Dixon L B, Lehman A F
Dept. of Psychiatry, University of Maryland School of Medicine, Baltimore 21201, USA.
Schizophr Bull. 1995;21(4):631-43. doi: 10.1093/schbul/21.4.631.
This article reviews the existing evidence for the efficacy and effectiveness of psychoeducational family interventions in the treatment of persons with schizophrenia. There is substantial evidence that psychoeducational family interventions reduce the rate of patient relapse. There is suggestive, though not conclusive, evidence that these interventions improve patient functioning and family well-being. Interventions with multifamily groups that include the patient may be of superior benefit for subgroups of patients. More research is necessary to determine the critical ingredients of family interventions, to expand the groups of patients included in these studies, and to evaluate a broader range of outcomes.
本文综述了心理教育家庭干预在治疗精神分裂症患者方面有效性和成效的现有证据。有大量证据表明，心理教育家庭干预可降低患者复发率。有提示性但非结论性的证据表明，这些干预可改善患者功能和家庭幸福感。针对包括患者在内的多家庭团体的干预可能对部分患者亚组有更大益处。需要更多研究来确定家庭干预的关键要素，扩大纳入这些研究的患者群体，并评估更广泛的结果。
