Farcas Adriana, Campbell Mackenzie, Wong Charmaine, Iftene Felicia
Providence Care Hospital, Queen's University, Kingston, ON, Canada.
Front Psychiatry. 2023 Jun 2;14:1189772. doi: 10.3389/fpsyt.2023.1189772. eCollection 2023.
Schizophrenia is a severe, chronic mental disorder that involves disruptions in cognitive processes, emotional responsiveness, and social interactions. Psychotherapeutic and social integration practices have increasingly been added to the pharmacological treatment in an effort to improve the level of functioning and the quality of life of individuals affected by this condition. Befriending, defined as a one-on-one companionship provided by a volunteer who aims to act as an emotionally supportive liaison, is hypothesized to be an effective such intervention, offering support for building and maintaining social relationships in the community. Despite its increase in popularity and acceptance, befriending remains poorly understood and under-researched.
We performed a systematic search for studies targeting befriending either as an intervention or a controlled condition in studies on schizophrenia. Searches were performed in four databases: APA PsycInfo, Pubmed, Medline and EBSCO. The keywords "schizophrenia," AND "befriending," were searched for on all databases.
The search yielded 93 titles and abstracts, of which 18 met the criteria for inclusion. The studies included in this review have all incorporated befriending as an intervention or a controlled condition, as per our search criteria, and aimed at depicting the value and feasibility of this intervention to address social and clinical deficits in individuals with schizophrenia.
The studies selected for this scoping review revealed inconsistent findings regarding the effect of befriending on overall symptoms and the subjective reporting of quality of life in individuals with schizophrenia. This inconsistency may be attributed to differences between the studies and their specific limitations.
精神分裂症是一种严重的慢性精神障碍，涉及认知过程、情感反应和社会互动的紊乱。心理治疗和社会融合实践越来越多地被纳入药物治疗中，以努力提高受这种疾病影响的个体的功能水平和生活质量。交友被定义为由志愿者提供的一对一陪伴，旨在充当情感支持联络人，据推测这是一种有效的干预措施，为在社区中建立和维持社会关系提供支持。尽管交友越来越受欢迎并被接受，但人们对它的了解仍然很少，相关研究也不足。
我们对以交友作为精神分裂症研究中的干预措施或对照条件的研究进行了系统检索。检索在四个数据库中进行：美国心理学会心理学文摘数据库（APA PsycInfo）、PubMed、医学期刊数据库（Medline）和EBSCO。在所有数据库中搜索关键词“精神分裂症”和“交友”。
检索得到93篇标题和摘要，其中18篇符合纳入标准。根据我们的检索标准，本综述纳入的研究均将交友作为一种干预措施或对照条件，旨在描述这种干预措施在解决精神分裂症患者的社会和临床缺陷方面的价值和可行性。
为本次范围综述所选的研究显示，关于交友对精神分裂症患者总体症状和生活质量主观报告的影响，研究结果并不一致。这种不一致可能归因于研究之间的差异及其特定局限性。
