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出院精神分裂症患者残留精神病性症状的调查

An investigation of residual psychotic symptoms in discharged schizophrenic patients.

作者信息

Tarrier N

出版信息

Br J Clin Psychol. 1987 May;26(2):141-3. doi: 10.1111/j.2044-8260.1987.tb00740.x.

DOI:10.1111/j.2044-8260.1987.tb00740.x
PMID:3580649
Abstract

Twenty-five patients who had been discharged back into the community after an acute schizophrenic episode but who still experienced residual psychotic symptoms were interviewed to elicit the antecedents, consequences and coping strategies of their symptoms. Fifty-two per cent were able to identify antecedent stimuli and 92 per cent still experienced negative consequences, mainly anxiety. Seventy-two per cent were able to specify coping strategies. Cognitive and behavioural strategies were most frequently cited. However 28 per cent of patients reported that their strategies were of little or no effect and 25 per cent of all strategies were reported ineffective. Patients using multiple strategies were more successful at coping.

摘要

25名在急性精神分裂症发作后出院回归社区但仍有残留精神病症状的患者接受了访谈,以了解其症状的前因、后果及应对策略。52%的患者能够识别诱发刺激因素,92%的患者仍有负面后果,主要是焦虑。72%的患者能够详细说明应对策略。认知和行为策略被提及的频率最高。然而,28%的患者报告称他们的策略效果甚微或毫无效果,所有策略中有25%被报告无效。采用多种策略的患者在应对方面更为成功。

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