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叙事增强和认知疗法对慢性精神分裂症患者感知耻辱的影响:一项多中心随机对照试验研究。

Narrative enhancement and cognitive therapy for perceived stigma of chronic schizophrenia: A multicenter randomized controlled trial study.

机构信息

Department of Nursing, Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan Dist., Taoyuan City 33303, Taiwan; Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, No. 155, Sec.2, Linong St. Beitou Dist., Taipei City 112304, Taiwan..

Department of Health Care Management, National Taipei University of Nursing and Health Sciences, No.365, Mingde Rd., Beitou Dist., Taipei City 11219, Taiwan.

出版信息

Arch Psychiatr Nurs. 2023 Jun;44:59-68. doi: 10.1016/j.apnu.2023.04.004. Epub 2023 Apr 15.

Abstract

This study explored the effects of NECT on self-stigma among people with schizophrenia. Eighty-six participants were recruited and assigned to two groups. The NECT group received 20-session group meetings, while the control group received routine care. Self-stigma was measured by Internalized Stigma of Mental Illness Scale (ISMIS) and Discrimination and Stigma Scale (DISC). Generalized estimating equations were employed to explore the intervention's effectiveness. The NECT group showed a significant reduction in ISMIS total scores after 20 sessions and Stopping Self subscale scores of DISC decreased over time. The intervention is effective for improving self-stigma in people with schizophrenia.

摘要

本研究旨在探讨神经反馈治疗(NECT)对精神分裂症患者的自我污名的影响。共招募了 86 名参与者,并将其随机分为两组,NECT 组接受 20 次小组会议,对照组接受常规护理。采用内化的精神疾病 stigma 量表(ISMIS)和歧视和污名量表(DISC)评估自我污名。采用广义估计方程探索干预的效果。NECT 组在 20 次治疗后 ISMIS 总分显著降低,DISC 的自我停止分量表得分随时间降低。该干预措施对改善精神分裂症患者的自我污名有效。

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