Kinoshita Eiko, Hashimoto Takeshi, Nishimura Ryoji, Yotsumoto Kayano
Department of Rehabilitation Science Kobe University Graduate School of Health Sciences Kobe Japan.
Medical Corporation Keiaikai Fukuma Hospital Fukutsu Japan.
PCN Rep. 2023 Jan 27;2(1):e72. doi: 10.1002/pcn5.72. eCollection 2023 Mar.
In Japan, day hospitals are a method of rehabilitation for psychiatric disorders, especially for recovering social functioning. Currently, 60% of day hospital users have schizophrenia, the majority of whom are long-term users (for over 1 year). However, they show no progress in community participation. This study aimed to investigate whether people with schizophrenia who use day hospitals can improve their social functioning and recovery levels, and alleviate psychiatric symptoms, when they engage in self-determination regularly.
This study employed a multicenter randomized controlled design with a 3-month intervention. Participants were divided into two groups. The intervention group ( = 24) determined their daily goals in life and attended the day hospitals' programs, while the control group ( = 25) only participated in the day hospitals' programs. Participants' social functioning was assessed using the Global Assessment of Functioning (GAF) scale, psychiatric symptoms using the Positive and Negative Syndrome Scale (PANSS), and recovery using the Recovery Assessment Scale (RAS), before and after the intervention.
In the intergroup factors, there were no significant differences in GAF, PANSS, or RAS scores.
The results suggest that participants' regular self-determination of their daily goals did not lead to significantly positive behavior in improving their social functioning. However, the social functioning and psychiatric symptoms of participants in day hospitals improved after 3 months.
在日本，日间医院是一种针对精神疾病的康复方式，尤其有助于恢复社会功能。目前，60%的日间医院使用者患有精神分裂症，其中大多数是长期使用者（超过1年）。然而，他们在社区参与方面并无进展。本研究旨在调查使用日间医院的精神分裂症患者在定期进行自我决定时，是否能够改善其社会功能和康复水平，并减轻精神症状。
本研究采用多中心随机对照设计，进行为期3个月的干预。参与者被分为两组。干预组（n = 24）自行确定其每日生活目标并参加日间医院的项目，而对照组（n = 25）仅参加日间医院的项目。在干预前后，使用功能总体评定量表（GAF）评估参与者的社会功能，使用阳性和阴性症状量表（PANSS）评估精神症状，使用康复评定量表（RAS）评估康复情况。
在组间因素方面，GAF、PANSS或RAS评分没有显著差异。
结果表明，参与者定期自行确定每日目标并未在改善其社会功能方面带来显著的积极行为。然而，日间医院参与者的社会功能和精神症状在3个月后有所改善。
