Katsushima Masayuki, Shimizu Eiji
Department of Rehabilitation, Faculty of Health Care and Medical Sports, Teikyo Heisei University, Ichihara 290-0193, Chiba, Japan.
Research Center for Child Mental Development, Chiba University, Chiba 260-8670, Chiba, Japan.
Behav Sci (Basel). 2024 Aug 5;14(8):680. doi: 10.3390/bs14080680.
This pilot randomized controlled trial (RCT) aimed to explore whether depression and anxiety could be reduced by psychiatric home nursing supporters offering brief cognitive behavioral therapy for psychosis (CBTp) at home, using a workbook for patients with schizophrenia. Eighteen patients with schizophrenia treated in a psychiatric home nursing service were randomly assigned to two groups: one group received CBTp in addition to usual care (TAU + CBTp group; n = 9) and the other received only usual care (TAU group; n = 9); two patients were excluded due to hospitalization or withdrawal of consent. Eight weekly CBTp sessions were conducted; anxiety/depression, quality of life, self-esteem, and overall functioning were assessed at baseline, week 9, and week 13. There was no significant difference in the primary and secondary evaluations. The effect size was 0.84 for primary evaluation indicating a large effect. This study showed that nurses and occupational therapists can provide CBTp in psychiatric home nursing for patients with schizophrenia to potentially alleviate anxiety and depression compared to standard psychiatric home nursing service alone. Therefore, larger RCTs with larger sample sizes are recommended.
这项试点随机对照试验（RCT）旨在探讨精神科家庭护理支持者在家中为精神分裂症患者提供简短的精神病认知行为疗法（CBTp）并使用工作手册，是否能够减轻抑郁和焦虑。在精神科家庭护理服务中接受治疗的18名精神分裂症患者被随机分为两组：一组在常规护理之外接受CBTp（常规护理加CBTp组；n = 9），另一组仅接受常规护理（常规护理组；n = 9）；两名患者因住院或撤回同意书而被排除。共进行了八次每周一次的CBTp治疗；在基线、第9周和第13周评估焦虑/抑郁、生活质量、自尊和整体功能。在主要和次要评估中没有显著差异。主要评估的效应大小为0.84，表明效应较大。这项研究表明，与单独的标准精神科家庭护理服务相比，护士和职业治疗师可以在精神科家庭护理中为精神分裂症患者提供CBTp，以潜在地减轻焦虑和抑郁。因此，建议进行更大样本量的更大规模的RCT。
