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治疗性社区对精神疾病的影响。

The influence of a therapeutic community on psychiatric disorder.

作者信息

Hafner R J, Holme G

机构信息

Dibden Research Unit, Glenside Hospital, Eastwood, Australia.

出版信息

J Clin Psychol. 1996 Jul;52(4):461-8. doi: 10.1002/(SICI)1097-4679(199607)52:4<461::AID-JCLP12>3.0.CO;2-E.

DOI:10.1002/(SICI)1097-4679(199607)52:4<461::AID-JCLP12>3.0.CO;2-E
PMID:8842884
Abstract

Forty-eight residents of a therapeutic community took part in a prospective study aimed at assessing overall outcome and which components of the program were most helpful. All subjects had a DSM-III-R axis II diagnosis, usually borderline personality disorder (N = 34). As well, subjects had a mean of 1.3 axis I diagnoses, underlining the severity of their psychiatric disorders. Significant symptom reduction on the Brief Symptom Inventory occurred at discharge after a mean stay of 64 days, with further significant falls at three month follow-up. These changes were paralleled in the Hostility and Direction of Hostility Questionnaire, a measure of personality. Hospital admission rates fell significantly in the year after discharge. Clients rated group therapy as the most helpful component of the program.

摘要

一个治疗社区的48名居民参与了一项前瞻性研究,旨在评估总体结果以及该项目的哪些组成部分最有帮助。所有受试者都有DSM-III-R轴II诊断,通常为边缘型人格障碍(N = 34)。此外,受试者平均有1.3个轴I诊断,突出了他们精神障碍的严重性。在平均住院64天后出院时,简明症状量表上的症状有显著减轻,在三个月随访时进一步显著下降。这些变化在敌意和敌意指向问卷(一种人格测量工具)中也有体现。出院后一年内的住院率显著下降。客户将团体治疗评为该项目最有帮助的组成部分。

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