assessed before and after SST participation. Preliminary data demonstrate improvements in both self-report and performance-based measures of social functioning after SST participation. These findings, though preliminary, support additional, larger-scale investigations of this SST among young adults with psychosis. Further, multidisciplinary collaborations are valuable in providing specialized care for young adults with psychosis who are receiving inpatient psychiatric care. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

精神病障碍是严重的疾病,最适合早期干预。尽管住院病房通常是年轻精神病患者的第一护理场所,但几乎所有的早期干预工作都仅限于门诊环境。社交困难是精神病的核心特征,尽管需要实证支持的社交技能治疗,但针对精神病表现(即青少年后期到成年早期)的特定发展阶段的干预措施很少。我们的小组在精神病住院病房为年轻成年人实施了一种经过改编的社交技能训练干预(SST)。19 名患有精神病的成年住院患者(年龄在 18-35 岁之间)参加了该干预。在 SST 参与前后评估了精神病症状和社交功能的各个方面,包括自我报告的社交效能感和社交技能角色扮演表现。初步数据表明,SST 参与后,自我报告和基于表现的社交功能测量均有所改善。这些发现虽然初步,但支持对患有精神病的年轻成年人进行这项 SST 的进一步、更大规模的研究。此外,多学科合作对于为接受住院精神病治疗的年轻精神病患者提供专业护理非常有价值。

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