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探索一种增强首发精神病患者积极心理健康的干预措施:一项从心理健康专业人员视角开展的定性研究

Exploring an Intervention to Enhance Positive Mental Health in People with First-Episode Psychosis: A Qualitative Study from the Perspective of Mental Health Professionals.

作者信息

Rolduà-Ros Júlia, Moreno-Poyato Antonio Rafael, Coelho Joana Catarina Ferreira, Nogueira Catarina, Sequeira Carlos Alberto Cruz, Teixeira Sónia, Usall Judith, Lluch-Canut Maria Teresa

机构信息

Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain.

Parc Sanitari Sant Joan de Déu, Antoni Pujades 42, 08830 Sant Boi de Llobregat, Spain.

出版信息

Healthcare (Basel). 2025 Jul 28;13(15):1834. doi: 10.3390/healthcare13151834.

DOI:10.3390/healthcare13151834
PMID:40805867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12346678/
Abstract

This study explores the perspectives of mental health professionals on tailoring the Mentis Plus intervention to enhance positive mental health (PMH) in individuals experiencing First-Episode Psychosis (FEP). Although the Mentis Plus Program has been previously implemented in other contexts, it has not yet been applied to FEP care. Therefore, this study aimed to adapt the intervention for future implementation through expert consultation. A qualitative exploratory-descriptive design was employed. Data were collected via three focus groups comprising multidisciplinary professionals experienced in FEP care. Qualitative content analysis was used to examine the data. Participants viewed the tailored Mentis Plus intervention as a valuable, recovery-oriented tool. Key recommendations included a flexible, group-based format with eight weekly sessions. Suggested intervention components encompassed gratitude journaling, emotional regulation techniques, and collaborative problem-solving exercises. Group delivery was highlighted as essential for mitigating isolation and promoting peer support. Practical implementation strategies included phased session structures and routine emotional check-ins. Identified barriers to implementation included the need for specialized training, limited therapeutic spaces, and the heterogeneity of participant needs. Facilitators included a person-centered approach, institutional backing, and sufficient resources. The findings support the feasibility and clinical relevance of a tailored Mentis Plus FEP Program-Brief Version. Expert-informed insights provide a foundation for adapting mental health interventions to early-psychosis care and inform future research and implementation strategies.

摘要

本研究探讨了心理健康专业人员对于调整Mentis Plus干预措施以增强首次发作精神病(FEP)患者的积极心理健康(PMH)的看法。尽管Mentis Plus项目此前已在其他背景下实施,但尚未应用于FEP护理。因此,本研究旨在通过专家咨询来调整该干预措施以便未来实施。采用了定性探索性描述设计。通过由在FEP护理方面经验丰富的多学科专业人员组成的三个焦点小组收集数据。使用定性内容分析法对数据进行审查。参与者将量身定制的Mentis Plus干预视为一种有价值的、以康复为导向的工具。关键建议包括采用灵活的、基于小组的形式,共八次每周一次的课程。建议的干预内容包括感恩日记、情绪调节技巧和协作解决问题练习。强调小组授课对于减轻孤立感和促进同伴支持至关重要。实际实施策略包括分阶段的课程结构和常规情绪检查。确定的实施障碍包括需要专门培训、治疗空间有限以及参与者需求的异质性。促进因素包括以人为本的方法、机构支持和充足资源。研究结果支持了量身定制的Mentis Plus FEP项目简版的可行性和临床相关性。专家提供的见解为调整心理健康干预措施以用于早期精神病护理奠定了基础,并为未来的研究和实施策略提供了参考。

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本文引用的文献

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Positive mental health interventions for people with schizophrenia: A scoping review.针对精神分裂症患者的积极心理健康干预措施:一项范围综述。
Schizophr Res. 2025 Feb;276:40-56. doi: 10.1016/j.schres.2025.01.009. Epub 2025 Jan 23.
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Intervention Programmes for First-Episode Psychosis: A Scoping Review.首发精神病的干预方案:一项范围综述
Nurs Rep. 2025 Jan 9;15(1):16. doi: 10.3390/nursrep15010016.
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Interventions supporting meaningful connections for people with serious mental illness: a concept-framed systematic narrative review.支持严重精神疾病患者建立有意义联系的干预措施:一项概念框架式系统叙述性综述
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Emotion-related impulsivity and suicidal ideation and behavior in schizophrenia spectrum disorder: a pilot fMRI study.精神分裂症谱系障碍中与情绪相关的冲动性及自杀观念和行为:一项功能性磁共振成像初步研究
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Early Intervention in Psychosis and Management of First Episode Psychosis in Low- and Lower-Middle-Income Countries: A Systematic Review.中文译文:中低收入国家精神病早期干预和首发精神病治疗的系统评价。
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