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针对患有精神疾病的青少年和青年照顾者的心理教育干预:一项7年的系统综述

Psychoeducational Intervention for Caregivers of Adolescents and Young Adults with Psychiatric Disorders: A 7-Year Systematic Review.

作者信息

Di Lorenzo Rosaria, Dardi Alice, Serafini Valentina, Amorado Mei Joy, Ferri Paola, Filippini Tommaso

机构信息

Mental Health Department and Drug Abuse, AUSL-Modena, 41121 Modena, Italy.

School of Specialization in Psychiatry, University of Modena and Reggio Emilia, 41125 Modena, Italy.

出版信息

J Clin Med. 2024 Nov 21;13(23):7010. doi: 10.3390/jcm13237010.

DOI:10.3390/jcm13237010
PMID:39685475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641919/
Abstract

Psychoeducation is a specialized form of psychological education aimed at helping people suffering from psychological problems and their families. To investigate the efficacy of psychoeducation interventions (PEIs) in improving both the burden and quality of life of caregivers and the health conditions of their adolescent or youth patients. The following databases were used: PubMed, PsycInfo, CINAHL Plus with full text, Medline and Nursing Reference Center Plus. Two search strings were developed, one for the mental health conditions of assisted patients and the other one for caregivers. We selected 30 articles and applied two differentiated meta-analyses on 12 of them to evaluate the effectiveness of PEIs. We highlighted a statistically significant superior efficacy of PIEs compared to control groups in five studies in the meta-analysis of studies on caregiver outcomes, and eight studies in the meta-analysis of studies on outcomes of patients cared for. PEIs were shown to be effective in reducing symptoms and hospitalizations in persons cared for, improving their quality of life as well as that of their caregivers. Regarding the caregiver's care burden, our review suggests that PEIs generally improve burden in caregivers, reducing the perception of their workload in caring for adolescent or youth persons.

摘要

心理教育是一种专门的心理教育形式,旨在帮助患有心理问题的人和他们的家人。为了调查心理教育干预措施(PEIs)在减轻照顾者负担、提高其生活质量以及改善其青少年或青年患者健康状况方面的效果。我们使用了以下数据库:PubMed、PsycInfo、带有全文的CINAHL Plus、Medline和护理参考中心升级版。我们制定了两个检索词,一个用于被辅助患者的心理健康状况,另一个用于照顾者。我们筛选出30篇文章,并对其中12篇进行了两项不同的荟萃分析,以评估心理教育干预措施的有效性。在照顾者结果研究的荟萃分析中,我们发现有五项研究显示,与对照组相比,心理教育干预措施具有统计学上显著的更高疗效;在被照顾患者结果研究的荟萃分析中,有八项研究显示了同样的结果。心理教育干预措施被证明在减轻被照顾者的症状和住院次数、提高他们以及照顾者的生活质量方面是有效的。关于照顾者的护理负担,我们的综述表明,心理教育干预措施通常会减轻照顾者的负担,降低他们照顾青少年或青年的工作量感知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/deeec7dd10a8/jcm-13-07010-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/8202531fed78/jcm-13-07010-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/63a6e00af768/jcm-13-07010-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/deeec7dd10a8/jcm-13-07010-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/8202531fed78/jcm-13-07010-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/63a6e00af768/jcm-13-07010-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5476/11641919/deeec7dd10a8/jcm-13-07010-g003.jpg

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